HomeMy WebLinkAbout041-110-0260t..1-1.10-026 06-1603
LYNDALE
2828 MESSfNA VALLEY RD
OROVILLE
COW: C,%�/"NER
I'E.'(N/P;-'f'WR-LOT DEVELOPMENT
BUTTE COUNTY PERMIT*NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP0616.03
OFFICE #: (530) 538-7541 •
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/06/2006 APN: 041-110-026-000
the Business and Professions Code, and my license is In full force and
effect.
License Class: License Number:
Site Address: 2828 MESSILLA VALLEY RD ORO
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Description: TEMP POWER POLE FOR FUTURE LOT DEV
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: BATT, LYN DALE
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
5259 MIOCENE CIR
the Contractor's Stale License Law (Chapter 9 commencing with Section
OROVILLE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95965
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
(530) 867-0833
appll nt to a civil penalty of not more than five hundred dollars ($500).):
'
I, as owner of the.property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business.and Professions
Code: The Contractors' Slate License Law does not apply to an
Applicant: BATT, LYNDALE
owner of property who builds or Improves thereon, and, who does
.5259 MIOCENE CIR
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
OROVILLE, CA
sale. If however, the building or improvements are sold within one
95965
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
(530) 867-0833
sale.).
❑ I, as owner. of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply. to an owner of property who builds or Improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
;
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business a d Professie s Code
AimA
Date: Owner. r
License #:
WORKERS' COMPEhSATION DELL RATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation• as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit Is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
the
5�a
and agree that if I should become subject to workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
'k 4 0M
% 3 t
Date:
'7 - J—OG
Applicant•
WARNING; re to secure orkers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is 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
the work for which this permit Is issued (Sec 3097 -iv.)
Retl ns to do work Indi ated bove for which fees have been paid.
/t�f tl�
17.- �f� �y�
performance of
By:!�7•U Date:
Name:
� - (�� —O�
PERMIT EXPIRES ON: w
Address:
. (Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19627.5 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 applicatlon,'that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby ..
authorize representatives of Butte County to enter upon thea ove mentioned property for inspection purpo es.
L,J� Signature:
��
Print Name: \Q
Date:
weer ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
u. C. Building Perms (ii -i6-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
PENT
BUILDING PERMIT APPLICATION
NO.
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: 891-2834
I�
(530)
BPO
OFFICE #: (530) 538-7541
Zip
A FEE WILL BE REQUIRED AT TIME OFAPPLIC4TION
BIN #
Website: www.buttecounty.net/dds
E-mail
"'PLEASE PRINT CLEARLY"
Lic. #
OWNER INFORMATION
Last Name
rst Nam
Address
Sta�,
Zn. -
Phone g- ►3r� Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
city
()ccxjl
Address
J
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
city
()ccxjl
Address
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name 1J(Z a -
L
h�
Address 'Sa Si Q "k (�Z�11� C \r•
city
()ccxjl
PhoneC)Sr
-
Fax
E-mail
APPLICANT SIGNATURE
X/
For offs se only:
Zoning Flood Zone SRA
OccType Const.
Subdivision Name Mp goo �ge
/ L/S � 7 �
Planner Date Approved
OVER FOR SUBMITTAL REQUIREM
KAFORMSWILDING FORMS161dgApp1SubRgmts.doc
Yes t No
Lot #
Page 1 of 3
PROJECT LOCATION
AP# GN I
Property Address Cit
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
D cription or Sc (kf Work:
Sq FT- Living Garage Ope Cov
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: 6 Amount:
Bldg
SRA
Receipt # `15 Sheriff
QS SMIP
Date: '3.1(p Other
lJ �, Total
REV 6-12-05
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 paperl
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) PR
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 faxesl
❑ 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 manual, (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. Building Permit Application Without Required Clearances Form
El 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 Bufferclearance 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.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
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
KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
TCounty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET bP� 1@013
OWNER: d ) ASSESSOR PARCEL NUMBERRo��
Proposed Building Use:IMP. pb= �r f ghTe Irk Ve Permit Technician: fes. Date: rl- e{mlp
Items required in order to apply ria permit All 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.
❑ 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.
Cl 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 fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs 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. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other___
Remaining items needed to issue the permit (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan,apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑ 18. Erosion Control Plan Required........................................................................
ItilCL 19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20. City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
0 / 22. California Department of Forestry plan approval ❑ paid. Sent by: .............
0�( 23. Planning approval for (A) Use: ,A (B) Parking: (C) Parcel Chedr,J.........
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
❑ 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 ..........................................
=-N 30. Owner -Builder Verification ( -Given to owner, _Mailed to owner) .....................
1131. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Titre, title search, registration or MCO .........................
❑ 36. Other.
❑ 37. Other.
When issued Telephone (r.?()) D`� Q-(��j CWW and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
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:
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
E
A
OWNER -BUILDER VERIFICATION
1
Attention Property Owner:
a
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
nnecessarydelay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the majo labor and material for construction of this proposed
property improvement. YES -[ �O [ ].
2. I HAVE [+HAVE NOT [ ] signed an application for a building permit for the proposed
work-
3.
ork3. I have -contracted with the following person (firm). to provide the proposed construction:
NAME:
ADDRESS: r
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:
orkNAME: .
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 ADDRES S 'PHONE- TYPE OF WORK
y..
SIGNED:
PROPERTY OWNER: AAC�l �)�,
DATE: - O
NOTE:' This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
Butte County Department of Developnent Services vrr
ADMINISTRATION `BUILDING ° GIS `PLANNING o ` �o
O o
7 County Center Drive o o
a
Oroville, CA 95965 0
(530) 538-7541 Telephone 06y
(530) 538-2140 Facsimile �U.µ�
OWNER -!BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
pem-dt 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 Iiability 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 inst rance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or. through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, Califon a 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued- until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
WOTR- This Owner -Builder Information is reauired by Section 1.9830 of the California Health and Safety Code.
LAND DEVELOPMENT
-DING /.ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. VVV
nn^, T A.P. n`' n /_ /,mac-��)
OWNE
r
NAMERS�JIP_�I'�%%�/t_./)� NUMBER: (J 7�%' ��(J ���lV
4 PRINT LAST NAME FIRST _
COUNTY ZONING
DESIGNATION: it FLOOD ZONE: X FLOOD MAP: 2 ��
r
APPROVED: CONDITIONALLY APPROVED: / RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDSy OR MAP F
DEED INFORMATION: %' /
DATE OF CREATION: "J I Lr7 ✓L DEED REFERENCE: i `i 9� 3Q0 ,
LEGAL ACCESS PROVIDED: ""3 = YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: _- YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION: a
DATE OF RECORDING LOT BOOK PAGE'
COMPLIANCE WITH OLD SUBDIVISION+LOT-ORDINANCE- REQUIRED? (MAP RECORDED. PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO IF YES, MARK APPROPRIATE ITEM(S) BELOW: .
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: 'ALL FEES TO BE PAID, TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
3. Maintain a 100 ft. leachfield setback from all existing wells.
4. Maintain a ft. leachfield setback from
5. Pay .water tender fees in the amount of S to Battalion Number of the Butte County Fire Department.
6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
7. -Connect to a public water supply.
8. Connect to a public sewer system. 4
_ 9. Automatic fire suppression sprinkler systems shall be'installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
f homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
— 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
§-
Jul 01 06.06:47p Canyon View Clinic 530 876,3116
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it t. !,/1. ;ic,x 75 !irldioy, Cd,-- "�
A<9an, � "stn tit.
GRANT DEED- Mesilla Valley School District
January 27, 1967
11y
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LAND DEVELOPMENT.
BUILDING/ ENVIRONMENTAL HEALTH- PERMIT CLEARANCE Bm7ding Permit No.yy//
scl�%
OWNERSA.P.
^n .. /�
NAME: �/ 1 P i/t /� Clan �� NUMBER: l J 1I' l /0
PPoNT LAST NAME RRST
COUNTY ZONING
DESIGNATION: FLOOD ZONE: %C FLOOD MAP:
APPROVED: CONDITIONALLY APPROVED: VE / RESOLPROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDSy OR MAP,
DEED INFORMATION: % r 1 �J/ ..
DATE OF CREATION: I I I �r r 06 IDEED RE
WFERENCE: � `I ✓ � � 3,(C,
LEGAL ACCESS PROVIDED: "� YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS-
MAP INFORMATION:
DATE OF RECORDING 7 LOT BOOK PAGE
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED. PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
3. Maintain a 100 ft. leachfield setback from all existing wells.
4. Maintain a ft. leachfield setback from
5. Pay water tender. fees in the amount of $ to Battalion Number of the Butte County Fire Department.
i0 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
7. Connect to a public water supply.
8. Connect to a public sewer system.
9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the 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 Fire Department
specifications, serves the parcel.
_ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
_
11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
12. Obtain -approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
. ...
13. A traffic mitigation fee for each ne. or additional living unit shall be paid. Pay the amount of S = as stated
in the Oroville Area Traffic Mitigation Fee Agreement. paynm►t to be pnda to Mie PAsrniig Dwrs+an.
_ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
--•X 16. Pay school impact mitigation fees: -' -
X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
18. 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.
_ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist... This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
20.
21.
22.-
23
24.
LD -9/95 - C:\WP51\FORMS.K\BLDGPERM.CLR'
Butte County Department of Development Services
NOTES 7 County Center Drive, Oroville, CA 95965 -
(530) 538-7601 - www.buttecounty.n@Vdds.
RESIDENTIAL
Permit No.
7 f.Owner
Site Address:
J! Contractor.
Type of Permit
OFFICE COPY
Address -
GAS Date
kF Meter By
ELECTRIC
Date
Meter By
' r
+=OK `
O = Not OK
• 1
MAN FACT URED`H.OMES
vMIS'C'ELLANEO�US
j
DATE PERMANENT FOUNDATION SOFT -SET "
i7—DATE DECKS -COVERS -CARPORTS -GARAGES
1 ZoningSetbadts-Easements
1 ZoningSetbacks-Easements. -
2 Soils; Special MH Support Sketch
_ ' 2 Ftgs; SailsSz-DpthSpacing-CnnctrsSteel
3 Sewer; Loctn-Test; Fal1/CI0Concrete
3 Decks, Girders/Joists-Dddng-Brcing
4 Wtr; Loctn-Test-Easeinerit Needed -Regulator
Stairs-DuardlHandralls
5 Elec LoctnLlrncsSmd 'Amp -Concrete
4 Wood Awn; Posts-Beams-Rftrs-CnndrsShthg•
6 Yard Gas; Loctn Test Wrap Nat ❑ or LP❑
Frmg-Brcng
Inch Sz Ft Lngth '
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
7 Blckng; SzSpacing-Marriage Llne
li Carports; Wndws-Doors
8 Gas; MH Test -Demand Valve-Dnndr
7 Electric ',
9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs
8-Frmg; Sills-AnchrsStuds"Rftrs Trtisses
10 Drain; MH Test -Fall -Flex Cnnctr
9 Siding; Nail-mg-VeneerStucco-Lath
11 Wtr & Sewer Connected -CIO to Grade
10 Roof, Shthg-Roofing
12 Gas and Electricity Tagged
11 Ext; Steps -Doors -Landings
13 Tie Downs,, ❑ Foundation ❑"
12 Braced Wall pnis
14 Exits
15 Cert of Occupancy
y7 s'
16 HUD Labelfinsignia Numbers Serial Numbers
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns Thickness
Dead Men -Lining
4 Elec Rcptcls;&Mng; Distance -GR
r
5 Elec Pool LXpg; 15 volts-GFI
6 EIec.Eridsrs; Conduit Entries-Terminals4-isted .
T. Elec Banding; Metal w/5'-CrcItng Eqp-Htr
8 Elec Grndng; Eqp wIT Crdtng Eqp-Pool Ightg
r Saxes-Enclsrs-pnlboards4nsultn to Main Conduit
.
9 Health Dept Appy ... _
- 1Q Pimb; Cir Test Wtr Supply Test
11 • Lt Niche '
12 Endsr, Fencing -Alarms
13 Bondutg,• Diving board or Slide
' r
• 1
1
RESIDENTIAL (S
DATE JUNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ft4 Dpth
3 Ftg Garage; SoilsSteel-Eiec Grnd Ftg Dpth
4 Fig Porches/Decks; Soils -Steel Fig Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalis Garage; Steel-Blockouts-Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
I i Wtr Pipe; Test-Anchrs-RgltrService Test
12- Elec Undrgmd
13 Plenums & Ducts; C1rnc-MaterialSupportansultn
14 GirdersSills-SillsBolts-Joists-Vnts-Cripples
15 Ace & Vntltn
16 insulation
DATE FRAMING
17 Sills Proper Materials & Anchrs
18 V1/alis Studs -Nailing Spacing & Braces-Plates-Sound
19 Bearing Walls ovet Girders A flr Nailing
20 Draft Stop in Walls (rat proof)'
21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs
22 Headers & BearitsSi &'Bearing'
23 Hangers-Pos('Caps-Anchrs-Ci►nctns
24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac-TrussShthg
25 Frplc Ties or Type A Flue=F' ' !c Throat Clrnc
26 Attic Ace; Si &: Riirz Pitctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill kit & Dimensions
28 Garage Fire PrtdA Framing -RC Channel
29 Prprty Line Firewall & Opng!i .
30 Ext Doors One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace
35 Glazing Are PrtctnSkyLLs-Plastic -
36 Shear Walls; Nailing -Bolts
37 Brace IntlExt Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration Walls-Wndws
o'er o`er of 0�s
DATE JELECYRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndetrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFl
47 Subfeed Wire Sz ya DCU or DAL
AC Wire Sz ya Q CU or Q AL
48 Range Ctrc ya D CU or D AL
Oven Circ qa 0 C or DAL
Insulated Neutral DYes El No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnts-Motors-Mech Eqp
51 Clothes Closet LtShwr Lt -Spa Lt
52 Smoke Detector
ate' ds o''
Ingle
& Duplex) r .
DATE
IP1UMBING '
53 Wtr Htr; Vent Acc•Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr. Nail 'Prtctn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tub & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
o'"
ds oma`
DATE
MECHANICAL
61 AC Ducts Insulin & Support
62 Vent Fan, Exhaust abv Insulin
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pitfrm if Furnace In attic
DATE
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-ftr-Ducts-Meth Prtctn
69 Bedroom Exiting
TO GFl & Bath Fxtrs & Tub Ace -Spa
71 GFl Are Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Cimc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Apptnc; Gmd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtcb
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Cimc Dmge Planters Q Yes D No
87 Stucco Brown -Finish
88 AC Unit Dscnnc% Elec-Plmb
89 Vnts abv Roof, PImb.Appinc-Frplc-Cimc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFl Rcptcl-Undrgmd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES'
7 County Center Drive • Oroville, CA • (530) 538-7541 -
CORRECTION NOTICE `
OWNER PERMIT NO. . 4
A routine inspection indicates that the following violations of Butte County Ordinances exist at ;
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional?
explanation, please contact the Building Inspector as indicated below.
%�j�/� !� UH-'i/�/' �/2 l///I (%�`G � iii i //� /�3'> ` -�•�
Date ! / /— 4 Inspector x?
REV 4/05 Phone # �7\ 3�C S-3 S
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
.. r..'�V,�..W�-rs.�.,.r't,y..i.r.d;,•. rte
COUNTY OF BUTTE§"
r ' BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 CountyCenter Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER
A routine inspection indicates that the following violations of Butte County Ordinances exist at t
the above address and should be corrected. Please call for re -inspection when correction of 1.
work is completed. If you have any questions pertaining to this matter, or need additional `
explanation, please contact the Building Inspector as indicated below.
(9/'�%✓
fan 10-270yIA14' 7 -el
r
Date7- - Inspector Iv
REV 4/05 Phone #
4
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834.'' {I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PLKIVll I 'NU.
BP061603
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under 'penally of perjury that I am licensed under
'
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/06/2006 APN: 041-110-026-000
the Business and Professions Code, and my license Is In full force and
effect.
License Class : License Number:.
'Site Address: 2828 MESSILLA VALLEY RD ORO
Dale: Contractor.
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that l am exempt from the
Description: TEMP POWERPOLE FOR FUTURE LOT DEV
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: BATT, LYNDALE
to Its Issuance, also requires the applicant for such permit to file a
statement that he or she is licensed pursuant to the provisions of
5259 MIOCENE CIR
signed
the Contractor's Stale License Law (Chapter 9 commencing with Section
OROVILLE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95965
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
(530) 867-0833
appliptint to a civil penally of not more than rive hundred dollars ($500).):
wages as their
l7 I, as owner of the properly, or my employees with
sole compensation, will do the work, and the structure Is .not
Intended or offered for sale (Sec. 7044, Business .and Professions
Code: The Contractors' Slate License Law does not apply to an
Applicant: BATT, LYNDALE
owner of property who builds or Improves thereon, ancl who does
5259 MIOCENE CIR
such, work himself or herself or through his or her own employees,
provided that such Improvements are not intended or offered for
OROVILLE, CA
sale. If however, the building or improvements are sold within cne
95965 '
year of completion, the owner -builder will have the burden of
that he or she did not build or Improve for the purpose of
(530) 867-0833
proving
sale.).
❑ 1, as owner•• of the property, am exclusively contracting with
licensed contractors to construct the project (Sea 7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply to an owner of property who builds or Improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
;
pursuant to the Contractors' Slate License Law.).
❑ 1 am Exempt under Article 3 of the Business ad Professie s Code
1 't ^
G
Dale:. r'. Owner: ;
•
WORKERS' COMPENB TION DELL RATION
License #:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to sell -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.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued: My workers' compensation
Insurance carrier and policy number are:
Carrier:
Policy #:
E3' Ilrec ifythat in the performance of the work for which this permit is
Issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. `
Date:
t _
Applicant: i
WARNING: .`F ' re to secure markers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby'afflrm that there Is a construction lending agency for the
performance of the work for which this permit Is issued (Sec 3097 Clv.)
Name:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
'71 .
This permit Is hereby Issued under the applicable provisions of the But
Resol tions; to do work lndl sledbove for which fees have been paid.
.B_ fl
(� (D'—vate
PERMIT EXPIRES ON: 17 - w
County Code
-In-0(7
Address: I Judi./
❑ I hereby certify that the use of this facility shall comply with Sectlons 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials. Y
❑ Notification in accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I'have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction". I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpo es. (\ r-)
Print Name:07�Signature:
Date: l ��
Omer
0 Contractor ❑ Agent for Owner 0 Agent for Contractor