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Home My WebLink About056-390-023L-avj 0 056-390-023 05-2610 HOLCOMBE BRIAN 41—ODTEN MiLE HOUSE TRAIL, CHICO lCont: OWNER NSF B08-0836GCAj,KZE`D 056-390-023 MISCELLANEOUS Electric Panel ELECT METER FOR WELL 4100 TEN MILE HOUSE TR U HOLCOMBE, BRIAN A & LOP 0 EC 1 1 2012 December 9, 2012 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 Re: Building Permit,B08-0836 To Whom It May Concern: Your letter of 12/3/2012 is in error. Inspector Deborah Carpenter promptly performed the inspection of the electric meter for our well on May 9, 2008 (see attached photo). We then contacted PG&E and they connected our power. We have been using the well ever since. The results of our permit application and inspection were successful. Deborah Carpenter was courteous and met our expectations, and we are satisfied with the results. Bes ards, n a; Ho �comb/ B e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4100 TEN MILE HOUSE TR Owner: Pennit No: B08-0836 APN: . 056-390-023 HOLCOMBE, BRIAN A & LORI Issued Date: 05/07/2008 BY KCG Permit type: MISCELLANEOUS 1320 SUNSET AVE Subtype: Electric Panel CHICO, CA 95926 Expiration Date: 05/07/2009 Description: ELECT METER FOR WELL (530) 894-6516 Occupancy: Zoning: U SH Contractor Applicant: Square Footage: HOLCOMIiE, BRIAN A & LOI Building Garage Remdl/Addn 1320 SUNSET AVE CHICO, CA 95926 Other Porch/Patio Total (530) 894-6516 . I FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7257 LICENSED CONTRACTOR'S DECLARATION OWNER I BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 05/07/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date -11, 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 WORKERS"COMPENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: -r (This section need not be completed if the permit —is To one hundred dollars ($1100� or —less) ElI AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 05/07/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 05/07/2008 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 Signature Date WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, I construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 ATTORNEYS FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 05/07/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR: DAgent for Owner E]Agent for Contractor INSPECTOR COPY Lender's Address city State Zip U-) 42 -711 lei , 6 - #wr 3-L BUTTE COUNTY 'DEPARTMENT OF DEVFLOPMENT SERVICES INSPECTION CA" MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dd's Permit No: B08-0836 Issued: 05/07/2008 Address: 4100 TEN MILE HOUSE TR Area: LEST RANCH Owner: HOLCOMBE, BRIAN A & LORI Applicant: HOLCOMBE, BRIAN A & LORI Permit Type: Electric Panel APN: 056-390-023 Description: ELECT METER FOR WELL AREA 4 4 Flood Zone: None . SRA Area: Yes Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type 1VR INSP DATE Setbacks 132 Foundations / Footings ill Pier/Column Footings 122 Grade Beams Eufer - Forms/s� Bldg Permit:. Pre-Slq Address: Gas W .—Itm"r Gas T Maso' GAS By: q Maso� Electric By:.. Unde?:. Underfloor 114 - -------------------- OFFICE C Py _-1) te: -02 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 458 Fire Sprinkler Test 702 Fire Sprinkler Final 702 F i A Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I 1VR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre-Plaste'r 507 1 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Publ c Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final rTiPROJECT FINAL 1 801 I -irroject rinai is a uertmeate ot uccupancy lor (Kesidential Unly) PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS P.�dOR TO EXPIRATION Inspector Copy 2X STUDS AT 16" O.C., UNO. PLYWOOD, EDGE NAILING, AND FIELD NAILING PER PLAN LAP STEM REINFORCING 20" MIN NTH SLAB REINFORCING P T SILL AND A.B. PER 3/SD2 CONIC. SLAB— ON—GRADE. PER PLAN S HORE UNTIL S.O.G. REACHES 75% STRENGTH Project Date VER -TECH 1/22/07 ENGINEERING HOL COMBE RESIDENCE E El 383 RIO UNDO AVE. #200 Sheet CH Chico, Colifornio 95926 FORES T RANCH, CA (530) 899-8716 FAX (530) 899-1102 1 SSKII re, /_ a' C' d', 0 -/ STEM REINFORCING LESS THAN 30" . _7L D #4 AT 24- O.C. VERT AND HORIZ GREATER THAN 30" 8- STEM #4 AT 12- O.C. VERT AND #4 AT 24" O.C. HORIZ ,F4NISHED GRADE, SLOPE AWAY FROM FND. ILI Cn (n FESS/ 04 OD 7�— D. CLR.�7_ I .S4732 1 9-0" (2) #4 BOTT 3 ob p . E S/ 010 V-3" AT (2) STOR�' IN 'T '�UCT j-vt -0-1- CAL" PICAL SLAB FOUNDATION DETAIL NO SCALE W702 ��D2 BUTTE cOUNTY 4Vls-rv,4 BUILDING [AvIsi QN, )r'_v4'71'v 05,4 APPROVEC) W/O -7 Project Date VER -TECH 1/22/07 ENGINEERING HOL COMBE RESIDENCE E El 383 RIO UNDO AVE. #200 Sheet CH Chico, Colifornio 95926 FORES T RANCH, CA (530) 899-8716 FAX (530) 899-1102 1 SSKII re, /_ a' C' d', 0 -/ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052610 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/23/2006 APN: 056-390-023-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: Site Address: 4100 TEN MILE HOUSE TR CHI Date: Contractor: Map Index: Description: NSF (2698), COV (492) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HOLCOMBE BRIAN A & LORI to its issuance, also requires the applicant for such permit to file a 1320 SUNSET AVE signed statement that he or she is licensed pursuant to the provisions of CHICO, CA 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 95926 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).): 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 Applicant: HOLCOMBE BRIAN A & LORI Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1320 SUNSET AVE such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95926 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.). 0 1, 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 Contractor: 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.). Ell I am Exempt under Article 3 o the s and Professions Code I: �& Date: 43-� wner: AL �, License #: WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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 Architect: is issued. El I have and will maintain workers' compensation insurance, as Engineer: HUBLEY, MICHAEL D. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 3190 S.F. Policy #: Valuation: $183,242.00 11,-.1"certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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: 7" 0 fo /I Applicant:_ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. (09 15,2k CONSTRUCTION LENDING AGENCY This permit is hereby is ued und the pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolution indicatePoveafor which iees have been paid. performance By: Date: Name: PERMIT EXPIRES Address: (Date) El I 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. d Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Q 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 ent of Butte County. I hereby authorize representatives of Butte County t ente pon the abe mentioned property for inspection purpose s Print Name: Signature: Date: Wowner 0 Contractor El Agent for Owner 0 Agent for Contractor B. C. Building Permit 01 -16-04 pg 1 Vdf �� 4 �s I I - 0-S %3 COUNTY PERMIT 0 0 DEPARTMENT OF DEVELOPMENT SERVICES NO. 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 BPO:�_2_6, 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2 0 0 OFFICE M (530) 538-7541 BIN N A FEE WILL BE REQUIRED A T TIME OF APPLICA TION (114 "PLEASE PRINT CLEARLY" OWNER Last Name irst Ve Wy LII:: 0 M � e_ r Address 1-790 AV e - City State 9 CA z'p4?5 Phone Fax - 63-16 E-mail Z APPLICANT SIGNATURE X For office use only: CONTRACTOR Name W It Address Address City City State Zip Phone Phone Fax AClass E-mail E-mail Lic. # APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEER Name Flood zone Address 3,F5 Address city City State 6,4 'ipf S Phone Phone Fax E-mail VP E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLtCANT NAME Name Flood zone I >( I Address JC�esA City C, State,,,,4 zip? -1�2r Phone I Page lax E-mail I Date Approved: APPLICANT SIGNATURE X For office use only: Zoning operty Address Flood zone I >( I SRA JC�esA No Occ. Type ronst. Subdivision Name Map Book I Page Lot # Planner I Date Approved: LOCATION AP# %% of 11.21 operty Address Cily 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 t/t 0 /L Address I Description or Scope of Work: �q_e_,Aj re_s1d_ettC-e, A0190 /��v Sq. Footage /'�2,.- 67 T/� r U07) i 0 Proposed Change of Occupancy (Note previous use): 0' 7 - EXPIRATION OF A Applications fo--'*- Oj xpire one year after-" action on an applic�__ s and fee will be requirt REQUI N�p Refunds O'D ,n written request by the person who paid the rn�;t be made prior to the expiration of the permit and\., )Alcruction work has been done. Filing fees, plan check fees for work plan checked and other de a ment costs are not refundable. — �1. / I I OVER FOR SUBMITTAL VtV_UUIMt:Mt:N 15 11 KWORMS\BUILDING F0RMS\B1dgApplSubRqmts.doc Page 1 of 2 Receipt#: 1301 Date: Amount: Y �fBldg � e 'SRA REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply forapermit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALLPLANSMUSTBE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: 0 1 . 3 Site Plans, signed by the preparer. NO GRAPH PAPER! o 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. o 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). . J1. o 4. Letter from Engineer or Architect for truss desigry review. 0 5. 2 Energy compliance design and supporting documentation. (Note: Not requiredfor additions to mobile or modular homes.) 0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 0 7. Detached Accessory Building Form, filled out by the property owner (if required). 0 8. Sanitation and site plan approval from the Environmental Health Department. o 9. Metal Buildings: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed bv the engineer. Mobile, Manufactured, or Modular Homes: El 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! o 2. 2 Data sheets and installation instruction manual. Ei 3. 2 Marriage line information. o 4. 2 Floor plans. o 5. 2 Engineered Tie Downs or Foundation plans. 0' - 6. Sanitation and site plan approval from the Environmental Health Department. El 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: 0 1 4 Site Plans, signed by the-preparer. NO GRAPH PAPER! o 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. o 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). 0 4. Letter from Engineer or Architect for truss design review. 0 5. 2 Energy compliance design and supporting documentation (if required). 0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). El 7. Statement of Intent for Non -heated and A/C (if required). 0 8. Metal Buildings: (A) Metal Bldg Plans, (B) Frid 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. ci 9. Letter of intent. 0 10. Hazardous Material Form. 0 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION I KAFORMSMILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 6-16-04 n Applicant: Holcombe, Brian Permit No: 05-2610 Project Type: . Nsf 056-390-023 100% 70% Pla n Check Fees $ I*K4.41 $ 927.09 $ 927.09 Copies Attached: Qty IWILLDAN Fee- $ 927.09 Chk 0 Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 6 UT 0 0 0 7 County Center Drive 0 0 0 0 0 0 0 0 Oroville, CA 95965 (530) 538-7601 Telephone U14 (530) 538-7785 Facsimile N TO: WILL DAN FROM: Scott Rutherford (530) 538-7160 srutherford Ca)buttecounty. net LO CN SUBjECT: Plans Transmittal For Review Per Contract C) DATE: 09/28/2005 Applicant: Holcombe, Brian Permit No: 05-2610 Project Type: . Nsf 056-390-023 100% 70% Pla n Check Fees $ I*K4.41 $ 927.09 $ 927.09 Copies Attached: Qty IWILLDAN Fee- $ 927.09 Chk 0 Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS10q; 7 County Center Drive, Oroville, CA'95965 Phone (530)538-7541 Fax (530)538-2 14'0 PERMIT APPLICATION DATA SHEET t -6 OWNER: 41- �_, /3 z� ASSESSOR PARCEL NUMBER o5 Proposed Building Use: Ai_�>F Permit Technician: Date: ms required in order to7apply 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. 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. I t�j 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxesl t\J 5. Letter from Engineer or Architect for truss design review. t\j 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non-heated.and A/C for Non -Residential Buildings. 0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or frid plans, all in duplicate. o 9. Metal bldgs: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate. (D) Flo' or plans in triplicate. All of these must be stamped and wet -signed by the enginee . .0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 0 11. Letter of intent f& non-residential: buildirigv. 0 12. Hazardous Material Form / hj 13. Acknowledgement of building permit application.without required clearances. 0 14. Other RemAining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) "NqAj 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable 0 16. Fire Sprinklers ............................................................................................ 0 17. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-.. 0 11. Soil:, R�port and/or Engineered Foundation required ........................................... ro on Control Plan Required ........................................................................ ees as shown on the attached Schedule of Fees Due Sheet .............................. 0 City of Chico Plumbing permit ........................................................................ 0 722. Site plan and business license approval from the City of Biggs ............... 23. California Department of Forestry, plan approval 12-pald--Siint 24. Planning approval for (A) Llse:�E(B) Parking: _(C) Parcel Check: 0 .25. Contact Land Development about - Improvements, _ Drainage ............... tJ26. NPDES Form .............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... PJ 30. Owner -Builder Verification Given to owner, Mailed to owner) ..................... 31. Letter of Signature authorization .................................................................... t\1 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 33. Existing violations and/or expired permits .......................................................... 11 34. Deed Restriction .............................................................. 0 35. 0 Legal! qescription, 0 M.A Title, title search, registration or MCO ......................... 06. Other. OWAA_�_ 0 3 7. Other: V I When issued Telephone ...,kf21A_tj 8 9 � /1 !;-/ 6 and hold for pickup. I have been informed of the abovetitems and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: t ;4w V CKO Plan Check Letter 2. Additional items r Contractor, designq rowlw was advised of the above data by Cj\phone, 13mail, 0 counter, -by Date: f:� Contractor, designer, owner, was advised of the above data by l!] �hone, 0 mail, 0 counter, by Date - Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by. Date: Plans reviewed by: Date: Plans approved by: 11 Date: ---N 1 iZIAC u Structural reviewed bw Date* Structural approved by: CW;;�Date: Note transfer by: Date: la I Yellow: Building Division E.H. U§E ONVY Plot Plan Attached Rout Plan A; - Sent to G.D. TO: 6Ljepartme ' nt FROM: Environffii�ntaFkealth SUBJECT: Sanitation Clearance I 91V? -XE, Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public — Private Well Clearance for — dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVELLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buftecounty.net/dds OWNER PROPROSED BUILDING USE 5 -UILDING PERMIT FEES Balance Due ..................... $ --- FEMA Flood elevation review ... $ A.P. -M DATE 2 7 -0 -5 -- RECEIPT # DATE REC. Lf�02_61_m --- Additional plan checking Fee .... $ " /+� -36 SCHOOL DISTRICT FEES oL, 1-9, ,(paid at School District Office) (form available after Plan Check) I>y 0�- 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.) ..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES � L-_ 2-=, r- el ::2 COUNTY WIDE (per dwelling) $ k1^14 F 1.=;41� 1 1-0, CHICO URBAN AREA (per dwelling) S EL MEDIO FIRE DISTRICT (per dwelling) $ - NORTH CHICO SPECIFIC PLAN (per dwelling) Zoni.fi-d-' 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. 18. 1 '9. WATER TENDER FEES BATTALION $200.00 (paid at Building Division) SMIP DRAINAGE FEE 10. OTHER, 11. OTHER q,3996 9 1-27-0�_ %_36_'P At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed durir)g the plan ch9tki, e , qg proc. ss. APPLICANT DATE � Aq� S. Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Piftk-Owner (rev. 7/05) Pagel of2 ENCROACHMENT PERMIT Tr 0. 0 0 � 0 0 County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 U Qc Phone: (530) 538-7681 Fax: (530) 538-4356 All information except signature must be typed or legibly printed Permit#: NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel 'F- - -01 6 IF 0 PropgOwner's Name: Number (Required):O. .3 0 - PROPERTY Phone: Property Address: Maili Address (if Different): OWNER ro .49 Work will be 0 Contractor 0 Property Owner performed by: Contractor's Name: Phone: Address: Fax: WORK Contractor's License Certificate of Insurance currently El Yes C3 No PERFORMED By Number: on file with Dgpaqment? Applicant is: 0 Property Owner 0 Property Owner's Agent 0 Contractor 0 Other: I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. Signature: Date Signed: Road affected: Time and Duration ofEncroachment: F-1 Permanent En6roachment El Temporary: From TO LOCATION Type of Encroachment: El Driveway 0 Roadway 0 Culvert 0 Fence Pipe/Pipeline El Sign/Billboard 0 Other Site Plans Attached: El Yes El No PERMIT IS: El GRANTED El DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 ofthis permit forna) and special conditions written below, permission is hereby granted. 1. 0 Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. 0 All work shall conform to accompanying: 0 Detail El Plans 0 Special Conditions 3. 0 Other Conditions: PERMIT 'LIE pf,(VA-Tv CONDITIONS t%&M -T (To be filled in by County) Date Expiration Surety: Issued: Date: Date Amount Paid Check Receipt Paid: Paid: By: No: No.: Mike Crump, Director of Public Works %-By: Road nspected By: Inspection El Completed - OK 0 Completed - Not OK Results: El Additional Comments Attached For County Use Only Comments: Note: Ifpermits are faxed to any number besides (530) 538-4356, they can be delayed up to one week. Form:200506EP Pagel of2 GENERAL CONDITIONS 1 . It is understood and agreed that the County has prior right to the use of As rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Buffe. The Permiffee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. The Permiftee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permiftee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permiffee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permiftee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permfttee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County dght of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be closed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or Which may arise out of the failure on the part of the Permiffee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harrnless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permiftee shall notify foreman 24 hours before backfilling and/or paving. a The relative compaction from the bottom of excavation to a p*lane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-C of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than nine'ty-five percent (95%) as determined by the above testing method. Permfttee shall bear all costs and responsibility for compaction tests. a The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cuffing shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as close to the right-of-way line as possible. No portion of the backfill(s) shall 6e compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction sde(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2") of asphalt concrete over eight inches (8') of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permiftee shall cause to be placed, erected, and maintained all warning signals, lights, bardcades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 M n Bond.. N. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return tl-ds in formation at your earliest opportunity to avoid unnecessary delay in processing'and issui r ng your building permit. No building pern-lit will be issued until this verification is received. I personally plan to provide the major labor and material f6r construction of this pr I oposed property improvement: 'YES VT No [ - I. 2. 1 HAVE [ VfHAVE NOT �igned an application for a building permit for the proposed work. 3. 1 have' contracted with the following person (firm) to'piovide the proposed construction: NAIVM: ADDRESS: PHONE: * t CONTRACTOR'S -LICENSE NO: 4. 1 plan to.provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAIVM: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. 1 Will provide some of the work , but I have contracted (hired) the follovAng persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER. Ill),ilez— DATE: NOTE: This Owner-Buildez verification is requimd by' Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and retumed to our office before we are permitted to issue the -permit. Butte County Department ofDevelopment Services ADMINISMATION * BUILDING * GIS * PLANNING - 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile 11---13M�--a--7-f RM Dear Property Owner An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. . For your protection you should be aware that as "owner-buildee' you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless theyare 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 CaJiforriia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: • If YOU employ Or otherwise engage any persons other than your immediate family, and the. work (including materials and othbr costs) is S200 or more for the entire project and such persons are not licensed as -contractors or subcontractors, then you may be an employer. • If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and ff--dtral 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 workers' compensation insurance. • For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adrhinistration). 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 pexform their work personally or through their owm employees, without a licensed contractor or subcontractor, only under limited conditions. A fi-e-queat practice of unlicensed persons professing to be contractors is to secure an "owner-buDder" building permit, erroneously implying that the property owner is providing his or her own labor and mateii2d pe;rsonaJ]y. Building permits are not required to be sipiad by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the CDntraaOrs' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner-buildtr verification from so that we can confirm that you are aware of these manars. The building permit will not be issued until the verification is returned. I X ON—, Micy/hel C. Viei.4 C.B.O. Mailager, Building Inspection NOTE- This Ow-ner-Builder Tnfhrrh%tinn k7 rF-n1nirPA hv 4ZF�rfinn i QRin nf th� rnlif'^�;a Wo%lfh %"A (z%fPf-j revii. V. Q0 U VA-� Lic Department C 0 U ri t J. Michael Crump. Director of Public 0 f B U t -,t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 C6untty Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 L I. National Pollutant DIscMrge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Piollution Prevention Plan (SWRPP) Acknowledgement Project Description' Project Location and/or Parcel Number: �(bL�C�k Nf-o A By sigiiing'below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB . 0 rm Water Permit I acre or more of land and that L- therefore, do not need to apply for a Construction Sto aora the State of California Regional Water Quality Control Board. Phased projects that contain multip . le site build -outs of less than one acre but when combined with subsequent phases total more than one acre of distLubed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submittinc, false and/or inaccurate information or failure to apply for a Construction 0 Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Z4� Title: Date: 7 A� T-1 0 %3Tr Butte County Department of Developinent serw'ces 0 0 7 County Center 0five oroville, CA 95965 . iL� (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT R-EQUIRED CLEARANCES I request and authorizethe Building Division to process this building permit application through the plans examination process WITHOUT,first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning. Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: r need to submit applications for septic andlor well to Butte County Environmental Health immediately. oved sanitation 6 1 am required to bring the approved Environmental Health site plan and appr clearance to the Building Division as soon as clearance is obtained 9 1 am responsible for. notifying Development Services, in writing, to stop processing of the application and to arrangefor' disposition ofplans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory. entities that could -prohibit issuance of the b Lilding perniit or require submission of amended building plans to the Building Division. Once the plans examination process . begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional f6es. , Within one year. from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. 'ermits/clearances include, but are not -lirru,ted to, verification the parcel was Typically other requ P legally created, adherence..tb. all mitigations and conditions imposed on the parcel at time of creation, as well I rimental issues (fire, agriculture as zoning requirements, legal access, and applicable set -backs and enviro buffer zones, and habitat/species). Please print: ApplicantName: APN: OS -6-3`715 Building site address: PermitNo.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below. DATE, *',STGMAATURE 40APPLICANT Copy to Applicant/ERfFile K-FonTLs/BidePerrnitwithoutCicaranc� 020705 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 22005-0061705 Recorded 1 KC RE 10. Official Recor& 11 County of i Caph-1 2.50 butte i MTACE i. G-RUBBS i County Clerk-Recorderi i I SA 09.04AM 11-Gct-2LWj i pane of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to. accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Da I te /0 — P " OPE Y OWNI�RX- State of California County of 131-,�e_ On -10 before personally appeared -8t, 1 01 yl ly known4e-me (or proved to me on the basis of satisfactory evidence) 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. t.,,ffi b., a �— A Z.— L, Signature Seal: CAROL A=M�ILLER A.P. # .0J-6 Commission# 11323626 IL z Notary Public - California Z ZL�w ButteCo ty u �t my Comm 1, �2005 .5 9 5 - ORDER VO_ Bu -14851, BC DESCRIPTION ALL THAT CERTAIN REAL PROPERTY BnVATZ IN THE STATE OF'CALI.-OR.-IIA, COUNTY OF BUMIE, DESCRIBED AS roljzwsl PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP,. RECORDED IN THE OFFICE OF THE RECORDER OPP THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON . OCTOBER 27, 1980, IN BOOK 79 OF MAPS, AT PACE(S) 53. A 60 FOOT WIDE RON-EXCLUSIVE priBLXC r%SMIZ AND PUBLIC UTILITIES OVER LA CA.STANA DR. NT FOR INGRESS AND EGRESS AS SHOWN OVER PARCELS I A,?,D 3, 11D TEN MILEE HOUSE TRAIL IN Tliz OFFICE or THE Rip,�oRD ON THAT CERTAIN PARCEL KAP, R--co.-IDED. CALIFORNIA, ON OCTOBER 27. ER OF THE COUNTY OF BUTTE, STATE or 1980, IN BOOK 79 OF MAPS, AT PACE (s) 53. PARCEL ITT: A RICHTOF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF' 1;,ND 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF A CENTERLI N E OF AN EXISTING ROAD OVER PARCEL 3, AS SHOWN ON THAT CERTAIN rARCEL MAP, R'3CORDED IN THE OFFICE or nM RECORDER OF THE COUNTY.OF UU7,rE STATE OF CALIFORNIA, ON DECEMBER 31, 1974, IN BOOK 52 OF MAPS, A�- PACE(S) 25. Z:4f) OF DOCUMEN7 SITE PLAN REVIEW APPLICATION Date: C( - os- AP# Permit Number (if applicable) VC-ZjQ40 Bin Number .APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: - Proposed Use: Residential New Single Family Residential [] Single Family Addition F] Mobile Home F] Residential Accessory. F] Permanent Second Dwelling F] Temporary Mobile Home (Aunt. Minnie) F-1 Temporary Travel Trailer 0 Multi -family Non-residential New Commercial F1 Commercial Addition New Industrial R Industrial Addition Other F1 Septic. Agricultural Exempt Building Other: Brief Explanation (if necessary):_ F1 Single Family Remodel F] Commercial Remodel Fj Industrial Remodel Fj Well Ej Agricultural Buffer Form E] Applicable El N/A DO NOT WPJTE BELOW TFHS LINE DEVELOPMENTSERP7CES INFORMATION (For Staff Use) Approved Conditionally Approved Resolve Problems Prior to Approval Site P)pn'S'tampf�d Approved ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: Land Conservation Act Minimum Acreage: F1 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) F] 100 -Year Flood Plain: (See attached) Flood Zone: 0 Flood Panel No.: Index Date: Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) F] Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) n North Chico Specific Plan (See Development Fees Section and attached standards and requirements) F1 Chapman/Mulberry (See attached standards and requirements) F] Cohasset Area (See attached standards and requirements) El Grading Zone (See attached handout) Use Requires: R Use Permit El Minor Use Permit E] Administrative Permit F� Minor Variance E] Variance -------- : ----------------------------------------------------------------------------------------------------------------------------- E) Detached Building Use- Form Encroachment Permit F] Agricultural Worker Affidavit Agricultural Acknowledgement Statement Zoning: �4 40 �- # 4 R Applicable Building Setbacks: F-1 Setbacks drawn on site Plan. 01 CDF approval needed for encroachments into SRA setbacks. (A Zoning Code.,� Streets & Highways Fire Prevention Subdivision Map Front -14 16, Side 51 Side Street Rear Height Waterway IWA N/A N/A F-1 Setbacks drawn on site Plan. 01 CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees M Fire F] School* F -I Parks/Recreation Roads Sheriff F] Drainage F] NCSP/CSA 87 Chico Urban Area — Road Thermalito Drainage Area F] Thermalito Urban Area F] Other ----------------------------------------- Subdivision Map Special Fees Water Tender F-1 Road Improvement F-1 North Oroville Area IF -1 Other (per map) Amount Formula Check -with school district to verify �ctual fee if pre -application review. A final determination will be made at the time of the building permit Parcel Created By FJ'Deeds: Date of Creation: Legal Access Provided: [I No E]Yes Deed of Reference: Legal Access Required n No El Yes Parcel Frontage on Publicly Maintained Road: 0 NoR Yes.. Road Name: Complies with County Standards for Deed Creation:n No n Yes Comments: n Parcel Deemed to be legal ,E] Verify Legal Parcel . E] Verify Legal Access Provide Deed of Creation F] Obtain a Certificat& of Compliance Obtain a Merger R Obtain a Lot Line Adjustment Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). Construct road to: F] Meet Parcel size required by zone Meet current Environmental Health Department requirem ents 0 Applicable Development Fees: Standard Fees M Fire F] School* F -I Parks/Recreation Roads Sheriff F] Drainage F] NCSP/CSA 87 Chico Urban Area — Road Thermalito Drainage Area F] Thermalito Urban Area F] Other ----------------------------------------- Subdivision Map Special Fees Water Tender F-1 Road Improvement F-1 North Oroville Area IF -1 Other (per map) Amount Formula Check -with school district to verify �ctual fee if pre -application review. A final determination will be made at the time of the building permit Parcel Created By FJ'Deeds: Date of Creation: Legal Access Provided: [I No E]Yes Deed of Reference: Legal Access Required n No El Yes Parcel Frontage on Publicly Maintained Road: 0 NoR Yes.. Road Name: Complies with County Standards for Deed Creation:n No n Yes Comments: n Parcel Deemed to be legal ,E] Verify Legal Parcel . E] Verify Legal Access Provide Deed of Creation F] Obtain a Certificat& of Compliance Obtain a Merger R Obtain a Lot Line Adjustment Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). Construct road to: F] Meet Parcel size required by zone Meet current Environmental Health Department requirem ents Subdivision MaT)/Pajcel Map: Map Date of Recording: Lot: Book: F] Use Permit/Minor Use Permit & 77 Pen -nit Number: . . Date of Approval: Page: 5—F Parcel Map/Subdivision Map[Use Permit Conditions F] Comply with the following Conditions of Approval: F1 Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 F] 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. F-1 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. El 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 CountyAir Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." F-1 Engineered foundations are required. F1 Class A roofs are required. Property owners responsible for road maintenance, and stop sign maintenance. FEW FX' LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. OWNERS A.P. - NAME: &�ebin�o I NUMBER: US 0 - 3 9a _62)Q PRINT LAST NAME FIRST ADDRESS / LOCATION: COUNTY ZONING 'I I( 1-2SI3 DESIGNATION:— Qi_. FLOOD ZONE:. X FLOOD MAP - APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: Z3,2 Ac PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: I LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING 0 A-7 7 JAQ LOT Z BOOK 7 9 PAGE �S_S COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): —YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachf ield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. — 8. Connect to a public water supply — 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 3 3 r -EL Rol -0i t In ra q j7 V'J NJ i (mr? QWR - 117. OW i A 119 I-V m VIA � ?INL 14 0 14 R 'R r R j4 r) � � �" &� @Sa@5N* -Ti �� UT , 1, fn � I .6 1 0 'p V_ fa m (p -2� r '0 Z. A o OZ. i � z 'P Hail1: 1 fi(p 14 C c - 7 n -1y WILLDAN Serving Public Agencies December 5, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-2610 Assessor's Parcel No: 056-390-023 Description: Holcombe NSF Wilidan Project No: 14353-001-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: I Plans: Two (2) copies, sheets Al through A7, SI, and SDI through SD3 dated 09/20/05, sheets A4 and A5 revised 11103105 by Michael Hubley. * Structural Calculations: Two (2) copies dated 09/22/05 by Michael Hubley. Truss Calculations: Two (2) copies dated 08/18/05, revisions dated 11103105 by Longfellow Lumber Co. Inc. * Energy Calculations: Two (2) copies dated 08/29/05 by Wayne Dailey. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes: and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Cc: Alice Mefford amefford@buttecounty.net ' ' Brian Holcombe, Email: Iholcombe,(d)csuchico.edu 0 WILLDAN Serving Public Agencies APPLICABLE CODES 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Specific Use Type of Occupancy Type of Construction Stories 1" Floor Sq Ft 2nd Floor Total Sq Ft Sq Ft NSF R-3 V -N 2 1349 1349 2698 COV]PORCH R-3 V -N 2 246 246 492 CONDITIONS OF APPROVAL I Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536. 1. 4. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms and hallways leading to bedrooms (may be either battery operated or I 10 volt with battery backup) as required when the valuation of any additi I on made to a Group R -occupancy exceeds $1000 per CBC 3 10.9.1.2 through CBC 310.9.1.5 5. Gable -End Truss calculation submittal is deferred to Butte Co.'s review at their discretion. SPECUL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 170 1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, 0 F-�_ Trm;r_ueb�ZL Plans Examiner Structural Plans Examiner Page 2 of 2 Butte. County 05-26 10 W.U.I.dati 1,1353490I.-NITC21' I"$- -: -. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0061705 Recorded I REC FEE 10.00 Official Records I Count of I COPIES 2.50 Butle I ONACE J. GRLMBS I County Clerk-Recorderl I I SA 09:M 11 -Oct -2015 I Page I of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including,'but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date /0 - z/- eL1205-- State of California County of PROPEVY OWN-E�RX- V., e- ::> VV4 personally appeared 6v A'1A01Q0Mf9A ;'pr; a - Noleomlbe- Pff&"R* knw&w4e-we (or proved to me on the basis of satisfactory evidence) 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 h nd and official seal. Signature >"eZ4 Seal: CAROL ANN MILULIE�R!_ commission# '1323626 Notary Public - CROOM18 BUftA- CO my Comm AT -A 1. 2J0O5 IN. 9 5 - ORDER NO. BU -148511 BC DESCRIPTIOW A C_LL 711AT CERTAIN REAL PROPERTY SITUATI IN THE STATE OF CALI.70RNIA, OUNTY OF BUT -1'E, DESCRIBED JLS roLLowSj PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP,. RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. ON . OC!fOBER 27, 1980, IN BOOK 79 OF XAPS, AT PACE(S) 53. A 60 FOOT WIDE AND PUBLIC UTI NON-EXCLUSIVE PT'B=C rMSEMENT FOR INGRESS AND EGRESS LITIES OVU LA CASTANA DR. AND T!::J MILE HOUSE TRAIL AS SHOWN OVER PARCELS I AND 3, ON THAT C — ERTAIN PARCEL KAP, R--CO.-ZDEb IN Tim OFFICE or THE Ry,=6za Or THE COUNTY Or BU" 17E, STATE OF CALIFORNIA, Of? OCTOBER 27.. 1980, IN BOOK 79 OF MAPS t AT PACE: (S) 53. PARCEL TTT_. A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF L;,ND 60 FEET IN WIDTH, LYING 30 rZET ON EACH SIDE OF A CEN'rERLINE OF AN EXISTING ROAD OVER PARCEL 3, AS SHOWN ON THAT CERTAIN rARCEL KAP, R'2CORDED IN THE orrxcB or MM RECORDER OF THE COUNTY Or IJUrrE, STATE OF CA.LIFORNIA, ON DECEXBZR 31, 1974, IN BOOK 52 OF MAPS, AT- PACE(S) 23. k r� cw) OF DOCUMENT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District G.-�Cd UN/ C:� Building Department N A.P. Number aG -390-o23Jurisdiction: City- + County /�pL Gt�'►'1 Property Owner _ Property Location/Address Subdivision Lot No. Residential Development Q Q Q Sq. Footage47 No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # •.s..��.v��-i��;,'•r�4?�•,�a,�•,�,'��:.:�e•(No ....... found"a6on inspection)'Fc fi,;:--ws-s,.�.-�:. �: ....................................................... ,, Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial Q Q Sq. Footage N w Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No.. School, District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has,comphed with -the, requirements of Resolution No..: :. ..D�� (/. :. ° by paymentof $..;�-.�• V. Or (o / � qtB representings uare feet. 2926 $ ULL MITIGATION $ School District Representative Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days born the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA). this protect may be sublect to additional school hes to fully mltloate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xis (3105)dnim