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047-200-014
CUNNINGHAM, DAVID 71 DENVER LN, CHICO Cont: OWNER � n NEW SINGLE FAMILY �/ ?12 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate 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).): ❑ 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' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for /sa.If however, the building or Improvements are sold within one r of completion, the owner -builder will have the burden of ing that he or she did not build or improve for the purpose of .). s 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, 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 th B 6ri s d 7fessions Code Date: I-Z�os Owner: WORKERS' COMPENSATION DECLARATION 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. O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Cartier. Polic I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: _ A Z( WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP04337.4 Issued Date: 01/25/2005 APN: 047-200-014-000 Site Address: 4171 DENVER LANE CHI Map Index: Description: NSF (3475)GAR(1100)COV(200) Owner: DAVID C & JAMIE C CUNNINGHAM 6166. CORAL AVE PARADISE, CA 95969 Applicant: DAVID C & JAMIE C CUNNINGHAM 6166 CORAL AVE PARADISE, CA 95969 Contractor: License #: Architect: Engineer: Total Square Ft: 4775 S.F. Valuation: $255,475.00 Census Code: permit is hereby issued u�e he applicable provisions of the Bnfle County Codn enritor tlution to do worth indic d a ove for which fees have been paid.�- ke Date: PERMIT EXPIRES ON: _as-_ ❑ 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. p ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the schrulyeul�horized nstruction of this pr ❑ Attached are copies of the required E.P.A. notification forms. � 1 hereby certify that I have read this application, that the above information is correct, and that'l am the owner or the agent o e owner. agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of y official orm or docut Butte C nty. I here authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposo . Print Name: /�/' v�ti Signature: Date: Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVII.LLE: (530) 538-7636 • CHICO: (530) 891-2834 BP O OFFICE #: (530) 538-7541BI A FEE WILL BE REQUIRED AT TIME OF APPLICATION &7y. U� **PLEASE PRINT CLEARLY** OWNER Last ame ,t&41 Firs�j Address/ CO/z"VV Ale City arl'W3e State C 4 21145%, 1 Phone.? Z _ l& Z Fax E-mail CONTRACTOR Name � Address City State Zip —Phone State E-mail Lic. # Class ARCHITECT/ENGINEER Name Address Address State City G� `v Phone State Zipp L Phone Lot # Fax E-mail Address State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPL/ T SIG,14ATUR X For office use only: Zoning I A -Q-® 1 Flood Zone I SRA j< es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION AP# Vo �l Property Addres City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY --Name Address Description orApope of Work: IV 45� /Vs Sq. Footage �� a l as 0 Structure Built without Permits C,6-, (� O 0 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. OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 - J ¢J��:7,1- 40 S Received by: +� �� Amount: Bldg 204.9t3 SRA Receipt #: +UR 44Zo 3rc0 Sheriff Date: 11 •26? • � -25•-':'3 SMTP Other `�C ( Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS I The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ `o8ite plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑2Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph papers) OR CJI► Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). n 13�Sanitation and site plan_ap Dm. aLfrom the, Fn ironment—lament Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. t EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 I utte County Department of Development Services DNNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 12/1/2004 Applicant: Cunningham, David Permit 04-3374 Project Type: NSF/Gar APN: 047-200-014 100% 70% Plan Check Fees $ 1,594.45 $ 1,116.11 $ 1,594.45 $ 1,116.11 WILLDAN Fee $ 1,116.11 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Croville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile M TO: ' FROM: 1 SUBJECT: O � DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 12/1/2004 Applicant: Cunningham, David Permit 04-3374 Project Type: NSF/Gar APN: 047-200-014 100% 70% Plan Check Fees $ 1,594.45 $ 1,116.11 $ 1,594.45 $ 1,116.11 WILLDAN Fee $ 1,116.11 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF/h1DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C -L" " I NJ 6 ASSESSOR PARCEL NUMBER Proposed Building Use: � S F 434 75) A Tr G A2 ( 1 i floi Counter Technician: +�'�`{ Date: It re�qu red in order to appy fora permit. All boxes MUST be checked OR marke NA in or er to apply. Site plans, 3 or 4 sets, signed by the preparer of the plans. �. )n I- ;L.5-65 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. It 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intentfor 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. ❑ 9. Metal bldgs: (A) MEtal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these` must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and bushess 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 Cl v, 14. Hazardous Material Form J 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.TN I"Asds . ❑ 16. Other ), ,� V, " Remaining items needed to is3ue the permit. (May require additional plan review upon receipt of the following items.) ❑ ,JZ7,.ire Sprinklers............................................................................................ r 1 gricultural Buffer clr and site plan apr from the Ag Commissioner Sent by jallff ❑ 19. Soils Report and/or Engineered Foundation required ........................................... I....... ❑ M Erosion Control Pin Required........................................................................ ........ 21 Fees as shown or the attached Schedule of Fees Due Sheet .............................. t22. City of Chico Plumbing permit .................................................... 23. aliforrna Department of Forest plan approval paid. Sent b : tj t Planning approval (A) Use: 04)Parking: (C) Parcel Check: ❑ �. 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 .......................................... 4P 31. Owner -Builder Verification (Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization......................................:............................. '�� 3. Recorded copy ofAgricultural Acknowledgment Statement ........................ I........ ❑ Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction._...................................................................................... ❑ 37. ❑ Grant Deed, IIM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone Q ;sg Q # / 2 #514 a I:j �x, and hold for pickup. I have been inforr +4d of the above)td7ms pQ requirements for obtaining a building permit w 1 Applicant: /.�� ( D t 1. Index per it application for the above items numbered: Ian Check Letter 2. Additional items required Contractor, design , owner as advised of the above data by , phone, ❑ m ❑ coup er, by Date: Contractor, designer, r, was advised of the above data by' ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed b : Date: Structural approved by: Date: Note transfer by: tAIIREE Date: Yellow: Building Division 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ;� A.M. USE ONLY Rot Ran Anach.d C Root Ran Anachad Sant to B.D. C n.' /qeWU4- '97- Zoa- o%fig Ownee Location AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well k Clearance for dwelling. Other 4 %o%rn Hold final for: Final clearance O.K. ` NOTE: AV/2V Environmental Health Specialist Date C 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 OWNERA.P. # 14- PROPROSED BUILDING USE SF DATE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 43 %i . tl S --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES 4►a't co (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) _ Residential............ I X $360.00 =$ Units RECEIPT # DATE REC. 418&4 -404- -;W -as -rP 416&4-1., 11.9 q -,04- +1864G 04 Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. i 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ t _ # Units Amt. Commercial (Sq. Ftg.).... X Sq. Fig. �Amt. . T W 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) ,t 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) S t 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $..89.00 (paid at Building Division) 204-, q8 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone Zone Commercial (sq. ftg.) ......... —0 10. OTHER At time of permit app: may be changed d ,Iwas� plan chec X =$ # Units Amt. X =$ Sq. Ftg. Amt. 4-18646 1I.3,!q -04-- fees f— fees are required to be paid prior to issuance of the permit. These fees APPLICANT p DATE Pursuant to Government Code Section 66020, you are here 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. 2/2003) G � ' • • l �Z�,o wofp Department .0 o u n t 1 J. Michael Crump, Director Public f B u t. Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN I ACRE1 Project Description: Project Location and/or Parcel Number: 0 — zoo By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by lays �1 Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Ob` R la�,. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. X1. I personally plan to provide the ma' abor and material for construction of this proposed property imement: YES [ ] NO [ ]. X2. I HAVE [ pr HAVE NOT [ ] signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: /( Z, x DATE: /l 2 y — NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. X MicVael C. Vieir4 C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. - -- BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ,(,{ S Building Department No. A.P. Number �� ���' ��� Jurisdiction: City County Property Owner k Property Location/A Subdivision Residential Development No of ving Units Lot No. ......................... ...... ........................... :............ ........... ........ .... 1 /�j Sq. Footage _3, / 67 MobileHome Addition/'Supplement (Group R) Installation Conversion Permit # i *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition y � U---, Building Deit partment Representative Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. School District certifies that (/ (Applicant) (Street Address) v (Phone Number) 010 z (City) E ^ (State) (Zip Code) has complied with the requirements of Resolution No. 9oa ' T by payment of $ -7, 78 / 00 representing �/ square feet. 2826 $ FULL M11111GATION $ School District Representative Date Paid by Check # Remarks: No You may protest the Imposition of the fess Identfled above by submitting a written protest to the District. In eornpliana with Goo wrhnront Code Section 66020(a), within 90 days from the date fess are paid. Failure to submit a timely wrtttan protest wiirprohibit you from challenging the Imposition of the fess In any court action. N, subsequent to the School District Representative signing this Buts County Schools Impact Fee CoMfiatlon Form, the School District is Will by the applicable Local Planning Agency tat this project Is being reviewed under the California Envlronmardal Quality Act (C.EQft tris project may be subject to additional school fess to fully mltgste.lts impact on the school district`s schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm ...� � ..�. ,..- ..,.. � �.- -... ,,....+....-.. ,.- ....mar...-«+,,,,;,+«�a�...•, r•.;���" �:'� ..-. �r .. � k .., • . BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK )DISTRICT Assessor Parcel Numbers) �7• c3t (DO"' O `'t Property Owner �i=�t�a 1, Y\ 1 k . �lYi Project Location/Address Subdivision Lot Number(s) Total Number of Dwelling Units. / Residential Development: (check one) V-'�Iew Development Alteration/Addition Mobilehome(s) Non -Residential -to Residential Demo permk issued (Date issued ) Verified by Building Department Records Verified by Assessor Department Records Mobile home replaced Chico Area Recreation and Park District (CARD) certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Butte Co. County Park Facility Fee pursuant to Section 16- 33 of the Butte C'ou-ity Code, Resolution No 5.02 effective August 23, 2004. Payment for / dwe I'ng units @ $1,880.00 per unit, for total payment of $ 1680 " CARD Representative Date PAID BY CHECK NO.— REMARKS: BANK NO. 00-'�112_11 PAID BY CASH RECEIPT NO. Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City off0;h co Building 1'dpf'Am 'iTOTAL $1880.00 F.\ ... \parkfee.frm (Reviscd 7/30/04) Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING December 17, 2004 David Cunningham 6166 Coral Ave. Paradise, CA 95969 Subject: APN — 047-200-014 Dear Mr. Cunningham, TherButte County. Department of Development Services, Planning Department has reviewed tle;� : - . building permit 04-3374 for a new house. The property is located in an A-40 (Agricultural40A acre minimum), which the Agricultural Commissioner reviewed for agricultural setbacks on 11- ,24-94.' 1 24-04: I have attached a copy of the response from the Agricultural Commissioner which states--_._ th--ft ,-western and southern property must have a 200' setbacks and the northern and eastern w. boundary must have 300' setbacks. ` I cannot approve your site plan at this time, as it does not meet the minimum setback required by the Agricultural Commissioner. Please revise your site plan to show that your residential structure will be at a minimum of 300' feet from the eastern property line. Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sinc rely, tephen Streeter Planning Manager ............ ....... -............. •...... _............ .... _ ..... SITE PLAN : ................ .........: ••- : . .. .. _ .. ................ _............... .. .. ... .. .. ... .. .. ....4. _ .. .. .. ... .. .. ... .. .. .. ...............------ ............................................... .. ... .. .. ... .. ... .. .. ... .. .. ... .. .. ... .. .. ....{:...- .. ... ........... .......................... ............. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. _.. .. .. .. .. .. .._�ng.� _ ..................... .. .. .. ........................_ .. .. .. .. .. ......................... .. .. ... .. ...... .. .. ... .... ............... ............. ...................... .. .. .. ... .. ............................................... .. .. ....................... :....-.....-....- :....•....- . .. ....-...-. .....-...... .... ...:. ..... ... ::'•.: fl{.•_ZZJ�aL1QQ//�TC�4L+ .'•. .L•...0N. . f::loAmm�N yy , .i :.....c�h, .... .... ....... .. .. .. ... .... . . ...... .... .. .y...V..:,�... ... - .�.. : .. ::\.. •j.O�.`7�tt" :-- ...... .. .. ... .. .. ... ..- ..` .... ... .. 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VsVC ....... ... ... .. ... ... ........................... ... -. ... .. ..................... ... .. ._ .. ... .. . .....% ........ �.11j`V. ............ .............. .. . ...... : ... .......................... ..................... .. ... .. . ..................... .. .. ... .. .... .. .. .. .. ................. .... .. ..... .... .. ............ ............ ....................... ............ .. ... ....... . ...... ..................... ... ................. .. ............ -. .. ... .. .. .. ... .. .. .. .. .- ... ._ .. ... .. .. ... .. ............ ...................... ............. ............. .. ............. ... ... ... �.- .. .. .............. ... .. .. ... 5 ... .. ............ ........._ .. .. .. .. .. .. ........ ... ... .. -. ... .. .......................... ..........1 ............. .. .. .. ... .. .... ...� � VIN ..... . ........... .. .......... ... ............. ............... .. .. ......... .... .. .. ... .. .... .. . ... ... .. ................. .. -... .. .. .:....:....:.. Qi....................... .. ... ................................ .. .. _... .. .. -- .. .. .. ... .. ... .. ....................... .. ..... .. .. .. ..... ... .. .. ... NT. . .......... ............. .. ... . . .. :........... .... : .� .. . ...... ....... .... ....... �L ........... :............ ............................ ...................... ... .. .. ... - 0 3 .. .. .. _ ... .. .. ... ;.. .. .. ......................................................................................................................... . . .......:.. :. _.........................:....:. ..:....:.. Assessor's Parcel Number Owner Name Address / Phone No. Site Location Contact: Name ❑❑❑ - ❑❑❑ - ❑❑❑ Scale:l"= Phone FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: Ili ENVIR. HEALTH, CHICO DATE: 9 4 S RELEASE NV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: L� AP#:ADDRESS/LOCATION: Comments: GUmemos/releasehold E AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20105-0004657 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:26AM 25 -Jan -2005 REC FEE 10.00 CONFORM 1.00 Myles 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 /- 2 e7l- D,5 - State of California County of Qu ll2 On / -1C I1 -G2 5 — befo DIV . 717, Z V 0,V Z l!� personally appeared 1 p}ly Ia um to mr for proved to me on the basis of sa ' factory evidence) to be the person(s) whose me(s) Ware subscribed to the within instrument and acknowledged to me-that-hefshe/they executed the same in hisiherltheir authorized capacity(ies), and that by-hi~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 kana and official se4k./ Signature Seal: �9001'OC '390 swdr3 wwo� Aw Alunco 011n8 N YIN80111V0.0118nd AHVION /A Zt69EE1 k •wwo th A.P. # �? �'a��� " r�D©, NOSWOHI 3NNVOf 4.4 ,;,J l �= X if) 61.� T f} Preliminary Report Description Order No. BU -221546 DF The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: THE EAST HALF OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 8, TOWNSHIP 23 NORTH, RANGE 1 EAST, M.D.B. & M. APN 047-200-014-000. PARCEL II: A ROAD AND PUBLIC UTILITY EASEMENT, MORE PARTICULARLY DESCRIBED AS FOLLOWS: THE NORTH 50.00 FEET OF THE WEST 70.00 FEET OF THE NORTHEAST QUARTER OF SECTION 17, TOWNSHIP 23 NORTH, RANGE 1 EAST, M.D.B. & M. Page 4 o�UTrF0 Butte County Department of Development Services G Building Division O O o - _: - G 7 County Center Drive G cOUN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 341(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: - MAILING ADDRESS: PHONE: ASSESSOR'S PARCEL NO.: C),:� [Please use one claim form per permit.] BLDG PERMIT NO.: 2: Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.: _�,-�._�.�.. h.. RECEIPT DATE: RECEIPT AMOUNT: Li REASON FOR REFUND REQUEST: Tir .,.. •.: y : , J `zy : Check those f s which you wish to have considered for refund: =Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for fund. If you wantjhe plans, you may ick them up prior to that time. .40OW-01A10 SigriWi�e Date K:/Forms/Refund Application 082203 W I LLDAN Serving Public Agencies January 15, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1268 Jurisdiction Job No: 04-3374 Assessor's Parcel No: 047-200-014 Applicant: David Cunningham Description: Cunningham 3 Bedroom House Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: Plans: Two (2) copies dated 08-31-04, by Bob Metzger, and two (2) copies of Site Plans, not dated Signed by David Cunningham. Energy Calculations: Two (2) copies dated 09-03-04, by Bob Metzger. Truss Calculations: Two (2) copies dated 09-24-04, By Robert Anderson P. E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Occupancy Type of Consnructio Sprinklers Stories V Floor Sq Ft 2nd Floor Sq Ft Total Sq Ft V -N No 1 3,475 N/A 3,475 R-3 U-1 V -N No 1 1,100 N/A 1,100 Covered Porch V -N No 1 200 N/A 200 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Clay Salzman Plans Examiner Gordon Wright, P.E. Plan Check Engineer Cc: Alice Mefford, E-mail: amefford@buttecounty.net David Cunningham, 6166 Coral Ave. Paradise, Ca. 95969 Pa ;e 2 of 2C:oun.t} of 1.3utte Pe.riru.t .Nuniber 04-33 74 Willdan P.roiecc Number 14.353-1268 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING December 17, 2004 David Cunningham 6166 Coral Ave. Paradise, CA 95969 Subject: APN — 047-200-014 Dear Mr. Cunningham, The Butte County Department of Development Services, Planning Department has reviewed the building permit 04-3374 for a new house. The property is located 'in an A-40 (Agricultural 40 acre minimum), which the Agricultural Commissioner reviewed for agricultural setbacks on 11- 24-04 .' I have attached a copy of the response from the Agricultural Commissioner which states that the western and southern property must have a 200' setbacks and the northern and eastern boundary must have 300' setbacks. I cannot approve your site plan at this time, as it does not meet the minimum setback required by the Agricultural Commissioner. Please revise your site plan to show that your residential - structure will be at a minimum of 300' feet from the eastern property line. Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. SM rely, tephen Streeter Planning Manager 0 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department 7 County Center Drive, Oroville, CA (530) 538-7601 Name: 1Da v : d E QAA LVLA �La Phone: et U&2 - Mailing Address: (a LIPA Cm -AA 214.4.0 - Pft'Ag r,se_ 9 Sq & E -Mail address r Assessor's Parcel Number. _0't.`} - b LLI Reason you believe you qualify for the unusual circumstances exception: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT. submit 4 copies with this form. Refer to the Site Plan Submittal handout for specific requirements ............................................................................................................................................. Internal Dept Contact Info: ❑ Em. Health ❑ Pwnnmg ❑ Wft..Cu-- M''. Contact Person: b - Z ( Phone: 53D - 53s- -4--3 g I ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Condtions/Specific setbacks from adacent agricultural operations: r--W661:sL, -,, 2cnR Aer rz.. L4 -1,.k %,.k, o vt -tom Agricultural Department Signature: Date: ll Z Al ler)," Ymbv`16 s AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 25 -Jan -2005 2005-0004657 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of 6u Ile On /-1(141—t-T 5— 7 _Z7 �c /. / personally appeared - known -tmm"or proved to me on the basis of sa 'factory evidence) to be the person(s) whose me(s) isfare subscribed to the within instrument and acknowledged to me-that-hefstre tbey executed the same in tisfder/their authorized capacity(ies), and that by-bisWtheir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h and officiazs�/ Signature Seal; •.SQOI'OC'�a0 sa�M�y 1=10 Ary Alu.03 pine N VINy0dI1VJ-9170nd AVV10N vI Zb � ME IA.P. _ O/�/— l�D©, YMN, a Nyowoo UI AU� � �_. NOSWOH! 3NNdOf vZ-X) 1714 Preliminary Report Order No. BU -221546 DF Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: THE EAST HALF OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 8, TOWNSHIP 23 NORTH, RANGE 1 EAST, M.D.B. & M. APN 047-200-014-000. L PARCEL II: A ROAD AND PUBLIC UTILITY EASEMENT, MORE PARTICULARLY DESCRIBED AS FOLLOWS: THE NORTH 50.00 FEET OF THE WEST 70.00 FEET OF THE NORTHEAST QUARTER OF SECTION 17, TOWNSHIP 23 NORTH, RANGE 1 EAST, M.D.B. & M. SITE PLAN REVIEW APPLICATION Date: 7,&A AP# 0 Lf 7-�'j 0 -C / 4f Permit Number (if applicable) 337 APPLICANT INFORMATION Parcel Size: ja cZc�t-�S Owners Name: Owners Address: E Telephone No.:, ?D- 7-, ` Situs Address:M 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 ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved 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) A SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) o Flood Zone: X Flood Panel No.: &W 70 3 /d Q Index Date:' V ❑ Sacramento River Reclamation District (Approval must be obtained from the Cali ornia 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: 6f -60L Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 - Zoning Code Streets & Highways Fire Prevention Subdivision Map Front C20 Side Side Street Rear �s ► Q Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 \. Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ------------------------------------------------------------------------------------------------------------------------- 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 II Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Crt Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: [,] No ❑ Yes ® 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 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control 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 roa C Page 4of5 I C Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C-V,arrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 pdPg �T OC ° !" `1 �\\\ AcoUN�yy � IC w�'� Department J. Michael Crump, Director Warner C. Phillips, Assistant Director Don Senick 4200 Munjar Road Chico CA 95973 pme of Public Works FPLC Re: Private Road Name for Senick PM Waiver. AP# 047-200-017 & 076 7 County Center Drive Oroville, CA 95965 (530)538-7681 Fax(530)538-7683 April 26, 2002 ,✓a/o3 This is to advise you that the names of Trinidad Drive Denver Lane, Gunnison Way, Santa Fe Lane & Las Cruces Lane have been approved for your streets (see attached plat). Street signs will have to be placed at each intersection with all other roads. You will be contacted prior to the time that this name will become a part of your official mailing address. As a private road, the property owners on the street will have to have these signs erected at their expense, or the County will supply all materials and labor to install your signs for a fee of $100.00 each. If the property owner(s) decide to install their own signs, they shall be built according to County standards, which will be furnished upon request to this office. All signs installed on private roads are the sole responsibility of the property owners for maintenance, to assure availability of access for emergency vehicles (law enforcement, ambulance, fire, etc..). This could save your life. If you have any questions, contact this office at 530-538-7266 or at 7 County Center Drive, Oroville, CA 95965. Please ask for Tom Kuykendall. Sincerely, Mike Crump Director of Public Works L Tom Kuyk all Street Name Coordinator cc: (all w/ enclosure) Elections Assessors Mapping County Fire Planning Dept. Central Communications Enloe Dispatch Post Office — Chico 4 .......... nK IABLO'• _—;I _,MERIIMAN Ln ; OSZ C CL «,;;I..' �'J .� � 'ter... � j •_ - � I � ��' // � r. 11 Off' Cb"••)_i kL- m-�� JL BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION ANDIOR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department 7 County Center Drive, Oroville, CA (530) 538-7601 Name: rd (� C cnnn Lngli�arvt, Phone: `b-12- (.k2. Mailing Address: (a L(e(Q 0,,N3A a.c,e- PAIA 1,St. 9 Sq. (act E -Mail address Assessors Parcel Number. 0`t—+ - 700 - 0 L.` Reason you believe you quality for the unusual circumstances exception: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form. Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept Contact Info: ❑ Env. Health ❑ Planning ❑ Building Other Cc--, t.• Contact Person: 2to _ -1 (Phone: 530 - .5 3S - 3 $1 ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) ❑ Exception Recommended ❑ Exception NOT Recommended MINISTERIAL PERMITS (Building) Exception Granted with the following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: bV66trz�. a 2c:;&4 Ag r z' L-Ew , On `N.e . LU est- arxk scv-I , 6"aurs, Ws 194-4 A Atuc=�u re , maL, kaa.,x ,, 4-t—. v�nArL, .4- c.,-1 Agricultural Department Signature: k L"J, Date: L Z �_Q fJw� � �pfyy4 Y 1/1 FA -- - - -- .., w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class : License Number: Date: * Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any cily or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate 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).): ❑ I, as owner of the properly, 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' State License Law does not apply to an owner of property who builds or Improves thereon; and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sa . If however, the building or Improvements are sold within one y ar of completion, the owner -builder will have the burden of roving 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 (Sea 7044, Business, and Profdssions Code. The Contractors' Slate License Law does• not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed, pursuant to the Contractors' State License Law.). ❑ -1 am Exempt under Article 3 of th B 1 s d fesslons Code Date: I-14750; Owner. 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 performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. 2cerlify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �— 23--99-ir Applicant: WAR ING: Pallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. "CONSTRUCTION LENDING AGENCY' I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: PERMIT NO. BP04337,4 Issued Date: 01/25/2005 APN: 047-200-014-000 Site Address: 4171 DENVER LANE CHI Map Index: Description: NSF (3475)GAR(1100)COV(200) Owner: DAVID C & JAMIE C CUNNINGHAM 6166. CORAL AVE PARADISE, CA 95969 Applicant: DAVID C & JAMIE C CUNNINGHAM 6166 CORAL AVE PARADISE, CA 95969 Contractor: License #: Architect: Total Square Ft: 4775 S.F. Valuation: $255,475.00 Census Code: ii:;r.shy is i do worli for which fees have been paid. PERMIT EXPIRES ON:_� S' M Coun!y Address: A JU-1 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533,18, nd25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health &• Safely Code Is not applicable to the sch21V l c nstructlon of this pr i ❑ 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 Ihat-I am the owner or the au horized agent o ' e owner. agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the sub=rposej. Butte C nty. I here y authorize representatives of Butte County to enter upon the above mentioned property for Inspection Prinl Name:o�v%I� `' �lliL/!�/�'/��1.19. -Signature: 611 Dale: caner EI Contractor ❑ Agent for Owner 0 Agent for Contractor "i-4 SULATION CERTIFICATE Job Number:5636.:'::::: --:�: ............ -- : ................................ ...... .......................................................................... ,DAVEWCU ................... . . ................. . ........... Contractor/Owner Name Job Address (street, city, state) ............... County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF 3. EXTERIOR WALL Frame A. Cavity insulation .......... Material: .......... Thickness B. Exterior Foam Sheathing Material: Thickness (inches):::... .......... 4. RAISED FLOOR Material: " Aibe' ... Thickness (inches): 5. SLAB FLOOR/PERIMETER Mtri Thickness..................... : ...................... (inches): ...... .................... Perimeter Insulation Depth ....................... 6. FOUNDATION WALL ..................... Thickness(inches): Brand Name:............ .............. ............................. ............ Thermal Resistance ........... . ........... ......................... Brand Name::':::':::: ....................................... ............ Thermal Resistance (R-Value):::,':':*:":;:':':*'::"::"::":,':',':"::"::"::"::"::"::':::::;::::::::::::::::: ................................... .......................................... Brand Name: Thermal Resistance (R -Value): :. .......... ................. WW ...... B ran d N am e: ....................................................... ..................... .................... . ........ . Thermal Resistance (R -Value)::::::::::: ....... ............ ........................................ Brand Name: Thermal Resistance ....................................................... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where ap licable- ...... .............. .............................. ..... -4- 4-d iffidf ............. Item Number's Si attire aid Date Installing Subcontractor (Co. Name) or Item Number's Signature and Date General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner pAr NOTES' s PERMIT NO I - RESIDENTIAL ' ' 047-200-014 CUNNI�NGHAM, DAVID 04-3374''' F -��_ DENVER LN, CHICO ' Cont: OWNER NEW SINGLE FAMILY - t .+z 0.u,. F = SPECIAL CONDITIONS CHECKED U BY kl ll SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS - VERIFY USE PERMIT CONDITIONS x' SUB -STANDARD HOUSING LETTER . 1 r .. OFFICE COPY Address 5�. a �f GAS Meter By ' D Q v� e ELECTRIC 2 Meter By_ Da •�, , B FINALED ,.; (Date) p� Signature J = OK 0 = Not OK . = NotReadyable - MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/0 -Concrete Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ P' L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. 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 E 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals ' 11. Verify #'s with Office Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5.. Elec.; Pool Lighting; 15 Volts-GFI t 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 d J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Main; Soils-Elec. Grnd.-/( (.9 Ftg. Del Garage; Soils-Steel-Elec. Grnd.-/ /" Porches & Decks; Soils -Steel-/ /" F walls, Main; Steel-Blockouts-Wrapped / 9ainold Downs and Special Anchors 0,5,Z%I T, --t--Slab, Steel -Wrapped -9. PW rs-Fire lace Ft .-Steel .V; Fall -Fitting -Test -2 Way C/O -Se Test I, Gas Pipe; Size Anchors -Yard s Piping; Size Test Water Pipe; Test-Anchors-Requlator-Service Test 4,@- Electric 49- enums & Ducts; Clearance- Material -Su pport-Ins.,..d _ rwKders-Sills-Anchor Bolts-Joists-Vents-Crippies ff. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Car B-1 Date Card B-.1 Date PLU BING (Permit) OK except #'s , 1WXaterHtr.; Vent-Access-Combustion'Air Baffle •'A---. ,..- 1 ater Pipe; Test & Anchor -Nail Protection W.V; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access t t.- T st Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23 Fire Sprinkler; Test Datet,7 Card B- Date Card'B-1 Date` Card B-1 Date Card B-1 Date ELE ICAL (Permit) OK except #'s 2 . ture & Transformer Clearance -Ins. Protection 2 FJec. Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. 28-.ip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 5nbfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes Cl No SZ -S rvice-Riser Conductors & Ground Main Disconnect NI -quip. Clearances Panels-Motors-Mech. Equip. 3*'21othes Closet Light -Shower Light -Spa Light Smoke Detector Date 6, _ Card B- 1TV Date Card B-1 Date Card B-1 Date -.Card B-1 Date MEC NICAL (Permit) OK except #'s 3 . Ducts Insulation & Support nt Fan, Exhaust above insulation densate Drain & Overflow, Size & Grade 3 . myrnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet ttic Access & PI rm if Furnace in Attic Dat / and B-1 , Date Card B-1 Date '-Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors alls Studs -Nailing Spacing & Braces-Plates-Sdund Baring Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 4r F• a Stops, Furred Ceilings -Stairs -Chasers -Tubs ~*' 46. eaders & Beams -Size & Bearing Date 48!C'ng. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. replace Ties or Type A Flue -Fireplace Throat Clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions ,% . !Z aqe Fire Protection Framinq-RC Channel 54! Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5s ai ; Width -Headroom -Rise -Run -Landing -Fire Protection IV P ood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing-Bglts ,61. Brace Interior/ExTAdr Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration- W ndows Date rCard B-1 Date Card B-1 Date Card B .7f Date Card B-1 Date FINA lans) OK except #'s 64e—Vt. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace Vents -clearance -Comb, Air-Connector- laZarage; Above Floor-Ducts-Mech. Protection Bath Fixtures & Tub 69e7ec. Trim & Subpanel, Breaker Sizes & Labels t Ys & Rails 1. lace or Stove, Clearance -Hearth Flec. Outlets at Wood Panel, Int. & Ext. 720.' Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure -7.6 A.C. Duct in Garage -Damper tr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Gara e; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location CAVE]ec. Receptacles in Garage (F.F.I.)-Romex Protection 8D, -Insulation -Foam -Looked in Attic 'St- Guard Rails & Deck Construction -Post Caps 82—TK VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 44.. Stucco Brown -Finish SVy/ nit Disconnect, Electrical -Plumbing 8 . V s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 ater Well, Disconnect,lectrica Plumbing 8 for Elec. Trim, G.F.I. Receptacle -Underground pwation Throughout House 907 G s Protection �rections from Previous Inspections 9 Test -Meters Tagged, Gas -Electric . W e & Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates (9:&YAddress Posted 96. Fire Sprinkler Dat Card B-1 Date Card B-1 Dat 3-(K Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final:: ri,.. i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 r CORRECTION* NOTICE OWNER -If PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is ompleted. If you have any questions pertaining to this matter, or need additional expl ation, please contact the Building Inspector as indicated below. vin-,, '. ( ' % %_ r J/m i- --71 t Date v Inspector C / REV 4/05 Phone # J b FOR RE -INSPECTION CALL: 538-7636 OR 891-2834