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Home My WebLink About062-200-1249 COUNTY,0PBUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: MICHAEL KEEFER C/O STANLEY WALDO ADDRESS: 5500 ARIZONA DRIVE CITY & STATE: CONCORD CA 94521 DATE OF CLAIM: 06/30/99 IMPORTANT. 'SUBMIT CLAIM TO DEPARTMENT RFrF1V1Arr_ rnnnc nn ffo ft— . SEE INSTRUCTIONS —-..._--�• ••••� �••.�.�.� v.� �cr[vi�,tJ i ON REVERSE SIDE DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Owner decided not to build. (AP #062-210-124BP#98-2887 receipt #257654 dated 12/15M owner: Stanley Waldo. Total amount paid $524.80 Retain refund processing fee $ 25.00 i Retain building permit filing fee $ 20.00 Retain plan checking fee $163.80 ' Retain SRA plan checking fee $ 43.00 Total amount to be retained $251.80 Total amount to be refunded $273.00 t TOTAL $273 100 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or deliver stated. ed, and that this claim is true and correct as Dated this day of �, 19agat C > i _ Calif. . Signature of Claima I, the undersigned, hereby certify that, to the best of my knowledge, the services a i I specified a hav been performed or delivered and that there is a i Budget Appropriation [ I or Specific Board Approval [ I (Check one) for the sam . f Dated this 21ST day of JULY 19 qqt OROVILLE Calif. De rtm nt Head or Authorized Deputv Dept. Code 440-002 Exp. Code 4210500 ! Dept. Code PAYABLE F OM CONSTRUCTION PERMITS �• Code FUND Dept Code PAYABLE FROM CodePAYABLE FROM FUND FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY EPT. & SUB. PROJ. SUB OBJ I CLAIM NO I INV NO INV DATE ENCUMB GROSS AMT June 30, 1999 Stanley V. Waldo 5500 Ari--cna Dr.Ve Concord, CA 94521 Dear Mr. & Mrs. Waldo: ffutte, county K� �` LAIJD OF kiATURAL W F ALTI-1 A1\ID BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Request for refund (A.P. #062-200-124) Your request for a refund was received by our office on 06/28/99. Please find attached a general claim form ready for signature. Our records indicate that the receipt was made out to Michael Keefer. The claim form must be signed by him. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, Mi ael C. Vieira Manager, Building Inspection MCV: aam .:. '- � •�.•t � i_. 1. . ri'.:• .. C J..i. a.. je 'r!!►V� t�' l= ti ..r !her ?f�ili�vRt 1,"'i �11:I� ,r i ti ". �!°:�'1 1' � '�°" '.;fir' ..1ai'(. ,'7� S •-yr-;� . - ''3"Laci�'v` . a utie ount LAND OF NATURAL WEALTH AND BEAUTY .,,a�,�`�.,F��sf -. - .sem • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 June 30, 1999 Stanley V. Waldo RE: Request for refund 5500 Arizona Drive (A.P. #062400-124) Concord, CA 94521 Dear Mr. & Mrs. Waldo: Your request for a refund was received by our office on 06/28/99. Please find attached a general claim form ready for signature. Our records indicate that the receipt was made out to Michael Keefer. The claim form must be signed by him. Please sign only where indicated and return to this office so that we may, process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, _ Miael C. Vieira Manager, Building Inspection MCV:aam 11 COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: MICHAEL KEEFER C/O STANLEY WALDO ADDRESS: 5500 ARIZONA DRIVE CITY & STATE: CONCORD, CA 94521 DATE OF CLAIM: 06/30/99 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Owner decided not to build. (Ap #062-200-124 BP#98-2887, receipt #257654 dated 12/15/98 owner: Stanley Waldo. Total amount paid $524.80 Retain refund processing fee $ 25.00 Retain building permit filing fee $ 20.00 Retain plan checking fee $163.80 Retain SRA plan checking fee $ 43.00 Total amount to be retained $251.80 Total amount to be refunded $273.00 TOTAL $273 00 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 , 19_, at Calif. Si nature 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) for the same. Dated this day of , 19_, at Calif. Department Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Ex . 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. CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) REFUND CLAIM APPLICATION OCOa - a o o -10-(4 Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. IGNATURE DATE PLEASE_ DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM ORM. DO NOT COMPLETE ANY 0THER INFORMATION ON THAT FORM. FOR BUILDING DIVISION USE.- Receipt SE: Receipt Information: nn n Number: a� / Date: �' U Issued To:C ��l Amount: 2 Fees Ret ined: Pr cessing Fee: $ Bldg Filing Fee: $ a� W Plbg Filing Fee: $ Elec Filing Fee: Mech Filing Fee Energy P/C Fee: /plan Check Fee: Inspection Fee: v/SRA Fee: P/r -- Total Amount Retained TOTAL REFUND DUE $ $ $ (aa go S $ 45, a'73.61i COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON RFVFRCF crnc OATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and thatis claim is true a d correct as stated. ated this day of , 19_, at , Calif. Signature of Claimant s, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and .hat there is a Budget Appropriation [ ) or Specific Board Approval ( ) (Check one) for the same. Dated this day of , 19_, at ,Calif. Department Head or Authorized Deputy Dept. Code -Dept. Code Oept Code Exp. Code PAYABLE FROM FUND Exp. Code PAYABLE FROM FUND Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE • AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS TO CLAIMANTS All claim's against the county must be itemized, giving dates and character of service rendered or work.. performed, quantities, description and unit prices of articles furnished or delivered.. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will 'expedite payment of claim, failure to do so may delay payment considerably. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT -025 '7 MUMI rARCKNUMM 200 f f Z mNea BUILDING PERMIT 01MNe"�` �� s�� SO. FT. OCC. BUILDING VALUATION �I ZT owNmm YAula 60oRese ,10 OONrPAMWO NAS! LJC/�L Tmm'mNE OCK AC10N1 YAUNe ADORER Com" mnONLme1 LOOM YNUNo ADOFAM Fireplace Total Valuation $ ARa+rncTaaENmNEEiI UceNO Flin Fee S 20.00 AReNrrEeT OR DIMMMy MALM ADDAM Permit Fee W -S(7 $ Plan Checking Fee . co $ OUL01N0AD IMS Energy Plan Checking Fee $ 01� IS -0 . PERMIT FEE _ , toTNo sueorimm"ovm PARCEL YAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF Cl Duplex 0 Wbifehome 13 Other Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Gas piping wyelsin 1 - 5 outlets 15.00 NewAddilon O Renwdel O UtlWee 0 Installation 0 Other 0' Building sewer 15.00 '� Mobile Home I S I G I WT— @20.00 Describe Work: PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20=OOR lEBE 23.00 Main Service 2NA IMA 48.00 NEW CONST. DWELUNGOCCU7. OR ADONS. t ACC. etDe. 9.5CF:Qr. IgNA®ID.NEW uumT. YULTFOUTLETBRAWN COMES @7.50 P9OWELI APPA i O Ctll ffMC i Ex. Occup. amET OR wcrtsEs 2001.00 SAL Ex. Occup. ovntis Win; OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 j Heatingi Cooling Hood 6.50 Ventilation PERMIT FE!_ i Mobile Home Installation Fee s Energy Inspection Fee S occ CONST. TrPE T TAL FEES 0 MAL D. R'EE9 W 9=0COf PARCEL PD ND SSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �— COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET � OWNER: i Jz Id -0 ASSESSOR PARCEL NUMBER: Proposed Building Use: s, , /— Building Inspector: Date: ///Z -9 e At time of permit application was advised the following data must be submitted prior to pe64 processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 113. Complete plans, 3/4 sets, signed by the preparer of plans. 11 �41. Vered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans: — '_----- eered truss details and layout in duplicate (required prior to plan review) No fates!-== ----------- El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------- -i------------------------------------ ❑ 8. H=anufactured us Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Home data and installation instructions including Tie Down Specifications. ------------------ 0. Fees of $ < < ------------------------------------------------------------------------------- V1192. Impact fees as shown on the attached schedule. --- - ------------ ----------------------------------------- . California Department of Forestry plan approva ee .-------- --- L- -- 1 ------------------------------- Ell 3 ------------------------------ ❑13.1 elevation certificate. ------------------------ ------------------------------ n n and plot plan approval ,,0 Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ------ ---------------------------------------------------------------------------- 11 16. of plan and business license approval from the City of Biggs. -------------------- - -------- -- -- - _-- _ -- g approval for (A) Use: O OK (B) Parking: N!A------�!-- YIRn,., . Contact Land Development about Improvements, ❑ Drainage, L (Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information (Number, Name Style, Classification). ----- --------------- =---- -------- ❑ 22. orkers' Compensation carrier and policy number.----------====� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P R T (Rev. 12/96) APPLICATIONAND�PERMIT ��DYE ASSESSOR PARCEL NUMBER 062-200-124 ZONING 1 BUILDING PERMIT OWNER 1; , - WALDO (925J TELEPHONE 619-7599 SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 5500 ARTZONA DR, CONCORD, CA 94991 CONTRACTOR'S NAME QVIIER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 75 OAK TREE - CREEK BERRY Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New IN Addition ❑ Remodel ❑ Utllities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V 0 R LESS Main Service 2o.AORLESS 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. ❑ 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 Main Service 200A TO IOOOA 46.00 NEW CONST. DWOlINO OCCUP. OR ADDNS. ( a ACC. sins. s0 3.50FT; NEW CONST..MULTI.OUTLET NON•RESID. U @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occu . ourteroR FocruREs BAS @':50 Ex. Occup. OUTLE°rsSRES D.OFsa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 provisions. Date Signature of Applicant - ❑ Qwner ❑ Contractor A 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 Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD 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. By Date PERMIT EXPIRES ON eta Receipt No. 757654 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y..�F yL COUNTY OF BUTTE DEPARTMENT OF DEVELOPMEN`r"SER\ICES - BUILDING. DIVISION 7 COUNTY CENTER DRIVE; OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER �� ;cJA-� AO A.P. #062.06 — /-zcf PROPOSED BUILDING USE dn4&A �' DATEIr 1. BUILDING PERMIT FEES -- Balance Due ................. -- Additional Fees Due ........... -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... 2. SCHOOL DISTRICT FEES (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 (paid at Building Division) Residential (per unit) . x _ _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $5.10.00 (paid at Building Division) ��7. SRA FIRE INSPECTION' AND PLAN CHECK $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 - RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT-� �� DATE - 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) „��,�i--.;y��._�� `� �..:"4'74•hi�iT � ��'rr?i--./'f+'r..-..;r4'�,.—L'�l�L�'SS. �.T:��L"r+s.+'.`v. ar^•�^}.`..yr-4c�Vlf`""'„}.�.�.•��~r�-`� th��7 h T r COUNTY OF^ BUTTE DEPARTMENT OF DEVELOPMENT 'SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES OWNER ? � ..DATE >/� PROPOSED BUILDING USE �14"�—G�-�j' �• ' f .. 1. BUILDING PERMIT FEES -- Balance Due ................ $ I -- Additional Fees Due ........... $ t -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ ✓ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Divis(n)j;� �-:4 Residential ......... x $360.00 =. $ Units Commercial (sq.ft.)... x $0.03 = $ 1.Sq. Ft. RECEIPT # DATE REC a 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . to/ x = $_ #Units Amt. Commercial (sq.ft.) .. x =$ ti Sq. F.. Amt. t� LM 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion 1f ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 0 x.57 6Pcl / z -/r- �F 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 Flan checking process. . APPLICANT 11 f rru�� ? l� `C�1A DATE 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 Div., 2nd Copy` Applicant 3rd Copy` -,Owner (Rev. 2/97) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING OWNER: MAIL ADDRESS: _4_2 . SITE ADDRESS: PROPOSED USE: .ONE: �y�elQssi�ied Vx UILDING PMT. # HONE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED -QUESTION 1{) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, or under notice of code violation? 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? 5. Will any advertising, on or off site, be associated with the use of this building? 6. Will this building be occupied at any time as a sleeping quarters? ' 7. Will this building be occupied at any time as an eating area? 8. Will this building be occupied at any time as a cooking area? 9. Will this building be occupied at any time as a living area? SITE CONDITIONS: Yes: No: Yes: No: 'C Yes: No: Will this building be heated or cooled? Yes: No: 16. Yes: No: No: x Yes: No: Yes: Yes: No: Will this building have a water heater? Yes: No: 19. Yes: No: %t 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet? Yes: No: x 17. Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes: No: 19. What type of floor covering will the building have? )? 20. What type of wall covering will the building have? Qy jy_ r L, C L — l 1®F V\6 eoc)4 tyl T kSi (1'e' i ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this Information If or when offered for sale. / OWNER'S SIGMA RE DATE '6ftblS SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: E.H. US O LY Plot Plan Attached Floor Plan Attached VA— Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Own Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for . Othero,$A- a 4 K3 Hold final for: Final clea'rance O.K. for: NOTE: I/b Environmental Ith Specialist Date 1kkOP0,56-.D AkI16 f L -r7 6- -azily IV O� C ,r.tO- 16061 hVi i DR IE�v -vironmental Health ate Signak - NOT To Sc466- 5.6 m (Rev. 12/96) DEC 1 7 1998 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC APPLICATION AND PERMIT �K-o2gg`7 Meme '""�""'�'D�Z �D"'NO BUILDINGPERMIT 01N1��c DOG L SO. FT. OCC. BUILDING VALUATION /�-1 owNena YwYo oRea Gfi— i y SL f co wm • xv f TMJFMNa ' CGHT& T011a Yi1LJN0 ADOflq CONBTf UMM U904 I UMOn MMUM ADDRESS Fire Ince Total Valuation b uta+rtecTOReNmNEHr o"ENO Filing Fee S 20.00 ARCW= On o+owesa MAL= MORrss Permit Fee 06 Plan Checkln Fee b euaDno �� ri Energy Plan CheckingFee i PERMIT FEE 4C7 d WTNo. sueormm"Wm 'ARCA MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex 0 Mobilehome O Other Water piping 15.00 .Peesv Each gas water heater or vent 15.00 TYPE OF WORK Gas pWng system 1 - 5 oudeb 15.00 New a Add 0 Remodel 0 Ull1111se O hsmMtion 0 Other a--- Building sower 15.00 Mobile Home I S I G I W Q20.00 Describe Work: PERMIT FEE _ ELECTRICAL PERMIT FlAn "Fee 20.00 Main Service =ooRRZ 23.00 Main Service 2NA TO t000A 46.00 NEW CONST. OWELL)10 OCCUP. OR ADONS. 3.5� ' a ACC. eiDa. I NO" -MM. " Yl1lTFOtlILET 07.50 POW91 APPAR4TLA S O OBl I EX. Occup. Oun.er OR FKnVM SAL @',50 foo AfPu+O. oR Ex. Occup.ovnFrO E9ro. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE b MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ i Mobile Home Installation Fee S Energy Inspection Fee S occ coNST. TYPE TOTAL FEE $ 0 . IIAZ 0. fEM WP ftG00 CDf pp AM f0 .O BSL This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �— ev0100e nu ' C z ENT HLL STRUCTURES AND EAK �F ALL EAS M� INCLUDING -�� OVERHANGS SHALL RE CL A SET BACK OF FT. FROM THE SIDE AND TY LINES AND ?� p FT. FROM THE REAR PE E ROAD CENTERLINE SHALL BE UIPMENT EXCEPT FT. FROM TH CLEAR OF STRUCTURED EQ FOR A 2 FT. SAVE OVER AN REVIEWED BY rLin G BUTTE CO. FIRE DEPT. r �v CALIF. DEPT- of FOR �looS6 11 approved as submitted , �1 approved i,,,vith conditions per attached sheet. 41- 12 - — Date Signature Cod 'v y� 3.9 NOT To ScAGE appy V s,6 _/�'------.46. DR Vg- � / 1 I ALL STRUCTURES AND EQUIPMENT INCLuv11V01- OVERHANGS SHALL BE CLEAR OF A L EA gEDE AND MENTS- A SET BACK OF —3-D— FT. FROM (7 FT. FROM THE REAR PROPERTY LINES EN ERLINE S ALL BD :FT. FROM THE ROAD C CLEAR OF S-TRUCTUREHAA G EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVER REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY �] approved as submitted approved with, conditions nc r mt.1(`i tid sheet. Signature 51.0. ��, 1 Wr' Date NOT To 5c46 6- aao� 5,6 v- CDF FIRE SAFE REQUIREMENTS LD if – Z-ec'>f 7 4s—. AP# PERMIT '# NAME Under authority of PRC 4290, the -following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections. will be made by the"Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [1]1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 .pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of '\ curvature -of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius -of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10• Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of . 'I_ , a Z - Z-0- Z� 7 dd .?��'7 Dai S. AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but 'less.than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more ,than 400 feet apart. [] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [%7 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. -Where a one-way provides entrance, used. Fuel Modification road with a single traffic lane a 50 foot turning radius shall be 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. r✓] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f_Aal inspection of a building permit. Page 2 of 3 4 2-x-0 -r Z gJf,)- Y 7 A/+ -j a J, AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to -30 Feet: -.Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A -or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property .line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry.veneer Metal Other Butte County Fire Department approved materials 1Z-() -qF Date Signature Page 3 of 3 CDF FIRE SAFE REQUIREMENTS 2-4f 7 Do AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire.Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1213.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of ,\ curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [,p 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. C-4 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3- . s ' 2 - Zo — I Zy-�1�� .?," % AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the.midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10` Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11_ Gates A1. Gate entrances shall be at least two feet wider than the roadway it serves. [% 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 "Setback for Structure Defensible Space. [�] 1. All parcels l acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. �✓] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site ,approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of "a building permit. Page 2 of 3 1 AP # PERMIT # Other Reauirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 1_0% of wall area toward property -line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 LAND DEVELOPMENT OROVILLE / CHICO�� BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. _ NAME OWNERS WS. NUMBER P — C21-0 0'^ / C3 PRINT LAST NAME FIRST 7a— � ADDRESS / LOCATION: �fii` ! ' EEL<7 L COUNTY ZONING V 1 DESIGNATION: FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: 7-- RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING: 41/0 / LOT 2 BOOK 7(,o PAGE COMPLIANCE WITH OLD SU IVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline _ 3. Comply with Zoning code for building setback from road. X4. Maintain a 100 ft. leachfield setback from all existing wells. �5. Maintain a . t:�O ft. leachfield setback from 9 w LEL- 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. ` —8. Connect to a public water supply. 9. Connect to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (fhermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 19. 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. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. 26. LD 6/98 FORMS\BLDG PERMIT CLEARANCE blitte county LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE * OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 'i Date: December 22, 1998 1 Permit Applicant: Stanley Waldo 5500 Arizona Drive Concord, CA 94521 With reference to the above subject, attached is: [X] Plan Check List Red Marked Calculations Red Marked Plans Other Action Required: ? Permit Number : 98-2887 Assessor Parcel 062-200-124 JXJ Comply with Plan Check List Resubmit Plans with Revisions As Required Return All Original Materials and Revised Plans to the Building Department Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney 0 I`s Date: December 22, 1998 Permit Applicant: Stanley Waldo 5500 Arizona Drive Concord, CA 94521 Permit Number: 98-2887 Assessor Parcel #: 062-200-124 I The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide engineered truss calculations (2 sets including layout). 2. Spacing for trusses is 2 foot on center. How is stairway 3 feet wide to fit between trusses? .j 3. Building will require lateral analysis as second floor is not conventionally framed. 'i 4. Remove everything from plans you are not using. 5. Bracing requirements from 2326.11.3 UBC require location, method and attachment method. Dura -Temp has nailing requirements for bracing. Provide on plans. 6. Foundation plane to include footing detail - not a note that footing shall extend required depth into undisturbed soil. 'I 7. Upstairs level may be used for storage only - not as a work shop or hobby room. (Which would require exiting directly to exterior.) 8. Square footage is 668 square foot upper level and 704 square foot lower level which equals 1436 square feet total. Plans may be picked up in Oroville office. Return 2 sets of engineered calculations, 2 sets of plans must be stamped and signed by engineer or architect. 2 sets of truss calculations with layout. �r r If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. i� Martha Whitney Ir cc: Michael Keefer+ Mercedes-Benz European Motors, Ltd. 2915 Broadway Oakland, California 94611 r r zo Jul_ �9 J 9---�--.. �- 6UA17Y �u� Ii,/q �rvi,SioN �. �PoG-moo-lam`` NOTES: 1. ALL EXTERIOR OVERALL DIMENSIONS IN FEET AND INCHES. ALL OTHER DIMENSIONS IN INCHES.. 2. INSULATE BUILDING PER TITIN 24 Rf_QWFEMENTS 9 i AREA: i FIRST FLOOR 672 SQ. FT. SECOND FLOOR 616 SQ. FT. TOTAL: 11288 SQ. FT. NOT INCLUDING OPTIONAL DORMERS i i t t 3 . � a 1 i i • 24'-0" I 6040 SL 4'_Or 4'-0" 8'-0" 8' DORMER OPTiONAL D 1/4� = 1,_o" L am s 0 L >' oma. 0 0 vv Ems; x cp O 04 CC M • ' � - ,-�PPpROVED f 1 �g�tte nt1 Neatth En��rO�me ate jr t t ' 1 J 1 . i y Xiy O.F. 411 NCADEA FIRST FLOOR P.LAN. i 1/4! = 1'_U' '. 1 1. S i t i 1ui ( 1 Z o_...�_._.._ -........ 24'-0" I 6040 SL 4'_Or 4'-0" 8'-0" 8' DORMER OPTiONAL D 1/4� = 1,_o" L am s 0 L >' oma. 0 0 vv Ems; x cp O 04 CC M • ' � - ,-�PPpROVED f 1 �g�tte nt1 Neatth En��rO�me ate jr t t ' 1 J 1 . i y Xiy O.F. 411 NCADEA FIRST FLOOR P.LAN. i 1/4! = 1'_U' '. � M 4040. SL 3' -Or' ' 31_0» 6'-0" i 6' DORMER t FLOOR P LAN �0. ;�l i -0" 2'-0" 24' !.1, — 22'-0" -is Oir09 [01 6040' SL SECOND FLOOR --PLAN 1 /4!v