HomeMy WebLinkAbout047-430-064BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FOg q
0 F ATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) jr, o�N��
`CHICO AREA RECREATION AND PARK DISTRICT (CARD) btp N76
0 PAR-ADISE
E, CREATION AND PARK DISTRICT (PRPD) SF�vo!p
DURHAM RHAM R REATION AND PARK DISTRICT (DRPD) ctl N;
Assessor Parcel Numbers , n iJU
() lt)y Building Permit Number 7- 0 11
Property Owner (s)
Project Location /Address
Subdivision Name Assessable Sq. Ftgej
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s)
Mobile home
Demo Permit (date issued
Comments:
Non -Residential to Residential
Mobile home replacement
Multi -Family Dwelling
verified by Assessor Department
verified by Building Department
0 FRRPD J5CARD 0 P D D DRPD certifies that:
f 4J0
m
Ap icant e h e Number
�5 V-10 �P�4_15
4 ..
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Remarks:
Paid by Check
Dwelling Units @ $ 5 per unit for a total of $�S
Square Feet @ $ per sq foot for a total of $
0 r
q0'1,)C,?/Ia-I l
Paid b Cash:
Representative
Receipt No:
Date
LJ
237-S-
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document'Recorded
22 -Jun -2007 2007-0030306
Has not been compared vith
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:
.- )Z -Z)6-7
Date
PROPERTY OV
(-A) 0-)
•
State of California ) .
County of w e )
Gown tome (or proved to me on the basis of satisfactory evidence) to be the person(s) whose iiame(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the'person(s) acted, executed the
instrument.
WITNESS my hand and al seal
Signatuw-/ eal:
A.P. # '
DENISE M. PRICE
COMM. t 1633479
NOTARY PUBLIC CAUFORNIA
IV CQUNTYOF BUTTE
Comm. Explres )an. 24, 2010
DESCRIPTION
+ THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
LOT 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE HOLMES
TRACT NEAR CHICO, BUTTE CO., CALIF.", WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON MAY 7, 1910, IN BOOK 6 OF MAPS, AT PAGE(S) 36.
EXCEPTING THEREFROM THAT PORTION DESCRIBED AS FOLLOWS:
BEGINNING AT AN IRON PIPE MARKING THE MOST EASTERLY CORNER OF SAID
LOT 3 AND RUNNING THENCE SOUTH 52 DEG. 18' WEST 299.51 FEET ALONG
THE'SOUTHERLY LINE OF SAID LOT 3 TO AN IRON PIPE; THENCE NORTH 37
DEG. 42' WEST 1,517.24 FEET TO THE NORTHERLY LINE OF SAID LOT 3, IN
THE CENTER OF THE KEEFER ROAD; THENCE ALONG THE SAID CENTERLINE OF
THE KEEFER ROAD AND THE NORTHERLY LINE OF SAID LOT 3, NORTH 71 DEG.
14' EAST 316.63 FEET TO THE MOST NORTHERLY CORNER THEREOF; THENCE
SOUTH 37 DEG. 42' EAST 1414.5 FEET TO THE POINT OF BEGINNING.
APN 047-430-010-000
L
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Addr : ROBERTS COURT
Owner:
Permit NO: B07-1098
APN: 047-430-064
ROBERTS, WAYNE
Issued Date: 6/22/2007 By GLB
Permit type: RESIDENTIAL
45 ROBERTS
COURT
Subtype: SFD-Master Plan
CHICO, CA 95973
Expiration Date: 6/21/2008
Description: NSF 3963 SQ.FT.
(530) 519-7896
Occupancy: R-3 Zoning: SR -1
Contractor
Applicant:
Square Footage:
SORENSON CONCRETE, INC.
SORENSON CONCRETE, INC
Building Garage Remdl/Addn
PO BOX 4209
PO BOX 4209
3,693 1,300
CHICO, CA 95927
CHICO, CA 95927
Other Porch/Patio Total
4,993
FEE INFORMATION
Ag Com Building Permit Clearan $32.50
DBEH Building Review Fee $75.70
CWIF SF $2,132.89
DBFIRE Fire Inspection (SRA) R $102.70
CWIFAUD Impact Processing Audi $50.00
DBFIRE Fire Inspection (SRA) R $102.70
CWIFCUA $3,307.00
DBFIRE SRA Fire Plan Review (S $102.70
CWIFDDS Impact Processing Fee $50.00
DBSMIP Residential $27.12
DB R3 Dwelling -Production Phas $1,564.31
DB R3 Dwelling -Production Phas $1,042.87
DB SRA Fire Plan Check Fee $109.98
Total Charged: $8,700.47 Fees Paid: $8,700.47
Balance Due: $0.00 Receipt No: B3628
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
SORENSON CONCRETE, INC. C836998 / /
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UN ER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(comma mg with Sec 0 ) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
i in rc a
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
6/22/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
ontractor S Ignature Date
❑ 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 Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are, ZI� 7
�0
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
/^/q,._ 0 ,
Carrier: cy Number: Exp. Date:
df��tll `
(This section ee not be comp et if the permit iso one hundred dollars ($100) or I ss.
ttt"'777�����'
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 6/22/2007
provis' n action 3700 o e Labor Code, I shall forthwith comply with those
Owner's Signature Date
&comp
6/22/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
nature Date
WARNING: F LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
. the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any si alk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County enter the ab a an'oned properly for ction purposes. I hereby certify that I am the
r er r am thori n th a behalf.
CONSTRUCTION LENDING AGENCY
6/22/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Aame of P ' ee [ ] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
11 Owner ❑ Contractor OR. Agent for Owner DAgent for Contractor
FILE COPY
Lender's Address City State Zip
66&
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.neWds
"PLEASE PRINT CLEARLY"
mas+cr 4�_ 0 1- 103
OWNER INFORMATION
Last Name
First Name wlawm,
Mailing Address
City U
State
Zp
Phone `
1 O l t�
Fax
E-mail
APPLICANT INFORMATION
ARCHITECT/ NGINEER
CONTRACTOR
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Name
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City
Fax
State
AddressPD
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1
Fax
City
Uj, tb
State License Number
Stat
Zip a
Phone Ii
31
Farb Mg
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E-mail
Lic. #
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Class
W
APPLICANT INFORMATION
ARCHITECT/ NGINEER
Name
Gr
Address
Zip
City
Fax
State
Zip
Phone21
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
I APPLICANT SIGNATURE /, I
X
PERMIT
NO. U
qj
BIN #
PROJECT LOCAT ON
Policy Number om:7 - (Da
Property Address
Type Const. VAI
City
WORKER'S COMPENSATION
Policy Number om:7 - (Da
CarrierAj�e� li: ,
nd
Type Const. VAI
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
1
Sq FT -Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning_51Z-( I Flood Zone SRA No
Occ.IRS
Type Const. VAI
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to.processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/
Reference Number: B07-1098
Location: ROBERTS COURT
Parcel Number: 047-430-064
Date: 05/18/2007
Owner Name: ROBERTS, WAYNE Phone: (530) 519-7896
Description: NSF 3963 SQ.FT.
Signature of Property Owne : Date: 05/18/2007
FILE
Butte County Department of Developm t Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965 � ,c� q'
(530) 538-7601 Telephone �,
(530) 538-7785 Facsimile —TO
www.buttecounty.net/dds 1,1
REQUEST TO USE PEX WATER PIPE
Building Division approval required prior to the installation of PEX water pipe
%
Permit Number: ,�� 7" ���1� _ A.P.N.C� 7 -3G- 00 Date: � hi o l
Property Address: e/ee� TF City Zip_9 5973
73
PEX Manufacturer: Vja 14q Manufacturer's Phone Number: _--2-77"
Installer's Name: CU�fi __Installer's Phone Number: cQ G J-78�
jest approval to use PEX water pipe at the above address.
Date
4�
Date
? ZZr,7-77
License Number
Under Section 301.2 of the California Plumbing Code (Alternative Materials and Methods) the Administrative
Authority may allow the use of PEX tubing for both hot and cold potable water distribution.
After careful review of all the information submitted and additional surveys of other jurisdictions allowing the
use of PEX tubing, we have come to the conclusion that PEX tubing is a viable alternative under the following
conditions and requirements:
1. All PEX piping must be listed and approved by ICC, IAPMO or other nationally recognized testing
and/or listing agency.
2. All PEX piping installations must comply with the manufacturer's listing/s and installation instructions.
3. A copy of the installation instructions must be made available to the field inspection staff on site.
4. All PEX piping shall be kept clear of recess light fixtures, heat conducting flue vents, ducts or other
materials that could cause physical damage.
5. All penetrations in or through fire rated assemblies shall be protected with an approved listed system.
Submit evidence of such listing prior to the installation of all piping. (Including manifold/s installed in the
garage occupancy separation or firewall).
Approved by: _ Date:
Administrative Authority
Distribution - Building File — Property Owner - Contractor
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District j� (/� u nl t Id scbml I�+�) Buildin Department No. ko�— I M
— -----n, r— —� ..)
Tax ate Area No.
A.P. Number 1134 � -y am Cp� Jurisdiction: F --]City County
�
Property Owner �!� J �! " N `- %y�
Property Location/Address ' 00
l
Subdivision Lot No.
Residential Development
No of Living Mobile Home
Units Installation
.................................................................................................. .
0 Sq. Footage 3q(o3
Addition/ *Supplemental to (Group R)
Conversion Permit # Cr. Demo - ( )
*(No foundation inspection) existing sq. ft. see attached
..................................................................................................
Net total sq. ft. sq CD3
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial 0 Q Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building
r.29 -n9
Date r
District Identification No.
School District certifies that
(Payor)
1
(State) (Zip Code)
has complied with the requirements of Resolution No. . �'� 1� by payment of $
representing square feet. B 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check # Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feeform.xls (112/06)d7
tUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
0 FFA.THER RIVER RECREATION AND PARK DISTRICT (FRRPD)
�j CHICO AREA RECREATION AND PARK DISTRICT (CARD)
❑ PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) D �- 0 Building Pen -nit Number 907- 1 0
Property Owner (s)
Project Location /Address �¢� �}'S �OUr� ohco
Subdivision Name • Assessable Sq. Ftge
Type o Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments:
+k4m'
22 07
Building Department
Date
0 FRRPD 0 CARD O PPPD 0 DRPD certifies that: q1,3%
LOOM 5(
Ap icant e h e Number n.
35 y� o 53 73
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of.
I
Remarks:
Dwelling Units @ $ 5. 00per unit for a total of $�S
Square Feet @ $ per sq foot for a total of $
Paid by Check NA Paid b Cash:
017530/27 06/22/07 -Check
Receipt No: I
IJ
Recreatic District Representative Date
Es x.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number:
B07-1098
Date:
05/18/2007
Location:
ROBERTS COURT
By:
TMP
Parcel Number:
047-430-064
Sub Type:
SFD-Master Plan
Owner Name:
ROBERTS, WAYNE
Phone:
(530) 519-7896
Description:
NSF 3963 SOFT.
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
_■M■1
PARKS & RECREATION DISTRICTS
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
Form G Utn
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Form i
Durham n►fied School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
Other:
Other:
Signature of Property Owner.. Date: 05/18/2007
APPLICANT
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-1098
Job Address: ROBERTS COURT
Contractor: SORENSON CONCRETE, INC.
PO BOX 4209 CHICO, CA 95927
Printed: 05/18/2007
12:13 pm
Fee Description . Account Number Fee Amount Paid Date Pmt Amt
Ag Com Building Permit Clearan
0010-460001-4612200-1010 $32.50 05/18/2007 $32.50
CWIFCUA
CWIFCUA SF 1800-0-280-1011815 $3,307.00
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70 05/18/2007 $75.70
DBFIRE Fire Inspection (SRA) R
0100-450001-4617240-1010 $102.70 05/18/2007 $102.70
0100-450001-4617240-1010 $102.70
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010 $102.70
DB SRA Fire Plan Check Fee
0010-440001-4210500-1010 $109.98
CWIFAUD Impact Processine Audi
0010-050-4617998-101001 $50.00
CWIFDDS Impact Processing Fee
0010-440001-4617999-1010 $50.00
DB R3 Dwelling -Production Phas
DBF DWLNG PRDCTN PHS N Plan R, 0010-440001-4210500-1010 $1,042.87
DBF DWLNG PRDCTN PHS N Permit 0010-440001-4210500-1010 $1,564.31 05/18/2007 $1,564.31
CWIF SF
CWIFSHERFVE SF
1840-0-280-1011842
$152.72
CWIFSHERFJL SF
1800-0-280-1011811
$288.00
CWIFSHERFF SF
1840-0-280-1011841
$312.99
CWIFLBRYV SF
1825-0-280-1011828
$4.83
CWIFGGF SF
1808-0-280-101001
$664.81
CWIFLBRYF SF
1825-0-280-1011826
$240.89
CWIFGGVE SF
1810-0-280-101001
$306.61
CWIFLBRYM SF
1825-0-280-1011827
$162.04
DBSMIP Residential
1001-0-280-1011298
$27.12
89700.47 $19775.21
Printed By: Tammie Powell Balance Due: $6,925.26
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. The es ma a e durin a plan checking process.
Signature: Date: 05/18/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
-Butte County Department of Public Works
J. MICHf\EL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
(LESS THAN 1 ACRE 1
Reference Number: B07-1098 Date: 05/18/2007
Location: • ROBERTS COURT By: TMP
Parcel Number: • 047-430-064 Sub Type: SFD-Master Plan
Owner Name: ROBERTS, WAYNE Phone: (530) 519-7896
Description: NSF 3963 SQ.FT.
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 05/18/2007
California Department of Forestry and Fire Protection
Butte County Fire Department
Reference Number: B07-1098
Location: ROBERTS COURT
Parcel Number: 047-430-064
Owner Name: ROBERTS, WAYNE
Description: NSF 3963 SQ.FT.
Fire Prevention Bureau
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Date: 05/18/2007
By: TMP
Sub Type: SFD-Master Plan
Phone: (530) 519-7896
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County
Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below
building and site requirements to the property owner.
Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the
SRA is required to meet the below requirements:
✓ Public Resources Code 4290
✓ Public Resources Code 4291
✓ California Building Code, Chapter 7A
✓ Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
✓ Full plan submittal to Butte County Development Services -Building Division
✓ Driveway and building pad must be identified on site
✓ Structure location must be staked out on the building site
Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the
extension number).
For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirements.
05/18/2007
Date 4nae
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
http://buttefire.org/Fireprevention/protplan/protplan.html
Rev'd 5/7/07
FILE
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