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HomeMy WebLinkAbout062-310-030County of Butte Oroville, California GENERAL CLAIM CLAIMANT: First Federal Properties Inc ADDRESS: P.O. Box 3036 CITY & STATE: Diamond Springs, CA 95619 DATE OF CLAIM: 01/04/06 13V.39 •✓ ,.,,Jl 1060 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 062-310-030 Permit No.: NO5;208 PAID RETAINED REFUND Development Services $ 329.94 $ 274.95 $ 54.99 THERM DRNG $ - $ - $ - SMIP $ - $ - $ - SHR $ - $ - $ - SRA $ 95.00 $ 95.00 $ - TOTAL $ 424.94 $ 369.95 $ 54.99 �i2EA1 IiOV1!N ::::.....SU...... :ACCOCJNT :AMOUNT: 101001 DVLPMNT SVC 440-001 42105001 54.99 1011822 THERM DRNG 1800 280 $ ............ 1011430 SMTP 1001. 280 $ 1011811., SHR 1800 280 $ 101001 SRA 0100 4617240 $ - TOTAL $ 54.99 $ 54.99 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been claim is true and correct as stated. Dated this 0 day of M!-'T� 7, 2006, at 0"" Cal'rf. or delivered, and that this of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified aboJa,baue be erformed o delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the sa Dated this day of / f✓ 2006, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN 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. isplay Revenue Status • 'DISPLAY REVENUE STATUS FUND_ 0010 BUDGET UNIT _ I440001 ACCOUNT 4210500 C PROD/TASK Jl PROJ/TASK ACCT CASH ACCOUNT 101001 TR VENDOR T26787 FI RECEIVABLE ACCT DISBURSE FUND 1505 CO ENCUMBRANCE 1�0 J E NUMBER INVOICE/RECEIPT 062-310-030 AMOUNT 54. SALES/USE TAX 0• DESCRIPTION PERMIT RFD ENTERED BY kathleen WARRANT NO CLICK 'OK' TO CONTINUq�]_ 0 A—ri.r=D_T. nn —a,/ f) COUNTY GENERAL FUND YEAR DEVELOPMENT SERVICES PERIOD ONSTRUCTIN PERMITS TRANS CODE TRANS DATE rrrrrrrrirr+wrrr DATE ENTERED EASURY CASH DUE DATE RST FEDERAL PROPERTIES INVOICE DATE DISCOUNT AMT WARRANTS CLRNG F 1505 CHECK NUMBER CHECK DATE PARTIAL/FINAL 1099 99 CLEARED 001[-0.001 VOID CONTROL NO BANK CODE NOTES _ J OK Return tiotru.rerS rYrrr r.® Object Exit 1/4/2006 Vg10 s L� Butte County Department of Development Services www.buttecountV.netldds - 7 County Center Drive Oroville, CA 95965 . (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING First Federal Properties, Inc. P.O. Box 3036 Diamond Springs, CA 95619 RE:. ..Permit.No..05-2087 APN#.062-31.07030_ _.. Owner: Savage. _ _ ..... On 8/5/2005, a deposit was made in the amount of $424.9.4, of which $369.95 was retained. 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 amount of $54.99. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Cleric, Senior Administrative Division enclosure 05-2087.1tr 0 County ® 'Butte Oroville, California GENERAL CLAIM CLAIMANT: First Federal Properties Inc ADDRESS: P.O. Box 3036 CITY & STATE: Diamond Springs, CA 95619 DATE OF CLAIM: 01/04/06 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 062-310-030 Permit No.: 05-2087 PAID RETAINED REFUND Development Services $ 329.94 $ 274.95 $ 54.99 THERM DRNG $ - $ - $ - SMIP $ - $ - $ SHR $ - $ - $ - SRA $ 95.00 $ 95.00 $ - TOTAL $ 424.94 $ 369.95 $ 54.99 .............I.............................. ............ ............................................ ............ .. ..::. ............................................................ ............................................. RRCAI DO��VN ::::::::: .............. .............. BUbGET :.: ............. ............. .............. ACCOUNT` .............. ............. .............. ............. : Alv(Ol INT: 101001 DVLPMNT SVC 440-001 4210500 $ 54.99 1011822 THERM DRNG 1.800 280 $ - 1011430 SMIP 1001 280 $ 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 S - TOTAL $ 54.99 $ 54.99 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 2006, 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) for the same. Dated this day of , 2006, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITF RFI OW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. ITY & STATE: ATE OF CLAIM: NUMBER: DATE: ISSUED TO: CHECK M AMOUNT: PERMIT M IOR REFUNDS: ES VERIFIED DETAIL BLDG 'from Plan Ct OTHER BLDG Bldg Inspection - SRA REFUND PROCESS FEE BUILDING TOTAL THERM DRNG SMTP SHR SRA APPROVAL Date Reviewed Scott Rutherford Chief Building Inspector REFUND CALCULATION SHEET First Federal Properties Inc P.O. Box 3036 Diamond Springs, CA 95619 12/22/05 APN: 062-310-030 RECEIPT INFORMATION 434971 05-2087 P Time 109.98 X REFUND BREAKDOWN Title BLDG Fund 0010 Dept 440-001 Accnt 4210500 Cash 101001 AID RETAIN REFUND THRM DRNG AUD SUSP SHER DEV FEE FIRE 1800 1001 1800 0100 HRM DRN (SMTP) (SHR) (SRA) 280 280 280 4617240 1011822 1011430 1011811 101001 219.96 0.00 0.00 :::::::::::::::::::::::::::::.::::::::::::: 219.96 219.96 0.00 0.00 :::::::::::::::::::::::::::.... ::.... . .... :::: : 0.00 1 0.001 0.00 0.00 54.99 54.99 -54.99 329.94 274.95 54.99 0.00 0.00 0.00 95.00 95.001 0.00 1 $ 424.94 $ 369.95 $ 54.99 $ 54.99 1 $ - I $ - Is - Is - CHECK: $54.99 12/22/2005 DIFFERENCE: $0.00 (Should be blank) Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for payment processing. CLAIMANT'S NAME: !/u i- epe, z o rL ?aotae.¢,fles Fo os- a3 p :3- G 0144 am fjl WK CA— -62 9 MAILING ADDRESS: ('�,p ) jc? L - �� S4 PHONE: ASSESSOR'S PARCEL NO.: [Please use one claim form per permit.] BLDG PERMIT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 4 3 q. t7l RECEIPT NO.: `6 / .0 S / RECEIPT DATE: �� RECEIPT AMOUNT:�� REASON FOR REFUND REQUEST: Caw 7�Z �YAi b DI—Z7— 60012-�-, 00 U't ^ 00 rn is y10 be Check those fees which you wish to have considered for refund: Building Permit Fees OSheriff Fees OSRA Fees (CDF Fire Planning) Other (specify): Plans for cancelled permits will be,disposed of within`10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature y�� 7 K:/Forms/Refund Application 0$2 03 _ �1 Date BUTTE COUNTY /fVP PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP 0520 . OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN # Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name�7F}li/i(aE irst Name ` A�1� Address0 �c O 36 CityPfP'*oN�> w t, S State Zip 6 t 9 Phone_,; -3o 621-6 Fax 530 6- 32/ E-mail Atii� �4 a66 VA174t> Qlyl- APPLICANT NAME CONTRACTOR Name e� �fl• C/ tlSS Address Fzi City State Zip 4 Sfl6 Phone530 D3 Fax 53 t7 .51R7' j 3 E-mail E-mail Lic. # 6 Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Fzi City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Gad re,, Address City State Fzi Phone Fax E-mail _—A NTSIGNATURE �v -- For 'ce a only: AP# o — 030 Zoning Sal u Zone x SRA Yes No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# o — 030 Property Address 0A4 t� u City i/J- Cross Street , N i t%2 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- eek/ MTt i Slit, hm f �Iw 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. 16P x'4ay Received by:K, �. Amount: 21q . 9 G Bldg 1ny .946 SRA Receipt #: J -79j �-71 Sheriff SMIP Date: — "J� Q 0 1.1 Q Other 1 a i Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 Ia SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a �rmit. INCOMPLET SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site piano 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. 5. Statement of Intent for NQ;! l ated C for Non -Residential Buildings. 6. Manufactured homes: ( installation inst, B) Marriage line info, (C) Floor Plan, ( Tie dow 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). 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. Worker's 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 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. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 NOTES RESIDENTIAL PERMIT NO. 062-310-030 SAVAGE, PAUL OAK DR, BERRY CREEK CONT: MATT BURRUSS M/H PERM FND(NEW) p SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY = OK =Not OK = NotApplicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date 2. Soils; Special MH Support Sketch Date 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 1. Zoning Requirements -Setbacks -Easements 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L °ft1 P LPG 7. Well Clearance & Disconnect 3. Blocking 8. Utility Clearance 4. Gas; MH Test -Demand -Valve Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 7. Water and Sewer Connected 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 9. Exits 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 11. Verify #'s with Office 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Card B-1 Date 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-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-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 J=OK o = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Clippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water HV.; 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 72. Elec. Outlets at Wood Panel, Int. & Ext. 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 Al -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 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 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 FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing 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 AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. 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. 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-Underftr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration-WallsA indows Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Plartters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date 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: 5• •�Po52o�7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Sawa of ASSESSOR PARCEL NUMBER v Proposed Building Use: New MN NtUd Silt �PVM TND. Permit Technician: K . V • Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 'E13V 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 faxesl ❑ 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 AIC for Non -Residential Buildings. LT8 Manufactured homes: (ANstallat_ manual, including marriage line info, (C F oo n, (D) Tie down oral ns, all in duplicate. �- ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for nori-residential buildings ❑ 12. Hazardous Material Form ',d_tJ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other R aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 0 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ '\Z20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. o 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the Cjty of Biggs ............................. // 23. California Department of Forestry plan approval paid. Sent by:TS%105 24. Planning approval for (A) Use: �(B)Parking: (C) Parcel Check:...11........ 3 D Cl 25. Contact Land Development about _ Improvements, _ Drainage ........................ f 420 26. NPDES Form..........,.............................................................................•........ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ....................:....... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ' ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... 4*1 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. De d Restriction.............................................................................�.. ... ;:��, '35. Legal description, ❑ M.H. Title, title search, registration'CO;.........:�`....,...:.: 7; ❑ 36. Other: 1 ❑ 37. Other: When issued Telephone S' 30 - C S 3- O Go �! and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant,,-01�1�= Date: 1. Index permit application for the above items numbered: Plan Check Letter al items required (Contractor esigner, owner, was advised of the above data by phone, ❑mail, ❑counter, by Date J Con rac or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by:. Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE 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 av A.P. # 0Cp 2_',�y IUO PROPROSED BUILDING USE �kW M N Q11 P f , �P�t� �j DATE D S - () 5 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES ��q --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ -- Additional plan checking Fee.... $ /�-- 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available ifter Plan Check) SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. r Q �4. RECREATION DISTRICT FEES f ('Q}Pr �1V�PP ` C7tVQ� qlj�� / (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMEN_T IMPACT FEES COUNTY WIDE (per dwelling) $ i I%_7. CHICO 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) y 8. SMIP 9. DRAINAGE FEE 10. OTHER 11. OTHER 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 during the plan checking process. APPLICANT,�2 --� 1:_ 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 Division Yellow -Applicant Pink -Owner (rev. 7/05) County De 'artinciii of-Developinciit Scj- ices 0 0,1 0 .Butte 7 County Center Drive ° ° °\'�,:.5 ° Oroville, CA 95965 -,G~ ° 4' ° (530) 538-7601 Telephone cOu14, (530) 538-7785 Facsimile BUILDING PERMIT, APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pennit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities; including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. - a I am required to bring the approved Environmental Health site plan and approved sanitation. clearance to the Building Division as soon as clearance is obtained ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to, all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: ;d,;, z✓ 4 Sa. 2. / r IAPN: /'�) lt� z- 2/0 — 630 Building site address: 644 14vf== ZdyAyc1,eX- Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE Department o.f Public Works C o u n t y o f B u t t e 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 Systern (NPDES) Phase l Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE Project Description: S' 1"e Project Location andlor Parcel Number: b (� Z- — 1 O — D 3 0 By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit fron 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. Signed: Title: Date:s'- SITE PLAN REVIEW APPLICATION Date: 1,2-3 AP# Permit Number (if applicable) 05-- o26F 7 APPLICANT INFORMATION D. Parcel Size: Owners Name: Owners Address: box 30,36 4,,�narka/ s 95 Telephone No.: Situs Address: ��(.s'� leu (!f. Proposed Use: Residential ❑ New Single Family Residential Single Family Addition ❑ Single Family Remodel Mobile Home /'k, ❑ Residential Ac essd ory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved* Date 91 LLJ3,06_ Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: s Snow Load Area: x000 ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: j)(oQ0C, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: - ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: U 0 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 0* Zoning Code Streets & Highways Fire Prevention Subdivision Map Front "Za , 7n / 13 SL Side S I S Side Street !Q t Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 0* w. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other 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 Q 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 v Il Subdivision Map/Parcel Map: Map Date of Recording: 3 63 Lot: / (),-)- ❑ Use Permit/Minor Use Permit Permit Number: Book: J Date of Approval: Page: � 3 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 Page 4 of 5 x x 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. CAL.arryslBuilding Permit Site Plan Reviewl.doe Page 5 of 5 Rv>deraso Pii,vs, /x., o Co/'/rnio corparofion, Yhc owxrs of thaw YY'vcA of /one inc/ud<ed uirthrn Ahe Pondemto P.ne-s s-bev'sion, Sond Cr�k Un;', os shown on the, /sop onne.rad haroAo, do - carti%y /hof we one /ha only parsons whose consen/ /i nocassory Aa,pass c%or I/i/a fo seal /0170' and wa consent &Ahm p.rporoon 0170' rocerdolion of soi J map os shown wrlhin the co%red border /Inas. A/l./o/ /nes run /0 the can/or of Aha rood oral o// roods w.Ahin /his subd vision ore pr;vo/a, but sr.bjec/ 10eose.»an /s o/0179 0170' w.lhin said roods for pub/'c .";/"/yof c;/'/i1es. 4' sa anAs olho lhon in the roods ore o. .r h.- on the crop. PONOEROSq P/NES , /AC. Sarre ivr sraio .r CaNrmn;. V C. -My of B.rtto o-.... F.e.b.Konf..z5-_ M4 ,bafon, me _NLL'i. .... e Nofej Puhfic, in and few __8.ra1% Co.mty, kelp d /.7er.+i ?*,tap9-Ppearod Ghee[es.1i:.Macyenre./h.:...0.o4_..Ema^s..JL..Macgen/n/h to me to be the.. Pans<de-n/.....an0' . Se+crP/oly......._........_.._................ oi"fh. eorpor-I:- flat -.-weed the wiehie fmtrummsf, end doe 4newn to ma Io be the Ponos who esaeut-d it .n behalf of such cerpweffon and eA owkdged I. mo such .-P-H." executed the same. 77�% MyCammitsion..l ..1/ . .. ' (.._.__...... 4_.R:..Rf?R.=_..........._.__.._....._.., f_.by cedity ihef I am • Ryguf�od Chin figin-w of the St.fa of Caf-d.; that the —ad map of :v.._...`._.: _...........:.. FbNOE.Q. .............._.._ .... ._........_._.._..._... ... --' cmrec-* mprownh a am" meds sudor my suporvtrm in .�NO4Wj_B2P�.:;_J962 thN the survey is comphNo n shown. Chet the -.0..h.- thpraao waist a.4 ere c: the clwacfer and ectopy the poailioes Indicated and are aNflcienf to emsb6 the surrey to be rhe ced. 0.2 Roper .Pit' 1, ..._......__.,W hop.........'-'---._ ___.. Macto, of Plc +!r g sf the PtAW41M % COMMISSION Of THE COUNTY OF BUTTE. State of GBfenca. de heroby .edify the' the areesed fed nap of ... ... ..... ,...___......_.......__... .. ....... ... ...._ .. .. .PONOEQOy_j_ P/NES,,, SUBON/S/ON,,.,S!,QND.,C2EEK !/•V/T.,, ,.,_, „ .e.iwm. substawfiegy with the .ubdirisio. de:ryr down ee ate TerwNivo Map .which w as .pprwod by fhb Co 1.6n on the .2.3 • �.. day N ......._ T. ..... ... ... .... 19. 6.2. I..... . R P 0.'..Net//...._...._._......_. ......, Dimctm .! K'bu V.W6 ei I'- COUNTY OF BUTTE St.N of C vomie. do hm-by c-riffy ft., 1 have exeminnd the Final mep of , PoNDEQ0.S,.9. P/NES _SUBDIV/S!LY✓ .Sq ND C.PEEK„ UN/T and Chet it it .ubdanti.By the xerne as whet eppmn on +M_ Tent.fnr Mee on R: end cry approved ah.eratfam, that aB the provhiom of the Subdwfrion Man Act .f thv S:Ne of C "Tomie, .-d --r hoed ord'maneos-Pplkab'. of the time .f epp,o 1 N :cid Tenfefiva Map ibeen complied with, o,0' 1 am saf:.frod teehniceIt- rarrect. O re or f Pub/ic Wor,Es R P O SVei//, /ZG.E 6696 ,__„FN Sea/Y Ji^........_ ...... Auditor of 11,oTTE o COUNTY OF BU, Staf. hof Wffo.nia do hereby a Vfy that there era no to. Bee- ega..nf,....___.._. ......................... FbNDEgOS,q,,,,,P/.v„ES,SCNO_CQE`K„UwviT_.. e: Broin sN f.rth, w unpaid Sete. Cmmty, M,mieipal. o. 645”. -6.1 nce« mmh rot yet payabb. Taxes w auemm.f: which are a P.0' tMd' :'nnf yvt payaNe, 1 mV.. :f .. mora to M ie the amouaf N _a.e�Ardifm _.w.e✓�.—._.. I do herby certify thN en the }_b f7k day of 49.93 r..c BUTTE COUNTY BOARD OF SUPERVISORS offci.11y npp.-d the Subdivision Map el pavDE205y.,_P/NES _ SUBR!V/5/ON,.,_ SANO_CPEEr . UN/T ......................... ._..._................. ............ .... _..__._...._.._._._.._... 16 mceip..4 eat;:feamy -ity m the AUDITOR'S mli-ted amouN of f_._$._ -.....to in- paymml of f- .;;ch .re . Bee but ..t yet peybie wee ache.lodgod. _Fir_SL,.LedarSl,.licher.Circle.. 00k.SL,.PondxOw..Qr,,......... Smpr➢iBe._Df.,.wA._Nadrvrz_SL.;...... _............ ...........aaaa ........_..._..... .I-.. .. said. ...... bli..... mapsiid n.I m-fad.fa�t¢dimTiori'ed nae eaf� ed_cn boMY oS He blit for rood pwpm- .._... g .%. _S...e..�..o�.ers..._. at Coemy Cfert w Deputy 30-1 R.c4.d in the off of Ile R -o W ef BUTTE COUNTY, State N CaGfomie, N the quml N 191.3. N 30_ minus -s Pd ..2..... edodA M.. in Map Bock ?0.. N 90'••/�..Q aa..L ...... .... e i1 Camay Reeerder tS Ar. ...._._._._.... _.D p iy .._....__..._.__._.-.. PONDEROSA PINES SUBDIVISION SAND CREEK UNIT Portion N.W. 1/4,Section 35,T.21 N,R.5 E. OWNERS & SUBDIVIDERS -PONDEROSA PINES INC. SAN JOSE, CALIFORNIA a R.ROPER R.G.E. 11553 OROVILLE CALIFORNIA JANUARY, 1963 1 OF 3 41- 155 iF6 1 S� 1 �'8 lFb 31 15 61 30 19 9 'F`32 1 98 153 162 1( x-1 �t,_.t: . . ..... 29 eR. ¢ 152 •3 2 151 Al IfF, iC8 , `�.. 150'-, 7' 6 . . . . . 166 3 __26 9 146R 1100 p25� 94 -,38 /145 2 39 4 I u, -144 9 9223 40 4 3 J -3 170 � A91 aFMOj 5% .41 1/1 90 142 T' 42 20" _105 8 43 r0003 r1l.111117 subdivision141 are 0,P1l1,f7,F eO,4,05 106 J7.25 /�/ '� 88 ai a 1A v, 18 139 4 1 0; 4 17 lz M F; 86 PONDEROSA PINES SUBDIVISION 109 4 6 SAND CREEK UNIT 1/ 15 ­' Z Portion N.W. Section 35,T.21 N,R.5E. 47 OWNERS 5 SUBDIVIDERS -PONDEROSA PINES INC. -SAN JOSE,CALIFORNIA 85 N.- D R. ROPER PC.E. 11553 O�OVILLE CALIFORNIA JANUARY 1963 SCALE 1*- 100' 3 OF 3 BUTTE COUNTY ;fie PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP �L-0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION AUG t y 2005 BIN # Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER CONTRACTOR Last Name A r irst Name ' Address )-_7�6 .� iJ 3% Zip City�.H `J`� 9ia:4'['S State . Zip �7 5�6 (C( PhoneG2i-,I� �3u - Fax 530 • z 6- 321 Email 47�a✓(_,�r4 Fax 53 0 E • 31 APPLICANT NAME CONTRACTOR Name Name ✓�A° L' u'SS Zip Address Fax City G Stated Zip Phone�� Fax Fax 53 0 E • 31 E-mail State License Number Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Subdivision Name Fax E-mail Page State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail For ce a only: AP# 0 - 030 Zoning leg Zone I X i SRA r Yes No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# 0 - 030 Property Address C'ty Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: VeIV Mq 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. Received by: V , ( Receipt #:9 � n1-7 i Date: 06 — .�— O �3 W X L0j Amount: 2-119 QC -A Bldg 1 n I . �I O SRA Sheriff SMIP � ! Other ij ��� ,'1 �1 Total REV 2-24-05 M CDF FIRE SAFE REQUIREMENTS AP# 062-310-030 PERMIT # 05-2087 NAME: Savage Under authority of Public Resources Code Sec. 4290, the following checked items are required T by the Butte County Fire Department and made a part of this permit. These requirements are 1�1 J1 minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors,will make compliance inspections. Driveway Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. Pq Grade: Not to exceed 16 percent unless paved. Driveway Radius (X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 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 radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [XJ Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and T T unobstructed vertical clearance of 15 feet along its entire length. [�v� [X] 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. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 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 the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [ ] 1. All parcels 1 acre and larger shall provide a.minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [X] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [X] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose, any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ 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: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials 08/17/2005 Darren Read Date Signature CDF FIRE SAFE REQUIREMENTS AP# 062-310-030 PERMIT # 05-2087 NAME: Savage Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius r [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 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 radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide' a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 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. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 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 the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. C [IDA F F I R E IN 10 I R E M E N T S Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [X] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [X] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ 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: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials 08/17/2005 Date Darren Read Signature c D F IH- PJ d c, w T fi'ti✓zc .C. �. r `r'ii'=V'IEVVED .EjjTTE CC). FIRE DEPT. CALI;•. 6�E�'T. afi FORESTRY"ed ;9.S submittod &c. roved with oonditioilS Ott ohsd et. Q.� n`o .Signature '_-- X �o L �3 0 :ALL MUCTURES AND EQUIPMENT INCLUDWOW OVERHANGS SHA ESE CLEAR OF ALL. EASEMENTS. SET BACK ®FS o F'. FRC;"A THE Sb®L AND y FT. FROM THE REAR PROPERTY LINES AND Fr. 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