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HomeMy WebLinkAbout060-250-003August 26, 2005 Butte County Department ofDevelopment Services Paul McIntosh, Interim Director www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Bruce and Rose Mary Burke 993 Woodland Avenue Chico, CA 95928 CERTIFIED MAIL Re: Use Permit UP 05-13, APN 060-250-003 Dear Name(s): Enclosed is your validated Use permit to allow the expansion of a pre-existing non -conforming use to enlarge by replacement, a cabin and related structures from 1,045 square feet to 1,398 square feet, located in the Butte Meadows area on Jones Creek Road, approximately 500 feet from the intersection of Jones Creek Road and Humboldt Road, Oroville. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Sherry Viernes Office Specialist, Senior enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) G.I.S. USE PERMIT BUTTE COUNTY PLANNING. COMMISSION DATE: (Certified Mail Rec.) UP 05-13 PERMIT NO. 060-250-003 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below, Bruce and Rose Mary Burke are hereby granted a Use Permit to replace/expand a legal nonconforming dwelling, located on property owned by the Jonesville Cabin Association, from 1,045 square feet to 1,398 square feet on APN 060-250-003, subject to the following conditions: Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless 'otherwise provided for in a special condition to this Use Permit, all _conditions must be completed prior to. or.. concurrently with the. establishment of the granted use. The use granted by this permit must be established within two years of the date of approval. 3. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the.modification is consistent with the application, fees paid, and environmental* determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. 4. If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one-year extension is submitted to the Planning Commission together with sufficient evidence that the time limits for processing :development permits under federal or. State regulations require time limits which exceed one year. Upon application, and for good cause by the Permittee, at a public hearing pursuant to Section 24-45.25 above, the Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. 1 5. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged material misrepresentation shall constitute grounds for the Director of Development Services to commence a revocation hearing, and, if proven to exist, shall constitute sufficient grounds to revoke a Permit. Conditions of Approval: Planning Division: 1. Building permits are required. Prepare three (3) sets of construction plans and make an application for permit. Construction shall comply with federal, state, and local regulations. Plans shall be prepared, sealed, and signed by a California Licensed Architect or Registered Engineer for non-residential buildings and certain residential buildings. 2. Development fees for the proposed residential or non-residential improvements shall be paid prior to the issuance of building permits. 3. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. 4. All outstanding application processing fees shall be paid prior to issuance of the Use Permit. Butte County Fire Department/CDF 5. Building identification and/or addresses shall be installed in conformance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. 6. Construction, installation or development of structures or facilities on the parcels/lots shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State and County codes, ordinances and regulations in effect at the time of application for improvement permits. 7. Provide an all weather access of at least 10 foot wide and with a vertical clearance of 15 feet that will accommodate a 40,000 pound fire apparatus to all structures. 8. Prior to final occupancy of the new renovated building applicant must satisfactorily complete sewage disposal system and domestic well. County Counsel 9. If this entire matter or any finding, action or condition of this matter is appealed to the Boarof Supervisors, the applicant or any other developer/operator other than the applicant agrees to indemnify the County of Butte from liability or loss related to the approval of this project and F) agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing. If the application is not appealed, this condition is deemed satisfied. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Date: �{ S Appl' ant NOTE: Issuance of this Use Permit- does not waive requirement ofobtaining Building and Health Department permits before st construction, nor does it waive any other requirements. Butte County Planning Commission Chairman VVCIi-51- cc: Land Development Division Environmental Health Division Fire Department/CDF, Assessor Joneseville Property Owners Association 3 ' l 060-/30-002 0 . ek 060450-001 060-250-003 — _r Forte Burke Use Permit Location Map 060-130-004 ' s �o \Project icke Location 060-250-004 >�..�--.° 060-250-005 %% 060-150-007 a , 060-150-006 _ PIN 7 � C= ® �a C -V% 0 Parcels General_plan.shp Roads v., Streams sem_ ✓ - - N �r E ., S 0 0.3 Miles Burke UP 0543 - To:Butte County Public Health Department, Division of Environmental Health and Department of Development Services. Re: Project location: AN 060-250-003 I Betty Vestner, owner of the seasonal cabin located at 9046 Humboldt road, Butte Meadows, California, authorize LeRoy Robinett, my brother-in-law, to act as my agent, for the electrical permit application. Betty Vqkner Cc: LeRoy Robinett 222 So. Crawford Willows, CA. 95988 Phone: 530 934 5906 Witness: Date -e -7, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042573 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: 12/15/2004 APN: 060-250-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 9046 HUMBOLDT RD CHI Date: Contractor. Map Index: Description: ADDITION (166) OWNER -BUILDER DECLARATION 1 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 Owner: JONESVILLE CABIN OWNERS INC 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 p O BOX 1950 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95927 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LEROY ROBINETTE owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 222 S CRAWFORD AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of WILLOWS, CA 95988 proving 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' 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 Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of t Bu ' ss a rofessions Code Date: ZaR -/` O V Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 166 S. F. Policy #: Valuation: $10,790.00 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: .2- S � a 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. /permit CONSTRUCTION LENDING AGENCY This is hereby issued under the applicable provisions of the Butte Cnunty Cads BnrVpr I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do wo ri di ed a ve for which fees have been paid. Name: By: Date: a Address: PERMIT EXPIRES ON: 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 utte my to enter upon the above mentioned property for inspection purposes. Print Name: /`� o Qy 4L7 ///✓/�1 Signature: Date: ��� �Y E 0 Owner ❑ Contractor 71 Agent for Owner 0 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name/ // e Titic2 irs � Address. Z/ City -.✓ 'Std City Phone53d Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X U" For office use only: Zoning Property Address � 945�� /�vMbel l.�N I Flood Zone I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPo4Z573 BIN # LOCATION AP# // Property Address � 945�� /�vMbel l.�N cit ,,,mss k/,// F__r0_SsSlreet 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: i 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. OVER FOR SUBMITTAL REQUIREMENTS L, KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: 42 (- • 16 Bldg *__SRA Receipt #: 41234—ems Sheriff SMTP Other Date: q . • o.¢ s�26.18 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit.., INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ . 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required (or additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS merunas can only. !)e made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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: y 5 hf ice.. (CA�3 r r.l 3�ASSESSOR PARCEL NUMBER Proposed Building Use:: D l �� Counter Technician: �1- `- Date: ' '� ' �' ¢ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1r' 1. Site plans,Dor 4 sets, signed by the preparer of the plans. . 2. Complete plans4 53r 4 sets, signed by the preparer of the plans. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. O 4. Engineered truss details and layouts in duplicate. No faxesl ❑' 5. Letter from Engineer or Architect for truss design review. 119 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. Cl 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 0 12. Letter of intent for non-residential buildings 01 13. Detached Accessory Building Form filled out by the owner O 14. Hazardous Material Form 0, 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. O 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..S.C4Af.( . 22. City of Chico Plumbing permit........................................................................ ta� . 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: �(B)Parking: (C) Parcel Check: 10 20 0q 4i 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) ................... 0 30. Worker's Compensation Carrier and Policy Number .......................................... j 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......................................................................................... O 37. Q'Grant Deed, 0 M.H. Title/Statement of Facts, O Letter from Legal Owner, O Check to H.C.D. $ -:kaLk Other: A Lf T N L E TTr- 0 F R o r -i F E 5-r 5 ✓G , O 39. Other: When issued Telephone 34 • 5-7o C,, and hold for pickup. y3�� ✓6��L I have been informed of the above items;and requirements for obtaining a building permit. 7 Applicant: '.G �/~ �� Date: 1. Index permit application for s numbered: Plan Check Letter 2. Additional quired Contractor,t'ignebr of the above data by one, ❑mail, ❑counter, by Date: Contractor, was a vised of the above data by Z phone, ❑ mail, ❑ count ► D Plans reviewed by: _Date: Plans approved by: Da Structural reviewed by: Date: Structural approved by: Date: o - Note transfer by: Date: Yellow: Building Division E.H. USE ONLY N Plot Pian Attached y Floes Plan Attached /v.. .-._.---•-�- Sana to B.D. T0: adding Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other S & Hold final for: 'Hold final for:��L��s�C� Hold Final clearance O.K. for: i NOTE: Environmental Health Specialist Date 8/96 United States Forest Almanor Ranger P.O. Box 767 Department of Service District Chester, CA 96020 Agriculture (530) 258-2141 Voice/TTY (530) 258-5194 Fax File Code: 2720 Recreation Residence Vestner, Betty Jonesville Tract, Lot 3 Date: MAY 17 2004 Betty Vestner 7492 County Road 39 Glenn, CA 95943 Dear Ms. Vestner: i iii letter is to provide Forest Service authorization to construct a 10' X 16' addition to your cabin and to install a new wastewater disposal system as submitted by you on May 1, 2004. Upon installation of the septic and leach field you are authorized to convert your 8' X 5' outhouse to a storage shed. In order to begin the work, you will need to obtain a permit from the Butte County Building Department and the Butte County Environmental Health Department who will need a copy of this letter in order to issue the permit. You are not authorized to begin work until I review your building plans and receive a copy of your permits from the county. This authorization is being granted subject to your agreement to submit an updated plot plan to this office upon completion of construction and the installation of the septic system. You have also requested authorization to drill a well. Prior to authorization I ask that you work with adjacent cabin owners to explore options of developing a water system that is capable of serving several cabins or a community source. If you have any questions please contact Joey Perry, Special Uses Administrator, at (530) 258- 2141. Sincerely, ti. zt'�� SUSA HEBER-MATTHEWS District Ranger SJWjp t�ls� Caring for the Land anal. Serving People Printed on Recyded Paper�� O,p i Department of Public Works C o u m y o f B u t t o - J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS. THAN 1 ACREI Project Description: � � �d'✓ • Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do riot need to apply for a Construction. Storm Water Permit from the State ofCalifornia Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate' information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 1 clr &t 5 Building Department No. i N A.P. Number �D a rJ '" U 0 3 Jurisdiction: City ©County Property Owner `tr♦'(—{..f t/ E' S 4-A/ r Property Location/Address 5 d q L -&,4M'604- Rd & h ; a A' ?) —Ira iv u Subdivision Lot No. , ................... ...._...... ...................... ... ...... ....... ......................... Residential Development © Q © Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit,# ` : t -(No fou tion inspection) ......� _Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) • i Commercial/Industrial 41 0 a New Addition Building Department Representative Sq. Footage (Including Exterior Roofed Areas) Date / District Identification No. (./ q � ;-�/' 1 000, P s/ y� 4% School District certifies that Q�� : Q(Applicant) (Street Address) (City) has complied with the requirements of Resolution No. representing �•�., square feet. .. g _ (Phone Number) (Zip Code) by payment of $ 4�*— .: JA2926 $ B FULL MfTIdATiGN _ Paid by Check # ^% Remarks: I Jr ..fes A Data W r v No*@: You may protest the Imposition of the tees Identified above by submitting a written protest to the District, In compliance with Goverer enii Code Section 66020(a), w Nhin 90 days from the date fess are paid. Failure to submit a timely wrttten protest wifi'prohibit you from Challenging the Imposition of the fess In any court action. If. subsequent to the school District Representable signing this Butte County Schools Impact Fee Certification Form, the school District Is ratified by the applicable Local Planning Agency that this project Is being reviewed under the California Emlrorwnental Quality Act (CEQA), Oft pnojat may be subject to additional school fees to fully mitigate.Its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xte (10/03)dmm PLAN REVISION Owner's Name: //&17"1 1/&S77lt< AP#: b G® —2' "�� BPA: C,/— Date:1/ / 0 1� Received By: Gl#zT75 _5e_&7v,z)_ Time: Contact Person & Phone Number: AV Z&'Z0"7' �73y� s90 G I I -e-, 6 y1, PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item CgteS1 �A(15- l � 13 *Engineering �r�l `eta"��� �i ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice - Inspector's Name: O Requested by Plan's Examiner - Plan Examiner's Name: k"A-t2-T7+� &.5-S ❑ 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 at this address: ❑ Call ❑ Deliver with next inspection. 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: n 0 Minimum $54.99 Receipt #: Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner bvildee' 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. *1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES)( NO ❑ r a(c 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed contraction: NAME: ` ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: I plan to provide portions of this wok, but I have hired the following person to coordinate,' supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: NARK ADDRESS PHONE TYPE OR . WORK DATE:_ NOTE: This Owner -Builder Peri, ka4`ion is required by Section 19831 and 19832 of the California Health and Safety Code. Thin vat cation must be coWleted and returned to our off 'we before we are permitted to issue the nernd4 OWNER BU LDEP INFORMATION Dear Property ovmer. QB fDr a bM1&9P=& leas been snbmhW m yon, listg y„If u ffie bmIder of propel' specified. For y=protoe , You should be aware that as ”owner-bm'd=" you are the respOILSible per, ofrecord on such a p=3k Building pemznrts are not required to be signed by property owners unless they are personalty perfo own worm If your work is being per&mmd by someone other than rmiag their liabUfty if d w person applies for the 3'�sel , you may Pmt Yotaself from possible CcntmPmPerPe1mit is his or her name. license from y are by to be licensed and bonded by the State Of Cat DM!a and to have a business �Y �uniy. They are also required by law to put their license mmtber on all pmm for which they aPP1Y• IfYOU be aware of the 13M toido yong m oa tar WA the mon of various trades that you plan to mb=Aract; you should your benefit and protection; a Ifyou employ or otherwise =93V any persons oa= g= your iamme bate &m],y, and the work (including maiurials and other costs) is $30D or more for fre entire project; and such persons are not licensed as cogs or snbcont actors, then You may be an employer. ♦ If you are an employer, Yon must register wi*1he Stats: and Federal Go subject to seveial obligations kcbdmtn- g sand federal vie s as as employer and you are workers � n ice, � ms�ce costs�and� taz withhOldh& fedea�al social secaQity taxes,.. ♦ Vere may be financial rfib fm you ifyon do not caiiy out these contn - with respect to vpo&es comp�� eons, and these risks are especially serous ♦ Formore specific mon if You wish, the U.S. SmaH Bmh2a A oh m mm� Federal ', camiract the intemai Rsvetme Service ice, State Law the D - • - -For mare VCCMc mon about your obligations tinder der ofBenefit Payments and the Division of industrial Accidents. If the structure is intended for sale, proPergY owners who are not licensed personallywork or g6 thea own emPlo3' are allowed to Perftn ther conditionL, Withouta licensed � , o* MdW limited A practim of mlic=od Pesos Pwhsdng to be tractors is to secure an uildbg P� lying t aw=owners his or her own labor and =owner B pti^rmits are not to �Xopelty material mon abort iirsed �Y are Pig their own waw p comity or at 1020 N StroA Sam CA. 958ob 1�4. d � LicenseSo as your Please onmpleis the Nowner Budder verficaboe on the reverse side of tins fmm so that we can confirm that are aware of t3iese matters- The building p=*Will not be issued uwn she verification is ret=ell- You „ OTS• 27W Prvaer-BmUkr forntatan is required by Sectroa 1}R30 ofBie Cal', forafa Hea1Bi mzd Saf Code dll&,T rnvv% APPLICANT: OWNER: •. PERMIT #: A. P. WORK DESCRIP'T'ION: PRC -ECT PROCESSING R�CORD DATE DESCRIP'T'ION OF STEP �D ot. — SITE PLAN REVIEW APPLICATION Date: /L;Lo/0 `y AP# D�0 - 2S0 -003 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: �� �'�S — (• Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: J r`: 7Y 9;Z �. f�c��3�, Gf► ps9y3 %3Y- Yt?5 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑' Industrial Addition Other ❑ Septic ❑ Agricultur'al Exempt Building ❑ Other: (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) W K 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: • `AW /0 62 E00IL ❑ 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) /YO& ,p ❑ SRA•- (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: JC • Flood Panel No.: 6 7C41,10 G Index Date: 6 IrAr ❑ Sacramento River.Reclamation District (Approval must be obtained from the Calffornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 64 6p- TM 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 ozo Side s, Side Street /Q , 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 J ' . Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road R. Thermalito Impact ❑ Other Formula -------------------------------------------------------------------------------------------7------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By , ❑ 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:❑ No ❑ 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 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa �' u Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALairys\Building Permit Site Plan Reviewl.doc 4 Page 5 of 5 ' c t El Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALairys\Building Permit Site Plan Reviewl.doc 4 Page 5 of 5 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 20, 2004 Betty Vestner 7492 Co. Road 39 Glenn, CA 95943 Subject: APN-060-250-003 Dear Ms. Vestner, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2573, and has found ,your application in compliance with. the established planning criteria. The site plan. you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincerely, vim. a Adler Assistant Planner VESTNERA CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER- HOUSE ADDITION Date.. .11/.03-/-04. 11:-3.8-:-05 Project Address........ 9046 HUMBOLT RD. ******* --------------------- JONES_VI.LLE-,. CA._ 95842_ *v6_-_0--1* I I Documentation Author... Bob Metzger O.D.S. ******* I Building Permit # I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chico, CA 95926 I I 530-865-9688 I Field Check/ Date 1 Climate Zone........... 16 --------------------- Compliance Method ............. MICROPAS6 v6-01 for 2001.Standards. by. Enercomp,. Inc.. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VESTNERA Wth-CTZ16S92 Program -FORM CF -1R I I User#-MP1722 User- Run-VESTNER HOUSE ADDITION ------------------------------------------------------------------------------- GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing- Percentage.......... Average Glazing U -factor... Average- Glazing. SHGC............... Average Ceiling Height..... 760- sf Single Family Detached Existing Plus Addition Front Facing 330 deg (NW) 1 1 Raised Floor 14.1 of floor area 0.86 Btu/hr-sf-F 0-67 8 ft BUILDING SHELL INSULATION ------------------------- Componen-t Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments ------------------------------------------------- ------------------------ Wall Wood R-11 R-0 R-11 0.098 Wall Wood R-17.8 R-0 R-17.8 0.065 Roof Wood R-19- R-0 R-19- 0.051 Attic Roof Wood R-38 R-0 R-38 0.028 Attic Door. None. R-0 R70 R-0 0.-3.30 Solid. Wood. Floor Wood R-0 R-0 R-0 0.097 To Crawlspc. Floor Wood R-19 R-0 R-19 0.038 To Crawlspc. FENESTRATION ------------ Over- Area ver-- Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading. Fins -------------------- ----- ------ ------ -------- Window Front (NW) 16.0 1.280 0.800 Standard None Window Front (NW) 12.0 0.750 0.700 StandarUILDI �d AM I Door Front (NW) 20.0 0.500 0.400 Standa Window Left (NE) 16.0 0-.7.50 0.700 Standard A P one Window Back (SE) 16.0 1.280 0.800 Standard aEone Window. Back (.SE.) 12..0. 0...75.0. 0..-7.00. Standard '`, to one. Window Right (SW) 15.0 0.750 0.700 Standard Standard None Page 1 VESTNERA CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER- HOUSE ADDITION Date. .1.1./.03-/.04 11:-38-:05 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- J MI.CROPAS.6_ v6.._Ql_ Fi1e.-VES.T.NERA_ W.th-C .Z.16S92_ Program - FORM_ CF -1R_ User#-MP1722 User- Run-VESTNER HOUSE ADDITION ------------------------------------------------------------------------------- HVAC SYSTEMS WATER HEATING SYSTEMS Number Refrigerant Tank Tested ACCA in Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type ------------ Efficiency ------------ Airflow Location ------------------ R -value ------- Leakage ------- D ------ Type ---------- WallFan 0.730 AFUE n/a None R-n/a n/a n/a NoSetback NoCooling 10.00 SEER No None R-n/a n/a n/a NoSetback WallFan 0.730 AFUE n/a None R-n/a n/a n/a NoSetback NoCooling- 10.00 SEER No None- R-n/a- m/a- n -/a- NoSetback- WATER HEATING SYSTEMS SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section -should -be documented -on -the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. This building incorporates non-standard Water Heating System REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -IR ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER HOUSE ADDITION Date..11/03/09 11:38:05 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- J. MICROPAS6 v6.01 File-VESTNERA Wth-CTZ16S92 Program -FORM CF -1R J. User#-MP1722 User- Run-VESTNER HOUSE ADDITION J ------------------------------------------------------------------------------- Page 2 Number Tank External in Energy Size Insulation Tank Type ------------ Heater Type Distribution Type System ----------- ------------------- ------ Factor -------- (gal) ------ R -value ---------- DHWE Storage Gas. Standard. 1_ Q..62_ 3Q R- n/a. DHWA Storage Gas Standard 1 0.62 30 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section -should -be documented -on -the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. This building incorporates non-standard Water Heating System REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -IR ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER HOUSE ADDITION Date..11/03/09 11:38:05 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- J. MICROPAS6 v6.01 File-VESTNERA Wth-CTZ16S92 Program -FORM CF -1R J. User#-MP1722 User- Run-VESTNER HOUSE ADDITION J ------------------------------------------------------------------------------- Page 2 VESTNERA COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to-be.built in -multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling- Assumptions. section - DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... BETTY Name.... Bob Metzger O.D.S. Company. VESTNER Company. Address. '1492 CO RD 39- Address. 2231 St. George- Lane, Ste-'70- GLENN, te-'70•GLENN, CA. 95943 Chico, CA 95926 Phone......- 93.4-4-195. Phone....... 53.0.-8.65.-968.8. License. n/a -//- t* o�L Signed.. ZQ�1'/ Sig4d.. (date) (date) ENFORCEMENT AGENCY 7,D4 Name.... Title... Agency.. Phone... Signed. Q (date) Page 3 VESTNERA COMPUTER METHOD SUMMARY Page 1 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER HOUSE ADDITION Date..11/03/04 11:38:05 Project Address........ 9046 HUMBOLT RD. ******* --------------------- JONESVILLE, CA. 95942 *v6.01* I I I Documentation Author... Bob Metzger O.D.S. ******* I Building Permit # I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chico, CA 95926 I I 530-865-9688 I Field Check/ Date Climate Zone........... 16 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VESTNERA Wth-CTZ16S92 Program -FORM C -2R I User#-MP1722 User- Run-VESTNER HOUSE ADDITION ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) Design Design _------------------------------------------- Margin = ---------- ---------S ace Heating 30.96 54.79 Space -23.83 = - Space Cooling.......... 9.67 8.31 1.36 = - Water Heating 26.39 27.97 -1.58 = = Total 67.02 91.07 -24.05 = _ *** Building does not comply with Computer Performance ------=------=--------------------------------------------------- ----------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area...-.. 760 sf Building Type .............. Single Family Detached Construction Type ......... Existing Plus Addition Building Front Orientation. Front Facing 330 deg (NW) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... C�7 Raised Floor 2 6080 cf 0 sf 14.1 % of floor area 0.86 Btu/hr-sf-F 0.67 8 ft COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... VESTNER HOUSE ADDITION Date..11/03/04 11:38:05 J MICROPAS6 v6.01 File-VESTNERA Wth-CTZ16S92 Program -FORM C -2R 1 Page 1 r, VESTNERA User#-MP1722 User- Run-VESTNER HOUSE ADDITION ------------------------------------------------------------------------------- BUILDING ZONE INFORMATION Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Zone Type (sf) (cf) Units itioned Type (ft) (sf) Credit -------------- ------------ ----------------------- ----- -------- --------- HOUSE Residence 600 4800 0.78 Yes NoSetback 2.0 Standard No ADDITION Residence 160 1280 0.22 Yes NoSetback 2.0 Standard No OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 Location/ Surface (sf) factor R-val Azm Tilt Gains Reference Comments -------------- ------ ----- ----- --- ---- ----------------- ---------------- HOUSE - Existing 1 Wall 222 0.098 11 330 90 Yes W.11.2X4.16 3 Wall, 164 0.098 11 60 90 Yes W.11.2X4.16 4 Wall 223 0.098 11 150 90 Yes W.11.2X4.16 6 Wall 180 0.098 11 240 90 Yes W.11.2X4.16 8 Roof 600 0.051 19 n/a 0 Yes R.19.2X8.16 Attic 10 Door 19 0.330 0 150 90 Yes None Solid Wood 11 Floor 600 0.097 0 n/a 0 No FC.0.2X6.16 To Crawlspc. ADDITION - Existing 2 Wall 90 0.065 17.8 330 90 Yes W.19.2X6.16 5 Wall 90 0.065 17.8 150 90 Yes W.19.2X6.16 7 Wall 129 0.065 17.8 240 90 Yes W.19.2X6.16 9 Roof 160 0.028 38 n/a 0 Yes R.38.2X12.24 Attic 12 Floor 160 0.038 19 n/a 0 No FC.19.2X6.16 To Crawlspc. FENESTRATION SURFACES , --------------------- Area U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC ---------------------- ----- ----- ----- --- ---- -------------- -------------- HOUSE - Existing 1 Window Front (NW) 16.0 1.280 0.800 330 90 Standard/0.76 Standard/0.68 2 Window Front (NW) 12.0 0.750 0.700 330 90 Standard/0.76 Standard/0.68 3 Door Front (NW) 20.0 0.500 0.400 330 90 Standard/0.76 Standard/0.68 4 Window Left (NE) 16.0 0.750 0.700 60 90 Standard/0.76 Standard/0.68 5 Window Back (SE) 16.0 1.280 0.800 150 -90 Standard/0.76 Standard/0.68 6 Window Back (SE) 12.0 0.750 0.700 150 90 Standard/0.76 Standard/0.68 ADDITION - Existing 7 Window Right (SW) 15.0 0.750 0.700 240 90 Standard/0.76 Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2R =------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Project Title.......... VESTNER HOUSE ADDITION Date..11/03/04 11:38:05 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VESTNERA Wth-CTZ16S92 Program -FORM C -2R I 4 User#-MP1722 User- Run-VESTNER HOUSE ADDITION ------------------------------------------------------------------------------- HVAC SYSTEMS Page 2 M r C WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ---------------- DHWE 1 Storage Gas Standard 1 0.62 30 R- n/a DHWA 2 Storage Gas Standard 1 0.62 30 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. This building incorporates non-standard Water Heating System REMARKS Page 3 VESTNERA ------------ Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type ------------- Efficiency• ----------- Airflow Location -------------------- R -value ------- Leakage --------- D -------- Eff ---- HOUSE WallFan 0.730 AFUE n/a None R-n/a n/a n/a 1.000 NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 ADDITION WallFan 0.730 AFUE n/a None R-n/a n/a n/a 1.000 NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ---------------- DHWE 1 Storage Gas Standard 1 0.62 30 R- n/a DHWA 2 Storage Gas Standard 1 0.62 30 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. This building incorporates non-standard Water Heating System REMARKS Page 3 VESTNERA HVAC SIZING Page 1 HVAC ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER HOUSE ADDITION Date..11/03/04 11:38:05 Project Address........ 9046 HUMBOLT RD. ******* --------------------- JONESVILLE, CA. 95942 *v6.01* I Documentation Author... Bob Metzger O.D.S. ******* I Building Permit # I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chico, CA 95926 I I 530-865-9688 I Field Check/ Date I Climate Zone........... 16 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VESTNERA Wth-CTZ16S92 Program -HVAC SIZING User#-MP1722 User- Run-VESTNER HOUSE ADDITION ------------------------------------------------------------------------------- 0 GENERAL INFORMATION Floor Area ................. 760 sf Volume ..................... 6080 cf Front Orientation.......... Front Facing 330 deg (NW) Sizing Location............ PARADISE Latitude ................... 39.8 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 99 F Summer Inside Design....... 78 F Summer Range............... 34 F Interior Shading Used...... No Exterior Shading Used...... No Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Page 1 Heating Cooling Description ----------- (Btuh) (Btuh) ----------- --------------------------------- Opaque Conduction and Solar...... 8119 3438 Glazing Conduction ............... 3688 1936 Glazing Solar .................... n/a 4656 Infiltration ..................... 4426 1305 Internal Gain .................... n/a 2100 Ducts ............................ 0 0 Sensible Load .................... 16234 13436 Latent Load ...................... n/a 2687 - ----------- Minimum Total Load 16234 ----------- 16123 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Page 1 VESTNERA HVAC SIZING Page 2 HVAC ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER HOUSE ADDITION Date..11/03/04 11:38:05 ------------ L v6.01 File-VESTNERA Wth-CTZ16S92 Program -HVAC SIZING User#-MP1722 User- Run-VESTNER HOUSE ADDITION ------------------------------------------------------------------------------- HEATING AND COOLING LOAD SUMMARY BY ZONE ---------------------------------------- ZONE 'HOUSE' Floor Area ....................... 600 sf Volume ........................... 4800 cf Heating Cooling Description --------------------------------- (Btuh) ----------- (Btuh). ----------- Opaque Conduction and Solar...... 6892 2864 Glazing Conduction ............... 3238 1700 Glazing Solar .................... n/a 3880 Infiltration ..................... 3698 1085 Internal Gain .................... n/a 1638 Ducts ............................ 0 0 Sensible Load .................... 13828 11167 Latent Load ...................... n/a 2233 Minimum Zone Load 13828 13400 ZONE 'ADDITION' Floor Area ....................... 160 sf Volume ........................... 1280 cf Heating Cooling Description --------------------------------- (Btuh) ----------- (Btuh) ----------- Opaque Conduction and Solar...... 1228 574 Glazing Conduction ............... 450 236 Glazing Solar .................... n/a 776 Infiltration ..................... 728 220 Internal Gain.................... n/a 462 Ducts ............................ 0 0 Sensible Load .................•... 2406 2269 Latent Load ...................... n/a- 454 Minimum Zone Load 2406 2722 Page 2 VESTNERA ADDITION WORKSHEET Page 1 ADD ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER HOUSE ADDITION Date..11/03/04 11:39:56 Project Address........ 9046 HUMBOLT RD. ******* --------------------- JONESVILLE, CA. 95942 *v6.01* I I Documentation Author... Bob Metzger O.D.S. ******* I Building Permit # I I 2231 St. George Lane, Ste 70 1 Plan Check / Date I Chico, CA 95926 I 1 530-865-9688 I Field Check/ Date I Climate Zone........... 16 --------------------- Compliance Method...... MICROPAS6 v6.01 by Enercomp, Inc. --------------------=---------------------------------------------------------- ------------------------------------------------------------------------------- I MICROPAS6 v6.01 File-VESTNERE Program -ADDITIONS I I User#-MP1722 User- Run-VESTNER HOUSE ADDITION I ------------------------------------------------------------------------------- ADDITION/ALTERATION WORKSHEET - COMPUTER PERFORMANCE ---------------------------------------------------- EXISTING File Name .................. VESTNERE - VESTNER EXISTING HOUSE Conditioned Floor Area..... 600 sf Standard Design Energy Use. 75.38 kBtu/sf-yr Proposed Design Energy Use. 111.04 kBtu/sf-yr NEW (EXISTING PLUS ADDITION/ALTERATION) File Name .................. VESTNERA - VESTNER HOUSE ADDITION Conditioned Floor Area..... 760 sf Standard Design Energy Use. 67.02 kBtu/sf-yr Proposed Design Energy Use. 91.07 kBtu/sf-yr FLOOR AREA RATIO Floor Existing New Area Floor Area Floor Area Ratio ---------- ------------- ------- 600 / 760 = 0.789 DESIGN ENERGY USE FOR NEW (EXISTING PLUS ADDITION/ALTERATION) Floor Addition/ New Area Existing Existing Alteration Standard Ratio Proposed Standard Design ------------- ------- 67.02. + 0.789 -------- x ( 111.04 -------- -------- - 75.38) = 95.17 Note: If (Existing Proposed - Existing Standard) is negative, this difference is set to zero. --------------------------------------------------------------------------- --------------------------------------------------------------------------- ADDITION/ALTERATION ENERGY USE SUMMARY = -------------------------------------- Addition/ _ Energy Use Alteration Proposed Compliance = (kBtu/sf-yr) Design Design Margin = _----------------------------------------------------- _ New .................... 95.17 91.07 4.10 = *** Addition/Alteration complies with Computer Performance --------------------------------------------------------------------------- --------------------------------------------------------------------------- Page 1 I J VESTNERE CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ----------------------------------------------------=-------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 Project Address........ 9046 HUMBOLT RD. ******* --------------------- JONESVILLE, CA. 95942 *v6.01* I Documentation Author... Bob Metzger O.D.S. ******* I Building Permit # I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chico, CA 95926 I 530-865-9688 I Field Check/ Date Climate Zone........... 16 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM CF -1R I User#-MP1722 User- Run-VESTNER EXISTING HOUSE I ------------------------------------------------------------------------------- CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------ Project Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 Page 1 GENERAL INFORMATION ------------------- Conditioned Floor Area..... 600 sf Building Type .............. Single Family Detached Construction Type ......... Existing Building Front Orientation. Front Facing 330 deg (NW) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 17.3 0 of floor area Average Glazing U -factor... 1.13 Btu/hr-sf-F Average Glazing SHGC....... 0.72 ' Average Ceiling Height..... 8 ft BUILDING SHELL INSULATION Component ------------------------- Frame Cavity Sheathing Total Assembly Type ------------ Type R -value R -value ----------------------- R -value U -factor -------------- ------------------------ Location/Comments Wall Wood R-11 R-0 R-11 0.098 Roof Wood R-19 R-0 R-19 0.051 Attic Door None R-0 R-0 R-0 0.330 Solid Wood Floor Wood R-0 R-0 R-0 0.097 To Crawlspc. FENESTRATION ------------ Over- Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins -------------------- Window ----- ------ Front (NW) 25.0 1.280 --------------------- 0.800 Standard -------------- 'Standard ----- None Door Front (NW) 20.0 0.500 0.400 Standard Standard None Window Left (NE) 16.0 1.280 0.800 Standard Standard None Window Back (SE) 25.0 1.280 0.800 Standard Standard None Window Right (SW) 18.0 1.280 0.800 Standard Standard None CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------ Project Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 Page 1 VESTNERE ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- { MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM CF -1R { { User#-MP1722 User- Run-VESTNER EXISTING HOUSE { ------------------------------------------------------------------------------- HVAC SYSTEMS ------------ SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS r CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ( MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM CF -1R I User#-MP1722 User- Run-VESTNER EXISTING HOUSE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. Page 2 Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type Efficiency ------------ Airflow Location ------------------ R -value ------- Leakage ------- D Type ------------ Wall 0.630 AFUE n/a None R-n/a n/a ------ n/a ---------- NoSetback NoCooling 10.00 SEER No None R-n/a n/a n/a NoSetback WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ Storage ----------- Gas ------------------- Standard ------ 1 -------- 0.62 ------ 30 ---------- R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS r CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ( MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM CF -1R I User#-MP1722 User- Run-VESTNER EXISTING HOUSE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. Page 2 u VESTNERE DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... BETTY Name.... Bob Metzger O.D.S. Company. VESTNER Company. Address. 7492 CO RD 39 Address. 2231 St. George Lane, Ste 70 GLENN, CA. 95943 Chico, CA 95926 Phone... 934-4195 Phone... 530-865-9688 License. n/a %/-0,v 6 Signed.. z;!�, � �j° Signed.. . (date) Name.... Title... Agency.. Phone... Signed.. ENFORCEMENT AGENCY (date) Page 3 VESTNERE COMPUTER METHOD SUMMARY Page 1 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 Project Address........ 9046 HUMBOLT RD. ******* --------------------- JONESVILLE, CA. 95942 *v6.01* I I Documentation Author... Bob Metzger O.D.S. ******* I Building Permit # I I 2231 -St. George Lane, Ste 70 I Plan Check / Date Chico, CA 95926 I I 530-865-9688 I Field Check/ Date Climate Zone............ 16 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM C -2R User#-MP1722 User- Run-VESTNER EXISTING HOUSE ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design ---------- Margin = ---------- ---------S Space ace Heating 33.05 74.77 -41.72 = - Space Cooling 10.20 10.23 -0.03 = = Water Heating.......... 32.13 26.04 6.09 = = Total 75.38 111.04 -35.66 = _ *** Building does ----------------------------------------------------------------- ----------------------------------------------------------------- not comply with Computer Performance GENERAL INFORMATION Conditioned Floor Area..... 600 sf Building Type .............. Single Family Detached ` Construction Type Existing , Building Front Orientation. Front Facing 330 deg (NW) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... U Raised Floor 1 4800 cf 0 sf 17.3 % of floor area 1.13 Btu/hr-sf-F 0.72 8 ft COMPUTER METHOD SUMMARY Page 2 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 ------------------------------------------------------------------------------- I MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM C -2R I Page 1 Surface OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 (sf) factor R-val Azm Tilt Gains Reference ----- ----- ----- --- ---- ----------------- - Location/ Comments ------------- HOUSE Existing 1 Wall 225 0.098 11 330 90 Yes W.11.2X4.16 2 Wall 164 0.098 11 60 90 Yes W.11.2X4.16 3 Wall 226 0.098 11 150 90 Yes W.11.2X4.16 4 Wall 162 0.098 11 240 90 Yes W.11.2X4.16 5 Roof 600 0.051 19 n/a 0 Yes R.19.2X8.16 Attic 6 Door 19 0.330 0 150 90 Yes None Solid Wood 7 Floor 600 0.097 0 n/a 0 No FC.0.2X6.16 To Crawlspc. FENESTRATION SURFACES --------------------- Area U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC ---------------------- ----- ----- ----- --- ---- -------------- -------------- HOUSE - Existing 1 Window Front (NW) 25.0 1.280 0.800 330 90 Standard/0.76 Standard/0.68 2 Door Front (NW) 20.0 0.500 0.400 330 90 Standard/0.76 Standard/0.68 3 Window Left (NE) 16.0 1.280 0.800 60 90 Standard/0.76 Standard/0.68 4 Window Back (SE) 25.0 1.280 0.800 150 90 Standard/0.76 Standard/0.68 5 Window Right (SW) 18.0 1.280 0.800 240 90 Standard/0.76 Standard/0.68 HVAC SYSTEMS ------------ Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct. Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff -------------------------------------------------------------------- ---- HOUSE Wall 0.630 AFUE n/a None R-n/a n/a n/a 1.000 NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 COMPUTER METHOD SUMMARY Page 3 C -2R P roject Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM C -2R User#-MP1722 User- Run-VESTNER EXISTING HOUSE ------------------------------------------------------------------------------- WATER HEATING SYSTEMS --------------------- Page 2 VESTNERE User#-MP1722 ------------------------------------------------------------------------------- User- Run-VESTNER EXISTING HOUSE I BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Zone Type (sf) (cf) -------------- ------------ Units ----- itioned Type ------------------ (ft) (sf) ----- -------- Credit --------- HOUSE Residence 600 4800 1.00 Yes NoSetback 2.0 Standard No Surface OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 (sf) factor R-val Azm Tilt Gains Reference ----- ----- ----- --- ---- ----------------- - Location/ Comments ------------- HOUSE Existing 1 Wall 225 0.098 11 330 90 Yes W.11.2X4.16 2 Wall 164 0.098 11 60 90 Yes W.11.2X4.16 3 Wall 226 0.098 11 150 90 Yes W.11.2X4.16 4 Wall 162 0.098 11 240 90 Yes W.11.2X4.16 5 Roof 600 0.051 19 n/a 0 Yes R.19.2X8.16 Attic 6 Door 19 0.330 0 150 90 Yes None Solid Wood 7 Floor 600 0.097 0 n/a 0 No FC.0.2X6.16 To Crawlspc. FENESTRATION SURFACES --------------------- Area U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC ---------------------- ----- ----- ----- --- ---- -------------- -------------- HOUSE - Existing 1 Window Front (NW) 25.0 1.280 0.800 330 90 Standard/0.76 Standard/0.68 2 Door Front (NW) 20.0 0.500 0.400 330 90 Standard/0.76 Standard/0.68 3 Window Left (NE) 16.0 1.280 0.800 60 90 Standard/0.76 Standard/0.68 4 Window Back (SE) 25.0 1.280 0.800 150 90 Standard/0.76 Standard/0.68 5 Window Right (SW) 18.0 1.280 0.800 240 90 Standard/0.76 Standard/0.68 HVAC SYSTEMS ------------ Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct. Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff -------------------------------------------------------------------- ---- HOUSE Wall 0.630 AFUE n/a None R-n/a n/a n/a 1.000 NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 COMPUTER METHOD SUMMARY Page 3 C -2R P roject Title.......... VESTNER EXISTING HOUSE Date..11/03/04 11:39:56 ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VESTNERE Wth-CTZ16S92 Program -FORM C -2R User#-MP1722 User- Run-VESTNER EXISTING HOUSE ------------------------------------------------------------------------------- WATER HEATING SYSTEMS --------------------- Page 2 VESTNERE Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.62 30 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS Page 3 To: Butte County Public Health Department / Division of Environmental Health AND Butte County Building Department. I Betty Vestner, owner of the seasonal cabin located at 9046 Humboldt Road, Butte Meadows, Ca. Authorize LeRoy Robinett, my brother-in-law to act as my agent, for the Application for permit to construct and the construction of a sewage disposal system, And the application and for the construction permit, and the construction on the Proposed addition. Betty Ve ner cc LeRoy Robinett 222 S. Crawford Willows, Ca. 95988 530-934-5906 10� to vJ� std SITE PLAN IV a0A �9S OAWL MMI" AM NALL 8E� tN�Ta RIiGI; A GET "` p� 5° CLEAR OF AL � Ccs 5k �Q FT. • FROM tHE SIDE AND- ....... ND- FR®!1� FT THE REAM PROPEL LIMES AND . FROM THE ROAD CENTERLINE SHALL BE �• EAUE O RW AND w,t, .� o 1 cS� � FZP• T° Nv► VESTNER CABIN ADDITION CABIN -600 SQ_FT_ � A��ITION-766 SQ_FT_ PARCEL NO. 060-250-003 .51 ACRE OWNER: BETTY VESTNER 7492 CO. RD. 39 GLENN, CA. 95943 ! PH. 530-934-4195, LOCATION: 9046 HUMBOLT RD. JONESVILLE, CA. 95942 CONTACT: LEROY ROBINETT PH. 530-934-5906 £�RoPOSEp S�PTtC zt O� .Z t: J y � v� 0 d r - PROP05aD %immaN J .SWE COU .. ARS iE o+, - SHEET 7 OF S D Al • Orb -Zi'm 5 f-0, H pe ID -4 -4 ,ors LV t-vA-e,!r. 5 e -e— 310.4. 1 '2 2cpo i C- A C., 0 2 I TNER: CABIN ADDITION: )0 ZC;k-F-r- .51 ACRE ESTNER 1492 CO. RD. 39 GLENN, CA. 95943 PK 530-934-4195 MOLT RD..IONESU (A 95942 ROB.INETT PK 530-934-5906 -GAL- r.e. 41 t -k -ry 4;~, *.a&!* ii ca 0, IVOTe*- CrA5 File rLrTcr ,p FL.C><::>F;t PLAN aErry VEST NES c-A8/tv oumcoum- . Vwmm JONE-3 v F 77-iA C --r i -.o -r- 2 CW 5 -e_ Wa - So Al D Al • Orb -Zi'm 5 f-0, H pe ID -4 -4 ,ors LV t-vA-e,!r. 5 e -e— 310.4. 1 '2 2cpo i C- A C., 0 2 I TNER: CABIN ADDITION: )0 ZC;k-F-r- .51 ACRE ESTNER 1492 CO. RD. 39 GLENN, CA. 95943 PK 530-934-4195 MOLT RD..IONESU (A 95942 ROB.INETT PK 530-934-5906 -GAL- r.e. 41 t -k -ry 4;~, *.a&!* ii ca 0, IVOTe*- CrA5 File rLrTcr ,p FL.C><::>F;t PLAN aErry VEST NES c-A8/tv oumcoum- . Vwmm JONE-3 v F 77-iA C --r i -.o -r- 2 CW 5 -e_ Wa - So VESTNER CABIN ADDITION! CAE31"-600 SC;k-F=-r- Al:>0ll-rK>"-1456 MCQt-F=-r 7 PARCEL NO. 060-250-003 .51 ACRE OWNER: BETTY VESTNER 7492 CO. RD. 39 GLENN, CA. 95943 PH. 530-934-4195. LOCATION. 9046 MOLT RD. JONESVILLE, CA. 95942 CONTACT: LEROY ROBINETT PK 530-934-5906 I WF:5T SlE.r -L -c V4 -r/o nj ■i�u ti u 11' x V/;k* or"o /G" o/c 11,71 A / a H9:A0e,K S P9 G-YP. 6d(. (41A j;,s cl- Ca i- .1, yl 61-f PJ-Yvv00P,> 5H,!'=-AcT-tA1Cr- CrREF-Ai C-O^AP- Roor-/A/6- A5d'-. *4- .0 A 7-r .5 ic>El"c— Al io tt a w Al A C-F-fl-m3k 40L,5r /6" o/c fR 3C tJ SL BUTTE 'COUWW. .-DISATE: W,' v c -S"ko-r 3 OF s ♦� a E X/ ST �V G r x` S CA 3/ /l/ ,g//v1PSa N L. Lt 5.1 Co L O/C / 6LX6 t3LOGK114 Q- C-1 RD_ 1 1 1 1 1 ISI 'R (cl J AIS /6' FOUNDATION - I VESTNERt CABIN ADDITION CABIN-600.SQ_FT_ Al:)f�ITION-766 SQ_FT_ PARCEL NO. 060-250-003 .51.ACRE OWNER: BETTY VESTNER 7492 CO. RD. 39 GLENN, CA. 95943 PH.. 530-934-4195 LOCATION: 9046 HAOLT RD.:IONEV4 CA, 95942 CONTACT: LEROY ROBINETTPK 530-934-5906 !i! 3A-AGr ad k? W/ wIA9kl- 3x", 0/c j Al ft iya 4W .rrl P�1 3� Psi R 5"o e 1<' 'f ACCESS FROVI VE vEncTi t -AT i 6 tJ' et/ 0 EX -F. FrG-: /�7"�G- PCywao,U ;' X (o F14Oo R J-o/ST /6 O/C - rl dLjC �� PRES . ThFA? Sl�.e.. iamR roP d- /3ot"rc M /a 'ol sc ,Ai -c i"= o' SHEET 4 OF S i BRACED WALL PANELS "Simplexu structural grade Thermo -ply storm brace with. 1.6 ga. galv'. staples with be installed with 7/16" crown and 1. . 1/4 . egs 6" O. C . . ....Sta les shall crowns parallel to framing member to which itis attached. 2.Wood boards of 5/8 -inch net minimum thickness applied diagonally.bn studs spaced not over 24" O. C. x 0/c 3. Wood structural panel sheathing with a thickness not less than. 5/164rich for 16- inch stud spacing and not less than 3/8 -inch for 24 -inch stud spacing in accordance with Tables 23-1-M-1 and 23-1-N-].(-/ � 0- (9" :14; O. 4. Fiberboard sheathing 4 -foot by 8 -foot panels not less than 1/2 -inch thick . ... .. 'Applied vertically on studs ' spaced not over 16 -inches O.C. when installed AN C 1Y 0 &C in accordance with Section 2315 and Table 23 -I -P. 5. Gypsum board I [sheathing 1/2 "DOWT III M 04 50TA'RDe5 OR', V 1.51001 ... .... on studs spaced not over 24 inches 0: C. and nailed at 7 inches O. C. with nails as required byTa*b16'25-L'CG4 6Q0 UE WL 6. Particleboard ticlebo'ard wall sheathing panels where installed in accordance with Section -Table 23-1-N-2... 7. Portland cement plaster on studs spaced 16 inches O. C. installed in accordance with Table 25-1. Hardbciard panel siding when installed in accordance with Section 1326.7, 2320.6 and Table 23-1-0. a. Sill nailing at braced wall panels shall be l6d @ 5" O. C. (where applicable). b. Panels shall span three stud bays, be 4'-0" min. wide, and have al : I edges blocked. e.� 4Vhere joists are perpenalcu.. r to bra6ed wall lines above, blocking shall be -tz*providid dnder'and in line with braced wall panels. . ... ... 'd iiab'@ interior braced walls (I.B.W w/1/2"o -:d. -Trovide 10" DP. Thi .1, ne" A.B.'s 5'o.c. (I.B.NN'.) (a, 34'o.c.-max. 7-k! r, 11 EE 779- (3 C 0 A^\. 1Ae I'le PRE,55- IrR6AIr W1 -4- 4' S BAR 1—OP �— 5077ZAI BUTT E COUNrw 0 r7 -PA 'M N' APPRO E J h I* VESTNER. VESTNER. CABIN ADDITION CABIN-600SC;_FT_ i PARCEL NCP - -S1 ACRE OWNER: BETTY VESTNER7492 CO, RD, 39 GLENN, CA. 95943 PH, 530-434-4195 LOCATION; 9046 HUMBOLT RD. BUTTE MEADOWS.CA. 95942 CONTACT; LEROY ROBINETT PH. 530-934-5906 , SITE PLAN, ENVIRONMENTAL HEALTH scAl_E: 1" 2 C AUG 2004 CHICO, CALIFORNIA, WA SHEET 7 OF 4 VESTNER. CABIN ADDITION ' CABIN -600 SQ_FT A��ITION-766 SQ_FT_ vv LOi col Nt l l rm m-ya-mo iO GAL - 40 FLOOR PLAN f�Erry VESTN�R c�6rN JONEJV i t�l.E Tl4PtCT e..aT''�3 ENVIHONENTAL H . EARTH AUG G� 1004 CH/C9, CALIFORNIA h . o •. T VESTNER. CABIN ADDITION ' CABIN -600 SQ_FT A��ITION-766 SQ_FT_ vv LOi col Nt l l rm m-ya-mo iO GAL - 40 FLOOR PLAN f�Erry VESTN�R c�6rN JONEJV i t�l.E Tl4PtCT e..aT''�3 ENVIHONENTAL H . EARTH AUG G� 1004 CH/C9, CALIFORNIA N W- E S SCALE 1" = 20' ApPR:'?N/ED Deve;opnrreni Plan DATE USE PERMIT vAMANCE — MINOR ILP. ADM:PERMIT — PLANNING COMMISS. PLANF,;';NG COANAGER �kFtd l9�ave1� ione dri 1 re -to I'll sFi ted Boulder Slo_p_e[2 - 5% de �`--, ti o be Pr ` ,O 1' t 14'dia. tree 1 j Pre o P sed i. (60 R doubts eremoved L ex. cabih rock) O D. replacement r Prom10 nv I . TOO field 01 _ 'Seey .0 rock 0. ex. cabin D Old tank Op to be �F 1 / v Sleeping Cabins '(no plumbing) I I ' � Main Cabin proposed 1 f. . ex, cookhouse ' � USE PERMIT APPLICATION Applicant: Bruce& Rose Mary Burke Property Owner: Jonesville Homeowners Inc. APN: 060-250-003 q %K3 J c,%e_S t:�YeG(c, lZcl . Existing use: Seasonal Cabin, three structures — 1,045 square feel ' Proposed use: Seasonal Cabin, two structures — 1,398 square feet Well and septic permits. have already been issued d I le: The subject parcel should meet criteria described for application of Table 2 minimum separation distances ( Butte County Code, Sec. 19-11). The proposed well has been located to meet Table 1 separation distances. .s.. � �.PJ ...Ni`.�.:�:. L.e� �.. .. 1'..: BALANCE OF FEES SHEET DATE: -2� PERMIT #: ASSESSOR PARCEL #: OWNER'S NAME: ' FEES (Amount and Purpose): BALANCE OF FEES: $ 'ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban — $ El. Medio North Chico Specific — WATER TENDER FEES $ BATTALION # FEMA $ SMIP $ OTHER RECEIPT NUMBER(S) BUTTE COUNT' OCT 12 2004 DEVELOPtb iAl INTER -DEPARTMENTAL MEMORANDUM SERVICES TO: BUILDING DIVI ION, O VILLE FROM: ENVIR. HEALTH, CHICO DATE: RELEASE ENIV. flEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: V�.�Cc-- SEPTIC: WELL: AP#:611 ©d ADDRESS/LOCATION: ;Comments: fiy6�f32 itlS�'�1Y 5-2y70D 2573�'%4�4iT GL/memos/releasehold r] 1 August 14, 2003 Bruce and Sue Miller 9451 Jones Avenue Durham, CA 95938 Re: Use Permit, AP 060-250-003, UP 03-12 Dear Mr. and Mrs. Miller: 'gutte count, L A N D O F NATURAL WEALTH A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 At the regular meeting of the Butte County Planning Commission held a meeting on August 14, 2003, your request for a. Use Permit for expansion of a legal nonconforming residence (cabin). Existing cabin will be demolished and replaced with a new, larger cabin, was denied without prejudice. Should you desire to appeal this decision you must do so, in writing, with the appeal fee of $50.00 to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California, prior to the expiration of the 10 -day appeal period which is at 5:00 p.m., Monday, August 25, 2003. Should you have any questions regarding this matter, please contact Mark Michelena at this office between 8:00 a.m and 4:00 p.m., Monday through Friday. Sincerely, LynnChardson Planning/Administrative Support Services Assistant Ar cc: Land Development Environmental Health CDF Building Division kMormsWenial.frm NOTES RESIDENTIAL ' PERMIT NO. _ 060-250-003 ?04-0832 — BECHARD,ROBERT 9283 MICKEY TRAIL #7, JONESVILLE a CONT: OWNER NSF " t a •s s9` a SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. - 1 3 SPECIAL INSPECTION ITEMS VERIFY � USE PERMIT CONDITIONS • .SUB -STANDARD HOUSING LETTER w JOB FINALED (Date) DS Signature •s SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. - 1 3 SPECIAL INSPECTION ITEMS VERIFY � USE PERMIT CONDITIONS • .SUB -STANDARD HOUSING LETTER w JOB FINALED (Date) DS Signature J=OK 0 = Nrit OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG R. `ti'•1 `` .y w, fes_ 7. Well Clearance & Disconnect Date 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits;.Insp.-Sketch 'Date 11. Cert. of Occupancy 1. Setbacks -Easements Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zon ng Requirements -Setbacks -Easements 2. Foo-.ings; Size -Spacing -Marriage Line _ 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card 3-1 Date Card B-1 R. `ti'•1 `` .y w, fes_ 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enc losures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M r J MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s: 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enc losures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M J=OK 0 = Not - =Not AAppplicable . = Not Ready RESIDENTIAL Date UND FLOOR (Plans) OK except #'s Date PLUMBING (Permit) OK except #'s i ng -Setbacks -Easements -Flood -Slope Water Htr.; Vent -Access -Combustion Air Baffle . Ftg., Main; Soils-Elec. Grnd.-/j " Ftg. Depth Water Pipe; Test & Anchor -Nail Protection •s3- Dg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth D.W.V.; Test Fittings & Anchor -Nail Protection Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Shower Pan; Test, First Floor -Tub Access 6,-Sfemwalls, Main; Steel- Bloc kouts-Wrapped Test Tub & Shower, Second Floor -Tub Access -6- Stemwalls. Garaae: Steel-Blockouts-WraDDed BEV Hold Downs and Special Anchors t V + 'Slab, Steel -Wrapped PA rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test 2 Way C/O -Sewer Test 49- Gas Pipe; Size Anchors -Yard Gas Piping; Size Test �I j (T Water Pipe; Test-Anchors-Requlator-Service Test \ -+L*- Electric Underground Pla6urns & Ducts: Clearance -Material -Support -Ins. mess & Ventilation nsulation (Single & Duplex) Date d,'[,(J 6 Card B-1VL-,kj • Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. -Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support , 37. Vent Fan, Exhaust above insulation j 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet + 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 + Date I Card B-1 Date Card B-1-,� Date 7 FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors ;; a 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over.Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) iX 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs '" `, 46. Headers & Beams -Size & Bearing ; T, Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exitina Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. face Interior/Exterior Wall Panels Insulation-Walls-Cei 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings .§,91 Smoke Detector Ja6"Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Broom Exiting G.F.I. & Bath Fixtures $ Tub Access-Spa -69-'Slec. Trim & Subpanel, Breaker Sizes & Labels 70 -Stairs & Rails replace or Stove, Clearance -Hearth 7 ec. Outlets at Wood Panel, Int. & Ext. 73r1CTf Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter �( arage Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper `7TWtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7+8: Plb.; Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic Guard Rails & Deck Construction -Post Caps 8e--Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83 -following Instld./Drive D Yes 0 No/Walks 0 Yes 0 No/Planters D Yes O No 8A. -Stucco Brown -Finish .09!-la.C. Unit Disconnect, Electrical -Plumbing W Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Well, Disconnect, Electrical, Plumbing ,Exterior Elec. Trim, G.F.I. Receptacle -Underground 8t , Ventilation Throughout House 9@,0,731ass Protection 1. Corrections from Previous Inspections 9f Gas Test -Meters Tagged, Gas -Electric V. Water & Sewer Connected -C/O to Grade -HD Approval 94nergy Compliance Certificate Other Certificates 9eAddress Posted 96. Fire Sprinkler Date , ° V*:- Card B-1 Date Card B-1 Date' Card B-1 Date Card B-1 ,Date• Card B-1 Date Card B-1 at Final: Insulation Certificate • BUILDING OWNER: BUILDING PERMIT #: 0 SLK . BUILDING LOCATION: 'Lg3 Description of Installation r ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value). CEILING Q�p �'f . Batt or Blanloet Type Brand Name � Thickness (inches) Thermal Resistance_(R-Value) =' Loose Fill Type Brand Name Contractor's minimum installed weight/fft lb Minimum thickness inches r Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material 1"�JS Brand Name iv Thermal Resistance (R -Value) Thickness (inches) RAISED FLOOR Material }>n Brand Name Thickness (inches) 6 Thermal Resistance (R -Value) SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL I Material Brand Name Thickness (inches) :" -ermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. M*11-- 8Rc,-,j ­) Genera! Contractor (Builder) Signature and Title, Sub -Contractor (Insulation Installer) . Signature and Title License Number Date License Number Date THIS CERTIFICATE MUST'.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL, BE POSTED WITHIN THE BUILDING., . JANUARY 1993 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.neAdds PERMIT NO. BPO40832 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: 05/24/2004 APN: 060-250-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: Site Address:` Map Index: °X 3 ✓ 1l �ra,- Q ` Description: REPL DAMANGED CABIN 384 ADD NEW p � ( ) OWNER -BUILDER f p 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 SF (128) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: BECHARD, ROBERT signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stwe License Law (Chapter 9 commencing with Section 2555 RAMADA WAY 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 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).): D 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: STEVE GILMORE 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 P O BOX 560 year of completion, the owner -builder will have the burden of MANTON, CA proving that he or she did not build or improve for the purpose of 474-3366 sale.). (530) 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 ai owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 f the Business and P fessions Code I Date-2LO Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' com?ensation, 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 Architect: STEVE GILMORE required by Section 3700 the Labor Code, for the performance of Engineer: - the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 754 S. F. .Policy#: Valuation: $37,152.00 y� 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 Census Code: 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. 10-7 'V v Date: , ` 0 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one ��^^���o hundred thousand dollars ($100,000), in addition to the cost of (t�/ l i compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the appl'cable provisions of the Butte County Coda anrVor Resoluti o de,work in ' ted a f which fees have been paid.it performance of the work for which this permit is issued (Sec 3097 Civ.) AJ BY Date: Name: PERMIT EXPIRES ON: OZ Address: Dat ❑ 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 it 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 docume f Butte County. I hereby r uuponntthe mentioned property for inspection purposes. authorize representatives County to enter nofr-Butte �above Print Name: l7� I)�r 6 e: ) _ Signature: ,gE�k Date: `J ^!1►�' `i" wrier ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 ID aco -250 - 003 PERMIT NO. BP 0¢0$32 TE: r L Lo4 APN: ZONING: OWNER'SLAST NAME: OWNER'S FIRST NAME: PHONE: REETADR ✓ 1�/"%il A19A v� A c��5�'� v FAX: CITY, ZIP: C E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CRO TRACT/LOT P. APPLIC ME: VC � Il.MD2E ONE: 53J STREET ADDRE AX CITY, ZIP: E-MAIL: CONTRACTOR- NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: 50.474- • 33 64 STREET ADDRESS: —y�Q 2 ^„ � Q {^ FAX: CITY, ZIP: . ^� � �..�f•t—' � �Oc LICENSE NUMBER: 138�� E-MAIL: DESCRIPTION OR SCOPE OF WORK: 'R EP L �s�rM stG �O Gs�F3 �1 3 #J r 5F 12 8 6,000 -5500 e (.e Jct QC oy-1d-'j i8 o s - -(te ,r ❑ 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: & Application Received by: )ehl Date: 3�s4/DA- Receipt number:Amount Received: 395297 'f 1073 5v ► �?Z•3( Master application 34-04 E.H. USE ONLY Man iAtteched r Ann: Plan AnacMe Sent to B.C. I TO: Building Department rwcj y-3o-oq FROM: Environmental Health SUBJECT: Sanitation Clearance J oAI�J/.1�� mi.� s 902 A /�ire���/ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearancp,for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: el Environmental Health Specialist 8/96 -3 O 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 1 ^i c_... OWNER: 00esVIL-t.-e CAfarfj OW-mEr2S ASSESSOR PARCEL NUMBER eD4<­e>• -P 50 • Oa Proposed Building Use: Counter Technician: Date: 31P 6,164 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 find 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 .............................. ' -1� ❑ 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: I - EFA - E 13ETwL C-4 JonrF-yrLLE- d- ar-e-I-r .=a✓--» ❑ 39. Other: When issued Telephone 4?4.33 (o!o and hold for pickup. I have been infofined of heabolitems and requirements for obtaining a building permit. Applicant: 1 Date: 1. Index permi{ pplication for the above items numbered: P n Chec Letter 2. Additional items required Contractor, designer one as advised of the above data by phone, ❑ mail, ❑ counter, byDate: Contractor, designer, wrier, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by ate: Plans reviewed by: A Date: Plans approved by: Date: Structural reviewed Date: Structural approved by: Date: - Note transfer by:Date. i Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 (SCHEDULE OF/RECEIPT •�OF FEES OWNER �E�f{-i�2D l✓0wt CSV t l.t_ E L.it6! N VWN Fte S A.P. # O X00 2��• Cp3 PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 1073.60 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... �j$ 2. SCHOOL DISTRICT FEES f iti2A-ot SE (paid al School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units DATE 3�1�0 4— RECEIPT # DATE REC. NA11011) .f Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) �N 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER S"4> -4 .. 3,--7 a 46 10 1114 - 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 d he plan c c 'ng p cess. APPLICANT DATE Pursuant to Government Code Section 66020,o 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 p sect or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 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. ✓C� 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. VIA ID/ 4. Engineered truss details and layouts in duplicate. No faxesl tt/p 5. Letter from Engineer or Architect for truss design review. f� 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC 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 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. . V 15. Sanitation and site plan approval from the Environmental Health Department in M-C�ico ❑ 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 clearance and site plan approval from the Ag Commissioner's office ❑ 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. ❑ 24. Planning approval for (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. (construction approval prior to occupancy). ❑ 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). Cl 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, -0 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: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application afte.- expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only bE made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant Mar 26 04 01:10p Dr Robert Bechard 530-342-4081 p.5 i . Jonesville Cabin Owners, Inc. P.O. Box 1950 Chico, CA- 95927 12, 2003 Robert & Kathie Bechard, 2555 Ramada Way 01 -co, CA 95973.. Dear Bob & Kathie:. Your request to replace your bent 2 channel TV antenna with an 18" satellite TV dish placed close to your cabin -has-been approved. by the -Board of -Directors,.. i Also, your second request to replace -your storm'damaged-"tie-cabin" with -a -standard, wood frame construction, to match the big cabin built in 1988, same size, same location ' has been approved by the Board of Directors, pending receipt of your approved building permit from Butte County. Sincerely JC 3, Inc. Board of Directors BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District -T� 12. Q c� ► "_`. Building Department No. '$ P C 4 os31 A.P. Number bGG 7 Sa . oa3 Jurisdiction: City County Property Owner e*e 1.4 411 . C), Property Location/Address ►¢ C y 7—K.z R, L I*3 7 Subdivision Lot No. ........................................ ...................... :...................................... Residential Development 0 Q Q Sq. Footage 5 f No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # i *(No foundation Inspection) ........................................................................ ....................... _... : Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition Building pep, rtment Representative (Including Exterior Roofed Areas) 2926 = FULL . 5/-n +104 - Date Dist 'ct Identification No. CJ A24 .XGSchool District certifies that (Applicant) (Street C� (Phone Number) (City) (State) (Zip Code) s' 973 has complied with the requirements of Resolution No. by payment of $ representing / square feet. J.(:5" School District Representative Paid by Check # Remarks: BM n1GATION $ Date Notice: You may protest the Imposition of the Nes Identified above by subs tting a written protest to the Dlstrlct, in compllanca with Governmenrt Cods Section 66020(a), within 90 days from the date Nes are paid. Failure to submit a timely written protest will'prohlWt you from challenging the Imposition of the Nes in any court action. ff. subsequent to the School District Repraantadw signbg this Butte County Schools Impact Fee Cantifiatlon Form, the School DIs.Met in nnotill by the applicabie Local Planning Agency that this project Is being rwlewed under the California Envlronwmentel Quality Act (CEQAh thio project may be subject to additional school fees to fully mitigate. its Impact on the school dbbicft schools. White (applicant), Yellow (building department), Pink (school district) feeformAs 00/031dmrn Mar 26 04 0.1:09p Dr Robert Bechard 530-342-4081 p.3 JONESVILLE CABINOVYNERS,-INC_ P.O. Box 1950, Chico, CA 95927 USE PERMIT CABIN NO.7 9283 Mickey Trail :sville Cabin Owners, Inc. (the "Corporation") owns certain property in Butte County, . forma (the "Property") which has been used and is being used for the-construction-and- itenance of cabins and related facilities. Permission is hereby granted this 25th day of ch 2003 by the corporation to name, Robert E. Bechard and Kathie A:, Bechar stees of the Robert and Kathie Bechard Trust, dated January 22, 1998, mittee" ), 2555 Ramada Way, Chico, CA 95973, to use subject to the conditions set below; the Property.for-the.location and.mainntmance of the. structures,_ improvements related facilities described in Exhibit A attached hereto and incorporated herein by 1. This Use Permit is for a period commencing on the-grant.date_abo_ve_and_, nination on December 31, 2003. However, this permit is automatically renewable.for reeding one year periods commencing on January 1 of 2004 and -continuing in each- . r thereafter., unless the.Use Permit is canceled or revoked as permitted by the :laxation of Covenants, Conditions and Restrictions (the "CC&R's") recorded by the Toration upon- the Property. , 2. In consideration for this use, the Permittee shall pay prior to March 15 of each r all Assessments as provided- in the CC&R's and any -amen m .n c .thereto_. The. >essment Fraction applicable to this Use Permit is 1/47th. As provided in the CC&R's, > Use Permit may be canceled and terminated upon failure of the-Perrnittee to-pay-amy_, 3essment or otherwise fail to comply with the provisions of the CC&Ws. 3. In -consideration of this .use,. the Permittee shall comply fully with and be bound all restrictions contained in the Articles of Incorporation and Bylaws of the Corporation I the CC&R's, the termsrprovisions-and_conditions of which are incorporated herein by. erence, and any other rules and regulations the Corporation shall adopt from time to ie regarding the use of the -Property., 4. The Permittee, in exercising the privileges granted -by -this -Use -.Permit shall, mply with the regulations of the Depamnent of Agriculture, U.S. Forestry Service, the irporation and any and all other federal, state, county and municipal laws, ordinances -or, ;mations. which are_applicable to the Property of this Use Permit, whether now existing subsequently adopted, Mar 26 04 01:09p Dr Robert Bechard 530-342-4081 p.4 i 5. This Use Permit is not transferable or divisible. If the Permittee through voluntary sale or transfer or through enforeement_or contract, foreclosure, tax sale, or other valid legal proceedings shall cease to be the sole owner (which Permittees -represent that they are the sole owners.as of the date of this Use Permit) of the personal property described in Exhibit A, as the same may be amended from time to time, and is unable to furnish adequate proof of ability- to redeem -or. otherwise -.reestablish -sole title. to said property, then this Use Permit may be terminated at the, option of the Corporation. Rights of successors or transferees of such -personal -property -to -obtain -a -new Use-Pernut are -set forth in the CC&R's and the Bylaws of the Corporation, and shall require the consent of thel Board of Directors of the Corporation, which shall not be unreasonably withheld, 6. This Use Permit is for occupancy and use only and does not provide for exclusive - use of any portio.n.of the...Property_,.nor does it createany prescriptive right or other interest in the Property. 7. In the event of fire affecting the Property, the Permittee shall allow the Forest • Service or other cooperating fire -'fighting agencies -to -draw upoa.any or. alLexisting_ w�terfines, wells, .streams or reservoirs for water to be used for filling fire trucks or ' pumping for actual fire fighting purposes. The Corporation shall not be responsible- for- any,. fire. or. other damage. to any -property of the Permittee., j & This Permit-may_be_terminated.by.the. Corporation. upon breach of any - of the, conditions herein, or the provisions of the CC&R's. 9. This Use Permit supersedes and cancels any and all previous permits, licenses, or other rights to use the Property or any portion thereof, whether -written -or oral; which.. may have been issued or granted prior to the date hereof. IN- WITNESS. W HEREOF,, the, parties hereto have executed this instrument as the day and year first above written. JiNESV1LL)✓ C OWNERS, INC. PERMITTEE: ,,� s Title: President By. A _91 Ti#le:. S.ec> clary Attachments: Exhibit A describing the personal property of Permittee, which e)"bit--may,. be -amended. from-time..to.time_as_exidenced_by_.signatures thereon of the Permittee and the Ci rporation.- il\ /1U T r\ 0 a RESIDENTIAL PLAN 0wn-1-t- REVIEW GUIDE oaSINGLE FAMILY, DUPLF.XAND MISCELLANEOUS ONLY Owner. Plans Examiner Building Permit Number: A. P. Number: GESERkL: 1. Zoning requirements — (number of permitted living units). 2. Plans signed by the designer. 3. Proper description of work on the application. 4. Existing violations on the property. 5 Recorded notice of violation. 6' Building permit valuation. PLOT PLA`: 1. Complete parcel size and dimensions. '_ Setbacks, side yard, easements, etc. 3 Other buildings or structures. 4. Grading, fills andior drainage. 5. Flood hazard 6 Special conditions on Parcel Map: Noise Q SR_a ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Ad Route and/or Federal Aid Secondary Route setback requirement. 3 Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: 1 Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 2. 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). 3 Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear operable width dimension Shap be 200. When «indo« s are provided as a means of escape or rescue, they shall have a finished sill height not more than 41" above the flcor (Uniform Building Code section 310.4). a Skylights (Uniform Building Code section 2409 & 2603.7). 5 Glaring in Hazardous locations (Uniform Building Code section 2406). 6. Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens halls. bathrooms and toilet compartments may have a ailing height of not less thea 7 feet measured to the lowest vroiection from the ailing (Uniform Building Code section 310.6.11 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). 3 GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). 9 Water heaters %%!uch depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening bM a bath or bedroom (Uniform Plumbing Code section 509.0). 10 Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedtoom. or in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code $OWN 30-4. t t Garai firc%vall separation - required on garage side including supporting walls and posts (Unift Code section 302.4 exception 413). l 1 U, rider no circumstances shall a private garage have any opening into a room used for sleeping purposes (lrnifor:n Building Code section 312.4). t i Wood sto, a location - Alcove — URIC section 205 confined space & 223 unconfined space & 304.2). l t Smak: detectors (Uniform Building Code section 310.9.1). Pagel of 2 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support RU loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 few from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shaU not exceed 34 feet on aec center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the arras of the building that do not comply with the Uniform Building Code. This must include the designer's "WC stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 194-C). 5. Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. g. FvVl= coamction details and calculations if necessary. 9. Garage door header size(s). 10. Porch header size(s). 11. Typical header size(s). 12. Stud heights. 13. High expansive soil - special foundation design required. 14. Retaining walls requiring design- 15. esign15. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be pro`ided by a registered professional engineer or architect that the design Will allow equalization of hydrostatic flood forcers on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. 17. Electric, heating, ventilation, plumbing and air conditioning equipment and other ser%ice facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MOCLIJ NEOUS ITEMS: 1. Stairway details- landings, rise and run. head clearance, handrails (Uniform Building Code section 1003). 2. • Guardrails (Uniform Building Code section 509). 3. Bride or stone veneer (Uniform Building Code section 1403). 4. Exterior plaster - weep screeds (Uniform Building Code section 2506.5). 5. Roofpitcb for roof covering (Uniform Building Code Table 15 -B -I& 2, 15 -D -I & 2). 6. Foam insulation - protection. 7. 36" balls and stairways (Uniform Building Code section 100.4.3.3.2). 8. Toro exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). 9. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). 10. Attic access and ventilation (Uniform Building Code section 1505). 11. Sound requirements. 12. Energy design compliance and supporting documentation. 13. CDF responsible area requirements. WELDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers require& 4. ❑ Special Inspection requirements. S. ❑ Use Permit conditions. . 6• ❑ Sub -Standard Housing letter. Pzee -- ')f = Mar 26 04.01:07p Dr Robert Bechard Robert K Kathie Bechard 2555 Ramada Way Chico, California 95973 Home Phone (530) 898-1711 Email Bobkat2555@aol.com Kim IV cMillan Plan Application Assistant Butte County Building Department Orovil e, CA FAX (5M538-2140 530-342-4081 March 26, 2004 Dear IAs. McMillan, Re Building Permit 913P040832 Cabin No. 7 9283 Mickey Trail Jonesville, CA Th letter serves as notification that we have authorized Stephen Gilmore, Architect, to serve as -our agent and representative for the above noted building permit application. Mr. Gilmore has been authorized -by us..to. submitour building_ plans. -and to. receive. them once. they. have been approved. Wi are enclosing copies of the. following documents requested with our building permit application: 1. Copy of stock certificate indicating our ownership of 4 shares of stock in Jonesville Cabin Owners, Inc. 2. Copy of the Use Permit issued to us by Jonesville Cabin Owners, Inc. allowing us to use "the Property (Cabin No. 7,- 9253 Mickey Trait) for the location and maintenance -of the - structures and improvements and related facilities described in Exhibit A ......... 3, Copy of aletter of approval -received from_Jonesville..Cabin_Owners_ Inc__Board_of Directors authorizing replacement of our storm damaged cabin pending receipt of our approved building_ permit from .Butte County. . Hopefully this information will allow prompt processing of our application. Please call us if there are any rther questions. Sincerely; Robert E. Rechard UIr Kat to A. Bechard Enc: Topy of stock certificate, opy of use permit opy of Board.of.Directors.tetter THET N CL 4 FA R techard . & Kathie A. Bechard,,'Trusteds of the ate Robert & Kathie B6chard T.rus..t- D;.,.- -ow,46, UOo9 td ral. V/, &!Y/ ,f /� s/� // J, iiatf��%'r,�i��z����nr��jora�io�v March 25_1 2003 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 fxan -7 tiO - 4Dn% PERK 2 BP o 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 fees will be required REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Receipt number: 39527 Date: Amount Received:. Master application 3-4-04 TE: i APN: _ _ - ) ' ZONING: OWNER'S LAST NAME: OWNER'S FIRST' `NAME: PHONE: REETADDR�S�S:� . FAX CITY, ZIP: C L l J E-MAIL: SITE ADDRESS: r�.Z�� � IGIG�Y —�-1 11 •�$ -1 CITY, ZIP: NEAREST CROSSSTR Er: TRACT/LOT #:E7EE APPLICANT NAME: I �1�/�I✓�� . ONE: STREET J ADDRESS: AX CrrY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: APR 2 3 2004 CITY. ZIP: LICENSE NUMBER: SACRA gOgq PE: ARCHITECT/ENGINEER NAME: ;E-MAIIL: STREET ADDRESS: -P0 474.33 �x S� D CITY' ZIP' LICENSE NUMBER: �� .�..� � n / _O c "[ (O J l ?JsJ�O DESCRIPTION OR SCOPE OF WORK: c� � Ei evc.'ch-) Y't.` : '? ry;ilt EProposedChange without permits 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 fees will be required REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Receipt number: 39527 Date: Amount Received:. Master application 3-4-04 N M 00 O It O Butte County Departnient ofDe velopment Services YVONNE CHRISTOPHER, DIRECTOR LP2A Scott Rutherford (530) 538-7160 Zsrutherfordlabuttecountv.net SUBJECT: Plans Transmittal For Review Per Contract M DATE: 4/21/2004. Applicant: Bechard; Robert Permit 04-0832 Project Type: INSF, APN: 060-250-003 100% 70% Plan Check Fees 1 $ 858.801 $ 601.16 $ 858.80 $ 601.16 LP2A Fee $ 601.16 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Oroville, CA 95965 O (530) 538-7601 Telephone (530) 538-7785 Facsimile r� QTO: FROM: LP2A Scott Rutherford (530) 538-7160 Zsrutherfordlabuttecountv.net SUBJECT: Plans Transmittal For Review Per Contract M DATE: 4/21/2004. Applicant: Bechard; Robert Permit 04-0832 Project Type: INSF, APN: 060-250-003 100% 70% Plan Check Fees 1 $ 858.801 $ 601.16 $ 858.80 $ 601.16 LP2A Fee $ 601.16 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other May 14, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Address: Dear Mr. Vieira: Bechard Cabin Addition 9283 Mickey Trail #7 County of Butte- FINAL REVIEW Jurisdiction Application No.: 040832 LP2A Job No. 2040015-027 . a40 - 2s0 -&-d, 3 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) copies Plan Sheets 1 through 4 (4 total sheets) Cover Sheet dated March 11, 2003 by Stephen Edward Gilmore, Architect. 2. Structural Calculations: Two (2) copies undated by Stephen Edward Gilmore, Architect. 3. Title 24 Energy Compliance Documentation: Two (2) copies dated March 01, 2004 by Donna Wallace. 4. Miscellaneous: One (1) copy of Building Permit Application; Two (2) copies of Butte County District Approved Fireplace Handout, and Residential Construction Requirements Handout. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the basis of our review. Please note there are no further comments. Therefore, we are recommending approval of the above noted items with redmarks and highlights per Butte County Residential Plan Review guidelines. Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps. Please let us know if you have any questions. Thank you. Sincerely, LINHART PETERSEN POWERS ASSOCIATES 'i" James Rahrick, P.E. Roxanna Recinos-Serna Plan Check Engineer I.C.B.O. Plans Examiner RS Enclosures: LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX(916)725-8242 0 Toll Free (877) 23�Aolrb county 015\butte county 2004\2040015-027-pcf.doc �_///).lz Permit No: Address: APN: Owner: Applicant: Description Y, BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds I MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Ins ection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 . Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 Inspection Type IVR INSP DATE ' II NOTES OFFICE COPY Address 1 GASDates .Meter BY Dat ELECTRIC Meter BY PERMITS BECOME NULL AND VOID n YEAR FROM THE � ti rc-CYF SSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 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: 9494 JONES CREEK RD ##15 Owner: Permit NO: B06-2594 APN: 060-250-003 JOHN & JANE MC COWAN Issued Date: 11/03/2006 BY TMP Permit type: MISCELLANEOUS 2999 EDGAR AVE Subtype: Electric Panel CHICO, CA 95928 Expiration Date: 11/03/2007 Description: ELECT. SERVICE FOR CABIN # 15 (530) 891-5601 Occupancy: Zoning: U Contractor Applicant: Square Footage: JOHN & JANE MC COWAN Building Garage Remdl/Addn 2999 EDGAR AVE CHICO, CA 95928 Other Porch/Patio Total (530)891-5601 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B761 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 11/03/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date E]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 WORKERS' COMPENSATION DECLARATION 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 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 performance of the work for which this permit is issued. year of completion, the owner -builder will have the burden of proof that he or she did not build or 1 rove for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The 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; the on, and who contracts for the projects with a contractor(s) licensed pursuant to the Co t actors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis for on�llars ($100) or less.) ❑ I ]EE7ujqder ' n A q B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, shall not employ a person in any manner so as to become subject to the Workers' 11/03/2006 yvmj Compen tion laws of Califor a, and agree that if I should become subject to the workers' X compen tion provisio s of ct o 7 0 the L Code, I shall forthwith comply with those e s Sign lure Date 4---- provisio X 11/03/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sign Date JG:F WA IILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with o,o 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 t is DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND useMsidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Coe ntioned property for inspectio purposes. I hereby certify that I am the prot ' ed t act on t e ro er f. CONSTRUCTION LENDING AGENCY 11/03/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name ISM] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ontractor OR; Agent for Owner �Agent for Contractor FILE COPY Lenders Address City State Zip JaneSvi 60 e R BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Lag N J04I e r6 l irst Name Mailing Address 2 q / . ^ n CityG+� � State Go Zip {� ! PhoneG2„ 8,qE-mail ✓����/ Fax Zip INFORMATION CONTRACTOR Name City ( Address Zip City Fax ST � State Zip Phone Name Fax E-mail Lot # Lic. # Class INFORMATION ARCHITECT/ENGINEER Name City ( Address Zip City Fax ST � State Zip Phone Name Fax E-mail Lot # State License Number INFORMATION Name Address � CT61 v City ( State /1. Zip Phone r30 ' / I, qDI '6 Fax ST � E-mail o6 ob uJan Q A For office use only: AP# a'50 O 3 NJLI�� `�-�� !� For office use only: AP# a'50 O 3 Zoning Flood Zone Cross Street C -ft -q ragcf 7 -- SRA p No Occ. Carrier Type Const v Subdivision Name Name Map Book Page Lot # Planner Date Approved: PERMIT N��O..n WV BIN # PROJECT LOCATION AP# a'50 O 3 Property Address cj.qjJames Cr-_e� ZOd City FWeSk R4AJC Cross Street C -ft -q ragcf 7 -- 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: Sq FT- Living Garage Open Cov ❑ 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, anew 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. Received by: —FP- Amount: �S Bldg SRA Receipt #.. s G> Sheriff SMIP c( Other Date:lf'� t)5� Total 4 .! USE PERMIT BUTTE COUNTY PLANNING COMMISSION DATE: (Certified Mail Rec.) UP 05-13 PERMIT NO. 060-250-003 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below, Bruce and Rose Mary Burke are hereby granted a Use Permit to replace/expand a legal nonconforming dwelling, located on property owned by the Jonesville Cabin Association, from 1,045 square feet to 1,398 square feet on APN 060-250-003, subject to the following conditions: 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance. with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless :otherwise provided for in a special ' condition 6 this Use Permit; all conditions must be completed .prior to or concurrently with the establishment of the granted use. The use granted by this permit must be established within two years of the date of approval: 3. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid, and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a fonnal application for amendment. 4. _ If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one-year extension is submitted to the Planning Commission together with sufficient evidence that the time limits for processing development permits under, federal or. State regulations require time limits which exceed one year. Upon application, and for good cause by the Per'rriittee, "at a public hearing pursuant to Section 24-45.25 above, the Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. 1 5. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged material misrepresentation shall constitute grounds for the Director of Development Services to _commence a revocation hearing, and, if proven to exist, shall constitute sufficient grounds to revoke a Permit. Conditions of Approval: Planning Division: 1. Building permits are required. Prepare three (3) sets of construction plans and make an application for permit. Construction shall comply with federal, state, and local regulations. Plans shall be prepared, sealed, and signed by a California Licensed Architect or Registered Engineer for non-residential buildings and certain residential buildings. 2. Development fees for the proposed residential or non-residential improvements shall be paid prior to the issuance of building permits. 3. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. 4. All outstanding application processing fees shall be paid prior to issuance of the Use Permit. Butte County Fire Department/CDF 5. Building identification and/or addresses shall be installed 'in conformance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. 6. Construction, installation or development of structures or facilities on the parcels/lots shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State and County codes, ordinances and regulations in effect at the time of application for improvement permits. 7. Provide an all weather access of at least 10 foot wide and with a vertical clearance of 15 feet that will accommodate a 40,000 pound fire apparatus to all structures. 8. Prior to final occupancy of the new. renovated building applicant must satisfactorily complete sewage disposal system and domestic well. County.Counsel 9. If this entire matter or any finding, action or condition of this matter is appealed to the Boarof Supervisors, the applicant or any other developer/operator other than the applicant agrees to indemnify the County of Butte from liability or loss related to the approval of this project and 2 i agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing. If the application is not appealed, this condition is deemed satisfied. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. L . Date: 0 S Appl' ant A NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before st construction, nor does it waive any other requirements. Butte County Planning Commission Chairman cc: Land Development Division Environmental Health Division Fire Department/CDF, Assessor Joneseville Property Owners Association a 3 E S of $? n 3 yes The Burke Cabin GOL Alm l� 1.R= 9560 Jones Creek Road ROSE ,oe 1+o. Jonesville, California -.\ �• .\ Of•110 �, \ A. .\ iii WLSI'+"'5IXEEl' CHICO C"LIFORNIA� 530.345.1161 NOTES RESIDENTIAL PERMIT NO. 060-250-003 05-0903 ^ BURKE, BRUCE Sz� a- gS�oJoNeS�REEK RD, JONESVILLE 'APs 7 � �� mell C�„t: mw STEVEN NEW CABIN -0-/ �j t �•r' _ X12 � 4 C i,- ' 't J , 1 } Y .t- r i P I ('OFFICE COPY Address GAS Meter By Date ^ELECTRIC —'• -- -- —" - � Meter By Dat o.. `' CHECKED BY SRA FLOOD CERTIFICATE REQ. IRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY _ 4 USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER `fI '�a x i JOB FINALED (Date) Signature T J=OK 0 = Not OK . = Not Readyabte MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utiliy Clearance Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6=1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses . 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip: -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 � .r J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UN RFLOOR (Plans) OK except #'s on i ng -Setbacks -Easements -Flood -Slope V Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Pg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Stemwalls, Main; Steel- Bloc kouts-Wrapped Ga/Hold Downs and Special Anchors e - ie -Fire lace Ftg.-Steel .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test (jeZF, s Pipe; Size Anchors -Yard Gas Piping; Size Test ater Pipe; Test-Anchors-Requlator-Service Test la_EM-ctric Underground -It--P4eaaerf3< Ducts; Clearance -Material -Sup Ins. 14 -Sills Anc Its-Jois5en - r1p• es 1&. --Access & Ventilation 16. Insulation Date -/(o-_) Card B-1 Date Card B-1 Dat Card Date Card B-1 Date P_ ING (Permit) OK except #'s r Htr.; Vent -Access -Combustion Air Baffle V.: Test Fittinas & Anchor -Nail Protection li// -11.6,7 2e' Shower Pan; Test, First Floor -Tub Access 2 .'Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date,,.(, r and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Clearance -Ins. Protection icing-Liqhts & Switches at MBe'S_!p Boxes No. of Conductors Stapled Ro nstalled Close to Edge of Studs & C.J. E ' . round made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. E Clearances Panels-Motors-Mech. Equip. 3,4­`CVfies Closet Light -Shower Light -Spa Light a5Amoke Detector Datej ( � Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance A.C. s Insulation & Support i. ent Fan, Exhaust above insulation Windows or Exiting Doors -Sill Ht. & Dimensions 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA9"G (Permit) OK except #'s 41'Sills Proper Materials & Anchors 42. Is tuds-Nailing Spacing & Braces -Plates -Sound rinoWalls over Girders & Floor Nailing S "p in Walls (rat proof) Fi tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMI Continued) 4 ost Caps -Anchors -Connectors 4 Ing. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting<Rtng. c Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5L,115drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. S " s; Width -Headroom -Rise -Run -Landing -Fire Protection lec. Trim & Subpanel, Breaker Sizes & Labels P ood on Roof Overhang -Attic Vents -Rafter Outriggers Stairs & Rails Siding -Nailing Veneer 58. St co Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 '15-1. lazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal - indows Date )-/y Q Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA lans OK except #'s ag--Ext. Steps -Door & Sidelight Protection -Landings GW'Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection .Pedroom Exiting eT G.F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 7 Fireplace or Stove, Clearance -Hearth 72. EI c. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. 9.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. I ulation-Foam-Looked in Attic Wr Guard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A' . Unit Disconnect, Electrical -Plumbing 260- Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing 88!E erior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House qg-"G!,oss Protection rrezns from Previous nspections G est -Meters Tag , Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 95.�<ddress Posted - 96. Fire Sprinkler Date ��'r Card B-1 Date Card B-1 Date -� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION V(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT -NO. BPO50903 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 Issued Date: 08/29/2005 APN: 060-250-003-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of r the Business and Professions Code, and my license is in full force and q S&O JOnes � reet5 Rd effect. Site Address* License Class : License Number: 004{01 n 4f® �N� G�C�Z Map In dex• e Date: Contractor: OWNER -BUILDER DECLARATION . Description: NSF(1398)COV(384)OPEN(1232) REPLACES I hereby affirm under penalty of perjury that I am exempt from the 2 EXISTING CABINS Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requiresa permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JONESVILLE CABIN OWNERS INC 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 P O BOX 1950 7000) of Division 3 of the Business and Professions Code) or that he or CHICO,.CA 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 ROSE MARY & BRUCE BURKE applicant to a civil penalty of not more than five hundred dollars ($500).): SHAREHOLDERS 95927 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees,BURKE, ROSEMARY &BRUCE, provided that such improvements are not Intended or offered for Applicant: sale. If however, the building or improvements are sold within one SHAREHOLDER year of completion, the owner -builder will have the burden of 993 WOODLAND AVE proving that he or she;did not build or Improve for the purpose of CHICO CA sale.). 1, as owner of the property, am exclusively contracting with CABIN 19 95928 licensed contractors to construct the project (Sec. 7044, Business and P'rofe'ssions 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.). ❑ I am Exempt 4Ader e 3 o thBu ^ess 9Prof sions od W Contractor: LANE CONSTRUCTION, STEVEN D. Date: �Oe WORKERS'COMPE111SATION DECLARATION 372 IDYLLWILD CIRCLE I hereby affirm under penalty of perjury one of the following declarations: 372 I D L ILD CI ❑ I have and will maintain a certificate of consent to self -insure for 95928 workers' compensation, as provided for by Section 3700 of the 530-891-5110 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as License #: 415536 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: Architect: Carrier. Engineer: HUBLEY, MICHAEL D. PPolll�icy #: (I!J/ I certify that in the performance of the work for which this permit is CC issued, I shall not employ any person in any manner so as to 3014 S.F. become subject to the workers' compensation laws of California, Total Square Ft: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Valuation: $109,334.00 forthwith co ply hose wit tprovisions. ry � Census Code: Date: Applicant: WARNING: Failu a to secure workers' compensation coverage Is p unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of jI compensation, damages as provided for in Section 3706 of the Labor 1 code, interest, and attorney's fees. 1�. � / ,• � (I �i r1C 1 � � � , G 1 . tet' l�-� `j' ( i" I / - __ _ �. _• _ CONSTRUCTION LENDING AGENCY This permit is hereby issu d under the applicable provisions of the Butte Count Code a d/or I hereby affirm that there is a construction lending agency for the Resolutions to d 7k ated above for which fees have been paid. performance of the work fcr which this permit is issued (Sec 3097 Civ.) BY Date: Name: Address: PERMIT EXPIRES ON: Q� I(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 1-azardous 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 certi t I have read this application, that the above Information Is correct, and that I am the owner.or-themy auth rued agent of the owner. I agree to comply with all county end stat laws relating to buildingtonst on. I ack owledge it is unlawful to alter the substance of any (ficial f m documen)Z ly. I h by authorize rep 6. lives of Butt ounty`lo enter n the ab v mentioned property for inspection p poses. Print Name: Q r Signature: G Date: Own r ❑ Contractor 13 Agent for Owner Cl Agent for Contractor Ta ---+'i A� C' APPLIED TESTING CONSULTANTS MATERIALS'ENGINEERING TESVNG AND MtSPECIlON CERTIFICATE OF WELDER QUALIFICATION REPORT DATE-. 1/291" WELDING OPERATOR 1 1 •� SII . 1, • �i 1� II �l ll'!,1 r la .f:� _�, 11 = II �r-�--� SOCIM SECURITY NO. 567 -73 -ZSR_ WELDING -EQUIPMENT Millff. ELECTRODE E70C-6M 1116' POSITION 1G BASE METAL a THICKNESS A36,19 WELDING SPECIFICATIONS GMAW - AWS 01.1 ftwha Steel Wel mg Cade -AWS 5.18 WELD DESCRIPTION ... X" Rad Dpimqoq Ugh VApBadft TEST RESULTS -PASM WITNESSED BY Dennis Lusk PATE WELDED '1129M QUAUFICATM Plate; Groove, CJP, Flat hist Weld, Flat & Moftmal UnfirKedlW Welds, Flat. The undersigned certifies that theSoWmftmade in the above report ane coned and the bests wee conducted in amordx= whh the iequin fw is of Lire above welft . The test welds were prepared and welded in the pmsmm of our representative. T "o CONSU TANTS QCI. ' Denner gush cm � AWS OCt No. 96080341 INSULATION CERTIFICATE Job Number: 7851 PSTEVEN D. LANE 19560 JONES CREEK RD., JONESVILLE CA I Contractor/Owner Name Job Address (street, city, state) BUTTE CountY Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: Thickness (inches): 2. CEILING - Batt or Blanket Type:1 Fiberglass Thickness (inches): I 12 & 10 1/4 I Loose Fill Type: I 1 Minimum Installed Weight/ft I lb Manufacturer's installed weight per square foot to 3. EXTERIOR WALL Frame Type: A. Cavih, Insulation Material: I Fiberglass Thickness (inches): I 61/4 B. Exterior,, Foam Sheathing_ . --material: r 71 _ Thickness (inches): I 1 r , 0 ; 4. RAISED FLOOR Material: Fiberglass Thickness (inches): I 61/4 I 5. SLAB FLOOR/PERIMETER Material: I Thickness (inches): I I Perimeter Insulation Depth Inches: I 1 6. FOUNDATION WALL Material: Thickness (inches): I I Brand Name: Thermal Resistance (R -Value): Brand Name: Knauf Thermal Resistance (R -Value): I 38 & 38hd 1 Brand Name: I Minimum Thickness: I inches achieve Thermal Resistance (R -Value): I I Brand Name: I Knauf Thermal Resistance (R-Value):1 19 I Brand Name: Thermal Resistance (R -Value): I Brand Name Knauf Thermal Resistance (R -Value): I 19 1 Brand Name: Thermal Resistance (R -Value): I I Brand Name: Thermal Resistance (R -Value): I I DECLARATION I hereby certify that the above- insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. . Item Number's Item Number's Y, Chico'Insiilation & Fireplaces Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner 2V19ri 0 . 46JE (:fow sC — Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner YeA-LI C -Z F C_+ I ts C" tv�-e_ r, It,, � (. I, - .: _K r-01 V) -e CERW 4 40 Date Inspector— ('J6 t-sk" t�'ef\j REV 4/05 Phone# COUNTY OF BUTTE BUILDING DIVISION FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive 9 Oroville, CA - (530) 538-7541 CORRECTION NOTICE -3- OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist* at J the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. YeA-LI C -Z F C_+ I ts C" tv�-e_ r, It,, � (. I, - .: _K r-01 V) -e CERW 4 40 Date Inspector— ('J6 t-sk" t�'ef\j REV 4/05 Phone# FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explana n, please contact the Building Inspector as indicated below. rr rt P Date , 1 ('5' r v REV 4/05 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE 12 OWNER PERMIT NO. A routine inspection indicales.that the following violations_ of Butte County OrOrdinancesexist'a'i the above address a hould be corrected:: Kease call for re;i* nspection when correction of work is completed. If you have any . questions pertaining to this matter, or need additional explanation, pl cont the Building Inspector as indicated below.' V .1 •' Date I nspector:,42 REV 4/05 Phone# FOR RE-INSPECTION:CALIL: 538-7636 OR 891-2834 COUNTY OF BUTTE. BUILDING DIVISION '-` DEPARTMENT OF DEVELOPMENT SERVICES ,. 7 County Center Drive • Oroville, CA • (530) 538-7541 - r;, CORRECTION NOTICE OWNER PERMIT NO. '-' A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional y t,. lanation, please contact the Building Inspector as indicated below. C)" C0 I /e Su/t /7 klo Or, ,/ ,-,f/),v, a__1 QIP �vI/- a 6, � 1 -es-) 95 s ce VA 1�6 K. t. . ��Y• Date Inspector , x REV 4/05 Phone # ' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE...... _ ... .. . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE VWNLH PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional q 4 T. _Roar Ai eza;��(zlzez %e Date °` Inspector •-1__2 REV 4/05 Phone # 7> i7 7`h FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 :'. 'COUNTY OF BUTTE. BUILDING DIVISION '.' DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE :- OWNER PERMIT NO. ;^t A routine inspection indicates that the following violations of Butte County Ordinances exist at p the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. f `TG; 7 L/ li/n/G S or - 4&07 -7 a1.2196 ' % f Date !/ D Inspector ��� �/ �' (' oy r REV 4/05 Phone # ,S— 1 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION.V (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP050903 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 Issued Date: 08/29/2005 APN: 060-250-003-000 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 q.5&0 J0 no's crveK effect Site Address: 4G9-2 H4M99L4� RD BMD License Class : License Number: Map Index: (!a 6n 1 Date: Contractor: OWNER -BUILDER DECLARATION . Description: NSF(1398)COV(384)OPEN(1232) REPLACES I hereby affirm under penalty of perjury that I am exempt from the 2 EXISTING CABINS 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: JONESVILLE CABIN OWNERS INC 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 P O BOX 1950 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 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 ROSE MARY &BRUCE BURKE applicant to a civil penalty of not more than five hundred dollars ($500).): SHAREHOLDERS 95927 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees,BURKE, ROSEMARY &BRUCE, provided that such improvements are not intended or offered for Applicant: sale. If however, the building or improvements are sold within one SHAREHOLDER year of completion, the owner -builder will have the burden of gg3 WOODLAND AVE proving that he or she did not build or Improve for the purpose of sale.). CHICO, CA I, as owner of the property, am exclusively contracting with CABIN 19 95928 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.). ❑ lam E emptder a3o e 'ess q Prof sions ode Contractor: LANE CONSTRUCTION, STEVEN D. Date: pw e WORKERS'COMPEfUSATIONDECLARATION 3721DYLLWILDCIRCLE I hereby affirm under penalty of perjury one of the following declarations: 372 I D L ILD CI O 1 have and will maintain a certificate of consent to self -insure for 95928 workers' compensation, as provided for by Section 3700 of the 530-891-5110 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as License M 415536 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: Architect: Carrier. Engineer: HUBLEY, MICHAEL D. Policy #: (yJ/ I certify that in the performance of the work for which this permit is CC issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Total Square Ft: 3014 S.F. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Valuation: $109,334.00 forthwith copply wit those provisions. Census Code: Date: Applicant: i WARNING: Failu a 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 0 l compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit tii`s-hereby issu d under the applicable provisions of the Butte Count Code a d/or I hereby affirm that there is a construction lending agency for the Resolutions to !!,�e for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) i �6 Name: BY jjDate, Address: PERMIT EXPIRES ON: Dy I(Date) O 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 cert t I have read this application, that the above information is correct, and that I am the owner oil my auth rized agent of the owner. I agree to comply with all county nd stat laws relating to buildin on. I ack owI dge it is unlawful to alter the substance of any ficial f rm document o utte unly. I h by authorize repres tives of Bull ounty to enter n the ab v mentioned property for inspection p rposes. Print Name: r�.� Signature: G Date: Own r ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DxSION, WVILLE FROM: �— , ENVIR. HEALTH, CFECO DATE: S�� RELEASE.E HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME:* SEPTIC: �~ WELL: AP#(//,,(( d �00e A'ADDRESSILOCATION: Comments: GL/memos/releasehold -6I $.__?43010� T�Ct` BUTTE COUNTY / v ° DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o %� o AND SUBMITTAL REQUIREMENTS ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 3 o �'_«.�— OFFICE #: (530) 538-7541 0 , 1 �O� N ��0. $' FEE WILL BE REQ UIRED AT TIME OF APPLICATION � /Website: www.buttecounty.neUdds �- 1 0( PLEA E PRINT CLEARLY" C<T UII.e-E 629 R In jwn &: s Cor - CONTRACTOR OWNER C. e :F Last Name Cross Street Rust N SSE Address3 c� Fax City Lic. # StateZip Fax / S / 2 3 _ rE 17 -0 YtFaxmail ma Mb V_t• e_& s LG4 io h CONTRACTOR Name E V 0- h CL » -0-- Address Cross Street City I 6 0 State Zip Phone g Fax E-mail Lic. # Class APP / NT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name 1414"t Cross Street Address V� �lState�T Cityi C (� o C%6 State I Zip Phone ;�— Fax E-mail Date Approved: State License Number APP / NT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Cross Street SRA Address 3 cq 5d Iq Pf City o C%6 State I Zip Phone—Fax 7 Fax E-mail Planner Date Approved: APP / NT SIGNATURE X For office use only: Zoning Property Add ess `F lI es ee Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 05-0910 BP LOCATION AP# D 60 - 2�0 - d 3 Property Add ess `F lI es ee [?onesv 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—// OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldQAoolSubRomts.doc Paoe 1 of 2 Description or Scope of Work: , - ❑ Structure Buil without Permitsl ❑ Proposed Change of Occupancy NS (Note previous use): C6VF� 0`�2- col 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. 1'01 ' IL/ w Reey: Amount: `7 /. _ 03 Bldg / U I it RB' SRA Receipt #: p� (p(/y7 Sheriff SMTP Date: �� / �� '� r •� Total RFV 7-77-nd BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.netldds **PLEASE PRINT CLEARLY** OWNER Last Name irst Name Address City State Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ' ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip' Phone Type Const. Fax E mail Map Book State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AP# Zoning I Flood zone..1 I SRA I Yes I No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS c PERMIT NO. WE BIN Al LOCATION AP# Property Address City Cross Street SRA 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: 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other ther Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 .B ,, LO C) Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: 1 SUBJECT: QDATE: WILLDAN Scott Rutherford (530) 538-7160 o�UTTFo o o 0 0 UN .0 srutherfordabuttecounty.net . Plans Transmittal For Review Per Contract 4/11/2005 Applicant: Burke, Bruce& Rose Mary Permit No: 05-0903 Project Type: NSF/Cov/O` en APN: 060-250-003. 100% 70% Plan Check Fees $ 972.03 $ 680.42 $ 972.03 $ 680.42 WILLDAN Fee $ 680.42 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other ".':r v^ ... ,�.r`\_,}'W--•-.Y.r-,mow ...,. _. -. w-K-�.-. - A. r.;�•..�.t rr.i.`.�-..-. ^.v,-.. �,r� ..-.l. I'-.�.r-�,r.-^ti .....-.^.-._. .� _ 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: ASSESSOR PARCEL NUMBER/ /`,j'_)-2 Proposed Building Use: /,!:;D Counter Technician: v Date: k%' r%'�_ 5 Items required in order i -o apply fora permit. All boxes MUST be checked OR marked NA in order to apply. IT;- 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. p 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 Wco ❑ Oroville, as applicable. ❑ 16. Other Re inin ' ems needed to issue the permit. (May require ad�ditipnal plan r�yiew upon receipt o the following items.) 10 1 Fire Sprinklers... /!tc rw.....d Gt/" 45-13 ............................... _ ❑ 18. Agricultural Buffef clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit............................................................... ..... �i 23. California Department of For st,y plan approval paid. Sent by: o� 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: t /'- 4.1 -a ❑ 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 4(4innt? r and hold for pickup. I have been informed -of the above items anda for obtaining a building permit. Applicant: Date: / 711-9 1. Index permit application for the abovelitems 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 at Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: i i Structural approved by: VV t Date: Note transfer by: 9�n _ Date: Yellow: Building Division c ar, E.N. USE 0;41.� Plot Ren Attached Rcoa Plan Attached Sent to S.D. TO: Building Department FROM: •EnvirGnmental Health SUBJECT: Sanitation Clearance .4 1 1 � Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other �5_ Hold final for: -inal clearance • 8/96 COUNTY OF BUTTE IBJ as -aqo'� DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds � OWNER PROPRO 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review (1�') /in v-1 A.P. # `(/ v3 ) DATE " ! - '7 CS RECEIPT # G DAT REC. 1 ✓% b --- Additional plan checking Fee.... $ 2 SCHOOL DISTRICT FEES ��5r/ Itc S�°ihzr)LUIlla4 (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.). Nq. r tg. X $0.03 = $ 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT T�� 4CHUO NTY WIDE (per dwelling) URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP Ae7 I0 0 q3 9. OTHER 10. OTHER 11. OTHER TP 2F35 -5-g 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 durin a hecki ss. APPLICANT DATE 7 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 Pink -Owner (rev. 3/05) Department .0 o u n t J. Michael Crump, Director of Public o f B to t `forks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive: Oroville. CA 95965: (5,30) 538-7266 (FAX) 538-7172 National Pollutant Discharge Eliminations System (NPDES) Phase Il Construction Storm Water Permit and Stores Water Pollution Prevention Plans (SWPPP) Acknowledgement LLESS THAN `d ACRE Project Description: Project Location and/or Parcel Number:�� 41,`X)- 2- I � *214 12 M F_ I". By signing below, I, the project owner/owner's .agent, certify that this project WILL NOT DISTURB 1 acre -or more.of land and that I, therefore,Ao not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other - sanctions provided by law. t Signed:1-2 d� -��'-- Title: _ — 12 Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program P—A—A Sl'Jd InA ' W I LLDAN Serving Public Agencies June 22, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved . Willdan Project No: 14353-1542 Jurisdiction Job No: 05-0903 Assessor's Parcel No: 060-250-003 Description: Burke -NSF/( Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 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: * Plans: Two (2) copies Cover & sheets 1 through 11 dated 02/2005 and 03/2005 with revisions dated 5/23/05 by Goldman & Rose, and revised sheets SDO through SD2 dated 5/25/05 by Michael Hubley, S.E. �k Energy Calculations: Two (2) copies CF -1R and MF -1R forms on Sheet 11 and two (2) copies 8'/z, x11 C -2R forms dated 03/29/05 by Donna Wallace * Structural Calculations: Two (2) copies dated 02/16/05 and two (2) copies addendum calculations. dated 5/25/05, by Michael Hubley, S.E. # Truss Calculations: Two (2) copies dated 4/8/05, by Longfellow Lumber Co. Inc. �k Miscellaneous Documents: Two (2) copies site plan dated 12/2004 by Advanced HydroGeo. Two (2) copies EOR's Truss Review letter dated 5/25/05 by Mike Hubley, S.E. 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. Q W I LLDAN Serving Public Agencies APPLICABLE CODES Unles's noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • . Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • ' Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the permit application*. Specific Use Type of Occupancy Type of Construction Stories 1" Floor Sq Ft Total Sq Ft Dwelling R-3 V -N 1 1,398 1,398 Covered Porch R-3 V -N 1 104 *104 Unconditioned 1 Lanai R-3 V -N 1 280 280 Open Deck I R-3 I V -N I 1 1 1232 1232 CONDITIONS OF APPROVAL ` 1. Approval is contingent upon the review, requirements and approval of other departments .and/or agencies that have jurisdiction over this project. 2. 1 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. Page 2 of 3 Butte County 05-0903 Willdan 1.4353-1542.PC2.F WILLies Serving Publ,DA�N SPECIAL INSPECTION NEEDS Our plan review reveals the following special inspection needs pursuant to CBC 1701: Shop and field welding DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Richard Essenwanger Plans Examiner H Gustavo Franco, P.E. Plan Check Engineer Cc: Alice Mefford, amefford@buttecounty.net Rose Mary Burke, 993 Woodland Ave, Chico, CA 75928, E-mail rmburke@sbcglobal.net Goldman & Rose, 343 W. 4`h Street, Chico, CA 95926 Mike Hubley, SE; VerTech, 383 Rio Lindo Ave #200, Chico, CA 95926; vertech@sbcglobal.net Page 3 of 3 Butte County 05-0903 Willdan 1.4.353-'1542 PCH BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ?AYZA� Building Department No. A.P. Number 06d " Z Jurisdiction: City ®'Co Property Owner %rj v/�/� 4_4'= j Property Location/Address / 9 i�d`Nc �/1-L-2slG. AP . f�;Po5"©go 3 Subdivision Lot No. ....................................................................................... Residential Development © Q Q Q € Sq. Footage l3� 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 0 Q New Addition Building Department Representative Dis 'ct IdentificationNo a�1�..,r4'S'16g(ool District certifies that (Street Address) (City) has complied with the requirements of Resolution No. representing v square feet. School District Representative f Paid by Check # �(% Remarks: (State) s Sq. Footage (Including Exterior Roofed Areas) Date (Applic-9-nt) 2-o,,,7�� (Phone Number) (Zip Code) by payment of $ B 2926 $ ULL MITIGATION f Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protect to the District, In compliance with Government Cods Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. lf, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notifled by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mid" Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xis (3105)dfhm 9 Department ofDevelopment Services INTER -DEPARTMENTAL REVIEW COMMITTEE DATE/TIME: Wednesday, May 17, 2006, 1:00 p.m. to 3:00 p.m. LOCATION: 7 County Center Drive, Conference Room A, Oroville, California AGENDA CHICO 1. JONESVILLE CABIN OWNERS ASSOC, REZ 06-03, APN #060-250-003,004,005 Planner: Steve TroesterZonin : U (Unclassified) Completeness ofApplication Eval I Getieral Plan: TM (Timber Mountain Rezone 165 acres from U to PUD to reflect existing seasonal use of 53 cabins so that this use becomes legal and conforming. No riew dwellings proposed. Proposed PUD Zone Ordinance details parameters for the continued use, renovation, & replacement cabins. The property is located near Jonesville approximately 4.5 miles Northeast of Butte Meadows. Butte County Department of Development Services ■ 7 County Center Drive ■ Oroville, CA ■ (530) 538-7601 Page 1 of 1 KWI DRAgendas/2006Agendas Troester, .Steve . From: Loushine, Tom Sent: Monday, May 08, 2006 9:32 AM To: Troester, Steve Cc: Fogel, Doug; Bottenfield, Cliff; Thistlethwaite, Charles Subject: Request for Comments on an Evaluatuion and Completeness of Application; Jonesville REZ 06-02 060-250-003, 004, 005 t,. Hi Steve I would like to add some clarification to the e-mail that I sent you 5/3/06. My comments reflected the PUD zoning requirements, per Chapter 24 of.the Butte County Code. This department reviews land action projects to assure that there is a potable water source for all dwellings and that the disposal of liquid waste is accomplished in a safe and healthy manner. The requirements in the Improvement Standards for Butte County are written to accomplish these goals. The situation in Jonesville is that most cabins receive piped water from a spring, that is not permitted or regulated by Butte County, and is likely not potable. The location and condition of water transfer lines to the served cabins are unknown, though it is expected that they are highly deteriorated due to their age. Though some of the cabins have permitted septic systems, a vast majority do not. Currently, we do not know the location, design, or condition of the sewage handing methods at the cabins which are without permitted systems (again it is expected that those old systems are highly deteriorated with age). With that, we do not know the likelihood of contamination that these unpermitted septic systems allow to the ground water, marshy areas, the creeks and other springs in the area, or to the water transfer lines from the water service spring mentioned above. This leaves question as to the safety and health of the occupants of the cabins and to the environment. As we realize the owners desire to create a streamlined method to upgrade their cabins (i.e. without having to go through a use permitting process each time), we feel that this rezoning application causes us to address the issues of potable water and healthy sewage disposal for the entire parcel(s). Recent history has demonstrated a movement toward upgrading of the cabins in the Jonesville area, and it is anticipated that year-round use of these so-called seasonal cabins will come to pass. The applicant should create a revised map that clearly indicates a usable sewage. disposal area (per Appendix VII) for each cabin, and a legitimate well site for each cabin. With that accomplished, future upgrades and/or repairs will have already been planned and reviewed to assure that there is adequate space for a safe and healthy water source and sewage handling system for all parties. If this is not done during this process, we foresee a time in the future where new or repair septic systems, and/or placement of new wells will be complicated by other systems that would have been previously placed without an overall definitive plan, that should be created during this rezoning process. If you have any questions, please contact me or Cliff Bottenfield. Tom Butte .County De ' irtment 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 May 4, 2006 To: Inter -Departmental Review Committee Subject: Evaluation and Completeness of Application Applicant: Jonesville Cabin Owners, Inc., Bulaklakan, Inc.; REZ 06-03 Planner: Steve Troester APN: .060-250-003,004,005 Location: Jonesville approximately 4.5 miles Norteast of Butte Meadows. 30 -Day Complete 5/22/2006 Date of IDR 5/17/2006 This application is being provided to you for comments. Please see attached documents. A hard copy of the application, including maps, has been sent to Environmental Health, Building Manager, LAFCo, Agricultural Commission, Public Works, Assessor, and CDF. All Environmental Health correspondence is routed through Karen Frederick at 7 County Center Drive. The purpose of this notice is to give you the opportunity to comment on the completeness of this application electronically to the planner, so that preparations can be made for the IDR meeting on 5/17/2006. Do you find this application complete? ® NO. Please respond prior to or at the IDR meeting, regarding completeness of application. What is needed to make the application complete? 1. Provide Title Report 2: PUD rezone layout should reference road names and AP numbers 3. Show relationship of APN 060-250-004 to PUD Layout 4. Cabins are not labeled on APN 060-250-004. Note cabin sizes on APN 060-250-004. 5. Proposed PUD ordinance proposes construction of a maximum of 6 dwelling/cabins and only references APN 060-250-004 PUD rezone layout shows 47+ cabins Environmental info indicates that 53 cabins exist Clarify allowed uses 6. Proposed PUD ordinance states that lot size is approximately 50 acres Assessor shows total acreaee of the three parcels listed as 165 acres 7. Also see comments on proposed ordinance ❑ YES. My Department's conditions and/or mitigation measures are attached or will be provided at the IDR meeting. If conditions cannot be provided at or prior to the IDR meeting they must be provided no more than 1 week after the meeting. Standard Conditions are attached for your convenience. (PLEASE SEND YOUR RESPONSE TO: @buttecounty.net). Signature: E. Schroth Date: 5/4/06 K:/Planning/Projects/A New. File/IDR Memos/IDR Completeness 8/30/05 Department: Public Works - County of Butte IIS Q � O 00 \ I� ,Z 0 N COUNTY OF BUTTE - DEPARAAENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ �o (Rev. 12/96) APPLICATION AND PERMIT ASS ESSdR PARCEL NUMBER 060-250-003 ZONING BUILDING PERMIT OWNER MTTJ F TELEPHONE -19019 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS LI. CONTRACTOR'S NAME L=ID CONST. TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9933 IOMS F Energy Plan Checking Fee $ CARIN `�91 PERMIT FEE $ LOT NO. SLSBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO CABIN (92c"i FG . ft.) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 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. '�Itl 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.) 10 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 com I with th Prov io Date �' �� ��— Sig�r�pplicant -� Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To 1000A 46.00 NEW CONST. DWEUJNQ OCCUP. So OR ADDNS. ( a ADc. sins. 3.50FT; CONS9 Np R.T MULTI.OUTLET'ITS 97.50 POWER APPARATUS a SINGLE OUTLET c'R. EX. OCCU OUTLET OR FD(TURES B20 @ 1:0500 Ex. Occup. oUTLE s R6ID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. J�•80 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ilm - _ OF BUTTE - DEPA Ti�AENT OP LIEVELOPMENT"SERVICES - BUILDING COUNTY I DING DIVISION 7 -County Center Drive - O.toville, California 95965 - Telephone (530) 538-75" Egmi hbif �-0,)V L L (R , 1 T 2/96) APPLICATION AND PERMIT AgSESeA PARCEL NUMBER 060-2-50-00-1 ZONING BUILDING PERMIT OWNER FR i (' TELEPHONE _8039 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS 51 AVF,. DITIRIJAM, CA AAI CONTRACTOR'S NAME AT.J) TELEPHONE 1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace _ LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS -_ 5'JJ T 4 F R T TF T-- Energy Plan Checking Fee $ $RT 1 PERMIT FEE $ J LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20. Each Trap 7.00 USEOFSTRUCTURE 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEM CABIN (928 Sq. ft:.) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home ISI GI W1 @20.00 —Mobile PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OVOR UE Main Service zo.A OR 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.POWER 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. w. *;0 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 TO Main Service 200A tOOOA 46.00 NEW CONST, DWELLING OCCUP. CU OR ADDNS. ( a ACC. BUDS. SO 3.50FT: PJ0" N.=T- MULTI -OUTLET 97.50 APPARATUS S SINGLE OUrLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ 1. 0 Ex. Occup. oFlxcnEtD�A R DORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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.) 110 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 those provi ions'. �C Date �' 9 j0o ' Signature of Applicant -0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 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 I FLOOD I CDF PARC0. I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date C Receipt No.q/ %�t•QO WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTAENT OPDEVELOPMENT SERVICES - BUILDING DIVISION „ z A 7 County Center Drive • OToville,.California 95965 • Telephone (530) 538-7541 dPERMIT.NO� F (\R12/96) APPLICATION AND PERMIT ,A FiSES$A PARCEL NUMBER 0' (1- . 14 ZONING BUILDING PERMIT OWNER r• TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR SSai Tf')^;T>+C VF TVIRMAM r.A 0SQ-1R CONTRACTOR'S NAME MN Y. TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ASR'2 T(�.mc (`pF C R C<iTT Energy Plan Checking Fee AT?Tt4 A21 PERMIT FEE $ LAT NO. SUBDNLSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEYD CABIN (928 Sq. ft:.) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.AORLE600V OR SS 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.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION 1 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. .6 1, 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 Main Service TO L 46.00 WE U NEW CONST. DWEWNG OCS. OR ADDNS. ( & ACC. BLAS. SO 3.5¢x: R61pT. MULTBRANCI.OUTLET @7,50 8 SINGLER AUTLET OCIR. Ex. Occup. OUTLET OR FD(TURES j 20 BAL @'.50 Ex. Occup. ..xEDgM-.) F_, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisio .s" Date ,/' �� l%� ' Signature of Applicant -E© Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF , PARCEL PD H D ISSUE This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 95// Acz?51•f)U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 03-0084, 060-250-003 4 MILLER, BRUCE est SUE ONESVILLE 9533 JONES CREEK RD., J y _ DEMO (CABIN#2I) 1 COUNTY OF BUTTE - DEPARTfAENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Groville,.California 95965 • Telephone (530) 538-7541 PERMIT ND! (Rev. 12/96) APPLICATION AND PERMIT i 14 (t � -4 ASSESSdRPARCEL NUMBER �~ 3 ZONING BUILDING PERMIT OWNER • t _ : f TELEPHONE A4 ..Acl3'S SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 94511 .iiTUP, AVIZ.. THIRM01, CA qSQ-49 CONTRACTOR'S NAME ' ALDIRID OTT7r, TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ASII . WI RI1 ftp T i F Energy Plan Checking Fee $ $ nTt4 4591 PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DW WIN 928 aQ• ft.) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR 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. 10 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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.) 0 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 those provisions. (X�-�" i'.._�' i" Date X' 1%- Signature -of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. SG W OR ADONS. ( 8 ACC. S. 3.5Q Np R OSID ANCHOUTLET QG 7.50 POWER APPARATUs a SINGLE ourLEr CIR. Ex. Occup. OUTLET OR FIXTURES 20(9 .00 SAL L .50 FIXED A_(R9 GR 5.00 Ex. Occup.ounETs REBID.)EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisionE of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate Receipt No. V 11� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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: 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.- 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. ❑ 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down o: - foundation plans, all in duplicate. ❑ 7. 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. ❑ 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 Buildin Form filled out by the owner. ❑ 2. Hazard ou e 1 0 CEJ 13. Other � Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 15. Statement of Intent for Non -heated and A/C Buildings. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit. ❑ 18. California Department of Forestry plan approval ❑ paid. ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage. ❑ 21. 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 ( ❑ Given to owner, ❑ Mailed to owner). ❑ 26. Letter of Signature authorization. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement. ❑ 28. Manufactured home utility clearance. ❑ 29. Existing violations and/or expired permits. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. 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: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued perrr_its refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. original -Applicant Dec 17 02 11:38a p . 2 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. 1. I personally plan to provide the 'or labor and materials for construction of the proposed property impr ement : YES NO ❑ 2. I HAVE HAVE NOT O 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: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, 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: PROPERTYO SOCIAL SECURITY NUMBER: o -(—DATE: j U3 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a 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. 0 There may be financial risks for you if you do not carryout these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 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 "ownerbuilder" 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. Sincere' , N icha 1 C. Vieira, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Name IMILLER BRUCE &SUE Addr1 ICABIN @JONESVILLE #21 Addr2 9451 JONES AVE Addr3 I DURHAM CA 95938 Addr4 Comments 11300028300 CONVERTED 09/09/88 Creaking D oc# 198819999999 D ate Current D oc# 120031 B Q 0058 Date 5/19/2002 Killing Doc# Dake Asmk Desc CABIN JONESILLE SuplCnt�Z Zoning D well Acres/Sq Ft 10 � NC 060 Asmk # 850-000-873-000 Fee # 060-250-003-000 Status ACTIVE Status Dake Tax [00-0 INOR SIAL OWNERSHIP TRA . 093-006 Situs 9533 JONES CREEK RD BUTTE MEADOWS Base D k 11 /1 /1979 Timber Preserve AgPres Etal N okes Bonds multi Situs Flag1 Flagg 910 MH Asmt PP Pen Tax PP Pen Appeal Pending Split Pending Land S truckure Fixtures O rowing Total L&I Fix. R F MH PP PP 0 36,791 0 0 36,791 0 0 0 E xemptl . 0 Net 1 36,791 R /C# T/R Dt R /C Stat I RHS' I OWN I EXP I TAX I HHN I ATT I SIT I APR. I HCL Find Name IMILLER BRUCE &SUE Addr1 ICABIN @JONESVILLE #21 Addr2 9451 JONES AVE Addr3 DURHAM CA 95938 Addr4 Comments 11300028300 CONVERTED 09/09/88 Creaking D oc#1 198819999999 Dake Current D oc# 20031 B Q 0058 Date 5/1912002 Killing Doc# Dake Asmt Desc CABIN JONES fILLE SuplCnt Zoning Dwell Acres/Sq Ft0 N 1CP6—O- 1 Asmt # 850-000-873-000 Fee # 1060-250-003-000 Status JACTIVE Status Date Tax .000 INORMAL OWNERSHIP TRA 093-006 Situs 19533 JONES CREEK RD BUTTE MEADOWS Base D k 11 /1 /19-9 Timber Preserve AgPres Etal N okes B onds Multi Situs Flag1 Flagg 910 MH Asmt PP Pen Tax PP Pen Appeal Pending T Split Pending Land Structure Fixtures G rowing Total L&I Fix. RP MH PP pp 0 36,791 0 0 36,791 0 0 0 E xemptl 0 NetNetj 36,791 R 1C# T1R Dk R 1C S kat .PHY I OWN I ER I TAX I H O N I ATT I S I T I APR. I PRL 11.1" Find I - 1 . . I - - - - - - - - - - - - Feb 01 02 08:13a P. 1'. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 -7541 � 3- rp ff ,(Aev.12/96) 0( 0 -a50 - G�j3APPLICATION AND PERMIT (� ASSESSOR PARCEL NU ZONING BUILDING PERMIT I1_ OWNC•R 6TELEPHONE— $O FT, OCC. BUILDING VALUATION cQ 811— 8U 35 _ _ _ CONT RACTOA•S�NAIl;E /_J'✓ Cir l CONTRACTOR'S MAILINGADDRESS Q CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MALING ADDRESS BUILDING ADDRESS—62I� Yl Lo-b1h4kai LOTNO. I SUBDNIS IDNS NAME 1PARCEL MAP USEOFSTRUCTURE / SF ❑ Duplex ❑ Mobilehome)I Other D(2VK-O SPECIFY TYPE OF WORK Now ❑ Addition ❑ Remodel ❑ / Utilities ❑ Instatlatlon ❑ Other IV Describe Work: �/Ybt_l� ( ", i0 "PERJAIT FEE PAXb SRA • SHERIFF OTHER Amovw Recemb -R6c 0 T NVAWM AR 5// " TO 14 PVT INTO COINKITER Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APP LICANT Fireplace PERMIT FEE ! Total Valuation Is Filing Fee 20.00 Main Service Filing Fee $ 20.00 Permit Fee $ 1 5, 00 Plan Checkin Fee $ Energy Plan Checking Fee $ PERMIT FEE t 3 51C0 PLUMBING PERMIT Filing Feel 20.00 Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 OUTLET OR FIXTURES I:,. Uccu . 1outtFa " esio. FA1 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ D. FEES IMP I FLOOD COIFPARCEL PO HD I ISSUE- -- This permit is hereby issued under the applicable PrUVIsibrh3'" "r of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. " By Date PERMIT EXPIRES ON PERMIT FEE ! ELECTRICAL PERMIT Filing Fee 20.00 Main Service 600V OR LESS =.A OR LEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONOT. OR ADONS. DWELLING OCC P. A Arr. ane 90 OUTLET OR FIXTURES I:,. Uccu . 1outtFa " esio. FA1 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ D. FEES IMP I FLOOD COIFPARCEL PO HD I ISSUE- -- This permit is hereby issued under the applicable PrUVIsibrh3'" "r of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. " By Date PERMIT EXPIRES ON Li t Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form: "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification -regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of -the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in.writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located -at i 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. 1ZECEI`J6W JAN 3 a ?003 - BUTTE COUNTY BUILDING DIVISION 2/19/91 Signature -of Applicant MAIL TO _ US EPA REGION 9 75 HAWTHORNE SAN FRANCISCO, CA 94105 ATTN: BOB TROTTER AIR -5 DATE: PROJECT JOB # (Please see reverse side) Agencies a= Nbtiflad: ❑ 10"1 caligo, Air Pana rces Board ❑ Cal. OSML ❑ B,,4IA4 a Dapazt ant ASBESTOS DEMOLITION/RENOVATION NOTIFICATION 1. EPA USE ONLY 3. FACILITY NAME' DateRec P aaaa check one: Pstmrk Renovation School .Demolition requiring 10 day notice Del/ND Demolition. requiring ADQUTE? 20 day notice ZIP PHONE( ) COUNTY ZIP Code#: Revision of Original OWNER (Form on reverse 'side) Doc#: IDE PLEASE READ BEFORE USING THIS FORM 1. OPERATOR: 3. FACILITY NAME' (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS CITY STATE AGE SIZE ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED_. TO COMPLY WITH 40 CFR 61.147 6 152: 9. NAME i LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F INSTRUCTIONS FOR USE OF ASBEETOS nEM0T,TTT0N/RE.Nn1MTT[�N ATf1TTFTr•aTTn*r rnRM RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLESEFPROJECT... DEMOLITION: means the wrecking or tORE taking out -of load -supporting structural members of a facility together with any related handling- operation 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation; or building. Renovations on single family residence and apartment buildings with 4 units or fewer are exempt from notification to EPA. PROJECT JOB #: Your OWN IN-HOUSE I.D. for a specific jobsite..Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full.information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day*and year. Must be revised if dates change. .(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. PROJECT ( j CHANGES FOR THIS REVISION: CANCELLATION 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Bruce Miller ADDRESS: 9451 Jones Avenue IMPORTANT: CITY& STATE: Durham, CA 95954 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 8/15/2003 > SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Reason for the OWI1e'1 Unable tOk -6411wd Refund: , 3_ "n'.._..:'�, .......___.--..v..____....._.........:33=3,x.::x3,'.:e:y.:`:1.<x•xx:x.x.,x3G'33ii.s._.F,3::.x..xx_.. ermI - u ;� 3I2 , i.a. x .. 9 PP ; lx �� l.l: 33G3:��3;3:::33`GG,3k„3x,::r x�x<<i' „.�,n.x, se . 3 acG° . .:: r ' a' S.% :3333.,x33.5 No.: a0:300.8:3:€ _ AP No:0;6:.0-2':0� 0,03 x3:`..... rxx.,x.,xxx3xx.3xxx_x: ..............>.,>.,3,,,,,=x„exx,:..x=�x<x,1::::.xx,.x,,::,,::,,,,, :,x - i3� `.333: 33333`11-3� _`*�'L`339'�L33 3n.,,,,xxx,:: 3y:.' - - . - x : :3::, .; 33 33 - _ „�;i1 "::iu:... "`:x1x:,.„`9`3333:13333 Recei tDate:lxx:°1J10/03.: Bldg Permit F Receipt No.. 3.69.5,.1k�,x::::x, t x P g .ees: ,.:i3:: 3.:3:333:$�t`J0160 INV—' P :. _..,=,_xx,..x: _.. 3: e ,:;DdM:r-G :,::fi::,:::: 33 33 x 3k 3: "....... gi . x33:3333 _HbMut.S. g g=YEc'.-!xs_ 3: Name:$ruceMi'I;fe':r=s«Yn°xr'r x`°' TOTAL FEES PAID• 1 501.80 Owner's�,.. �x_x::k....x...„ .. :_,.:i:i , TOTAL FEES RETAINED (Breakdown Below): $171.00 _ __:33K?.•-.iig333'3::3 :`3333`q'3C.e"x,c: ex3x3,z:::xxxx,,., 33:c::x'x"xGxiikxGG ,r:xxzxx3x::x ,x^rx-xxxzx. . 9999a99999999`9`5ii'•3; " 33333E=::dd33€9R9393339993399�:9 i:Gc.,Gxxkxnxzx::x x, R3': - -::33933 .3.333"x,�.:3:33 _ _ - • • • • • cGi3::3333x r xxxxx-..x...._.._r. ;.•z :. rs !. ,3 n • _ _ Building Permit Filing Fees. --__ -- =-- 2:0;:0::0;x. Plan Checking Fee: = 99�1��:.3•wx4";,;�;..y:33: g 9 - _-��9 Y�":.�;;,:�`• 333333-: - •x•.x:�="333333 3xxxxxx . r 53:3 33333333a33::x,x"_,3';'.'G'3 „33331 k��333`33 .3v3::3R3:iig '1:3w3�x'133ti::333333fi3.y,.,:� 3'1. i3Qii3'v. , • ......,'R":`:x3xx.x::uzi!r:!.r?x:._.. jx.. G .;; z ,:rnKg3jinj333:::3133 :3333333333`3:93:9 `•33331::k:,x..::xx.:,s.ic3;:.:k_sG ,f - _e:.k.._..,n=,> Plumbing Permit FIIIng Fees.•20_Q.O Energy Plan Checking Fee: y^':x ..>..kx,,::,n9:33 33333"x333::: _;'13:'':333333. .. .. xxx,x,<._.. ME = 1-33`33333::333 .:3.xv,..x�,..x=3.,.:.. 39933_x::kxaGxx.,: 33331 r R Electrical Permit Filing Fees: • Z�D�O:Oc` Refund Processing F Electr t >~ Fee: 2�.n�0 9 ��x�::�s9999999999� 9 �_�g�9999:�-_-x>.:3.,.,,..,, . 1- :•G3R � " --33933:3r `;.`:`-`"-",_•'`�`,+"9":; M-0119-:1110". 3:x333:333 r:,v„93:33"x33 r :ixi,;33i''xx'L3 i3v3. �i3 Mechanical Permit Filing Fees: Inspection Fee: 3 $Z3 00 393 � i3:333�3 ;333:3333 ,'3siA'.3x33333;n:3:`:3+13:3333 Fire's Portion of SRA Fee:ox$`4:0:0 $1,330.80 u_x xl:xxx... , I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this 1m is truand co ect as stated c Dated this day of 2003, at Ca Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board - (Check one) for the same. �Approval \ yy , Dated this—f day of } 2003, at Oroville Calif. .� �l t�Yl �� � _hu Department Head or Authorized Deputy Dept Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept Code Exp. Code PAYABLE FROM - FUND �' Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE,- AUDITOR'S USE ONLY DEPT & SUB. PROJ.. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. -y� 8%�sjo3 COPY Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING .August 18, 2003 Bruce Miller 9451 Jones Avenue Durham, CA 95954 RE: Building Permit Refund, File No. 03-0083 APN#060-250-003 Dear Mr. Miller: Due to a calculation error on the previous claim form, we are re -submitting the enclosed claim form for your review and signature. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the corrected amount of $1,330.80. Should you have'any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen Office Assistant III Enclosure 03-0083.1tr County ofButte Oroville, California GENERAL CLAIM CLAIMANT: Bruce Miller COPY 01 ADDRESS: 9451 Jones Avenue IMPORTANT: CITY BSTATE: 'Durham, CA 95954 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 8/15/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Reason for the OWnerx Unable �t0 bUlltl° :� xxxxx xxxx°°x.: "';'• : xxx= , ,x.=.xx;xxxx::•......x:xx;iil : ..xx;;..,.x,•==x xxxxx:xxx::xxxxxx xxx::rxx........xxxxxx===.xxxxx::x:x;xxxxxx xx x:xxx:;xx.xx:x::T:;:€x.x...S;: 896E'sx;:x8:e;ix:3,: Refund: ...xx,xx xxxx xxx ::xxxxxxxx _. ,..:...... .... ., ,,.,.....,... „, .,;...,. ;,u•x,xxxxxxx.xxx.tx.:xxx.xxxxxx.xxxxx.x.xx....._.....x .-M.xx=xxxxxx,=xxxx x:,xx;:xxxxxx;x:x::xxxxx•xxxxx::x:i;: 'xx�.xS.::::9::.^.x4:::::.:.-::5 xxxx ^9 -:.xxxxxx.xxxxx:xxx-:x,xxxxxxxx......xxx:.......xxx';::::xxx<.x:x;:.::x......:x`::....................................r............_..,.............__......... g ermt pp E ::xxxx::xxxx...............xxx.......�. xxxx x......xx: xxxxxx.xx xx; .:::x: x xxx:xxx::;:•x.,.x.........:', %.:..=xx xS,'xx:: xx=xxxx::xxxxxxx.x x, xxxx =x,: xx. No.: 0:3xx0083..;.::xx;.::. AP No: 0.6.0..;25.Oxxx0.03' xxxx... .. •••• H.H. _.. xxx::xx.x=x=x.xxx,.xxxxxx.xxxx,.xxxx.x.x.x=x Sxx.xxxxx..x.xx.x.x..xx.xxxxx^.=.....x..=n :x=xxx...xxxxxxx.xd==xx==xxxxxx:===x x. xxxxx...............:.x.:.,...,....,. 'xxxxxx.__•` x:xxxxx:x'=xxx'xxxxxxxxxxxWx`............==x.xx....xxxxxxxxxxx=:.:Pxxxxxxx; :....'.$9:.:"'..".`' xxxxx '.......:......;xx : ..x x.=x=;.E... r . Receipt No.: 369511x�„•xx,.......... Receipt Date:.xxx 1 /10/0x3, Bldg Permit Fees:..........;$x1x 501 60. _ _.._...___._.__.._.... xx xxxx_ x _._ .........xxx , ^.x;-..�:_ .x__xx_x i...........^..^^...._........ ..:..v... Y. x F ;.= � .. .......,xxx: Owner's Name: �BPUCe MLI:Iet ""`"""' TOTAL FEES PAID. $1,501.80 TOTAL FEES RETAINED (Breakdown Below): $171.00 xx x:...:l.:pp�!x::.:1...:x xxxx:•rx •xxl €xxxxx;xxxx::;x"xxxxxkxxxx.Gi..xxxxxxxx}xxxx .:. xxxxx ..r:�xxxx..xx:�x.x:xxx BuildingPermit Filing Fees: 2;O D.OR Plan Checking Fee:ax xx•••••=.x••xx••••xxx 9 '_.. .. g x=x iixex M.A.,::::x:; x....• ....... :r;�.;:::..x.xx��.x...x :.xxx=xx:.xxxx=x.xxxxx=x PlumbingPermit Filing F xxx....... ............ :;xxs�xxx:.xxxxxxxxxxxx 9Y 9 x.xxxx:x.xxxx g ees• .�$�2c0 s0�� Ener Plan Checking Fee: _ xxx..x.x....xx:xxxxx.xxx.xxxxxx x:== - , xxxxx.x:::x::xxxxix��xx.P=xxxxx,xx.,; Electrical Permit Filing Fees: fx'2�xxxxx'x:%°Y=x ..... s€`:':.:xxx=x�_"�'$..^•�.,QQx, Refund Processing Fee: .xxxx.. xxxx: � :.:. x.xx. ..xx.. >.:xx1 °�:: xip x n xxx. '..:.. xxx.xxY�x�xx� x^"xx2:x.=x.:xx:x.xx:xxxx$3Mechanical Permit Filing i.$2Inspection Fee: Ox .x : : x' 'Fires Portion'of SRA Fee € x 43 00 ' xxxxx $=xxx cx $1 330.83 , I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this day of ,.2003, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) fof the same. Dated this day of 2003, at Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Bruce Miller ADDRESS: 9451 Jones Avenue IMPORTANT: CITY & STATE: Durham, CA 95954 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 7/31/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Reason for the 'owner Unable t0 build Refund: Eslog Permit App No.: :03-0083 - r AP No: 1060-250-003'. �.3 Receipt No.: 36951 Owner's Name: 'Bruce Miller Receipt Date: � /� 0/03° Bldg Permit Fees: �` �3-� TOTAL FEES PAID:.r``�" vr� TOTAL FEES RETAINED (Breakdown Below): $171.00 Building Permit Filing Fees: $20.00' Plan Checking Fee: Plumbing Permit Filing Fees: $20.00 Energy Plan Checking Fee: Electrical Permit Filing Fees:: $20.00, Refund Processing Fee: $25.00. Mechanical Permit Filing Fees: $20.00 Inspection Fee: $23.9-Q, SRA Fee: ,,$43.00 $4e5 0 I, the undersigned, declare under penalty ofperjury that the services or articles claimed have been performed or delivered, and that ' aim,is'true an rrect s d Dated this _�� d/ ay of y , 20/ 03at.��C,�� a ��O, - (Signature of C mant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2003, at _OrovilleTCalif. Department Head or Authorized Deputy Dept. Code 440-001 Dept. Code A�' 6! Exp. Code 4210500Y `+_'�-,'PAYABLE FROM Construction Permits FUND Exp. Code `� fva.'7� �i0`> "iiz -'=� PAYABLE FROM S QiA FUND Dept. Code Exp. Code ' PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. BUTTE UT COUNTY °° Butte County Department of Development Services AUG 0 7 2003 °° ° - ° Building Division rS ELOPeSUNtER7 REFUND CLAIM APPLICATION v REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code Section 3-41 (t)] CLAIMANT'S NAME:_J�Q MAILING ADDRESS: �Jl ASSESSOR'S PARCEL #: % G b 5 3 BUILDING PERMIT # : 6 -- Q g - RECEIPT NUMBER(S):(�( A request for refund of fees paid on the above receipt number(s) is for the following reaso : on Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) (,),,-"Building Permit Fees ( ) Sheriff Fees (v�SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter (� Please mail plans to me at above address ( ) Please dispose of plans .�- Signa e� Date - 3 A COUNTY OF BUTTE GENERAL AIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 FOR BUILDING DIVISION USE ONLY- 6y Receipt;,Information: Number: 3 49 S l l Date:. Issued To: Amount: Fees Retained: BP# 0 3 - 4o €3 Processing Fee: $ BP# Processing Fee: $ Bldg Filing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: Elec Filing Fee: $ Mech. Filing Fee: $ "IP-0 Mech FilingFee: $ nergy P/C Fee: $ Energy P/C Fee: $ �Z an Check Fee: $ c;� 3 Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ re SRA P/C Fee: $ 1( 3 SRA P/C Fee: $ Other: $ AI Other: $ Total Amount Retained: $� zx , TOTAL REFUND DUE-.$ $ Amount from 440-001 $ - Amount from $ Amount from $ Amount from $ J:WIy Documents\REFUND CLAIM APPLICATION.doc 12/17/02 BLDG PERMIT SRA FEES FEES $1,412.60 $ 46.00 $ 43.00 $1,458.60 $ 43.00 $ 1,501.60 Paid 369551 $1,458.80 $ 43.00 $ 1,501.80 Retain $ 25.00 $ 43.00 $ 20.00 $ 20.00 $ 20.00 $ 20.00 $ 23.00 $ 128.00 $ 43.00 $ 171.00 Refund $1,330.80 $ - $1,330.80 � AP NO.: 060-250-803 DATES: 07/31/03 SITE 0 OWNER: Miller - Phone: 0 ADDRESS:10 0 CA I M VALUATION CODE Sq FT $/Sq FT VALUATION ELECTRICAL PERMIT O rage z or z R-3 R- 1641 $54.00 $ 88 614.00 Filing 1 $ 20.00 1 $ 20.00 U 326 $18.00 $ 6,868.00 Main Service COV 187 $13.00 $ 2,431.00 600V or less/200A or less 1 $ 23.00 S 23.00 $ 200+A tot000A $ 46.00 1 $ $ New Construction or Additions Roofing - x = 0 s .ft 0 $ 60.00 $ Dwelling Occupied & Accessary Bld s 1 1967 $ 0.035 1 $ 68.85 Fireplace A/D 11 M I 1 1 $ 1,500.00 New Construction Non -Residential TOTAL VALUATION $ 98,413.00 Multi-O,Iel Branch Circuits $ 7.50 $ PERMIT FEES CITY FEES Power Apparatus & Single Outlet Circuits $ Filing 1 $ 20.00 S 20.00 Existing Occupied Permit Fee 1 $ 635.00 Outlet or Fixtures 1-20 $ 1.00 $ Permit Fees Mobile Homes (SJ 1/2 Fee $ Outlet or Fixtures 20+ $ 0.50 $ Plan Check @ 66% Permit Fee 1 $ 412.76 Fixed Appliances or Outlets (Res) ea. $ 5.00 $ Plan Check Minimum/Mobile Home State Approved Plan $ 23.00 $ Temporary Service $ 23.00 $ Revised Plan Check $ 46.00 $ Moble Home Facilities $ 20.00 S Energy Plan Check Commercial: - 4000+: 0 $ Miscellaneous Wiring $ 23.00 $ Residential: 1 To Master. 1 $ 28A0 Pre -Inspection $ 23.00 $ Energy Inspection Fee 1 $ 46.00 $ 46.00 Pool Electric $ 30.00 $ Mobile Home Installation Inspection $ 100.00 $ - $ $ $ $ $ TOTAL PERMIT FEES $ 1,136:75 TOTAL ELECTRICAL PERMIT FEES $ 11.1.85 PLUMBING PERMIT MECHANICAL PERMIT Filing 1 $ 20.00 $ 20.00 'Filing 1 $ 20.00 $ 20.00 Each Trap 7 $ 7.00 $ 49.00 Heating Up to and including 100,000 BTU 1 $ 15.00 $ 16.00 Solar or heat pump water heater $ 23.00 $ Greater than 100,000 BTU $ 20.00 $ Water piping 1 $ 15.00 S 15.00 Cooling Up to 3 HP and 100,000 BTU $ 15.00 $ Each gas water heater or vent 1 $ 15.00 $ 15.00 3+ to 15 HP and Over 100,000 BTU $ 25.00 $ Gas piping system 1-5 Outlets 1115+ Outlets 1 $15/$3 $ 15.00 Evaporative Cooler $ 15.00 $ Building Sewer 1 $ 15.00 $ 15.00 Extend Ducts In Additions $ 15.00 $ Mobile Home Utilities Sewer. I I Water. Gas: 0 $ 20.00 $ Hoods $ 6.50 $ $ 15.00 $ Ventilation $ 4.50 $ $ Gas Fireplace $ 15.00 S TOTAL PLUMBING PERMIT FEES $ 12900 Refund Processing Fee IMPACT FEES MECHANICAL.PERMIT FEES $ 35.00 SHERIFF `' TOTAL BUILDING PERMIT FEES $ 1,412.60 Residential Per SF Living Unit $ 360.00 S TOTAL OF ALL FEES $ 1,501.60 Multiple Per Living Unit $ 252.00 '$ - - ' MINIMUM PAYMENT OF FEES Commercial Per Sq. Ft. $0.03 S - Filing Fees $ 80.00 STATE RESPONSIBILITY AREA SRA Per Structure1 $ 89.00 S =- 89.00. Plan Check Fees $ 435.76 DRAINAGE SRA FEES $ 89.00 Themwlito Residential Per Living Unit $ 510.00 1 $ Other Fees: Commercial Per Ordinance 3304 $ MINIMUM PAYMENT OF FEES $ 604.75 STREET IMPROVEMENTS Chico Urban Area Residential Per Each Single Living Unit Per Each Mit le Living Unit Service Structures Per Sq. Ft. Commercial Medical Structures Per Sq. Ft. Industrial Structures Per Sq. Ft. $ $ $ $ $ 1,982.00 1,370.00 10.19 2.22 1.02 $ $ $ $ $ PAYMENT INFORMATION Date: Staff: I Receipt # 369511 1 Cash Chea#1 - Check $: 1501.80 FEES PAID 1,501.80 BALANCE OWED $ (0.20) Residential Per Each Single Livinq Unit $ 595.00 $ Date: Staff: - Receipt # Cash Per Each Mitple Living Unit $ 355.00 $ Check # Check $: Therrnaltto Urban Area Commercial Per Acre Developed $ 23,849.59 $ FEES PAID 0.00 Office Per Acre $ 11,924.80 $ BALANCE OWED $ - Industrial Light Per Acre $ 5,962.40 $" Date: Staff: Receipt # Cash Heavy Per Acre $ 1,192.48 1 $ Check# Check $:I WATER TENDER Per Parcel $ 200.00 1 $ FEES PAID 0.00 RECREATION DISTRICTS -Proof of Payment Only BALANCE OWED $ - Chico Area Residential Per Living Unit $ 1.189.00 1 Date: Staff: Receipt # Cash Durham Residential Per Sq. Ft. 1 $ 1.04 ❑ 1 Check # I Check $: - - ❑ FEES AIDI 0.00 NORTH CHICO SPECIFIC PLAN BALANCE OWED $ (0.20) Residential Per Dwelling SR -1: SR -3: SR -VPD: R1: I R2:1 I R3: 1 0 $ 0 3,315.00 $ Is Occupancy: R3 Construction: ISSUED Industrial/ Commercial Industrial SF Commerical SF Office SF School HAZ FEES IMP i HD 01 Is SCHOOL DISTRICTS - Proof of Pa ment Onl ❑ ❑ ❑ ❑ ❑ Marysville Joint Unified - 064 ❑Note: - - - TOTAL IMPACT FEES Collected by Development Services $ 89.00 rage z or z C� COUNTY OF BUTTE - DEPARTMENT OP DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 5— Mr,1151. (Rev.12/96) APPLICATION AND PERMITr / ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADO SS a1) U P4614 CONTRACTOR'S NAME '7 Z TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.OG Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDING ADDRESS T EE:-, D I D 10 Energy Plan Checking Fee $ $ CABIN i'121 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i� SINGLE FAMILY (CABIN) _ - - .h rte:.;-..� s<. � . �`!4 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ --t } • .:. ., :. __..1 ► ti- ---� ELECTRICAL PERMIT Fling Fee 20.00 E00OR LESS Main Service 200A OR LESS 23.00 + r r 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.POWER 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. ,#E 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'HAZ. 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 c Ith tho provlsl /� A' _ Date �J Igna 7e of Applicant -'1R Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. le To Main Service To 46.00 NEW CONST, DWELLCU00A EL OCCUP. SO OR ADDNS. ( a ACC. BUDS. 3.50FT: NEW RESID. A BRANCH MULTI. CIRCUIUTLETS @7.50 APPARA US 6 SINGLE OIJTLLnT CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL Q �. 0 Ex. Occup. ouTLEeDrsA ) ORA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ VThispermit D. FEES IMP FLOOD COF PARCEL PO HD ISSUE is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 5- 411,Q .,Fo WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 CZA �a "���,p(� .• ��Q3 OWNER: YY�Ai1kj1- / t !} , ''�^ 1CX - ASSESSOR PARCEL NUMBER C2 STT Proposed Building Use: /y. ' t" Counter Technician: Uid Date: I- W-03 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ��1 of plans, 3 or 4 sets, signed by the preparer of the plans. r�s�mplete plans, 3 or 4 sets, signed by the preparer of the plans. CJ'3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. VA4. ngineered truss details and layouts in duplicate. No faxes! Qo5. Energy compliance design and supporting documentation in duplicate. MA 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down cr foundation plans, all in duplicate. NA. 7. 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. Hazardous Material Form............................................................................... ❑ 13. Other �, Remain' 1g i`Aneeded oG sl- permtit.-wiy req 'r �t��al plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet.. ....................... 5'. Statement of Intent for Non -heated and A/C Buildings ................................. ... e.... �... 16. Sanit 'on and plot plan approval from the Environmental Health Department in of Chico Plumbing permit............ pro.v..............y 4ceCh California Department of Forestry p approval 0"paid.n�'by: .. ........19. Planning approval for (A) Use: (B)Parking: (C) Pareck: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. 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 (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 271. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ . Existing violations and/or expired permits......................................................... 0 ❑Grant Deed, H. tle/ t to a of Fac Le r o Legal Owner, ❑Check to H.C.D. $ Other: ' n issued Telephone and hold for pickup. I have been informed of the above items and requi for obtaining a building permit. YApplican . Date: 1. Index permit application for the above items numbered: %� t 1� ( b Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by p phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owne , w advised of the abov dat by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE 0 ( 0 — ca G® —063 OWNER, 1 A.P. # PROPOSED BUILDING USE / �' F DATE _ Q3 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ Revised Plan Checking Fee........p........................ $ 2. SCHOOL DISTRICT FEES ` CAC (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. ' 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK Pd 3Coq I/ $89.00 (paid at Building Division) 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. V/-APPLIC DATE 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 - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Feb 01 02 08:13a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDT---Q3- IVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 541 Rev. 12/96) �(�b_aSU-O03 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB ZONING BUILDING PERMIT O ­ER r /J n„� �, „ "Clio"a3 SO. FT.. OCC. BUILDING VALUATION OOWNER'S M714G,AnoV `sX XJ!/y - --- <-�'�x- _I CONrnACTOR'S NAME VI^^ M CONTRACTORS MAILING ADDRESS U l -CONSTRUCTION LENDEA LENDER'S MAIUNG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS -BUILDING ADDRES,S.-.5 3 P. 1'. LOT NO. I SUBDIV N'S U NAM USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK Now Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C I Filinq Fee /r 1 $ 20.001 Permit Fee . 44 otic L2- V IS c_c-, *PERMIT FEE PAXb SRA SHERIFF OTHER AAk6VW RECEMb S 114) 0Q I?0 •I NVAVM X51 " TO is PJT =4 TO COWVM miming sewer Mobile Home Energy Plan Checking -Fee $ ELECTRICAL PERMIT i° ':, $ r PERMIT FEE $ PARCEL MAP PLUMBING PERMIT ®, Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent GBS piping system 1 - 5 outlets I 44 otic L2- V IS c_c-, *PERMIT FEE PAXb SRA SHERIFF OTHER AAk6VW RECEMb S 114) 0Q I?0 •I NVAVM X51 " TO is PJT =4 TO COWVM miming sewer Mobile Home Hing Fee 20.00 7.00 23.00 15.00,1!5. Op 15.00 (� 15.00 15.00 @20.00 vv ig Fee 20.00 23.00 46.00 3.505F°: QG 7.50; Ex. Occup. OUTLET OR FDCTUReS PERMIT FEE ELECTRICAL PERMIT Main .Service e00v OR IEss � s00A OR LESS Main .Service ( 200A TO 1000A , NEW CONO . OR ADONIS. OWEILING OGCUP, A Acc a ns Hing Fee 20.00 7.00 23.00 15.00,1!5. Op 15.00 (� 15.00 15.00 @20.00 vv ig Fee 20.00 23.00 46.00 3.505F°: QG 7.50; Ex. Occup. OUTLET OR FDCTUReS 1001.0 BAIL .SO Ex. OCCU .FU(ED APPUIS. OR ovrttra Es10. EA 5.00 Temporary Service _ 23.00 Mobile Home Facilities 20.00 Misc. Wiring____23.00 PERMIT FEE $ MECHANICAL PERMIT Iing Fee 20.00 Heating 1 JAj".(U 157W Cooling Hood 6.50 i Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $44(/)108 Occ CONST. TYPE TOTAL FEE $4 62 ® r 0. FEES IMP I FLOOD I CDF I PARCEL I PO I HD I ISSUE - This permit permit is hereby issued under the applicable p'ruvirsrc)m of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. LBy Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I I x Tr A In 77 PT 0 Dec 18 02 08:07a PLAN REVISION Please complete the Following information in order to process your submittal. If this form is not complete, correct and legible. it may cause a delay in processing. Owner's Name: 40—)4�-2 Received By. (0 Date: 1'30 -63 A.P. #: Q Coo 063 Permit #: Time: ContactPhoneNumber: (Purpose of submittal: 07ermit Application Data Item ❑ Engineering ❑ Plan Revision BUILD T� 003 . f6* ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner- Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised dmwrings must clearly show .�.----- ------ - +-------- --=- When Approved, Process as Follows:- 13 ollows:❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call ❑ Deliver with neat inspection. {�4P.� D.7t,, and hold for pickup at the ❑ Chico Office ❑ Oroville Office Revised Plan Check Fee: ❑ S46.00 Receipt #: motional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: __ Receipt #: Dec 17 02 11:38a P, a .. 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. 1. I personally plan to provide the r r labor and materials for construction of the proposed property impro ent : YES NO ❑ 2. I HAVE HAVE NOT ❑ 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: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, 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 WOR{ SIGNED: PROPERTYOWNI : SOCIAL SECURITY NUMBER: NOTE. This Owner -Builder perification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a 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. 0 There may be financial risks for you if you do not carry out these obligations, and ihese risks are especially serious with respect to worker's compensation insurance. 0 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 "ownerhuilder" 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. - - Sinlarel , N icha t C. Vieira, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 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: SHAKE MILL RD #36 Owner: Permit NO: B07-1553 APN: 060-250-003 JON & LOIS MOREHEAD Issued Date: 07/17/2007 By KCG Permit type: MISCELLANEOUS 2200 OAK PARK AVE Subtype: Electrical CHICO, CA 95928 Expiration Date: 07/16/2008 Description: REPAIR ELECT BOX FOR CABIN # (530) 895-0580 Occupancy: Zoning: U Contractor Applicant: Square Footage: JON & LOIS MOREHEAD Building Garage Remdl/Addn 2200 OAK PARK AVE CHICO, CA 95928 Other Porch/Patio Total (530)895-0580 FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3924 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ' 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 Contractor's 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 07/17/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Plea check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, 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.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: -For (This seion need not a completed if the permit -is ct ona hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: (RTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT ISUED, 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' 0 /2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those -con s Signature ate visions. X 07/17/2007 ZAA �L - I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building IdI4 SYafqre Date W RN G: 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 Butte County, its officers, agents and employees from any and all claims and liability for personal A ALL 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 HURED 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 ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope caner or authoriz d to a he prop rty owner's behalf. CONSTRUCTION LENDING AGENCY _L ilg�Q -Z 7/17/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency N e of ermittee [ N] Print ate the performance of the wo-k for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. ElAgent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION Name Address Aq- City State Zip Phone Fax E-mail Aft APPLIgANrSIGNATURE . wnm PERMIT NO. fil BIN # PROJECT LOCATION API O e y Address AA 160_ C'o ;' U44 _ A 131 c- ity 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: L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Lasta e v� �� FirsName Mai ing A5 res CC City C StaE_ y Zips Pho _ ,_ O Fax .� E-mail APPLICANT INFORMATION Name Address Aq- City State Zip Phone Fax E-mail Aft APPLIgANrSIGNATURE . wnm PERMIT NO. fil BIN # PROJECT LOCATION API O e y Address AA 160_ C'o ;' U44 _ A 131 c- ity 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: L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name I Flood Zone Address SRA City No State Zip Phone Fax E-mail State License Number Class APPLICANT INFORMATION Name Address Aq- City State Zip Phone Fax E-mail Aft APPLIgANrSIGNATURE . wnm PERMIT NO. fil BIN # PROJECT LOCATION API O e y Address AA 160_ C'o ;' U44 _ A 131 c- ity 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: L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name I Flood Zone Address SRA City No State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address Aq- City State Zip Phone Fax E-mail Aft APPLIgANrSIGNATURE . wnm PERMIT NO. fil BIN # PROJECT LOCATION API O e y Address AA 160_ C'o ;' U44 _ A 131 c- ity 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: L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning I Flood Zone SRA Yes No Occ. Type Const. 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 OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 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 federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to 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 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PI, j,T0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.�S R NO) 2. I &VE VE NOT) 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS 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 Description: REPAIR ELECT BOX FOR CABIN #36 Reference Number: B07-1553 Applicant Name: JON & LOIS MOREHEAD Owner's Name: JON & LOIS MOREHEAD AP ii Signature of Property Owner: Date: :060-250-003 �� 1 �i/,o „'� �"� � �yj'(t "' � � r-- � y's.'t�a, .r .Y .. :kyr iw •„�..- - ,.... t' �. �-. �..Y,M r >'3e►. ' f 060-250-003 02-3205 RUTHERFORD, ANN BLUEBERRY MEADOW, JON ESVILLE - CABIN ##41 CONT: ROLF WEIDHOFER REPLACE ELECTRIC SERVICE PANEL COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541T Ng (Rev. 12/96) APPLICATION AND PERMIT ' :;I��``� ASSESSOR PARCEL NUMBER f ;;41) ZONING BUILDING PERMIT OWNER 'N TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 467 EMU' FIRST AVF_ 04TCO, CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 2 0.00 —FilingFee Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS [3LUEfsERRY MFAL�4W JOPdF.SVII.LE Energy Plan Checking Fee $ $ cabin Al PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE ELECTRICAL PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS OOOV 0-1 Main Service Za..OR LESS 23.00 2 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 III force and effect. ,�L License, Lic. No. J �.'v'' > > DECLARATION 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 shallTOTAL 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 those provisions. /f �% X 1 C.'l ✓/// /7-' Date / ` �Y} Z� Sigf(ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionr-� of structures over 3 stories in height. Main Service TO tOooA 46.00so NEW CONST. DWELLING UP. SO WE OR ADDNS. ( 6 ACC. BLnS. 3.5¢x. FgµR6IU ' MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR&f!2 ODORFO��I Ex, Occup. ®1aoOWNER-BUILDER Ex. Occu . oLITLEEDTSA R6Io.OFA 5.00 Tem orar Service 3.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ 66 HAZ. D. FEES IMP FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have -- ! By ✓< ' -VV Nx. i/ !" PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date q/ ' Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�qIT (Rev. 12/96) APPLICATION AND PERMIT ®�. Le ASSESSOR PARCEL NUMBER t __ 060-250-003 ZONING BUILDING PERMIT OWNER RlrrHPRPn'RD ANN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.09 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS BLUEBERRY MEADOW JONESVII LE Energy Plan Checking Fee $ cabin #41 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: REPLACE ELECTRICAL PANEL, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00- 0.00Main MainService ".*A OR 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 II force and effect.�/�/� QQ License Class Lic. No. �r/T7 S�'T7 OWNER -BUILDER DECLARATION 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. 111 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 Main Service TONO 46.00 NEW CONST. OWEWSO EE OCCUP. CU OR ADDNS. ( a ACC. BIDS. 3.50FT. =R61DT MU 0Ic,T,,TS@7,50 WER APPARATUS 8 POBINDLE OUTLET CIR. 0 0 I 00 �(, OCCU OUTLET OR FUTURES BAU FO(I Ex. Occup. ountrAPP E�SISo.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 e n 23 00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S 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.) 0 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f with co y with those provisions. X !� Date ���%�� �r Sigikature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ HAZ, D. FEES IMP FLooO CDF PARCEL I PD HO ISSUE 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. f/t Date oz VI/ BY — PERMIT EXPIRES ON 9 ) r (bate)I ReceiptNo. 363700 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Feb 01 02 08:13a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 T N (Rev.,2/gs)APPLICATION AND PERMIT --QZ" S� ASSESSOR PARCEL NU 20NIN0 BUILDING PERMIT r�0-�D-603 OWNER TELEPHONE �/J/o✓ ,t�j��, SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS --•------- .--- CONTRACTOR'S NAME /j_ 5 - w01z, :_yz TELEPHONE CONTRACTORS MNUNO ADORESS �6��sr--- •coNSTRUCnONLPNDER L6ZER'S MJUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER _ LICENSE NO. Fling Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ _ PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New 13Addition [IRemodel 13Ublities`E� Installation [3 Other E3 Describe Work: �����FCT2�C�L wN�'L_ Each gas water heater or vent 15.00 Gas Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 "PERAAIT FEE PAXb s SRA ; SHERIFF owk ; AA0VNT RECEMb ; . (� � Main Service NOV OR LESS 900A OR LESS Main Service ZOOA TO IOOOA 23.00 46.00 NEW CONOT. DWELLING OCCUP. �O, OR CONS. A ACC. BLDS. 3.5¢FT. cos . MULn•ounEr -- NON•RESID.CuTy @7.Sol POWER APPARATUS 6 SINGLE OUTLET LIR. Ex. Occup. 0,TEr OR FDRUREs BAL ,50 F11(ED APPINS. OR Ex. Occup. ovn.ETn EsID. eA5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise, Wi►in 23.00 R a3- PERMIT FEE s MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hoodi 6.50 Ventilation PERMIT FEE IS Mobile Home Installation Fee $ Energy Inspection Fee I $ A 0CC CONST. TYPE TOTAL FEE $ T TON WT � CO�• 0. FEES IMP FL000 CDF PARCEL PO I HOE • ----• This permit is hereby issued under the applicable prO si6ii•s Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been•pald. By Date RHITE-O. o. PERMIT EXPIRES ON WHITE -O.CANAgV•ASSESSOq PINK -INSPECTOR GOLDENROD -APPLICANT ` � EST FOR INSP CTI//ON 190, cation: c ,r? Permit No. &— 1lnz • Owner: 4 �l�fLn 6Wd Contractor: Comment: BLDG. PLUMB/M IC .H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Stucco Lath Stucco Brown Woodstove Brace Panel Top Out Gas Pipinglrest 1< Temp. Gas Sewer Piping Water Piping Underground Well Circuit Corrections Final Job Status Permit Renewal Verify Utilities Ex Mobile Site POOL Insulation Shower Pan Nailing Gunite Demo Bonding Corrections Corrections Corrections Light Niche Ready for Final Final Final Corrections Final Inspec. on:&—I� Date: Call Ll Phone: WE W 0 2 \% O • PRE -INSPECTION REPORT OWNER: LOCATION: CONTRACTOR: &YZE dzzjQ &22L PRE-IINSPETION FOR: /VGA � � L <f DATE TO INSPECTOR o1' 121PSRW SUQADYG Hu001ft Daalpgou CUM* Occup:ed Abaadoen Wvacw Electric• DATE: /�- O A.P. # ��� �� OV,2�L ZONING: ( ) AS FOLLOWS: OFFICE COPY b I fin, i Address GAS I Meter By Date-. ELECTRIC Meter By Date •Yes �No Electric mrentty On, pff_ Condition of Electric Gas: ✓ � a - Natural Propane None _ Cwrently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious Sewaaeproblems A106--Q- Comments: 106- - Comments: _. ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date Sketch buildings on reverse and indicate location on property. Feb 01 02 08:13a f-1 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) APPLICATION AND PERMIT ASS ESSOR PARCEL NUfIBER ZONNG OWNER lAeYAEP TELHONE OWNERS MAILING ADDRESS�[J------- CONTRACTOR'S NAME TELEPH/ONNE _ 6J ZZT! - CONTRAC70R5 MAILING ADORESV� ^ 14 5/5 -CONSTRUCTION LENDER 7L LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCNTECT OR ENGINEERS MARJNG ADDRESS euliDwc ADDRESS LOTNO. SUBONISIONSNAME I PARGFL "F USEOFSTRUCTURE SF 0-, Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 119. Installation ❑ Other ❑ Describe Work: _j� ` ��i2G�C�2�C%�L AV""2.._ "PERAUT FEE PAlb SRA SHERIFF OTHER AA0VNT RECEMb BUILDING PER SO. FT. I OCC. I BUILDING VALUATION Total Valuation Is Pilin Fee $ Permit Fee 3 Plan Checkin Fee $ Energy Plan Checking Fee $ s PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas nininn Svstam 1 . 6 nnNcfe ouiming sewer Mobile Home PERMIT FEE _ ELECTRICAL PERMIT Main Service aoov DR iEss aooA oR IEsc Main Service 200A TO 1000A NEW DONO . OWi311NO OGCUP. OR AOONS. a Ane m ne i OUTLET OR FIXTURES Service 20.00 20.00 7.00 23.00 15.00 15.00 15.00 15.00 020.00 Ig Fee 20.00 23.00 46.00 3.5Q�:1 97.50 _ SO 5.00 _ 23.00 20.00 23.00 PERMIT FEE i MECHANICAL PERMIT Filing Fee 1 20.00 1 Hood 6.501 1 PERMIT FES 1 2 Mobile Home Installation Fee $ Energy Inspection Fee $ coNH'- TYPETOTAL FEE $ 16 , (/v TOjr = ro v NASIMP FLOOD COF PARCEL PD NO I ISSUE , This permit is hereby Issued under the applicable pT'b'visi6n3 of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. — By Date Receipt No. PERMIT EXPIRES ON WHITE •D.D.S.•8.0. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD•APPLICANT