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
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IN
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M
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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 '_--
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: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. FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EiCE.C�
'4:OR A 2 Fr EAVE OVERHANG.
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