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039-460-076
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE 4:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds Site Address: 9369 Peterson Estates Drive APN: 039-460-076 Permit type: MISCELLANEOUS Subtype: Private Pool Description: SWIMMING POOL MP07-0016 PERFECTION POOLS & SPAS INC 172 E 20TH ST CHICO, CA 95928 (530)895-0437 PROJECT INFORMATION Owner: KING, CHARLES 9369 PETERSON ESTATES DR DURHAM, CA 95938 (530)332-9650 PERFECTION POOLS & SPA,( 172 E 20TH ST CHICO, CA 95928 (530)895-0434 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Swim Pool -Master Plan Co $467.42 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PERFECTION POOLS & SPAS 566654 / C53 C10 / 11/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing % tection 7000) /Divis'n 3 of the Business and Professions Code, and my license is in full fo nd effect. X -'05/30/2007 Date I WORKERS' COMPENSATION DECLARATION I 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; X Carrier: STATE FUND Policy Number: 215-05Exp. Date:10/01/2007 (This section need not be completed if the permit is for one hunk dollars ($100) or less. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provis' s of Section 3700 ofLabor Code, I shall forthwith comply with those provisions. 05/30/2007 Signature / Date WARNING: FAIL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Permit No: B07-1093 Issued Date: 05/30/2007 By TMP Expiration Date: 05/29/2008 Occupancy: Zoning: SR -1 Square Footage: Building Garage . Remdl/Addn Other Porch/Patio Total $543.12 Fees Paid: $543.12 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided the: such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 05/30/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupan f any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to eyt�above mention�operty for inspection purposes. I hereby certify that I am the property�i�lbr or amAfi f ct on the property o If. /� /i 05/30/2007 Owner 2,C5ntractor OR; Agent for Owner Agent for Contractor FILE COPY i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameFirst Name Mailing Address c�K 3 61 Pe -Te -k-, ksT T -s City State04 Zip 573' Phone_332-1K S0 Fax g�f E-mail APPLICANT SIGNATURE /GS PERMIT NO. h BIN #. PROJECT LOCATION AP# O 3 - 960 — 076 Property Address G! 3 61cT�✓so City w60 /,, Q C l4 q x!38 WORKER'S COMPENSATION Policy Number 1,12-- Carder ,12-.Carrier 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: AsT�� Sao-ol Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name«I coN is t Address ) _72 2 U City !L G� - State zipg 51,29 Phone Vq5 _Oy 3 7 Fax E-mail Fax E-mail Lic. # �G 6 6�SF Class APPLICANT SIGNATURE /GS PERMIT NO. h BIN #. PROJECT LOCATION AP# O 3 - 960 — 076 Property Address G! 3 61cT�✓so City w60 /,, Q C l4 q x!38 WORKER'S COMPENSATION Policy Number 1,12-- Carder ,12-.Carrier 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: AsT�� Sao-ol Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name C a IUe,-C. 4 3". -e- --Address -Address City ; G U City r'� v State L� Zip9 Sal 28 Phone E-mail Fax E-mail State License Number APPLICANT SIGNATURE /GS PERMIT NO. h BIN #. PROJECT LOCATION AP# O 3 - 960 — 076 Property Address G! 3 61cT�✓so City w60 /,, Q C l4 q x!38 WORKER'S COMPENSATION Policy Number 1,12-- Carder ,12-.Carrier 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: AsT�� Sao-ol Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name -Few 1f -..� ✓ Vec. ( [G� �Cw(4 , zri "e" Address ..k S7_ 172E' -2-0 City ; G U State Zip Phone Fax E-mail APPLICANT SIGNATURE /GS PERMIT NO. h BIN #. PROJECT LOCATION AP# O 3 - 960 — 076 Property Address G! 3 61cT�✓so City w60 /,, Q C l4 q x!38 WORKER'S COMPENSATION Policy Number 1,12-- Carder ,12-.Carrier 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: AsT�� Sao-ol Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning -�-� Flood Zone SRA Yes No Occ. Type Const. Receipt Number: B3136 Permit Number: B07-1093 APN:039-460-076 BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Paid By: PERFECTION POOLS & SPAS INC Fee Description Date Paid: 05/18/2007 Received By: TMP Pay Method: Check Account Number Printed: 05/18/2007 8:18 am Fee Amount DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 DBMSC Swim Pool -Master Plan Co 0010-440001-4210500-1010 $467.42 Total Fees Paid: $543.12 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1093 Date: 05/18/2007 Location: 9369 By: TMP Parcel Number: 039-460-076 Sub Type: Private Pool Owner Name: KING, CHARLES Phone: (530) 332-9650 Description: SWEMAIING POOL MP07-0016 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 05/18/2007 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protplan.html FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1093 Date: 05/18/2007 Location: 9369 By: TMP Parcel Number: 039-460-076 Sub Type: Private Pool Owner Name: KING, CHARLES Phone: (530).332-9650 Description: SWMMING POOL MP07-0016 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 05/18/2007 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.ore/Fireprevention/protplan/protplan.html APPLICANT BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1093 Job Address: 9369 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Contractor: PERFECTION POOLS & SPAS INC 172 E 20TH ST CHICO, CA 95928 Printed: 05/18/2007 8:18 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 05/18/2007 $75.70 DBMSC Swim Pool -Master Plan Co 00104400014210500-1010 $467.42 05/18/2007 $467.42 $543.12 Printed By: Tammie Powell Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 05/18/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE COUNTY FEE SUMMARY Permit Number: B07-1093 Job Address: 9369 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Contractor: PERFECTION POOLS & SPAS INC 172 E 20TH ST CHICO, CA 95928 Printed: 05/18/2007 8:18 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 05/18/2007 $75.70 DBMSC Swim Pool -Master Plan Co 0010-440001-4210500-1010 $467.42 05/18/2007 $467.42 Printed By: Tammie Powell 543.12 $543.12 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 05/18/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County 'Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds Ll o g National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1093 Date: 05/18/2007 Location: 9369 By: TMP Parcel Number: 039-460-076 Sub Type: Private Pool Owner Name: KING, CHARLES Phone: (530) 332-9650 Description: SWEM IING POOL MP07-0016 By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 05/18/2007 Butte County'Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1093 Date: 05/18/2007 Location: 9369 By: TMP Parcel Number: 039-460-076 Sub Type: Private Pool Owner Name: KING, CHARLES Phone: (530) 332-9650 Description: SWIMMING POOL MP07-0016 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ E] Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Signature of Property Owner: APPLICANT Date: 05/18/2007 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ E] Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Ej E] Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ F] City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ Other: Other: Other: Signature of Property Owner: APPLICANT Date: 05/18/2007 Butte County 'Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1093 Date: 05/18/2007 Location: Parcel Number Owner Name: 9369 039-460-076 KING, CHARLES By: TMP Sub Type: Private Pool Phone: (530)332-9650 Description: SWEMMUNG POOL MP07-0016 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Date: 05/18/2007 Butte County'Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. fly Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http:Hmunicipalcodes.lexisnexis.com/codes[butteco/ Reference Number: B07-1093 Location: 9369 Parcel Number: 039-460-076 Date: 05/18/2007 Owner Name: KING, CHARLES Phone: (530) 332-9650 Description: SWIMMING POOL MP07-0016 Signature of Property Owner: Date: 05/18/2007 FILE Butte County'Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1093 Location: 9369 Parcel Number: 039-460-076 Date: 05/18/2007 Owner Name: KING, CHARLES Phone: (530) 332-9650 Description: SWIMMING POOL MP07-0016 Signature of Property Owner: Date: 05/18/2007 APPLICANT Butte County'Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION 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 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 $500 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 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) 2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS 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 CI'T'Y PHONE CONTRACTORS 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 Description: SWIMMING POOL MP07-0016 Reference Number: B07-1093 Applicant Name: PERFECTION POOLS & SPAS INC Owner's Name: KING, CHARLES AP # : 039-460-076 Signature of Property Owner: Date: BAC H MAN May 8, 2006 County of Butte Building Department 7 County Center Drive Oroville, CA. 95965 RE: Philo Hunt Master Pool Plans ASSOCIATES Dear Philo: This letter is to firm that the Master Pools under my design may be consLnacted within Butte County: CAREFREE Pools Master Plar. 01-502 ;PERFECTION Pools Master Plan 01-500 of POOL BUILDERS Master Plan 01-516 / SUNSHINE Pools Master Plan 01-510 EMERALD Pools Master Plan 01-513 HOLIDAY Pools Master Plan. 01-501 y/ ADONIS Pools Master Plan 01-507 Construction of these pools at specific site does rot require my speci_uc permission unless umu-ial Circumstances are encounter. All the pool contractors know the Master Pools is for normal pools. If any thing away from the normal is Encountered, the contractor should call me to the specific site as soon as possible. I hope this answers you questions. If I can be of any ether help, please let me knew. Thank you for help. Very truly yours, C. W. B CHMAIv RCE #16803 CM.R. 'NT ADDRESS 3 DANA POI? -?T ROAD CHICO, CA 95928 ��O QRp F �` Sjcc p�9� `1 CIVIL N4L,- Q _`�'� ENGINEERING 0 SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 � �0 w TE COUNTY INTER -DEPARTMENTAL MEMORANDUM JUN 17 2pro"i DEVELOPMENT TO: BUILDING DIVISI , ORO LE SERVICES FROM: GN vIR. HEALTH, CHICO DATE: -- RELEASE ENV. ALH HOLD ON BUILDING FINAL FOR: OWNER NAME:SM ; n2 -,tom SEPTIC: `� WELL: AP#: 62�?V- A//VD 4?bADDRESS/LOCATION:'I- /V , kZ EA �'Z el, e 7�i� Comments: - - _ _ ... _ - GL/memos/releasehold t,; tCOUNTY OF BUTTE .BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE %Z A/fiTi9 oy R PERMIT 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, please contact this office immediately. l/ - c. / i/ / .1l UZV / 1 At 6 /� / / 6'L- /L P�.�ti:. ,�.... _ � .. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE OWNER PERMIT NO. > t A routine inspection indicates that the following violations of butte county Ordinances exist at the y 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, t please contact this office immediately. q=t 4' 6�111166-'C- 6W nee ro ( 2 ra 1 L COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 oflice when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. !i /�/7o✓/i,7C" 6LU-/ -7 C� ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE U2 -"-17 X9 OV -0/0 -6 - 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, COUNTY OF BUTTE BUILDING DIVISION !. DEPARTMENT OF DEVELOPMENT SERVICES Y 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE IL StD V-YV-� s: u OWNER PERMIT NO. rE' G. A routine inspection indicates t at the following violations of butte county Ordinances exist at the above address and should corrected. Please notice this office when correction of work is �1 completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 0f yo No p Nolo fC--S) COUNTY OF BUTTE .r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE r� A //1 Y--- O NER 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, please contact lhoifice immediately. ;1/V`1Vb" or 6' r r NOTES i - RESIDENTIAL 039-460-076 _ 04-0108 PERMIT NO. ` STORNETTA BROS, Cc �-PETERSON ESTATES DR, DURHAM 3 % CONT: RYTHER/DAIL.EY CONST ti NSF W/GARAGE , -, SPECIAL CONDITIONS - CHECKED t' BY SRA FLOOD CERTIFICATE REQ. -= FIRE SPRINKLERS REQ. r� SPECIAL INSPECTION ITEMS + _ VERIFY )4 USE PERMIT CONDITIONS SUB -STANDARD HOUSING' LETTER OFFICE COPY Address , • • � GAS Meter By Eeter BLECTRIC Date My � Date JOB FINALED (D e) - �d c Signature ti J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Main; Soils-Elec. Grnd.-/ /" Ftg. Del Garage; Soils-Steel-Elec. Grnd.-/ /" Porches & Decks; Soils -Steel-/ /" A 6. _ t 6e/Haf'd Downs and Special Anchors F r B!D.W.V; Fall -Fitting -Test -2 Way C/O -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 13-j", Date Card B-1 Date PLUM G (Pe it) OK except #'s 1 ater .; Vent -Access -Combustion Air Baffle 18. Pi e; Test & Anchor -Nail Protection �— _ �dV.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access eg.,00Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date ELECT (Permit) OK except #'s e & Transformer Clearance -Ins. Protection c. Receptacles Spacing -Lights & Switches at Doors S' a es & No. of Conductors Stapled R ex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen uctor Size GFI 30. Subfeed Wire Size/ I /ga. Cu o(AI-A, Wire Size/ /ga Cu or Al 31. Range Circle//ga Cu or AI -Oven Circ. / /ga Cu or Al Insula Neutral ❑ Yes ❑ No 32. S ' e- icer Conductors & Ground Main Disconnect ui . Clearances Panels-Motors-Mech. Equip. 347 C hes Closet Light -Shower Light -Spa Light 05"Smoke Detector Date Card B-1 Date Card B-1 Date Card BX Date Card B-1 Date MEC IC L (Permit) OK except #'s 3 . A. u is*Insulation & Support e an, Exhaust above insulation on5ensate Drain & Overflow, Size & Grade 39. nace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card 941 1 Date Card B-1 Date FRA G ermit) OK except #'s 4 . Si Pr er'Materials & Anchors 4 uds-Nailing Spacing & Braces -Plates -Sound 4 ein Walls over Girders & Floor Nailing r top in Walls (rat proof) it Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing Date Cling. J -Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49 Fir ace Ties or Type A Flue -Fireplace Throat Clearance tti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles d Windows or Exiting Doors -Sill Ht. & Dimensions age -Protection Framing -RC Channel 40'.-PrqjWrty Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. S!2!!f-, Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stuc esh-Drip Screed -Fd. Vents-Underflr. Access ing Area -Glass Protection -Skylights -Plastic hear Walls; Nailing -Bolts 61. Interior/Exterior Wall Panels (�Z sulation-Walls-Ceilings . Infiltration-Walls-Wiri&ws Date .. and B -Y Date Card B-1 Date Card -1 Date Card B-1 Date FINA I s OK except #'s fl . Steps -Door & Sidelight Protection -Landings f S oke Detector Fur ce Vents -clearance -Comb, Air-Connector- Garape;,Above Floor-Ducts-Mech. Protection :,. G .. & Bath Fixtures & Tub Access -Spa . lec. T' & Subpanel, Breaker Sizes & Labels 70. -14— F ,00laror Stove, Clearance -Hearth I ets at Wood Panel, Int. & Ext. i ixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7_ I utlets & Receptacles at Kit. Counter aragyPire Door; Swing -Landing -Closure 76. A.1,.Duct in Garaae-Damper in arag ; Above Floor-Mech. Protection Ib ec. & Mech. Equip. Listed for Location I . R eptacles in Garage (F.F.I.)-Romex Protection $ nsu ion -Foam -Looked in Attic 81. Xard Rails & Deck Construction -Post Caps Fdn. VB is & Crawl Hole D 6r Drainage & Wood -Earth Clea nce Looked undorlrloor ❑ Yes--,",' , O NoMalks OYes'U No/Planters CdNtT-O No &,,00'A. n' tsconnect, Electrical -Plumbing 8 en Ve- Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 e ell,Disconnect, Electrical, Plumbing erigAlec. Trim, G.F.I. Receptacle -Underground 8 . Ve 'on Throughout House 0. las Protection 9Y 9,6ftections from Previous Inspections a est -Meters Tagged, Gas -Electric 9 aterewer Connected -C/O to Grade -HD Approval gy Compliance Certificate -Other Certificates A • dress Posted Fire Sprinkl Date /• Card B-1Date Card B-1 Dat -01ce Card B-1Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . = Not Ready NotApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; -Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 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- Req ulator-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. Verifv #'s with ( 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 .!A, �` + 5. Alum. Awn.; Columns-Connections-Splice-Decal-EhElosures, 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- Panelboards-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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-754,1 I)PEE3�uI((fJT O. (Rev. 12/96) APPLICATION AND PERMIT (tom-f/ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 'Z TELEPHONE SO. FT. OCC. BUILDING VALUATION _ OWNERS MAILING ADDRESS r 10636 S MILLER CHICO CA 95928 2756 R 1489824, CONTRACTOR'S NAME RY M DiAILEY CONSTRIMION 864-87N, TELEPHONE 948 C16,57.4.00 0 14 CONTRACTORS MAILING ADDRESS384 1947 ROSELW Cr MJCD CA ()5926 CONSTRUCTION LENDER Fireplace A 15W. 00 LENDER'S MAILING ADDRESS Total Valuation $171,840.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $891.-% ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOW A�RESS C^ VE1ERSW �,�•rrr.�. MRI` E, DU� CA 95938 �rG1LJ.\►7l/l� J;.a7j�,Ll+i Y(+ Energy Plan Checking Fee $2,3„00 $ PERMIT FEE $ 937.50 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 91.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 5 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE OFAMILY W/ GARAGE MASTER PIAN #97-59 Gas piping system 1 - 5 outlets 15.00 1 Building sewer 15.00 1 S Mobile Home ISI GI W 920.00 PERMIT FEE $ 171 M ELECTRICAL PERMIT Fling Fee 20.00 Main Service 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 i Lic. No. �) 11 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 astheir 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. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the 0-4erformance of the work for which this permit is issued. ave 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 work pompensa Insurance arrier and+Qlicy number are: Carrier —%.0 P. Main Service 200A TO 1000A 46.00 NEW CONST. / DWELLING OCOUP. OR ADDNS. \ a ACC. S. So 3.5QFT, SO rNjO F,O,D ' MULTI-OUTLETrr, 97.50 POWER APPARATus 8 SINGLE OUTLET US EJ(, OCCU OUTLET OR FIXTURES �0 @ 1.5000 Ex. Occup. OFIx�Es RES p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S i SQ MECHANICAL PERMIT Fling Fee 20.00 Heating CoolingC Hood 6.50 Ventilation 50 - PERMIT FEE $aa M 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' compensation laws of California, and agree that if I should become subject to the compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date - /(. -JLi Signature of Appli ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructioni- of structures over 3 stories in height. } Mobile Home Installation Fee $ - Energy Inspection Fee 1$46,00 occ CONST. TYPE TOTAL FEE $ 1412.09 HAZ. F D./ES ES IMP V FLOOD . CDF ` PARCEL PD v- HD yworkers' ISSUE IV This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B EXPIRES ON!``/f the applicable provisions Resolutions to do work been paid. Date ate ReceiptNo. Q� i/•t) %�%%n��> 1fi��/RMIT WHITE-D.D.S.-B°D. CANARY -ASSESSOR PI=N PECTORIGOL EENROD-APPLICANT CertainTeed.M., � Builders Statement 11 0 InsulSafe 4 Fiber Glass Blowing Insulation i, e Add ess � I&Q143 9-1-01-f Installer/Contractor (sign) Company Name Date Builder (sign) Inspected By (sign if required) Company Name Date Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be less than: On.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value... • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R Nalue. • This productt''should not be mixed with other blown insulations or the thermal claims will become invalid. _ DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 BAGS USED BATTS/ROLLS [.1)CEILINGS /��� / Wool 38 ' 2 WALLS 19 . i — FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value... • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R Nalue. • This productt''should not be mixed with other blown insulations or the thermal claims will become invalid. _ DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 CertainTeedll Manufacturer Insulation Fact Sheet This is CertainTeed Corporation InsulSafe 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 r 0.986 22 49 29.6 34 0.800 1872 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 76 0.353 9 19 11.1 90 I 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and C,518. Complies with ASTM C 764 as Type 1 insulation. i THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 572 16 19.8 51 0.533 4. 15 17.9 56 0.484 3% 14 17.3 1 58 0.467 372 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. 0 • NorthStar ----j ENGINEERING Civil Engineers • Surveyors To: Butte Co. Building Dept. Date: 3-2-04 Dan Dailey has are permission to remove the #3 rebar in the slab on lot 16 & 31 In Durham Land Estates Subdivision. If you have any questions please call Jim Peterson At Northstar Engineering at 893-1600 Jim Peterson 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 _ -530-893-1600 FAX -893-2113 .10 N-orthStar ENGINEERING Civil Engineers • Surveyors June 15, 2004 Dan Dailey Chico, CA RE: 'Lot 16 Peterson Estates Drive, Durham . NorthStar Job No.: 8004 To Whom It May Concern: Our original:.plans call for 3x..studs„.at.:vertical 'splices in the plywood at the shearwall.locations. , With.this letter.; we accept.the subutitutiomof•2-2x studs nailed with 2 rows of 16d sinkers at the vertical:.splices with edge -nailing per the shearwall schedule into each stud full rheighf. . If you have any questions,.please 6all<:me-aC(530.) 893-1,60.0 ext. 2.10: ' Sincerely, Jeff: Richelieu,, P.E. NorthStar Engineering 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 Page 1 of 1 530-893-1600 FAX -893-2113 08/19/2003 09:31 53067'278 BUILDERS PA P E 01 APA=vv%aV Cer-1, Ce`rtific'ate' of Conforman,ce' Certificate 054078 THIS IS TO CERTIFY that the glued laminated timber products identified with a colleC&e mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below; ANSI Standard A190.1-1992, for Wood Products —Structural Glued Laminated Timber NER-486 Glued Laminated limber Combinations And "GAP" Computer Program For Determining Design Stresses' AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Ouality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling -to verity' confo"---- •^ 1n'4e «tn, standards for lumber grade and glueline bond quality. �3 l8 !3`a2 — Q/ 8 2�ac .��••,�� �W 0,0 *4# ��. �tV Op.P 0 p9� d • V SEAL /ll�►..a by Thomas G. Williamson Executive Vice President ENGWEERED WOOD SYSTEMS is a related corporation of ARA , THE J_NGWEEREP WOOD A$WCA770N 7011 Saath tern Street • P.O. Box 11700 • Tacoma. WA 96411-0700 TetepHorre: (253) 569.6690 • Pax Number, (25-3) 665-7265 ri- 08/19/2003 `6° 5368774278 BUILDERS PA AGE APA c Certificate o f Conformance Certificate 054078 THIS IS TO CERTIFY that the glued laminated timber products identified with a colieefte mark of Engineered Wood Systems (LAWS) were manufactured in accordance with the applicable Standards and associated specifications indicated below; ANSI StandardA190.1-1992, For Wood Products— Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling -to verify confor----- •^ -A, tetnr sttandards for lumber grade and glueline bond quality. b �& J • Thomas G. Williamson Executive Vice President ENGINEERED MOV SYSTEMS 4s a related corporation of AMA —THE ENGWEEREP W000A=CWT9 N 70118outh 18th Shaet - P.C. Boz 11700 -Tacoma. WA M11.0700 Telep ene; (M 565.6600 • Fax Number, (253) 6857285 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telepho0) 538-75AA- PER O. PP (Rev. 12/96) ALI CATIONANDPERMITne 3� 1yr ASSESSOR PARCEL NUMBER , _460-076 ZONING t BUILDING PERMIT OWNER TELEPHONE 1� . OWNERS MAILING ADDRESS 10636 S MILLER CHICO CA 95998 SO. FT. OCC. BUILDING VALUATION 2756 R 148.824.00 CONTRACTOR'S NAME RYTHER DAILEY CONSTRUCTION 864-8704384 TELEPHONE 948 C 16,5 4.0 0 4 992 00 CONTRACTORS MAILING ADDRESS 1947 ROSELEAF CT CHIM CA 95926 CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAILING ADDRESS Total Valuation $ 171 840.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $891.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $23.00 BLIT` R s JPETERSON ESTATES DRIVE, DURHAM CA 95938 Energy Plan Checking Fee $23.00 $ PERMIT FEE $ 937.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 91.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY W/ GARAGE MASTER PLAN #97-59 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 11@20.00 PERMIT FEE $ 171 -on ELECTRICAL PERMIT Filing Feel 20.00 a00V OR LESS Main Service 2001 OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 4 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fj Orce and effect. License Class Lic. No.� 1 11 .� OWNER -BUILDER DECLARATION 11 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. ❑ l am exempt under Sec. Business and Professions Code for this Main Service TO 46.00 WEE200A CCLI000A NEW CONST. DWELLING OCCUP. SD. OR ADONS. a Acc. sms. 3.50x. 19 g NEW CONST. MULnOUTLET NDN-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES @ 1.00 BILL @ so Ex. Occup. OFIxs Runs ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $171 SQ Treason WORKERS' COMPENSATION DECLARATION l 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. 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 work ompensati insurance arrier and policy number are: Carrier �T�� Q -% . INS» ���A MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling is 00 Hood 6.50 Ventilation PERMIT FEE $ 89 oo Policy Number -;k'1 Z - Cs o o t1-39'1 a -- d \ (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) - ❑ I1certify 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 D� workers' compensation provisions of section 3700 of the Labor Code, I shall i forthwith comply with those rovisions. 1 M X /t/ �, _ Date - /4 _0 , Signature of Appli ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0".deep and demolition or construction 6f structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ 1412.0 HAZ. D. F IM FLA CDF PARC H 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 Dat Q P IT EXPIRES ON b� afe [T�eceiiptrqo. WHITE-D.D.S.- .,�.,CANARV- SS SSOR PIN - S ECTOR L ENRO -APP CANT E.H. U E ONLY Plot Plea Anach4 Rea�."d nSe/ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ./ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: earance O.K. for: NOTE: C r Environmental Health Specialist `.. Date 8/96' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION •� . 7 County Center Drive, Oroville, CA 95965 Plone (530)538-7541 Fax (530)538-2140 PERMIT APPLL+ATN DATA SHEET (� �ORPSEL o ✓A�ES 6;fil- OWNER: rw i7k, e2 Proposed Building Use: I V� / ' �"JJvr Counter Technician: Date: I ems required in order to apply for a permit. tAll boxes MUST be checked OR marked NA in order to(apply. •.1: -Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. 'Complete plans, 3 or 4 sets, signed by the preparer of the plans. j 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. 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. J ❑ 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. y ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: a (B)Parking: (C) Parcel Check: /25. Contact Land Development about _ Improvements, _ Drainage ......................... �26. NPDES Form-............................................................................................ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization\................................................................. TD B M! I L.l. F'Okx � P,, �z3 23 33. Recorded copy of Agricultural Acknowledgment Statement ...... ....... ...Y.............. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $� ❑ 38. Other: ❑ 39. Other: When issued Telephone, and hold for pickup. I have been infor ed of the above items and requirements for obtaining a building permit. . k . Z Applicant: / Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items'required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 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 Sh " AtA PROP D BUILDING USE ►"�� Ir� �Gt%F�+�� I' '�`t7J+�/ 71. BUILDING PERMIT FEES --- Balance Due ..................... $ ld Additional Fees Due........... - Revised Plan Checking Fee.... $ 2,SCHOOL DISTRICT FEES 1NY h"' 'y I paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) O CO Residential............ X $360.00 =$ Units Commercial (sq. fig.)..... X $0.03 = $ Sq.Ftg. A.P. # DATE RECEIPT # DATE REC. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. Ly 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. Ftg. Amt. 10. OTHER 0� 7 5 1_2,: a � At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be than ed during the Ian checking process. APPLICANT DAT Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 22003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM • (One foam per Building) School District ` ; r — Building Department No. A.P. Number VU (J /� Jurisdiction: City County Property Owner Property Location/Address :2— Subdivision i � Lot No. Residential Development Q Q 0 No o Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # *(No foundation inspection) ................................................................................................ _... Sq. Footage �J (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building DepartmentRepre ntati� a Date / District Identification No. l 7 R & 40 U e 00-M UN `/ C7 -D School District certifies that C Lip!G ?\1 /f/E-le- (Applicant) (Street Address) ,4 (Phone Number) 67 S? 3 (City) (State) (Zip Code) has complied with the requirements of Resolution No. Dom- D ;?, by payment of $ . 5 5-97 —9 representing square feet. 2926 $ FULL MITIGATION $ 4 School District Representative Date Paid by Check # Remarks: No(fce: You may protest the Imposition of the tees Idsntl above by submitting a written protest to the District. In compliance with Gova um a code Section 66020(a), within 90 days from the data fees are paid. Failure to subett a timely wdnen protest wlil'prohtbIt you from eMlbrglng the Imposition of the fees In any court action. K, subsequent to the School District Representative signing this Butte county Schools Impact Fee Certification Form, the School DbMat is noMW by the applicabis Local Planning Agency that thk project Is being reviewed under the CalHornla Envlrorrmntal Quality Act (CEGA), this project may be subied to additional school fess to fully nttlgde. ks Impact on tit school dh t kft schools. . White (applicant), Yellow (building department), Pink (school district) feefwm.xk 00/031dmm J� BUTTE COUNTY PARK F-4 DURHAM RE Assessor Parcel Number (s): CILITY FEE PAYMENT CERTIFICATION FORM CREATION AND PARK DISTRICT Property Owner (s):t�L kW 6 5 i:� Project Location/Address: tw (q ky-\ Subdivison Name:: Q% ny"Ka\ynIrf'c �,5+Llteo Assessable Square Footage: Type of Residential Development (check one): New Development Afteration/Addition Mobile Home (s) ❑ Non -Residential to Residential Comments: Buildi "givision Representative Date ' Durham Recreation and Park District (DRPD) certifies that Applicant Address Applicant Phone Number 01Ai co CA 591�o City State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 -.114 by payment for square feet at $ 1.04 per square foot for a total payment 0q of s 2, SU. 4F,�)PD Representative PAID BY CHECK No.: Remarks: BANK No.: q8 -3.S n PAID BY CASH: RECEIPT No.:, 10 -7 �2 z12DJt)4 ' Date DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION M r SITE PLAN REVIEW APPLICATION Date: I —1 b — d `-� AP# 0 q &0 — ®� ZP Permit Number (if applicable) 0 y — D (p Bin Number APPLICANTINFORMATION Parcel Size: I IPA C— Owners Name: STO 2.NC=`r r N t3S?-D S Owners Address: 1 D 63 to • hn t LLCY2 CH I G d CA 0i 59 2-8 Telephone No.: 3 193 — UIS 42 Situs Address: P E r" eeSbb_ J e S-1" _ _t� 2 Proposed Use: Residential . New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other IN Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable X N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved a Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ 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 att c ed) • Flood Zone: • Flood Panel No.: O 5'Z_® C Index Date: Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) North Chico Specific Plan (See Development Fees Section and attached standards and requirements) Chapman/Mulberry (See attached standards and requirements) Cohasset Area (See attached standards and requirements) 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: S R -" I Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. i� Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5c) C L Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. i� Page 2 of 5 Applicable Development Fees: Standard Fees Amount - Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads JS 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 ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ 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 (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 fl Subdivision Map/Parcel Map: V e {�q��-�, _ 3 Map Date of Recording: 1 o- ]�O--01 Lot: I �O ❑ Use Permit/Minor Use Permit Permit Number: Book: ) S 2 - Date Date of Approval: Page: 9 k I Parcel Map/Subdivision Map/Use Permit Conditions Y ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 Plan 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. El Page 4of5 -- �ror�s 1. THIS SHEET SHOWS ADDITIONAL INFORMATION, IS FOR ADDITIONAL INFORMATION PURPOSES ONLY, DESCRIBING CONDITIONS AT THE TIME OF FLING AND IS NOT INTENDED TO AFFECT RECORD TITLE INTEREST. 2 A SOLID FENCE CHAIN LINK, BRICK, BLOCK OR SIMILAR MATERIAL, NOT WOOD, A MINIMUM OF SIX FEET IN H€tGHT SHALL BE INSTALLED ALONG THE SOUTHERN AND WESTERN PROPERTY LINES OF THE PROJECT. PF40R TO ISSUANCE OF BUILD[NG PERMITS FOR ANY RESIDENCE IN PHASE 3. 3. DEVELOPMENT ON: ALL LOTS IN THIS SUBDIVISION WILL REQUIRE CONNECTION TO A PUBLIC WATER SUPPLY. 4. SHOULD ANY ARCHAEOLOGICAL OR CULTURAL MATERIALS BE ENCOUNTERED DURING PROJECT CONSTRUCTION. SITE DEVELOPMENT SHALL CEASE AND ARCHAEOLOGICAL CORSULtAT10N SHALL BE IMMEDIATELY RETAINED. 5. ALL ALMOND TREES SHALL BE REMOVED FROM THE PROPERTY. REMOVAL OF TREES CAN FOLLOW THE PROPOSED PHASING PLAN SHOULD ACTIVE FARMING CONTINUE AS THE PROJECT IS DEVELOPED - 6. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FACILITIES SHALL BE PAID PURSUANT TO THE PROVISIONS OF CI4APIER 3, ARTICLE h OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS OR USE PERMIT IN THE CASE OF A MOBILE HOME PARK. SAID FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT OR USE PERMIT. 7. ALL OAK TREES ON THE PROPERTY SHALL BE PRESERVED EXCEPT FOR THOSE REQUIRED FOR ROADS, DRIVEWAYS, OR BUILDINGS. A NO DISTURBANCE SETBACK SHALL BE PROVIDED COMMENCING FROM THE OUTER EDGE OF THE OAK TREE CANOPY. is2-9%81 1e -3o -o ADDITIONAL INFORMATION SHEET DURHAM LAND ESTATES . PHASE 3 A FUSctC 61)ME I WBDIVIsM BEING A PORT70N OF THE REMAIN// SIG LANDS OF DURHAM LAND ESTATES PHASE 1, BOOK 151 OF MAPS, PAGE 774, ALSO BEING A POR77ON OF THE National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI ProjectTitle: ct �JC�g Lr�,2S,3, � i � s �Z • .—z>-�2 %A C-N%CVN By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more 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 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 1. 1 o -i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004-000390-�S Recorded I REC FEE 10.09 Official Records I CONFORM 1.99 Countyy Of I CANDACEdJ. GRUBBS I Recoer I ROSEMARY DICKSON I Assistant l Kathy 01:27PN 23 -Jan -2004 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date o c r (0 lob PROPERTY OWNERS: Tommy ►�e`t�TC� State of California County of On -O( I 1(y104 _ _ , , before personalty appeared_ M204 i�'54•p t-tb�A personally known to we (or proved to me on t e basis of satisfactory evi ence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand official seal Signature Seal: �• • ' C. WILDER COMM. # 1296628 as NOTARY PUBUC-CAI.IFORMtA y A.p. # 3� •� '-1(on an C. Q COUNTY OF 9UTTE 039Comm. Expires March B, 2005 W Preliminary Report Order No. BU -216285 DMP Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 16, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DURHAM LAND ESTATES PHASE 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 2001, IN BOOK 152 OF MAPS, AT PAGE(S) 79, 80 AND 81. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED NOVEMBER 7, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001- 51759,. BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 039-460-076-000 Page 4 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 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: zez Date o t 0 4Ploo State of California Countyof (3 CA--CtR- On 0 i ( i (a /D4 before PROPERTY OWNERS: --oe.yw-s iCTTA personally appeared personally known to me (or proved to me on t e basis of satisfactory evi ence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which . the person(s) acted, executed the instrument. WITNESS my hand official sea Signature, Seal: —• C. WILDER A.P. # 031 — 61Gr-> Orl Co COMM. 1296628 ICH m w NOTARY PUWC•CALifORN1A COUMY OF BUTTE W comm. Expires March 9, 2005 tl Preliminary Report Description Order No. BU -216285 DMP The land referred to herein is situated in the State of California, County of Butte, and is described as follows: - LOT 16, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DURHAM LAND ESTATES PHASE 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 2001, IN BOOK 152 OF MAPS, AT PAGE(S) 79, 80 AND 81. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTHAN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED NOVEMBER 7, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001- 51759,. BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 039-460-076-000 Page 4 A 240,01 ELLIS A&E SUPPLIES /�6e S IF U°s.:.y s-.. I - - 17 �) GT s sLAll 6e sc1F S'e IF Glos,*-y.r alae- o All y Po° 1 a ea z� cinuvj oP eH •'^ �° o F 95 d 0- 0� grcuTer BUTTE COUNBUILDINGT A noOV D ASSESSog COPY Owner: NG, APN: 0;M l BP#:O"7 POOL GENERAL SPECIFICATIONS s= 19 x36 ARE.Syg EfoE TO— SHAPE �:,• - POOL CAPACITY 16, GALS. PUMPJ76.n1 s' -?-T-7- MOTOR CSTMOTOR N.P. ( N f" H.P. FILTER /b 8 5/ 1r Z> L' SO. Ft. VACUUM UNE 8 SKIIMMrMtER l•I RETURN LINE / Z " MAIN DRAIN SKIMMER MODEL LC -3 Z BACKWASH LINE . yCS 60 ' OF K" FILL LINE ANTI SIPHON VALVE Ile -5 HEATER �� SIZE -Bi BTU OASLINE BY:1O- VENTED BYr4' LIGHT Sfa( GJI',lc C.�<r CLOCK ELECTRIC BY: �c ✓f; �oa S ELECTRICAL BOND-Po/,o-,;s NG BY: POOL CLEANER 1 a G ✓; $ CHLORINATOR SG/T"le-- BOARD - SIZE --�� BOARD SUPPORTS �- LADOER -MODEL �- SLIDE 1 GRADING STUB PLUMB O YES O'HD DEacev: ?o0 15 NOTES SCALE 1 za u P.-I)t D ca,o wo •-- W acv n. an b / NOT TO SCALE .3 D DEEP END SHALLOW END UNLESS OTHERWISE SPECIFIED: POOL 1S.Z SHALLOW TOL_ DEEP I HAVE RECEIVED A COPY OF THIS PLAN AND HERESY APPROVE POOL AND EQUIPMENT LOCATION CUSTOMER'SSNINATURE DATE I- 0rEAST 20TH STREET PERFECTION CHICO, CA 95928 04 . isle(916) 895-0437 License #566654 -7 -2- M PLANNIING 011 SION P A R.)VL bandsc,�o ing Other signature. -T I/ � f �.- , — f.0I I B UTI `E G () U N T Y I,:3ION BUILDING DIM o- , APPROVED /,,ZV z/ � ���� �1 ��I I��' I �� _�11_ - --