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055-450-021
"i f f d 04-0136 " 055 -450 -OX GORDON 055-450-OV,� ✓ 69Y / 03-3460 GREGORY, DISE DA & GORDON 3(4 %MEGS PLACFjp 31 �f MEGS P VC a PARA] Cont:OWNER ( CYU FJ SPRINKLERS CC'FONT: OWNER 055-450-0* 3-5 04-1404 W -15c-01 GREG O , ON �� PERMIT RENEWAL 3147 MEGS PL• — DATE: �/Y9-L CONT: OWNER BP# =.3- Y l:0 REVISION OF 03-3460 EXPIRES:5 PERMIT RENEWAL DATE: q -;&- BP# 03-3960 EXPIRES: -3-2,5 -66 t r� �f 5 J i. t LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SQUYRES WILLIAM F JR' 275206 / C16 / 10/31/2009 - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 70 of Division 3 of the Business and Professions Code, and my license is in fall force and ect. 'X 10/10/2008 Contractor's Signature Date _} WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier. State Fund Policy Number. 1617846 Exp. Date:10/1/2009 (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 ore Labor Code, I shall forthwith comply with those pro ions. II total unargea: 3356.94 tees rasa: $356.94 Balance Due: $0.00 Receipt No: B8678 - OWNER'/ BUILDER DECLARATION u I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). , ❑ I AM EXEMPT under Section B. & P.C. for this F 10/10/2008 Owner's Signature Date X -J V \ .10/10/2008 - - I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers, agents and employees from any and all claims o,o and liability for personal 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 sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count enter the above mentioned property Yfor inspection purposes. I hereby certify that I am the CONSTRUCTION LENDING AGENCY property er or authoriz a e property owners behalf. r • G VHY c c 10/10/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip ❑ Owner Contractor OR. ElAgent for Owner DAgent for Contractor FILE COPY BUTTE COUNTYDEPARTMENT OF DEVELOPMENT SERVICES' out, BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 - ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3147 MEGS PL Owner: Permit NO: B08-1962 APN: 055-450-025 GREGORY, GORDON Permit type: MISCELLANEOUS 3147 MEGS PL Issued Date: 10/10/2008 By GLB Subtype: Fire Suppression PARADISE, CA 95969 Expiration Date: 10/10/2009 Description: FIRE SPRINKLERS FOR B08-1365 (530) 876-0541 Occupancy: Zoning: Contractor Applicant: Square Footage: SQUYRES WILLIAM F JR SQUYRES WILLIAM F JR Building Garage RemdUAddn P O BOX 3176 P O BOX 3176 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)345-1012 (530)345-1012 . ' . FEE INFORMATION. ; DBOMSC Fire Protection Enginee .$356.94 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SQUYRES WILLIAM F JR' 275206 / C16 / 10/31/2009 - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 70 of Division 3 of the Business and Professions Code, and my license is in fall force and ect. 'X 10/10/2008 Contractor's Signature Date _} WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier. State Fund Policy Number. 1617846 Exp. Date:10/1/2009 (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 ore Labor Code, I shall forthwith comply with those pro ions. II total unargea: 3356.94 tees rasa: $356.94 Balance Due: $0.00 Receipt No: B8678 - OWNER'/ BUILDER DECLARATION u I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). , ❑ I AM EXEMPT under Section B. & P.C. for this F 10/10/2008 Owner's Signature Date X -J V \ .10/10/2008 - - I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers, agents and employees from any and all claims o,o and liability for personal 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 sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count enter the above mentioned property Yfor inspection purposes. I hereby certify that I am the CONSTRUCTION LENDING AGENCY property er or authoriz a e property owners behalf. r • G VHY c c 10/10/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip ❑ Owner Contractor OR. ElAgent for Owner DAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 �a. I q 6,;) - oA FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds e.MUIR PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name Vvi 0 Py First Name 1" Mailing Address 3 Ill C S LAC.G City p RState I Zip % Zip a Phone Fax E-mail CONTRACTOR Name W L I_ ► a F. SD L>Iac Tl2- Address �� d (3 or, 31?6 City C -F1 LGD State C k I Zip % Phone530-3u5-i�1z Fax 530.35-�b3� E-mail W s Lic. # 2-7 5-1_6(, Class ' t I APPLICAJYT SIGNATURE X PERMIT NO. BIN # PROJECT LOCATION AP# 055 _ y50-025 Property Address V Lt '7 MC6,5 ?L A -CE City 'Pi9*9 66 - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. 1 IS - �S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use onl : ARCHITECTIENGINEER Name Type Const. Address [� City State Zip Phone Fax E-mail State License Number APPLICAJYT SIGNATURE X PERMIT NO. BIN # PROJECT LOCATION AP# 055 _ y50-025 Property Address V Lt '7 MC6,5 ?L A -CE City 'Pi9*9 66 - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. 1 IS - �S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use onl : APPLICANT INFORMATION Name Type Const. Address [� City State/ Zip Phone Fax E-mail APPLICAJYT SIGNATURE X PERMIT NO. BIN # PROJECT LOCATION AP# 055 _ y50-025 Property Address V Lt '7 MC6,5 ?L A -CE City 'Pi9*9 66 - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. 1 IS - �S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use onl : Zoning FloodZone SRA Yes No Occ. Type Const. Butte.County Department of Development Services TIM SNFLLINGS, 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, if the permit has not issued, but not after 180 days 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 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 hqp://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1964 t Location: 3247 NEAL RD Parcel Number: 055-450-022 Owner Name: JAMES FAMILY TRUST, Description: FIRE SPRINKLERS FOR B08-1597 Date: 9/24/2008 Phone: (530) 343-2999 Signature of Applicant: Date: 9/24/2008 FIL Eq lci�Z EDS - CNP --I— AN PERMIT CHECKLIST FOR BUTTE FIRE STORM 2008 Permit Fee Waiver/Reduction Application Form (this form must be reviewed by Supervisor) completed or attached to Damage Assessment Case completed Application documents required for submittal Tans reviewed by. Plan. Checker- JF_ S I/ For fee waivers — checked size and use of structure to building and assessor's more info screens on Damage Assessment Case for the parcel Add review for EH Haz-Mat write `Butte Fire Storm 2008' in "Notes". ,�,� S Y` Change return date on all reviews for application date ❑ Application given to Supervisor Reviewed by: Date: 10 days from CADocuments and Settings\amefford\My Documents\Trak It\Permit Procedures for Trakit\PERMIT CHECKLIST FIRE STORM 2008.doc .„ . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds '=LICENSED.CONTRACTOR'S'DECLARATION ' Contractor (Name) State Contractors License No. / Class / Expires UNKNOWN I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licens< is in full force and effect. X 9/2/2008 Balance Due: $0.00 Receipt No: B8450 A I'. OWNER/ BUILDER DECLARATION ' t I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, 9 also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date WORKERS -'COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. Policy Number: Exp. Date: (This section need not be completed if the permit Is for one hundred ($100) or ess. ErCERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS J 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' 1' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 9/2/2008 `Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. _`,,i�I CONSTRUCTION: LENDING AGENCY. I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ, code) Please check one of the following: 2 ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). I ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 9/2/2008 Date 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorize o act on the property ownefs behalf. `", , 9/2/2008 �. Name of Parmittaa r..%inmi Print rate Owner ❑ Contractor OR; Agent for Owner Agent for Contractor Lender's Address City State Zip FILE COPY 5 , PROJECT INFORMATION Site Address: 3147 MEGS PL Owner: Permit No: B08-1365 APN: 055-450-025 GREGORY, GORDON, Issued Date: 9/2/2008 By GLB Permit type: RESIDENTIAL 3147 MEGS PL Subtype: SFD-Custom/Model PARADISE, CA 95969 Expiration Date: 9/2/2009 Description: NSF (3107) GAR (576) O (385) COV ( (530) 876-0541 Occupancy: R-3 Zoning: A -R Contractor Applicant: • Square Footage: UNKNOWN LUKE WENTLAND Building Garage Remdl/Addn 6904 DEAN PL 3,107 576 PARADISE, CA 95969 Other Porch/Patio Total (530) 872-3320 385 431 4,499 EE INFORMATION DB R3 Dwelling -Custom, Model 0 $2,395.81 DB R3 Dwelling -Custom, Model 0 $1,597.21 DBEH Building Review Fee $78.90 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBOMSC Fire Safe Standards Rev $118.98 TIRCMTP Recidpntinl Total Charged: 0.22 Ar% $4,534.55 Fees Paid: $4,534.55 '=LICENSED.CONTRACTOR'S'DECLARATION ' Contractor (Name) State Contractors License No. / Class / Expires UNKNOWN I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licens< is in full force and effect. X 9/2/2008 Balance Due: $0.00 Receipt No: B8450 A I'. OWNER/ BUILDER DECLARATION ' t I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, 9 also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date WORKERS -'COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. Policy Number: Exp. Date: (This section need not be completed if the permit Is for one hundred ($100) or ess. ErCERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS J 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' 1' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 9/2/2008 `Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. _`,,i�I CONSTRUCTION: LENDING AGENCY. I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ, code) Please check one of the following: 2 ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). I ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 9/2/2008 Date 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorize o act on the property ownefs behalf. `", , 9/2/2008 �. Name of Parmittaa r..%inmi Print rate Owner ❑ Contractor OR; Agent for Owner Agent for Contractor Lender's Address City State Zip FILE COPY 5 , BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION PERMIT NO. 6,76 -)?)L �04 Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Ifrdst. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name r2 Or Fi t Name o Mailing Address 3 e s- P14c City PC, r-rkdt S State CA Zipq S5 Phone-,', d - ?*26 -n.rY/ Fax Email r_5m�?� pck_ d secq-eon,. ARCHITECTIEnNGINEER CONTRACTOR Name Un khOav-% Address `p g60o3 City Fax State Zip Phone ❑ Struci t without Permits ❑ Proposed Change of Occupancy (Note previous use): Fax E-mail Lic. # Class ARCHITECTIEnNGINEER Name 9r.l^L ' �1 kG t-ee l/ Address I ose Tree 6, City (J J I1tfJ' I State wT `p g60o3 Phone �•� 5�lJ3 Fax E-mail State License NumbeCa-3 7 J APPLICANT SIGNATURE X.. PROJECT LOCATION AP#OSs'- Property Address /� 3f Yr1C� r /'4c City ru & k S e C A 6 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. APPLICANT INFORMATION Name S s cola Address SRA City D No State Tip Phone ❑ Struci t without Permits ❑ Proposed Change of Occupancy (Note previous use): Fax E-mail APPLICANT SIGNATURE X.. PROJECT LOCATION AP#OSs'- Property Address /� 3f Yr1C� r /'4c City ru & k S e C A 6 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. y -e Id Ivq- r e - 4-)-,a Flood Zone I SRA I Yes D No 0 Sq FT- Livi arage Open 6.3ov ❑ Struci t without Permits ❑ Proposed Change of Occupancy (Note previous use): (1, T6,[ UX For office use only: 's -Qp Zonin Flood Zone I SRA I Yes D No 0 Type Const. I 1P PqrP is IC. Yaradia 'ark & krea4ion 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: B08-1365 Job Address: 3147 MEGS PL Contractor: UNKNOWN Printed: 07/17/2008 12:37 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIFFIREF SF 1851-0-280-1011852 $367.67 CWIFFIREVE SF 1851-0-280-1011853 $709.71 CWIFPWRDS SF ADB 1831-0-280-1011001 .$1,342.38 R3 Dwelling -Custom, Model 0 DBF R3 DWLNG CSTM/MDL"Plan Z -'h 0010-440001-4210501-1.0101 $1,597.21 07/17/2008 $1,597.21 DBF R3 DWLNG CSTM/MDL Insp Fef 0010-440001-4210502-10101 -$2,395.81 DBEH Building Review Fee 0021-540013-4614901-10101 $78.90 07/17/2008 $78.90 DBFIRE Fire Idspection (SRA) 0100-450001-4617240-10101 ' $107.00 0100-450001-4617240-10101 -$107.00 07/17/2008 $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210501-10101 $118.98 DBFIRE SRA Fire Plan Review (S " 0100-450001-4617240-10101 $107.00 07/17/2008 $107.00 A,UD"Impact Processing Audi 0010-050-4617998-101001 $56Zi0 CNVff9MW Impact Processing Fee 0010-440001-4617999-1010 $50-60 CWIFSHERFVE SF 1840-0-280-101.1842 $153.27 CWIFGGF SF 1808-0-280-101001 $667.2 CWIFGGVE SF 1810-0-280-101001 $307. 1 CWIFLBRYF SF 1825-0-280-1011826 $240 9 CWIFLBRYM SF 1825-0-280-1011827 $16 .04 CWIFLBRYV SF 1825-0-280-1011828 4.83 CWIFSHERFF SF 1840-0-280-1011841 14.12 CWIFSHERFJL SF 090807 1800-0-280-1011811 .425.00 1DBSMIP Residential 1001-0-280-1011298 $22.65 91329.38 $19890.11 Printed By: Karen Jones Balance Due: $7,439.27 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may chap a during the plan checking process. Signature: Date: 07/17/2008 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 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: B08-1365 Date: 07/17/2008 Location: 3147 MEGS PL By: KEJ Parcel Number: 055-450-025 Sub Type: SFD-Custom/Model Owner Name: GREGORY, GORDON Phone: (530) 876-0541 Description: NSF (3107) GAR (576) O (385) COV (431) ❑ 171 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 SEWER DISTRICTS ❑ M 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, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 1:1 ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic .access. Signature of Applicant: Date: 07/17/2008 FILE SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901- (530) 741-6000 ❑ 171 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 ❑ E] Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions E City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: 1:1 ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic .access. Signature of Applicant: Date: 07/17/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. O 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, if the permit has not issued, but not after 180 days 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 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 hitp:Hmunicipalcodes.lexisnexis.com/codesibutteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1365 Location: 3147 MEGS PL Parcel Number: 055-450-025 Owner Name: GREGORY, GORDON Description: NSF (3107) GAR (576) O (385) COV (431) Signature of Applicant: FILE Date: 07/17/2008 Phone: (530) 876-0541 Date: 07/17/2008 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds' ! ` A 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: B08-1365 Location: 3147 MEGS PL Parcel Number: 055-450-025 Owner Name: GREGORY, GORDON Description: NSF (3107) GAR (576) O (385) COV (431) Date: 07/17/2008 By: KEJ Sub Type: SFD-Custom/Model Phone: (530) 876-0541 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: 07/17/2008 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-1365 Date: 07/17/2008 Location: 3147 MEGS PL By: KEJ Parcel Number: 055-450-025 Sub Type: SFD-Custom/Model Owner Name: GREGORY, GORDON Phone: (530) 876-0541 Description: NSF (3107) GAR (576) O (385) COV (431) To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County 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) 538-6226, (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. 07/17/2008 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protplan.html FILE Luke Wentland Project Engineer 6904 Dean Place Paradise, CA 95969 July 16, 2008 Butte County Department of Development Services 7 County Center Dr. Oroville, CA 95965 In regards to: Gordon and Linda Gregory existing foundation 3147 Megs Place Paradise, CA 95969 I have inspected the foundation at said address and have found it to be structurally sound. There does not appear to be any damage to the concrete caused by the fire that would cause failure due to a house being built on it. The steel (anchor bolts and holdowns) protruding from the foundation underwent some damage during clean up. The plans describe fixes for these minor issues. Luke Wentland Project Engineer Eric M. Chaffee, PE License No. C65371 r 3 (. � J 1 � � � " I`t" � � y 1 � 1... _ r" .. ! � .. • � t a.l r f• -� } ! - � f , r. '' G PERMIT CHECKLIST FOR BUTTE FIRE STORM 2008 y.-ermit Fee Waiver/Reduction Application Form (this orm must be reviewed by Supervisor) completed or attached to Damage Assessment Case Completed Application All documents required for submittal Plans reviewed by Plan Checkers .6� l For fe wa vers checked size and use of structure to building and assessor's more info screens on Damage Assessment Case for the parcel Add review for EH Haz-Mat write `Butte Fire Storm 2008 in Notes Change return date on all reviews for 10 days from /Application Ovation date given to Supervisor Reviewed by Date: CADocuments and Settings\amefford\My Documents\Trak It\Permit Procedures for Trakit\PERMIT CHECKLIST FIRE STORM 2008.doc M BUTTE COUNTY DEVELOPMENT FEE ,evTTF0 CERTIFICATION FORM ; Paradise Recreation & Park District Assessor's Parcel Number (s): 055-450-025 Property Owner (s): GREGORY, GORDON Project Location/Address: 3147 MEGS PL Building Permit Number: PARADISE Project Description: NSF (3107) GAR (576) O (385) COV (431 Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Custom/Model Building Type: New Single Family Dwelling New/Additional Sq Ftg: 3,107 Certificate of Existing Square Footage Existing Sq Ftg: 2876 MH Replacement: No Existing Construction Type: Residential- Convential Home Demo Permit Issued?: No Demo Permit Issued Date: Verified by Building Records: Building R Verified by Assessment Records: Comments: Humboldt fire replacement home 9/2/2008 Build ipg epa m nt Representative Date B08-1365 ❑ FRRPD ❑ CARD Q—'fR- PD ❑ DRPD certifies that: &o --,r , -y-� e - o 7 - Applicant Name Phone Number l I\Ae Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ 231 s 6 Square Feet @ $ e ) () per sq foot for a total of $ Remarks: Paid by Check No: Paid by Cash: Receipt No: Recreation and Park District Representative Date BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Paradise Unified School District Building Permit Number: B08-1365 Tax Rate Area No: Assessor's Parcel Number (s): 055-450-025 Jurisdiction: County Property Owner (s): GREGORY, GORDON Project Location/Address: 3147 MEGS PL PARADISE Type of Development Residential Development: 0 No No F0--1 Sq. Footage: 3,107 No of Living Mobile Home Addition/ *Supplemental to Cr. Demo -existing 2876 Units Installation Conversion Permit N *(No Foundation Inspection) sq. ft. Net total sq. ft. ?j f Deed Restricted Sq. Footage: 0 Attach signed coov of Deed Restriction and Notice of Limit se au i w omen CommercialMdustrial: =New = Addition Sq. Footage: (Including Extenor Roofed Areas Project Description: NSF (3107) GAR (576) O (385) COV (431) owz,�, clk 9/2/2008 �uvp--nwu— District Indentification No. 0, , � -/ School District certifies that (Payor) 31q7 &Z 4 (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. representing square feet. SchodfIllistrict Representati Paid by Check # Remarks: by payment of $ AB 2926 $ FULL MITIGATION $ Notice: You may protest the imposition of the fees identified above by sumitting 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 timin ,ely written protest will prohibit you from challenging the imposition of the fees in any court action.. r �� it, SUDsequent to the bcnool ulstrlct KepresentatlVC Slglling ttus nuttt: Vomrty 9!c11yv13 au.fra..a rcc a c. a..wa..o.. r.,...y ...� ,......,. District is notified by the applicable Local Planning Agency that this project is beingreviewed 1under 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) DDS—School Fee Form rev'd 3.10.08 CERTIFICATE OF EXISTING SQUARE FOOTAGE Paradise Unified School District Building Permit Number: B08-1365 Assessor's Parcel Number (s): 055-450-025 Project Location/Address: 3147 MEGS.PL PARADISE Existing Sq Ftg: 2876 MH Replacement: No Existing Construction Type: NSF (3107) GAR (576) O (385) COV (431) Demo Permit Issued?:. No Demo Permit Issued Date: Verified by: Building R Comments: Humboldt fire replacement home 9/2/2008 Bui in De ent Representative Date n 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) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING July 21, 2008 Gordon Gregory 3147 Megs Place Paradise, Ca. 95969 Assessor Parcel Number: 055-450-025 Building Permit Number: BP08-1365 (New Single Family Residence) Thank you for submitting plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by letter or by completing and returning a Plan Review Response Form. Your complete and clear response will expedite the re -check and approval of this project. COMMENTS: Note on the plans: For all PEX installations, a completed "REQUEST TO USE PEX WATER PIPE" form must be submitted and approved by the Building Official. Contact California Department of Forestry for the possible requirements of fire sprinklers installed in the proposed structure being built. Call C.D.F. at 530-538-6837, ext. 167. A separate permit will be required for the fire sprinklers. Label the exterior siding, is this 3 coat stucco? ,00�Note on the plans the specifications for the type. of roofing material that will be installed. Comply with 2007 C.B.C, chapters 15 and 7A. 0000- Specify make and model of the decking material with ICC -Research Report number and note the minimum slope for drainage on the floor plan. Provide stair section that shows requirements as per the new 2007 C.B.C, section 1009 and section 1012. Note minimum head room clearance of 80", minimum tread depth of 10'.', maximum rise of 7- 3/4" and handrail heights of 34"-38". rovide 42" high guardrails at the interior stair and exterior deck. (2007 C.B.C, section 1013.2) Show location of the water heater. ovide natural light and ventilation in the laundry room per C.B.C. 1203.4 and C.B.C. 1205.2. i 0 now locations of the heating and air conditioning units on the floor plan. This project is located in a Wildland-Urban Interface Fire area as defined by section 702A. Please c mply with all sections of this chapter. ,'ovide attic ventilation calculations and provide sizes and locations on the plans. (2007 C.B.C, section 1203.2). See 2007 C.B.C, section -704A2.2. Note - eave and cornice vents are not allowed ME section 704A.2.2. Exterior windows, glazed doors and glazed openings within exterior doors shall be insulated glass with a minimum of one pane tempered, or have a fire resistance rating (in accordance with ASTM E 20 10) of not less than 20 minutes, or conform to the performance requirements of SFM 12-7A-2. h, tc rior door assemblies shall comply with 2007 C.B.C,' section 704A.3.2.3. Provide attic access with a minimum opening of 20"x 30" and note location on the floor plan. (2007 section 1209.2). larify how the bay window at bedroom 2 is being constructed. edroom 3 at the lower level shows the exterior wall being offset by 5.5", but this doesn't match the /undation plan. Please clarify the discrepancies. ease key in the Calif. Roof framing detail to the roof framing plan: �Provide 3"x 3" x.229" thick anchor bolt plate washers per 2007 C.B.C. Section 2305.3.11. Revise the shear wall schedules, footing details and "shear notes". ovide a footing detail for the new interior foundation. lease revise detail 9 on sheet S1. It appears this is a ridge,beam detail not a footing. Please revise the gable end detail 6 on sheet S 1 to show shear transfer from the gable end truss to the top plate. Is an A35 required9 lease clarify Retrofit Bolt (RFB) model number and Titen HD size required in the shear wall schedule and on details 1 and 2 on sheet S1. Specify 3"x 3" x .229" thick anchor bolt plate washers er 2007 C.B.C. Section 2305.3.11. �q�� 4. .r�de adequate support for the glulam floor beams. The single 2x6s specified are not sufficient. VV The trimmer calculations provided appear to analyze compression perpendicular to the grain only. Please check bending and axial compression as well. Specify "existing pier" footing sizes on the plans. Note pier sizes are shown on the original building plans (permit number 03-3460). 2rovide fire wall separation between the garage and living space per 2007 C.B.C, section 406.1.4. rovide complete Title 24 energy calculations with MF-1R forms and WS-5R kitchen lighting work .10 beet. /Provide under floor crawl space access at the raised wood floor areas. r3lease show skylight locations on the building elevations. '� ` rovide minimum 36" exterior door landings at the front door. Pease note the dryer vent to exhaust to the exterior. (2007 C.M.C, section 504.3) Need to complete the electrical plan to show the following: G.F.I.0 outlets for the Kitchen island p nters and G.F.I.C. outlets at the garage. vide smoke detectors per section 907.10.1.2 on the lower level electrical plan. Specify the manufacturer and model number for the I joists used for the floor framing. Remove/revise reference to seismic zone 4 in the shear wall schedule ovide a letter from the engineer stating that he has reviewed the roof truss calculations and found them to be in conformance with his design of the structure. 3 8. Submit two new corrected sets of plans and calculations. If you wish to discuss any of these comments, please call (530) 538-7541 between 8:00 a.m. and 5:00 p.m., Monday through Friday. Jim Peterson Plans Examiner iepeterson@buttecounly.net cc; Eric Chaffee, P.E. Philo Hunt, P.E. Plan Check Engineer phunt@buttecounty.net If a e -^*a ;A ;. BUTTE COUNTY Wentland Engineering AUG o a 2008 BEVELOpNXNT 6904 Dean Place, Paradise CA 95969 SERVICES Home (530) 872-3320 Cell (530) 966-6849 August 2, 2008 Butte County Department of Development Services Philo Hunt or Jim Peterson RE: Gregory Residence 3147 Megs Place Paradise, CA 95969 APN: 055450-025 BPN: BP08-1365 Dear Philo or Jim, I have numbered the following responses to coincide with your review of the Gregory plans. See note GN8 on sheet A1. "�` wner will have fire sprinkler plans to you this week. ee note GN 1 on sheet A I. ee note GN2 on sheet A1. Gacoflex Urethane Rubber Walking and Roof Covering, ICC Report Number ESR -1284, at a slope of 1/8" per foot. See note GN9 sheet Al. Stair requirements met in GN6 on sheet Al. Changed to show 42" height in several areas. Water heater shown in garage on sheet A I. .Window inserted in laundry room. AC unit shown on sheet A I. �roject complies to chapter 7A. ee note RF 10 on sheet S4. See note GN3 on sheet Al. See note GN4 on sheet A1. ee master bedroom closet on sheet Al for attic access. P ee sheet S3 for new floor flaming. When the owner previously built this home he offset the downstairs walls so as to avoid r trying to attach drywall to the retaining wall. The main floor still bears on the foundation while the lower walls were built with a 5.5" offset. This also made plumbing easier to run for the downstairs bathroom. "ee new note on sheet S4. Shear wall schedule modified. oting detail now on sheet S2. Cee sheet S 1 for change. 5 now shown on detail. 23. Details 1&2 on sheet S 1 changed. . ,�. r .. C ' J - . It _ t • . t •tl..,?i r •.-1 tl r :t a .. 24. Changed to 4x6 even though2x6 �en`ty amide oats. ®N NO lr WASN "r 25. Bending of trimmers in axial compression is not calculated because the crushing of wood perpendicular to grain will take place first. The trimmers referred to are in walls and are braced in multiple places not letting the trimmer buckle out of plane. See sheet S2 for existing pier sizes. �Y. Firewall separation on plans see sheet A I. New Title 24 Energy calcs provided. See note GN7 on sheet A1. w� Skylights now shown on elevations. Door landing now on sheet Al and S2. X3.2 See note GN5 on sheet A1. �ee sheet El for change. moke detectors on lower floor. ee sheet S3 for make and model. 36. See sheets S5 and S6 for seismic zone 4 note change. 37. Letter written and submitted. If you have any questions regarding the plans or calcs please give me a call on my cell at (530) 966-6849 or at home at (530) 872-3320. Thanks, ' Luke Wentland '', .;' _ 1 ' i ,}•�1a .f� - ,�t, � r � ; , / .. •�r .. ifl .�� 'r 7 _ � r � • - , r.� � � .� .i '� .. � � i• +. '', .;' _ 1 ' i ,}•�1a .f� - ,�t, � r � ; , / .. •�r .. ifl .�� 'r 7 _ � r � • - , r.� � � .� .i '� .. � � i• Luke Wentland Project Engineer 6904 Dean Place Paradise, CA 95969 July 31, 2008 Butte County Department of Development Services 7 County Center Dr. Oroville, CA 95965 In regards to: . Gordon and Linda Gregory Truss Calcs 3147 Megs Place Paradise, CA 95969 COUNTY AUG 0 4 2038 DEVELOP NT SERVICkS— The truss calculations prepared by Design Assistance have been reviewed and are in conformance with the design of this structure. Luke Wentland Project Engineer Eric M. Chaffee, PE License No. C65371 fCn w No. 653 1 m �d Exp. d� CI Il_ STqR CF CAUF�C�\/ EMMA .. _ �r-.1n . � Ji .. - 1 r ... � { .. r .. e . ....tip � ! i y � ' J i .f � t, r• .f, �. � .. J f �•(r� � 1 I �� � - � ' � � 1. f .f _ , { .. r .. e . ....tip � ! i y � ' J i .f � t, r• .f, �. � .. J f �•(r� � 1 I �� � - � Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR '„t,E 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www. b u tte c o u n tv. n et/d d s PLAN CHANGE ❑ BU 1 COUNTY AUG 0.4 2048 DEVELOPMENT SERVICES RECHECK Owner's Name: 60fJoH C- 11 iofy AP#: 0 S'�— O2 BP#: ®� —�36Si Received By: Date: — OK Time: . Contact Person & Phone Number: Loke 1 0416J • $72-332-0 PURPOSE OF PLAN CHANGE OR RECHECK —<„ bv,4,v7A ii //,-, &Lt !i V4-P.r ; Y1i�rnl ;w 0//,.-n ,k, -6k ❑ Response to Inspector's Correction Notice — Inspector's Name: Response to_ Plan Check Letter — Plans Examiner's Name: *Submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. Mail to Call C; r G re Deliver with Next WHEN APPROVED: pection ( for 8 1/2X 11 only) and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $118.98 paid. ❑ Additional Fee Amount: Receipt #: Revised 2108 o q rr A,�4 V 4 V? IQ 440- -12::i SLOPE 215' GORDON & LINDA GREGORY 3147 MEGS PLACE PARADISE, CA 95969 125' Iq v ,' a ` r ' V ; r j t • r �� •. `�, L .. ., - t� ` v � . '„ .i�• 1� � • 's � t 4 i � rti. 1 r, • ;r'1 � . �, 1 .. .. ' M'. . • id —1 r-0• er-r r� �w-v� r-0• ero• r-0• �sr-e� r -a _ oso 1 r r ,o 82 V- Mr. VMLT W. VMLT ae a 2M T ,r"MM ry w vac O r-aw ,r.av-r 0 MTM wcum * • CELM n I s -+i6• rte• • ��o ter. Oto u•��icr-er MAIN FLOOR PLAN a 1, y i i15'-W i L'l-V 18'-7y4' I 17'-104 4'-2%. LOWER FLOOR PLAN .w .�.._ ' .. � ', � �. � ,� ;, .. � ' f ' i r � •• r t� �•� .. •- � �+, �� J � i � ' �. i � � t_ + � � r � • 1 s A f � i f i !� 1 1 7 ,� 1 { .i � _ i Oeo n�; 3 141 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) ' j;- APPLICATION AND PERMIT 64-61-56c) ASSESSOR PARCEL NUMBER -7'' /1i ZONING n /� BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 9 • 1• &© • Q� OWNERS MAILING ADDRESS 5-q 6, CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ J bO ARCHITECT OR ENGINEER LICENSE NO. 2 %4-- 4400 P S'• - Filln Fee $ 20.00E Permit Fee $ '742,00 ARCHITECT OR ENGINEERS MAILING ADDRESS y . / 34-5 6 GI'QS Vd— ;�94 Jr Plan Checking Fee $ �{ ,. 1?Q BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 139,90 LOT NO. SUBDr 'S�\NAAIE ('� j� PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTR CTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑r Remodel ❑ Utilities ❑ Installation ❑ Other 13Buildin Describe Work: i re i rt K 1Q-4—c;Mobile r 4D334VO �L� X • DS S �� SR -1A Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Home I S I G IW @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LEss Main Service .OA ORR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that H I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit those provisions. X Date / / D nat re of Applicant - er Contractor ❑Agent An OS A permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in eight. Main Service PDA TO tOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BIAS. 3.5QFT: NowRESIUT- MULTI.OUTLET @7,50 POWER APPARATUS a sINGLE ovnET cIR. 00 Ex. Occup. OUTLET OR FOCTURES BAL @';50 Ex. Occup. our tis RFIXM.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. o FEES IMP FLOOD — COF — PARCEL HD r ISSU This permit is hereby issued under Of the Butte County ode and/or indic a for ich fees have By EXPIRES ON the applicable provisions Resolutions to do work been paid. Date c 34do C D e ReceiptNo. A1 qPERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT aCOVNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICEASDIG DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 P MIT NO. �96) APPLICATION AND PERMIT ��� �� 33 /\�I ZONING EUILDINGPERMIT SORPARCEL.NUMBER /\�. V v 7ELFPMONE SQ. FT. OCC, BUILDING VALUATION MIA rcnM LENDER EAS MARJNG ADDRESS ARC14fECT OR ENG AACrurEcfr OR EN 8U°.DW G ADDRESS IDT Na I SUBOY510NS NAME Total Valuation $ T a F6n Fee $ Permit Fee $ 7 Plan Checking Fee $ jEnergy Plan Checking Fee $ $ PERMIT FEE S PLUMBING PERMIT ach Trap USEOFSTRUCTURE Solar or heat pump water heater Water i ing SF 13 Duplex ❑ Mobilehome E3 other spear Each gas water heater or vent TYPE OF WORK Gas 161no system161n 1 - 5 outlets New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewe Mobile Home Describe Work: _2�=-,l� \ n1 �� PERMIT FEE PAID SRA SHERIFF OTHER qT, AMOUNT RECEIVED $ DATE RECEIVED 6 —20.00 J "U`-' ring Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Ex Occup. OLrn.Er OR WIRES PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 02UDOOVA oa 23.00 Main Service 200A TD 100DA 46.00 NEW CONST. / DWELLM OCCUP. 3.50 FT OR ADDNS. \ i ACC. EIL.DS. Ex Occup. OLrn.Er OR WIRES SAL & .s° Ex. Occup. FPCED lln.Ei8APPLM. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. Wirinc 23.00 PERMIT FEE S N MECHANICAL PERMIT Firing Fee 20.00 - 6.50 Mobile Home Installation Fee $ Energy Inspection Fee $ C= DD`s' ""E TO AL FEE !jm CDHD 65 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT -SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: - 0 ASSESSOR PARCEL NUMBER v�� • . I v Proposed Building Use: � •Counter Technician: *, Date: ' • GL Items required in order to appl for a permf.. I boxes MUST be checked OR marked NA in order tvapply. ❑ 1 -.--Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2;:.Complete plans, 3 or 4 sets, signed by the preparer of the plans. 1 "Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. D 4-. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 Cl 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other .Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ 0 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by Cl 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use:O i< (B)Parking: (C) Parcel Check: - 9M ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) .:................. ❑ 30. Worker's Compensation Carrier and Policy Number ........................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction.......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Cl 38. Other: ❑ 39. Other: When. issued Telephone and hold for pickup. I have been infor�adofthe above items and requirements for obtaining a building permit. Applicant: 2 �7� . 6� Date: 1. Index permit) plication for the above items RGmbered� Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ow er was advised of the abo e d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: o Plans approved by: fiJ �� Date y: : 2-A Structural reviewed by: Date: Structural approved bDate: Note transfer by: Date: Yellow: Building Division 13 D.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -build_ er" 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. (2)I personally plan to provide the major labor and materials - for construction of thero osed P P property improvement : YES -6 NO ❑ 2' I HAVE ❑ HAVE NOT) f 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 thiswork, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: . PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNERc DATE:_ NOTE: This Owner -Builder Ver fication is required by Section 19831 and 19532 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. OVER D. .-1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner BuilderInformaton is required by Section 19830 of the California Health and Safety Code. I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -7r -Al PERMIT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT 42'? 44;4 .SSES RQARG .1!M1 Z°NI"D r BUILDING PERMIT OWNE REGORY, LINDA AND GORDON 876-0541 TELEPHONE SO. FT. OCC. BUILDING VALUATION °W"+iT ROAD PARADISE CA 95969 630 U 11, 340.00 CONigq�E TELEPHONE 1171 R3 3 @ 4 S CONTRACTORS MAILING ADDRESS 565 0 3955.00 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1500.00 Total Valuation $ 149,1 3.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 814.50 Plan Checking Fee $ 529.43 BU1Lo1y{,,pVS�EGS PLACE PARADISE CA .3�4� L�'j�j Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1386.93 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE / SF `/ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 77,00 Solar or heat um water heater 23.00 Water piping 15.00 1-5.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ 157.00 ELECTRICAL PERMIT Filing Feel 20.00 RUE Main Service '0.'.1, OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La w ff r the following reason: i� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason164-17 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR SO GR DNS. ( & ACC. BUDS. 3.50FT. 121.1 ReSID.NEW MULT.OUTLET @7,50 POWER APPARATUS 6 SINGLE OUT.Er CIR. Ex. Occup. OUTLET OR FIXTURES B20 0 1.00 .50 Ex. Occup. R61D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 6-50 Ventilation 3 4.50 13.50 PERMIT FOE $ 85.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with ose provisions. X Date 7% "' " O� Signature of Applicant -0w r ❑ Contractor ❑ Agent An OSHA permit is required for a vations over 5' " eep and demolition or construction of structures over 3 stories in h ght. Mobile Home Installation Fee $ Energy Inspection Fee $46.00 occ CONST. TYPE TOTAL FEE $1839.10 XAz. Z. y. F IMP o V1 coF PARC PD D u This permit is hereby issued &der the applicable provisions of th utte County Code and/or Resolutions to do work indi ate for hich fees have been paid. By Dat 3 ZS PERMIT EXPIRES ON Dete Receipt No. WHITE-D.D.S.-B.177 -(9ANARY-ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT �yy\g- COUNTY OF BUTTE DEPARTMENT OF DEVELOP VI 7 County Center rive Oroville, California 96 Tte'".� (Rev.12/96) APPL.ICATIO _.N®PEFt ' �� 1 NG rSORPA`ftCELNUME3EAo 2laSO. FT. R F, - C �`�..✓ \ .'% �.il /3. /9S1[ �/� �� - 1 VCONTRACTORS NAME G CONTRACTORS MALLNNG ADDRESS CONSTRUCTION LENDER QUI G DIVISION Q15 t 75 1 P MIT NO. BUILDING PERMIT .C. BUILDING VALUATION U— • Fire lace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FiringFee $ 20.00 Permit Fee S AA04TECT OR ENGINEERS MALLING ADDRESS Plan Checking Fee ' euaowGAooREs�j Energy Plan Checking Fee S G� PERMIT FEE S $ - �� suaDNsON'$NAME � �'�� -�� 7z� g � CEL MAP PLUMBING PERMIT Fifing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Other SF Duplex ❑ Mobilehome 13W ater piping 15.00 sPEeIPT15.00 Each as water heater or vent _ TYPE OF WORK Gas i in m 1 - 5 outlets 15.00 — New Addition ❑ Remodel ❑ U5'ifies ❑ Installation ❑ Other ❑ Building sewer 15.00 Mobile Home S G W @20.00 Describe Work: PERMIT FEE /� ELECTRICAL PERS oR Filing Fee 20.00. �� � F� x� �'i LES Main Service 'D F'1 ums = 23.00 -� Main Service 2W TO IOWA 46.00 Y1 NEW CONST.DW91.ING OCCUP. OR ADONS. i ACC. RLDS 3.5¢ ll�n J J -IJ' NEW CONST. MULTI -OUTLET NO►N+ESID @7.50 PERMIT, FEE PAID $ POWER APPARATUS' 6 6INGLE OUTLET d0. ) I EXOccup. OUTLEr OR FwTuRE A @ 1.00 BAL @ M FDCED APPL16. OR Ex. Occup.OUTLETS 610. " 5.00 _ SRA A $ Temporary Service 23.00 - Mobile Home Facilities 20.00 Nfisc. Wiring 23.00 SHERIFF $ PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating,. CJ - OTHER R 0 $ Cooling a Hood L 6.50 Ventilation V ' $ PERMIT FEt S Mobile Home Installation Fee $ $ Energy Inspection Fee $ COf �T _PE TOT L FEE $ HAZ 0. FEES MP D CDF HD ISSUE AMOUNT RECEIVED $ I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work �) l / /� VS iV indicated above for which fees have been paid. DATE RECEIVED v -1 2L M By Date C� � I l ee "OV #� �- PERMIT EXPIRES ON RECEIPT "✓ ff).f l ( r k • - . $ -1 E.H. USE ONLY Piot Dien Attached Floor Plan A p r Sant to 8. 0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -Q C7 Owe Location AP# Plan Approvgdi for Sewage Disposal + WatFr Supply: Public Private Welt/ ClearanFe for`- dwelling. Other Hold final for: Final clearance O.K. for: NOTE: 7,'(' "- 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 6155./4-c-56, ca) OWNER:�C - b As PARCEL NUMBER Proposed Building Use: Counter Technician: Date: ii G Items required in order to apply for a permit. All boxes MUST be checked OR mar ed NA in order to apply. fi. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. P3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. r (1, 4. Engineered truss details and layouts in duplicate. No faxes! 1f 5. Energy compliance design and supporting documentation in duplicate. i ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. ,Hazardo70% ate ial Form............................................................................... � Other - . . f'g�em0needed to issue the permit. (May require additional plan review upon rece5pt of the following items. s as shown on the attached Schedule of Fees Due Sheet ...................................... tement of Intent for Non -heated and A/C Buildings.................................itation and plot plan approval from the Environmental Health Department in ty of Chico Plumbing permit...............................................................: ifornia Department of Forestry lana approval . Sent b 11-1.0-03 P tTY P PP Y: �%J ......... 19. Planning approval for (A) Use: C� k (B)Parking: (C) Parcel Check:_(—j � ❑ r20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... �1Y1 `11. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............... ....................... ;...... .:25.,Owner-Builder Verification (❑ b'iven to owner, ❑ Mailed to owner) ................:.... Petter of Signature authorization...........................................................'......... corded copy of Agricultural Acknowledgment Statement .................................... t 3 anufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits .............................:g ......................... EJ 6. El Gran -,ed, ❑-M. Title/Statement f Fact ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ JW 1. Other:rC�G�� ' -Q When issued Telephone o - Y/ and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: �' ^ 0 1. Index permit application for the above items numbered: W Plan Check Letter 2 tional items required rl Contras designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: U designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ count r, b Date: Plans reviewed by: Date: Plans approved by: 02 i Date: Structural reviewed by: Date: _Structural approved by: Date: Note transfer by: ate: - - Yellow: Building Division , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. 0 3 - _95 4(o d V-, A.P. Number 055 450 0#'%- 1 Jurisdiction: city ©County`` N Property Owner 60JQ0,00 Property Location/Address _414-7 WFaS PLAe-r-, P'10f0-A-0ISff Subdivision Lot No. ................. ..... .................................. s ... ....... . .......................... Residential Development 0 Q Sq. Footage No of Living Mobile Horne Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(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 Sq. Footage New Addition (Including Exterior 'Roofed Areas) ELuIldih,g Department Re-presentati—vi— Date District Identification No. L) School District certifies that 9 or (Street Address) (City) (State) has complied with the requirements of Resolution No. representing 2A square feet. 0 4e, Paid by Check # Remarks: e t, a, N 6J.A—V- - (Applicant) (Phone Numb6r) (Zip Code) by payment of $ 0— va 2926 $ - IFULL MMGATION $ I -Date I-- - I - modc : You i;" protest the Imposition of the feWildinifif'6C above totheDIsh In complience with Goverpinmt Code Section 66020(a), within 90 days from the date tees are paid. Fallurs to submit a time* written protest VAH' you from challenging the Imposition of do fees In any court 4 Ito'" K. subsequent to the School District Representative aWm this Suits County Schools Impact Fee Cedificotlori Form, the School District Is nottilsd by the applicable Local Planning Agency that this pnoje A Is being frAswed under the Califfbirnia Environnm" Queft Act (CEQ4 dftproject may be subject to additional school ton to fully miltignts Its Imimict on the school dl &kft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmm •� � -' -- - - - � _ + _._ _ ____..`L_---.-.- COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSE BUILDING USE 1. BUILDING PERMIT FEES 12-C& Balance Due ....................... $ ' A.P. # O�J �9' '06- Q.–>') DATE It - ` G:�� RECEIPT # DATE REC. a a/ -250-44P\ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) owtiep a/-24/oq– SHERIFF FEES (paid at Building Division) x 60 $ '2 j � `� `<, nr /� � P Residential ...................... � Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) !! o 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE // — je —02 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) National Pollutant Discharge Elimination Sstem NPDES) Phase 11 & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By sign below, I, the project architect/engineer of record, indicate that I am aware that a construction presect that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the Stat ater Resources Control Board. I, additionally, understand that it is the project owner's/owner's ag-b<s responsibility to submit a Notice of Intent (N. 01), a Storm. Water Pollution Prevention Plan PP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a pernut. , rther, certify that this project will not disturb more than 1 acre of land. I have also reviewed the tManagement Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. certify that appropriate BMPs will be implemented to effectively minimize the negative impaat&Zf this project's construction activities on storm water quality. I acknowledge that it is my obligatio o make the project owner and contractor aware that the selected BNTs must be installed, monit6ft4, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations_l>a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate cha es will be made without unnecessary delay. I am aware that failure to properly implement and tain the BMPs necessary to prevent the discharge of pollutants from this project during cons ction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: �.✓ ,,,� Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan OWNER -BUILDER VERIFICATION 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. �I personallyplan to provide ��NO 'or lab P P or and materials for construction of the proposed 6 property improvement: YES O 2 I HAVE G"HAVE NOT 11 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. Ilan to provide portions of this work, but I have hired the following person to coordinate, s5lpervise, and provide the major work: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide \ the work indicated: NAME ADDRESS . PHONE . TYPE OF WORK SIG1TU"• NOTE. Thu Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verifuadon must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building perm 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 worm with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific infimnation about your obligations under Federal Law, contract 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 tine 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. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Infonnation about licensed contractors may be obtained by contracting the Contractors State License Board in your commimity or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The budding permit will not be issued until the verification is returned. 1y, lvfic 1 C. iia, C B.O. er, Building Inspection NOTE. Ttris Owner -Builder fnformadon is required by Seddon 19830 of the Calfornk Health mid Safety Code. OVER Sent By: ENGINEERED FIRE SYSTEMS ; 13457 Colfax Highway Grass Valley, CA 95945 Phorva x(530}2749408 - Fax: (530) 274 -NW 530 274 9488; Feb -25-04 12:08PM; Page 1 -_ Eng ne 67f* i IFire Systems- nc - =- _ Tel Russell From Howrard Morgado- Fax. ®aagest 17 • ' {Fhoa4 I3aW February 25,2004- Re. 5,2044-Re. Gregory Res: (permit-# 0401-36-) CC: o UrgmtA M -For -R ' o C . o Rem - a Pfease�ftc„d., Russell, Plea -find attached data sheet- requested. I've informed the owner- that. the min. tank. size. vwill-.be 40Q gallons. It you have any questioris please cell me -at -530-274-5400 (-IO2)__ AND WHEN RECORUFI) MAIL TO: BUTT' COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE. CA 95965 COPY of Document Recorded 21 -Jan -2004 2004-0003337 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 proppeerty situate in the County of Butte, State of California, described as follows: r.4, 5.�. %� �f -A S -E. %y o f 3-,L S.(, � f na-.•zl yY'-r� ^f YO Date / /�/ l� PROP RTY OWNERS: a ee State of California ) - County of 136 H`--- ) On �Gj� .211 before me, / 1;;4, // personally appeared Z1h�1�c— personally known to me (or proved to me on the basis of satisfactory evi ence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Si nature C �� Seal: - Ccmm salon 0W 1A g Nota Publlc _ 342033 ry Califomia % Butte County A.P. 4 (� j S 'yC.S�v - 0 l �� Y) MY Comm. Expires Feb 1. 2006 - OAP NO.: 055.450,021 Ptn DATES: 11/07/03 ;. 01/00/00 01/00/00 '' 01/00/00 OUTTE COunty f Butte '^ OWNER: Gordon Gregory Phone: ?s7s 0541 oo Linda _: Phone: MAIL DEPARTMENT OF " •' DEVELOPMENT SERVICES �O�Ntl - 3247 Neal Road Phone: j M ADDRESS: Building Division paradise CA s5969- 1 Owner Phone: r.� . 7 County Center Drive CONTRACTOR Oroville, CA 96965 Phone: ! O (530) 538-7541 Email: Phone: ARCHITECT OR ENGINEER Lic No.., PERMIT NUMBER: 103 3460 Email./ SITE Me S PIaCe Phone:."APPLICATION AND PERMIT Paradise CA` 95969- ` Email: ' ADDRESS: USE SF: Dplx MH Other. h •f TYPE OF New Addn Rmdlkutits . Instln WORK -.® ' 0 'p' : 0 0 Other: s NSF r DESCRIPTION LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penality 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 No. { OWNER --BUILDER DECLARATION I hereby affirm under penality of perjury that I am exempt from the Contractor's State License Law for the following reason: 0 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. p I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. am exempt under Sec. }, Business and Professions Code for this reason: , WORKERS' COMPENSATION DECLARATION I hereby affirm under penaty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code for the performance of the work E3 for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: o Cartier: i- _ - Policy Number: This section need not be completed if the permit is for one hundred dollars $100 or less). I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' 0 compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith 1complywith those provisions. WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty,of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. ..._ _ �. _ _ . _.� __ . s 0 Lender's Name: Lenders Address: I 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 and state laws relating to building construction, and hereby authorize representatives of this"6ounty to enter upon the above-mentioned property for inspection purposes. Signature of Applicant Date t ° W Contractor ! 0 _ Agent —.,--,Owner An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. Date PERMIT EXPIRES ON: By Date Page 1 of 3 O AP NO.: 055-450-021 Ptn DATES: 11/07/03 t0 OWNER: Gregory SITE ADDRESS: _ - Phone: Megs Place 876-0541 Paradise O Zoning AR Acres Name/Dated X Map/Book 157 Page -` 70/72 Block Lot 1 Panel 0550 C. Snow Load Other 8/8/2003 SRA Yes VALUATION CODE SQ FT $/SQ FT . VALUATION Residential/ Guest House/Heated Fun Room R 1726 $54.00 $ 93,204.00 Business/Office O 565 $ 7.00 $ 3,955.00 Garage or Storage Shed, U 630 $18.00 $ 11,340.00 $ - unfinished basement with stairs R 1 171 $ - 34:00::: $ 39,814.00 Re -Roof I x I+.. ; SQ $ 60.00 Calculatesquares 20 ft x 30ft = 60 sf = 6 squares Fireplace A (Zero Clr): 1` Masonry.:_ _. 1 Is 1,500.00 TOTAL VALUATION $ 149,813:00 BUILDING PERMIT FEES `.QTY FEES FILING FEE 1 $ 20.00 $ 20.00 Permit Fee - Full 1 Permit Fee -1/2 (MH) $ 814.50 Plan Check @ 65% Permit Fee 1 $ 529.43 Plan Check Minimum/Mobile Home State Approved Plan $ 23.00 $ - Plan Check MASTER PLANS ONLY $ - Revised Plan Check $ 46.00 $ - Energy Inspection Fee 46.00 $ 46.00 Energy Plan Check Commercial 4000+: - $ - Residential 1 `' To- Master: 1 $ 23.00 Mobile Home Installation Inspection $ 100.00 $ - - $ - . y $ TOTAL BUILDING'PERMIT'FEES Aj432.93 PLUMBING PERMIT FILING FEE 1 $ 20.00 $ 20.00 Each Trap -.-..-- 11' $ 7.00 $ 77.00 Solar or heat pump water heater _ $ 23.00 $ - Water piping - = 1, $ 15.00 $ 15.00 Each gas water heater or vent 15.00 $ 15.00 Gas piping system 1-5 Outlets 1 "5+ Oufl@ts $15/$3 $ 15.00 Building Sewer $ 15.00 $ 15.00 Mobile Home Utilities Sewer: I I Water. ": Gas: $ 20.00 $ - TOTAL PLUMBING PERMIT, FEES $ . 157:00,', O 'RT Ci AP NO.: 055-450-021 Ptn DATES: 11/07/03 OWNER: Gregory Phone: SITE ADDRESS: Megs.Pla'c'e 876-0541 Paradise 0 ELECTRICAL PERMIT. � FILING FEE 1: $ 26.00 $ 20.00 Main Service 600V or less/200A or less $ 23.00 $ 23.00 200+A to 1000A $ 46.00 $ New Construction or Addns Dwelling Occupied & Acce§sory Bldgs _: �_3462 $ 0.035 $ 121.17 New Construction Non -Residential Multi -Outlet Branch Circuits $ 7.50 $ Power Apparatus & Single Outlet Cir. 9 $ Existing Occupied Outlets or Fixtures 1-20 $ 1.00 $ 20+ $ 0.50 $ Fixed Appliances or Outlet's (Res) ea,.- $ 5.00 $ Temporary Service $ 23.00 $ Mobile Home Facilities $ 20.00 $ Miscellaneous Wiring $ 23.00 $ Pre -inspection (existing MH, existing site) $ 23.00 $ Pool Electric $ 30.00 $ $ TOTAL ELECTRICAL'FEES , PERMIT"',164:47,, MECHANICAL -PERMIT '_ i' FILING FEE $ 20.00 $ 20.00 Heating Up to and including 100,000�BTU $ 15.00 $ Greater than 100,000 BTU,,tt $ 20.00 $ 20.00 Cooling Up to 3 HP and 100,000 BTU $ 16.00 $ 3+ to 15 HP and Over 100,000 BTU $ 25.00 $ 25.00 Evaporative Cooler $ 15.00 $ Extend Ducts in Additions $ 15.00 $ Hoods -4 $ 6.50 $ 6.50 Ventilation '_3 $ 4.50 $ 13.50 Gas Fireplace $ 15.00 4 $ .-M ECHAN ICAL� PERMIT FEES 85'.00 TOTAL OF'ALL BUILDING�PERMIT FEES .rf1' 1,839.10 Occupancy: Construction: ISSUED HAZ FEES IMP FLOOD CDF-. PFfCL' -.'PD HD a! Notes: AP NO.: 055-450-021 Ptn DATES: 11/07/03 " ` 1' ` 1 OWNER: Gregory - Phone: 876-0541 >: Megs Place Paradise STATE RESPONSIBILITY AREA SRA BALANCE SRA I Per structunel 1`-i,. $ 89.00 1 $ 89.00 DUE ' SRA FEES $ 89.00 $ . 89.00 x. 14 IMPACT•'FEESs` SHERIFF Sherif Residential Per SF Livin Unit . - 1 - 5360.00 1 $ 360.00 TOTAL SHERIFF FEES $ 360.00 360.00 . DRAINAGE Thermalito Residential Per Wno Unit S 510.00 - S Commercial Per Ordinance 3304 .. - - I' s - TOTAL DRAINAGE FEES $ " STREET IMPROVEMENTS :._Commercial per Each Sin to Wmi Un -+1 •- s 1982.00 $ 1982.00 Chico Urban A,aa COmmefCl21 Service Structures Per Sq. Ft. - -707 $ 2.22 $ 1,669.64 Commercial industrial Structures Per Sq. Ft. =- 161 $ 1.02 164.22 Residential per Each Siri le Uvinn Uni $ 595.00 $ Thermalito Urban Area Commercial 6- - Office Per Acre $ 11,9241 $ industrial I Light Per Acre ` $5,962.40 $ TOTAL STREET IMPROVEMENT FEES $ 3,715.76 3715.76 WATER TENDER - Water Tender F Per Parcel - is 200.00 1 $ _ ' ' ' -TOTAL WATER TENDER FEES $ `• NORTH CHICO•SPECIFICPLAN(NCSP Residential ISR • 1' I Per DU - $ 3,315.000 Industrial/Commercial loffice I Per SF 11 $ 2.3Y $ •' - ' .- ,... $ 72,614.000 $ School School = - , TOTAL NCSP FEES $ - TOTAL IMPACT°FEES $ 4,075 Z6 <x 4,075.76 $ $ $ $ " ected b Development OTHER FEES:- ..,. .. .. .. -.. _ •s .. _, sendcea rTOTAL BUILDING PERMIT FEES "1;839.10 1,206.67 $ ',, TOTAL ALL FEES $ 6,003.86 $5,282.43 $ 721.43- MINIMUM PAYMENT OF FEES _ _ y- ` '. 1 OWES PAID PAID PAID PAID ..,. .:. -. Filing Fees ' $ _.:.. - '80.00 -.-" BU1W�NG� Plan Check Fees_ � .... $ .. ..-'' 552.43• SUBTOTAL BILoc . $ 632.43 SRA FEES $ 89.00 'REQUIRED MINIMUM 'PAYMENT, OF FEES $ _-`° 721.43; ReceipwD.z68 FrROOF,, OF ED E .w " " a" Receipt Date '" : 1.1/07/03 RECREATION DISTRICTS - Proof of Pa ment Onl Staff Initials KJ ...,. ... .: e.. ... .-. Chico Area Residential Per Livin Unh .' -'1$ 1,189.00 is - -'- " ❑ - - Receipt Name cordon Grenorir- ,.. .. .• - - _: . - _ Durham Residential Per Sq. FI. '--�' -=' $ 1.04 $ ❑'..'- '•+ Check Number .• ,^`: ' ' ..,1018 $ ❑: R;: Check Amount $ . 721.43 v SCHOOL DISTRICTS -Proof of Pa ment Onl Cash _ -''- '- Peredise-093n'. -' ':;"Residentlal '2,897.1 2.141$ 6.199.58 1.'... -❑ -:'.,-tF TOTAL PAID $ 721.43 $ - $ - $ CHECK Wo") April 23, 2004 Linda and Gordon Gregory 3247 Neal Road Paradise, CA 95969 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 055-450-021 Building Permit Number: 03-3460 Thank you for submitting the revisions to- your building project. The plans have been reviewed, and the plan examiner's comments are listed below. 1. You are adding about 95 square feet of living area to the original permit. Since that permit has been issued, you need to apply for a permit for this additional square footage. 2. Provide new truss engineering (2 sets) for the area that is being changed. The old trusses stop at the bathroom wall. 3. Per Scott Rutherford, you may pour your foundation per the new plans you have submitted to us on the assumption that you will take care of the above items as soon as possible and after the other corrections to the foundation per your correction notice have been inspected. No other inspections will be done until the new permit is issued. 4. I have included a school form for the additional square footage. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the *Dateet. impson Plans Examiner 1 of 1 PLAN REVISION/RETURN PURPOSE OF RE -SUBMITTAL OR REVISION.' ❑ Permit Application Data Sheet Item I ea IL =*Rey v Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ . Mail to Owner/(Contractor s address: Call and hold for pick-up. ❑ Deliver with next inspection. Minimum revised plan check'• fee to be collected at time of submission examiner will determine if additional plan checking //fees are needed: �w r )., Minimum $54.99 Receipt #: V I ❑ Fee not required for revisions requested by plans examiner prior to iss Additional Fee Amount: 1 Receipt #: 2G 6 Revise 2/04 tt COUNTY OF BUTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ' `� AS ESSOR PARCEL NUMBER cp! v) Proposed Building Use: 1 v "Permit Technician: Date: I r� Items required in order to apply for a permit. All boxes MUST be c §ckg�0`Rymarke NA in orderrto apply. If ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. YY 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of s amped and signed calculations. y O 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate; wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required......... .......................... ❑ 19. Erosion Control Plan Required ................................. ....................t......^.�.......V-1- 20. Fees as shown on the attached Schedule of Fees Due Sheet.....5:.............. ❑.t 21. City of Chico Plumbing permit.......:::.'............................................................. ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............ El 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:........:`;.. 0 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.....................................................::::................................. 0 35. ❑ Legal description,. ❑ M.H. Title, title search, registration or. MCO ......................... ! 0. 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit��� Applicant:: Date: 1. Index permit application forthe above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was.advised of the above data by ❑ phone ❑ mail, ❑ counter, by Date: Contractor, designer, owner, as advised of the above data by ❑ phone, ❑ mail, ❑ counter, by I : is i Dater v+ Contractor, designer, ownerwas advised of the above data y ❑ phone, ❑ mail, ❑ counter, by 41 L qa{e:" f Plans reviewed by: Date: 1 a4 Plans approved by: Date: O Structural reviewed by: Date::I iP;_WWj Structural approved by: Date: Note transfer by: Date': ' .Yellow: Building Division n January 22, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Re: Plan Review: Gregory SFD Address: Lot 1- Indian Springs Road Dear Mr. Vieira: 01"U. •, County of Butte- FINAL REVIEW Jurisdiction Application No.: 03-3460 LP2A Job No. 203015-102 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: a 1. Plans: Two (2) copies Plan Sheets Cover through S1 (10 total sheets) Title/Cover Sheet not dated, Not signed. • i 2. Structural Calculations: Two (2) copies dated October 2003 by Daniel J. Dobbie. 3. Title 24 Energy Compliance Documentation: Two (2) copies dated October 27, 2003 by Donna Wallace 4. Prefabricated Roof Truss Calculations: Two (2) copies dated October 03, 2003 by Longfellow Lumber Company, Inc. These documents were reviewed for their conformance to only the 2001 California Building (CBC), Plumbing (CPC), Mechanical (CMC), Electrical (CEC) and Energy Codes. We have no further plan review comments. Therefore, we are recommending approval of the noted items as submitted. The above documents now bearing the "LP2A Plan Review Approval" stamp on all appropriate sheets are enclosed. Please let us know if you have any questions. Sincerely, LINHART PETERSEN POWERS ASSOCIATES Roger Peterson, S.E. Curti . Johnson Structural Engineer I.C.B.O. Plans Examiner BS/CLJ:ag Enclosures: LINHART PETERSEN POWERS ASSOCIATES + e ` 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 FAX (916) 725-8242 Toll Free (877) 235-0653 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR JAN 2 1Jpp c _��yo UNUSUAL CIRCUMSTANCES REQUEST o WUNZ 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: -� o w �. r _ r • t Phone: 5.30 Mailing Address: 3°1-Y9 Nei Ra► �, �:re� ����-£ SSS Fr y E -Mail address O k-,• e,•J6� Assessor's Parcel Number: Reason you believe you qualify for the unusual circumstances exception: IW4/17 re c, so YJ c At r ^� l �. ° !� 2.re GS O. �s t,�C O h.i.s 1. p,.c r°.�.. ,1..± �•es�C. t DL}r \ %, 1'�-G'�'✓� � 1.`� J 3 ckv — �.a J� V x.05 C. !►.. i'LI YJ .N t._•1''' 1 t— 7' buJrQ � � Owner or Authorized C h e_ si * 0_"�Cl .. /L C7 ^y? Date UNUSUAL CIRCUMSTANCES DEFINITION: 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. X, SITE PLAN REQUIREMENT: submi 4&opies with this -form efer to the Site Plan Submittal handout for specific requirements .................................................................................................................................................... internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING 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/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/1/03 U 3 -3 L fid • ..,. U � .t�sp-- n a l CHECKLIST FOR SHIPPING PLANS TO LP2A The following items must be included when shipping plans to LP2A for plan check: Cover Sheet Copy of Site Plan Review Form with important items highlighted. (i.e. map conditions, site elevation if snow load area, fire sprinklers, flood zone, requirements for engineered foundations, etc.) (2) sets of plans with plot plans. (1 plot plan stamped and signed by CDF if in SRA. Both sets of plans must be signed and stamped by the engineer or architect of record for commercial construction or engineered structures.) �- (2) sets of structural calculations.. (Commercial or engineered structures) �- (2) sets of energy calculations. (2) sets of truss calculations. (Designed for appropriate snow load.) (2) wet stamped flood elevation certificates. (If within a flood hazard zone.) a 02 (2) copies of SRA requirements. (If in SRA.) Copy of geotechnical report recommendations. (If a geotechnical report is referenced on the parcel map or subdivision map.) (2) copies o onstruction Requirements. (Blue sheets) Residential/Commercial Plan Review Guide. Butte County Air Quality Management District Rule 207 Form. (If a fireplace or wood burning device is shown on the plans.) .`� Code analysis for commercial construction. (Must be included on the plans.) Permit history for commercial construction. (i.e. copy of file "jacket".) • Enter date shipped to LP2A in "Access" • Place assembled plans and documents in shipping bags provided by LPI"CIIECEIVED • Prepare shipping label • Call LP2A for pickup nge p 1 2003 rrr. Sent by: Date sent: *r �` � tl.. .. , :. �r ., , ���, ,.., y�...o�� Jw;,, r =r` Ike artment ® bevel® meat Services fC 0 1 Z � '%' ding Divisi®n t� 7 County Center Drive �Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to. make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL, REQUIREMENTS • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5'/0 of the floor area (Sec. 1203, U.B.C.) • Provide required room dimensions and ceiling height (Sec. 310.6, U.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.) • . Approved vent and adequate combustion air for gas water heater and/or (mace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door. (Sec. 10033.13,U.B.C.) • Provide adequate clearance and type A flue for flreplace/woodstove. • All stairways to comply with U.B.C. section 1003.3, for rise,.run, headroom, width, landings and handrails. • Hallways to be minimum 36" wide (U.B.C. 1004.3.32). • Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per N.E.C. Article 410-8. Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneys/type "A" flues. o Provide %"x 10" anchor bolts @ 6' o.c. max'and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt. (Sec. 1806.6, U.B.C.) • Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) • Slabs -on -ground with turned -down footings shall have a minimum of one number 4 bar at the top and bottom' (Section 1806.7.2, U.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Pagel of 2 Owners Name: Building Permit Number: Plans Examiner: _. . � r..• rS: ., t �1 n.fe?�, �..�; N i �,�; t nr i ,./ 509, U.B.C.) • Veneer per Ch. 14, U.B.C. • Exterior plaster — weep screeds (U.B.C. section 2506.5). 'Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. • Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (U.P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C. SPECIFIC REQUIREMENTS 1. Provide safety glazing in all hazardous locations (U.B.C. section 2406). 2. Garage firewall separation—required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3). 3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1. 4. Special roof covering required, class B minimum 5. Provide 2 separate exits from the third story (U.B.C. section 1004.2.3.2 exception #4). 6. Every bedroom shall have at least one operable window or door. Windows shall have a Tninirm,m net clear operable area of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a minimum net clear openable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4). COLOR CODE USED ON PLANS Blue = Engineering. Pink = Firewall Green = Braced wall panels Yellow = Important COMPLY WITH TI'EAB INDICATED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood . elevation. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 7. All building materials below, the 100 -year flood elevation must be of fire-resistant material- ❑ Fire sprinklers are required in this structure. ❑ This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary. ® All structures and equipment including overhangs shall be clear of all easements. A setback of ' from the side and 'from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed bya California registered engineer. or licensed architect. Page 2 of 2 Owners Name: Building Permit Number: Plans Examiner: Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR O 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile M TO: FROM: ' co SUBJECT: O DATE: LP2A Michael Vieira (530) 538-7159 mvieiraAbuttecounty.net Plans Transmittal For Review Per Contract 11/24/2003 Applicant: Gregory, Gordon Project Type: INSF 100% Plan Check Fees $ 529.43 Energy Calc Fees $ 23.00 $ 552.43 Permit 03-3460 APN: 055-450-021 70% $ 370.60 $ 16.10 $ 386.70 LP2A Fee $- 386.70 Copies Attached: Qty Chk Application / Site Plan Review FEMA Elevation Certificate IZEC 'j V D Building Plans- DEC 01 2003 Truss Calculations Energy Calculations Structural Calculations' Residential Plan Review Guide Residential Construction 'R'equilements Other " Other pp- . .y 41 RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: r NAME (7 J:2.A v •V �� l:Ya�� STREET 7 CA L n d ADDRESS CITY STATE G+9 `IP Title Order No. Escrow No. GRAM' ®EE® 210104 b 1 662? Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:33PM 23—Mar-2004 SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $�_ Pf computed on full value of property conveyed, or ❑ computed on full value less liens and encumbrances remaining at time of sale. SIGNATURE OF DECLARANT OR AGENT DETERMINING TAX FIRM NAME Rt C PEE i 0.00 1 Ali 44, @0. Kathy Page i of FOR VALUABLE CONSIDERAT``ION, receipt of which is acknowledged, I (We), � 06--, t G 1AAmes�j lT e- g. GaA ' - a �� a ` w . _ O.VA � ��D \Tg� (NAME OF GMMOflISI) grant to Gbn6w,G. �: _ o� WIrfo (1414ME OF GRANTEES) allthat real property situated in the City of U/J IN cc,? /pop 4T" AeFA (or in an unincorporated area of) C- County, State of described as follows (insert legal description): Parcel 2 as shown on that certain Parcel Map for Robert G. James and Geena G. James, and filed with the Recorder of Butte County, California on August; 2003 (-Parcel Map 157-70). Said Parcel is the Northeast section of the Parcel described in Exhibit "A". Containing 1.29 Acres, more or less. t Assessor's par, e No. 14 50' Q Executed orR l �' a •/ s �_ y .Lj , at COUNTY OF _JkZ --11 �Z7TL personally known to me (or proved to me on the basis of satisfactory a Idence) to be the person(s) whose name(s) is/are subscribed to thewithin 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. (SIGNATURE) MAIL TAX STATEMENT TO: 5. irm,A,- A:,Ao LJC- Before you use this form, fill in all blanks, and make whatever changes are appropriate and necessary to your particular transaction. Consult a lawyer 'f you doubt the form's fitness for your purpose and use. Wolcotts makes no representation or warranty,. express or implied, with respect to the merchantability or fitness of this form for an intended use or purpose. IIIA{III IIII WOLCOTTS FORM 778 - rev. 7-99 1111111111111 IIII GRANT DEED - (price class 3A) m 1999 WOLCOTTS FORMS, INC. 7 67775 39778 9 CAPACITY CLAIMED BY SIGNERIS) ❑ INDIVIDUAL(S) ❑ CORPORATE (TITLES) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY IN FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)): EXHIBIT "A" RESULTANT PARCEL "A" All that certain real property situate in the" County of Butte, State .of California, described as follows: That portion of Parcel 1 and 2 as shown on that certain Parcel Map for Larry :E. Nelson, et ux, and filed with the Recorder of Butte County, California on October 12, 1981, in Book 86 of Parcel Maps, at pages 40 and 41, more particularly described as follows: -- -Beginning at the Northwest corner of said `Parcel 1 and the TRUE POINT OF BEGINNING of the herein described Parcel of Land; thence along the Northerly Boundary of said Parcel 1, South 89008'03" East, 259.71 feet; thence leaving said Northerly Boundary, South 0013'45" East, 407.41 feet; thence South 25056'31" East, 205.63 feet, to a point on the Southerly Boundary of said Parcel 2; thence along said Southerly Boundary, North 88003'41"- West, 604.71 feet, to the Southwest corner of said Parcel 2; -thence along the Westerly Boundary of said Parcel 2, North 0051'32" East, 215.94 feet;'thence South 87034'02" East,' 86.32 feet, to the Southwest corner of said Parcel 1; thence along the Westerly Boundary of said Parcel 1, North 24013'56" East, 398.66 feet, to the point of beginning. Containing 5.64 Acres, more or less. a� LS. 668 �sEM. Date 6/3Q1� BUTTECOUNTY 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 PERMIT NO. BP041404 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 Issued Date: APN: 055-450-021-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 3150 MEGS PL PAR Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADD (95) TO BP#03-3460 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 Owner: GORDON & LINDA GREGORY 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 State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 3247 NEAL RD. she is exempt therefrom and the basis for the alleged exemption. Any PARDISE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95969 applicant to a civil penalty of not more than five hundred dollars ($500).): 530-876-0541 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 Applicant: GORDON & LINDA GREGORY such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMP NSATION DECLARA ION 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 License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Cartier: Policy #: Total Square Ft: 95 S. F. 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 Valuation: $6,175.00 become subject to the workers' compensation laws of California, Census Code: 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:/d Applicant�y��l� WARNING: Failure to secure workers' is compensation coverage unlawful, and shall subject an employer to criminal penalties and one L��^ hundred thousand dollars ($100,000), in addition to the cost of 'T compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 6 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CO&I 2nfUOr I hereby affirm that there is a construction lending agency for the Resolub s to do worki�dihich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 11 Name: By Date: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ' ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: 6 Date: l,4/b f Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME CONTRACTOR Name City Address Zip .=/ Fax State APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use onI Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page 771 Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT 04-1404- BP I BIN #X 4 1 LOCATION API Property Addre 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 r'-scruption gr Scdpe of Work: s Sq. Footage ' ❑ Structure Built without Permits ❑ 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 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. Rec ;jby: Amount: % � `� ' � Bldg ' SRA Receipt #: /— Sheriff 46�63 • (S� SMIP Total REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. 1V0 GRAPH PAPER! ❑ 3. 3 Engineered plans, (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ ` 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. '.Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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-signedy the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ` 0 4. 2 Floor plans. - -` ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ - • •6. • • Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: - ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9 ' Letter of intent. ❑ 10.' Hazardous Material Form. ❑ 11. Sanitation. and site plan approval from�'the Environmental Health Department. If you have questions or would like additional`nformation regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPL-ICAtTION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 ,-, -�- of ' - - 'I,- - -r,;"; — r', fi A7.4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One fort per Building) School District V(,t_S -D Building Department No. A.P. Number Jurisdiction: Q city I ,2silcounty Property Owner Property Location/Address Subdivision FA Lot No. No. (Street (City) School District certifies.that has complied with the requirements of Resolution No. representing q-150, square feet. Paid by Check # Remarks: (Phone Number) (State) (Zip Code) by payment of $ IAB 2926 $ HFULL MITIGATION $ & Date #01 Notice: You may protest the Imposition of the fen Identified above by submitting a written protest to the District, In compliance with Gom.unard Code Section 66020(a). within 90 days from the date fen are paid. Failure to, submit a timely written protest will'prohibit you from chaff "Ing the Imposition of the fees In any court action 4 If, subsequsni to the ed" District Representative signing this Buse County Schools Impact Fee Certification For=6 it*- School District Is noflfNd bythe aWir 1-1 Local Manning Agency that this project Is being rs Wow undirthe 'CalftimisEnvil roin nnntal -Quality Act (CEQA). this proJnct may be subject to'addiNkmW school fen to fully n0gateAs Impact onthe school dkftkft schools. White (applicant), Yellow (building department), Pink (school district.) feeform.xis (10/03)dmrn ..................................... .................%- ...................................... Residential Development Sq. Footage No of Living Mobile Home Addition/ Supplemental (Group R) Units Installation Conversion Permit # *(No foundation Inspection) .......................... . ............................................ 1 ....................... . .... Deed Restricted S 00 Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) 7 Commercial/industrial = Sq. Footage Now Addition (including Exterior Roofed Areas) Rijilefinn nP'mrt;;Pnth-,-nrPsPnYa alive f Date No. (Street (City) School District certifies.that has complied with the requirements of Resolution No. representing q-150, square feet. Paid by Check # Remarks: (Phone Number) (State) (Zip Code) by payment of $ IAB 2926 $ HFULL MITIGATION $ & Date #01 Notice: You may protest the Imposition of the fen Identified above by submitting a written protest to the District, In compliance with Gom.unard Code Section 66020(a). within 90 days from the date fen are paid. Failure to, submit a timely written protest will'prohibit you from chaff "Ing the Imposition of the fees In any court action 4 If, subsequsni to the ed" District Representative signing this Buse County Schools Impact Fee Certification For=6 it*- School District Is noflfNd bythe aWir 1-1 Local Manning Agency that this project Is being rs Wow undirthe 'CalftimisEnvil roin nnntal -Quality Act (CEQA). this proJnct may be subject to'addiNkmW school fen to fully n0gateAs Impact onthe school dkftkft schools. White (applicant), Yellow (building department), Pink (school district.) feeform.xis (10/03)dmrn OWNER: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ . 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form .............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ................................... .... :.. ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.......................-................................. ❑ 36 Deed Restriction ......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date:Structural approved b . Date: Note transfer by: Date Yellow: Building Division BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District .—FAYZA.01S(5- Building Department A.P. Number 015 5 - .4 13 o -oz I Jurisdiction: city County Property Owner 00- L) N OA -d - GO YZ &V 2N • Property Location/Address P( -A Ce IDA *t A 0 1'5 eE Subdivision Lot No. Residential Development 0 Q Q Sq. Footage 5-o No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(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 Sq. Footage. New Addition (including Exterior Roofed Areas) Buildingg—Departnient Represeniativi Date * 41 - District Identificaiion, No. District6ehifie C S that's joy Air (Applicant) 3 7. 7. r,'Vce. ............. N.(Street Address (Phone Number) 4 ff, ;.4rr (State) (Zip Code) (Citi') te) has complied with thi Quir6inints'of ik�'�Zior N"O. '.i!'by payment of $ OD representing sqUire feet. $ 'rFIJIL'L MMGATION' $ School District Fle;fresenkdlrwet�'.. Pry Date Paid by Check # Remarks: No You may pr~ the Imposition of the fees Identified above by submitting a written protest to the .District, In conolance with Govwmrrrsrrt Code Section W&,W a), within 90 dap from the date fees are paid. Failure to submit a timely written pr~ will'prohitift you from chef aping the Imposition at the fen In any court action. if, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertificarRbn Form, the School District Is -tin by tin applicable Local Planning Agency that this project is being reviewed under tit California Environ montel Quality Act (CEQA� -jj;�Pr4jW-'*-b6 outdoetto additional school fen to fully ~a. its Impact on the sdxmg Astrlcft schools. White (applicant), -Yelloik*(66ilding department), Pink (school district) feeform.xls 00103)drnm TO LARRY PAINTER _gETURN TO CHICO EH SITE PLAN REVIEW APPLICATION Date: CP.—03 AP#�-- �%J Permit Number (if applicable) Bin Number D Z 1 APPLICANT INFORMATION Parcel`Size: PrN ra Owners Name: . Owners Address: 32-W? 1V -C -,A 2r 42f� 1>> Sy C " 9 (-� �► Telephone No.: Situs Address: 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 N Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel RECEIVED DEC 0 12003 ❑ Commercial Remodel ❑ Industrial Remodel E] Well' - ❑ Agricultural Buffer Form'D Applicable .@ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils' (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0550 C-1 Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board). ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance,_ r , ❑ Variance ------------------------------- --------- —----------- -------------------- —-------- —---------- —----------- —------ — ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: p Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ,� p L Side CSD Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 ' Applicable Development Fees: Standard Fees Amount _ ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees Formula 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 r ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: El 2 -No Yes Comments: l3L>1r r1�a — SQ 0 s 12- 2a - orc:) ❑ 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 E Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: P : v,� Book: -5 Page: -7 0 7-2- Date 2 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions Z Comply with the following Conditions of Approval: A—Ji P e.1 -a �� RA 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 P1aL must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In' lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. F07 Page 4 of 5 TO LARRY PAINTER ETURN TO CHICO EH /lZ 'O ! SITE PLAN REVIEW APPLICATION Date: e 7 -IJ 7 Permit Number (if applicable) T Bin Number ,^ D21 APPLICANT INFORMATION Parcel Size:N Owners Name: k'C� Owners Address: Telephone No.: Situs Address: T / L / f' A ztm s ill Proposed Use: Residential ❑ New. Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family r Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other in Septic . ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Well ❑ Agricultural Buffer Form ❑ Applicable .11 N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved - N Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved • By Date Page 1 of 5 �' � M ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: El Snow Load Area: _ t ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: also Index Date: b- ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement �s Zoning: A Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5� p L Side (? 3 (D Side Street Rear 7) Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 r r } Applicable Development Fees: Standard Fees Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads Sheriff Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area . ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ® Water Tender ' •❑ Road Improvement ' ❑ 'North Oroville Area ❑ Other (per map) * Check with school district to verify actual feeif pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:ElNo Yes Comments: • ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger , ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 IM Subdivision Map/Parcel Map: Map Date of Recording: Lot, ❑ Use Permit/Minor Use Permit Permit Number: k I& LZ .r rJ Page: r7Z • Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions 0 Comply with the following Conditions of Approval: /4) i Pe.1--I ED ® 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 maybe required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑ 0 Page 4 of 5 1