Loading...
HomeMy WebLinkAbout062-710-010Butte County Department of Development Services. au' TE- FRFa IN O T E S 7 County Center Drive, Oroville, CA 95965 (530)538-7601 vnvw.butlecoLmtyneVdds RESIDENTIAL_ APN:- Permit No. Owner. 062-710-010 06-0569 RABJNOWITZ, ET AL, Site address: COFFEY LN, BERRY CREEK CONT—OWNER— Contractor ONT—OWNERContractor. MH,P.ERM_FND (NEW) I�J , _ Type of Permit: 4 37 3 alp OS'I D ✓ Decd oG Q _ 2q0-5 � 3 OFFICE COPY J I Bldg Permit: r r � Address: i GAS B It Y Date:/ . " Electric By. /� . I - Dat, i —1 - o)` SPECIAL CO SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT 'WkSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY �1 DATE JOB FINALED: D a to� .. _ SIGNATURE- F } t I SPECIAL CO SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT 'WkSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY �1 DATE JOB FINALED: D a to� .. _ SIGNATURE- F } r r ` = 0K. Y MANUFACTURED HOMES ; MISCELLANEOUS DAT RMANENT FOUNDATION Lj SOFT -SET DATE ID E C K S -C O V E R S`C A RP O RTS `G A RAG E S F 1 Zoning -Setbacks -Easements .Q Hing -Setbacks -Easements Special MH Support Sketch 4 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel Se ; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing octn-Test-Easement Needed -Regulator !f-Clrncs-Grnd Amp -Concrete Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Gas; Loctn-Test-Wrap Nat 0 or LP � Frmg-Brcng rd . Inch Sz �Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs g; Sz-Spacing-Marriage Line T ' 6 Carports; Wndws-Doors Gas- MH Test-Demand-Valve-Cnncir : n 1. 7 Electric ec MH Cntnty Test-Crossovers-Breakers-Clrncs } 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 am; MH Test -Fall -Flex Cnnctr i 9 Siding; Nailing -Veneer -Stucco -Lath 1 Sewer Connected -C/O to Grade 10 Roof-, Shthg-Roofing 1 as and Electricity ged # 11 Ext; Steps -Doors -Landings f Braced Wall - 13 Ti owns Foundation 0 12 pnls • its 15 CjVA of Occupancy _ ° ' °� °tee HUD Label/Insignia Numbers Serial Numbers {' DATE IPOOLS 1 Setbacks -Easements j 2 Soils; Compaction -Structure Stability " - 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 4� s` 5 Elec Pool Lting; 15 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5' Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Boxes-Encis rs-pnlboards-insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test { 11 Lt Niche t 12 Enclsr, Fencing -Alarms vrlazm �/ w / 7 `` { 13 Bonding, Diving board or Slide o' • + e i Fool Drawing r I '• � � .� 's 'g �� coo 2 g � { = OK = Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts -Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c` aT� o'er e� tmac` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-CImc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Wi dth-Hdrm-Ris e -Run -Lan din g -Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fn&ri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 63 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters DYes DNo °�• 87 Stucco Brown -Finish ° °�� m 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cirrs in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga CU or 0 A 98 Address Posted AC Wire Sz, 9aD CU or DAL 99. Fire Sprinkler 48 Range Circ ga CU or AL Oven Circ ga D CU or ❑ AL Insulated Neutral O Yes ❑ No 4$ 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector COUNTY OF BUTTE 11-4 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining _!p. this matter, or need additional. explanation, please contact the Building Inspector as ind' ed below. • A I PC r Date ? - (r 07 Inspector 61� r' REV 4/05 Phone If r ol r FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 u COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 t CORRECTION NOTICE /�✓a Lu��z �.Y o�6? ? OWNER PERMIT NO. M A routine inspection indicates that the following violations of Butte County Ordinances exist at ;i the above address and should be corrected. Please call for re -inspection when correction of i'� work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. �A _ `! Date Inspector / REV 4/05 Phone #:.x FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 j BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060569 B. C. Building Permit u1 -1b -u4 pg i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/17/2006 APN: 062-710-010-000 the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Site Address: 56 COFFEY LN BCK Map Index: Date: Contractor: Description: NEW MH NEW SITE PERM FNDN (1056) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RABINOWITZ, ALFRED &JANIS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a CHIVRELL, KLYDE & SUZANNE signed statement that he or she is licensed pursuant to the provisions of PO BOX 1608 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95965 she is exempt therefrom and the basis for the alleged exemption. Any (530)589-1011 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RABINOWITZ, ALFRED & JANIS Code: The Contractors' State License Law does not apply to an CHIVRELL, KLYDE & SUZANNE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 1608 provided that such improvements are not intended or offered for OROVILLE, CA 95965 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 589-1011 proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractors' State License Law.). ❑ [am Exempt under Article 3 of lh Business d Professi s Code -1746 Date:S Owner: License #: WORKERS' COMPE ATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1056 S.F. Policy #: Valuation: $68,640.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to cj11 ! �.2 become subject to the workers' compensation laws of California, l� 1 •� and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall y ���� forthwith comply with those provisions. ! Date: u a Applicant: Is �`��►l'1 WARNING: Failure to secure workers' compensation coverage 1 unlawful, and shall subject an employer to criminal penalties and one-17�Or hundred thousand dollars ($100,000), in addition to the cost of 1p compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or - I hereby affirm that there is a construction lending agency for the Resoluti ns to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)At I F6 '5, IT D%„ By: 6 Name: ^^Date: PERMI EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have- read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of BZCouI hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. AG r9 M13 /A)OW ��� �I Print Name: _ 4�D Signature: 7- r% 67 Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit u1 -1b -u4 pg i /LQ/I/i"U&11TZ t BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name/ first e/ AddressD D y c� City t/U v d6 Stat Ad s Phone �3p Qg--� ?o Fax E-mail ,,ed& -n 424,-"1,Q '. CONTRACTOR Name Address City a State Zip Phone Fax E-mail Lid. # Class ` ARCHITECT/ENGINEER Name Flood Zone Ad s SRA City ,. Zip�� S_ State Zip Phone E-mail '� Fax E-mail Planner State License Number ` APPLICANT INFORMATION Name Address Flood Zone City /+I/' o SRA State/ n (��-/�v Zip�� S_ Pio ev ff /v / Fax �& _40? E-mail '� C /l I of APPLICANT SIGNATURE X For office use only: Zoning Pro ert Address Flood Zone Cross Street 1 r SRA WORKER'S COMPENSATION No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PROJECT LOCATION AP# C.` c ' % /-10/0 Pro ert Address 'ty Cross Street 1 r WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq - Livin b Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy • (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS IL K•\Fr1RhAC\RI m nimr: Fr1RhAR\R1rinAnn1CiihRnmtc rinr. Paae 1 of 2 Received by: Receipt W—l3 D a toj 13 ,)/, Amount IF2 r6 Bldg 2 �I.qS SRA Sheriff I7 �J (� Other • I Total REV 8-12-05 fiA"l�enmit ht: ir54a .q0 d to � t' 3 217. � d-en�ial aeu�e erg- m��c� Ftt.' �I 3 for � � rl, SUBMITT L & PERMI REQUIREMENTS o The following drawings and specifications must be submitted to the Building Division in order to apply for a peXnit. INCOMPLET UBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK 1. Site plansl, 3 r 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 Non -heated and AIC for Non -Res ential Buildings. 2 •.� � 6. Manufactured homes: (A) Instal ration manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate - ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 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). El 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). n 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 FORMS\BldgApp&bRgmts.doc Page 2 of 2 REV 8-12-05 Gy �iAfa✓m a -&A O - _ � , � ' � _ • ` • � f �, t. � , .�. �. f 1 ,_ � ,J `. • \ � I +� t � ` � .� � ♦ "� - 1 � ' - l �. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERNUT APPLICATION DATA SHEET OWNER:E_�_�\ vv 1 L� AS 1 SSOR PARCEL NUMBER b�� ( 0 ) Proposed Building Use: NUJ M r\� � 1 ��^^ Permit Technician: Date: 3' Items required in order to apply for a permit. All boxes MU T be ch cked OR marked NA in or�e,to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. v ❑ 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. -f 1, 8. Manufactured homes:,) Installation manual, including marriage line info Floor Plan, i Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ��� - 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico Oroville, as applicabIQ GN ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑/, 18. Erosion Control Plan Required........................................................................'Al [� 1Fees as shown on the attached Schedule of Fees Due Sheet .............................. t ❑ ity of Chico Plumbing permit........................................................................ ❑ Site plan and business license approval from the Ity of Biggs.. alifornia Department of Forestry plan approvalpaid. Sent by: 3�1.... tannin approval for A Use. B Parking: C Parcel heck.11........... 5 9 PP () () g () a ❑ Vontact Land Development about _ Improvements, _ Drainage ........................ ❑ 25; , Fire Marshall Review (commercial projects only). Sent by: ...................... 30 26. NPDES Form............................................................................................. t1A 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrigr and Policy Number ........................................... 30. Owner -Builder Verification (✓_ Given to owner, _Mailed to owner) ..................... ❑ / _ 30111 Letter of Signature authorization.................................................................... ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ Existin violations and/or ex ired ermits �Gr15 9' P p ......................................................... ❑ 34. DeeAestriction..... . 35. Vegal description d H. Title, tit/gg search, registration or MCO........................ 0 36. Other: CV c.�Y'« rt re Ir u 1 aL Gr 4-e �❑ 37. Other:. r �� When issued Telephone 15�9 - `t 1 Q 9 and hold for pickup. a 1 have been informed oft a above items and requirements for obtaining a building permit A .1 U Applicant: Date: . >�' 3' 0( 1. Index permit ap licat��'on for the abovee ems numbered: Plan Check Letter ('6 I� 2. Additional items regOired Contractor, des' er, as advised of the above data by 0/ phone, ❑ mail, ❑ counter, bMY: Date: 1 G D Contractor, desigln was advised of the above data by one, ❑ mail, ❑ counter, b Date: AD Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: G Plans reviewed by: Date: Plans approved by: Date: 17P/ a Structural reviewed by: D ructural approved by: D Date: (� �Q� Y) ) Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO:. Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Plot Plan Attached Floor Plan Attaohed Sent to 8D/D C, O6Z- /o-61 AP# Plan Approved for: Sewage Disposal: =_Water Supply: Public Private Well, Clearance for dwelling. Other �� / _ .-- Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.butiecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner RABINOWITZ, ALFRED APN No: 62-710-010 Application Date 3/13/2006 Permit No: BP 060569 Permit Type: NEW MH NEW SITE PERM FNDN 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMAYes Flood Elevation Review $109.98 3 SRA* X Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 95.00 $204.98 $109.98 $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION — $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $3,554.23 $329.94 q5OSq,4 5-17-06 IV $6.86 4SOGq4 5-17-h&, RECEIPT DATE Tech/Asst 4 Balance of Building Permit Fees (from No. 1 above) 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwellin£ Applications After 2/14/05 ,> SFD ,c MFD u MH 9 10 L;ounry 1 311 /.4:5 RECEIPT DATE Tech/Asst $3,217.43,r I Kourtni RECEIPT DATE Tech/Asst Chico Urban Area 5372.091 3995.451 4889.56 EI Medio Fire District 1 3128.311 2297.771 2326.36 North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 R-1 8031.53 6850.08 7726.49 ° R-2 7541.531 6360.081 7236.49 R-3 6780.531 5599.081 6475.49 Processing Fee is automatically added to impact fee total 1 $100.00 WATER TENDER FEE )Not collected when Impact Fees Applicable) Enter Bat.# $200,00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO K is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* I Oroville High/Pioneer 101 12a RECREATION DISTRICT FEES' Ormille 0 - 0 0 E OF PERMIT. Forms will be prepared after plan check At the 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. '1 Applicant: A�A�VDate: � - 1 3 - O Pursuant to Governme t codgAection 66026, you are hereby notifi d those Items followed by an "•" may have been imposed on your project. You have 90 days from the date of approval oTKe porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 OWNER -BUILDER VERIFICATION Attention ,Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ajor labor and material for construction of this proposed property improvement: YES [ f ] NO [ ]. 2. I HAVE [ j/ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: , PROPERTY OWNER: 04 o DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 1 , Butte County department of .Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are' allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte Coun[yDepartment of Developinent Servzces 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (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: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. a I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. a 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 rgquire 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: �lZ Applicant Name: A /— row� � � IV Building site address: C a ANE APN: 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: SIG14A-f Uj& OF A11PLACANT ?-/3.0� DATE O�QpFtiMEIyT OKI vTT 0 N I o o_ ,0 ri �eClC WOP4S Department C o u n t J. Michael Crump, Director of Public f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination . System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: 1N5TA1_z_ /y►�/�i�'E ��g Project Location and/or Parcel Number: 06 7,'710alO By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre, or more of land and that I, therefore, do not need to apply for a Construction Storm Water .Permit -from the State of California Regional Water Quality Control Board. Phased projects that _ contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 3-i3 0j� Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM )kFEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DR -PD) Assessor Parcel Number (s)y� Property Owner (s) ,_-)Ib- Ul6 Project Location /Address LU Subdivision Name New Development Building Pen -nit Number d -P' U5� cllize. Type of Residential Development (check one) Alteration/Addition(s) — Mobile home Demo Permit (date issued Comments: Building Department Single Family -Detached Non -Residential to Residential Mobile home replacement Date Sq. Ftge UCj � Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ D 0 CARD . D PRPD 0 DRPD certifies that:: i 1lreU A�Mviou//7_ J'JQ-S- % e Ap licant Name Phone Number Mailing Address City State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District Representative per unit for a total of $a,&-• per sq foot for a total of $ Receipt No: FA Zip School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. UU r� • �) D (i�U Jurisdiction: Q City lCounty Property Location/Address V 61. w d Subdivision Lot No. Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ Supplemental to (Group. R) Units Installation Conversion Permit # •(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 -" New Addition 4� Building Department Representative Di trict Identification No. 060184 • j lJ✓ 4(�Lschool District certifies that U Sq. Footage (Including Exterior Roofed Areas) . Date (Applicant) ,'1(q —I C) 1 (Street Address)() U a — I (Phone Number) &AAAA O.A-C L e-- (A 9Tq /(o (City) (State) has complied with the requirements of Resolution No.–� /I 6s6 square feet. Representative Paid by Check # Remarks: (Zip Code) by payment of $� B 2926 $ ULL MITIGATION $ .:. t4, l�•S Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the dab fess are paid. Failure to submit a limey written protest wtil proMbit you from challenging the Imposition of the fees In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being revlewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (3I05)drhm 17 ." r RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: KLYDE CiIVRELL ETAL P.O. BOX 35 BERRY MEEK, CA 95916 N Recorded I RX FEE 13.80 Official Records 11AX 81.48 Carty of 1 PON-MININAR X8.11 Matte I W= J. 1 Comity Clerk-ftcardwi 1 Illi 891NM d6 -Jan -m I Page 1 of 3 Above This Una fbr Recorder's Un Only A.P.N.: 062-710-010-000 File No.: 0403-2221678 (AM) GRAFT DEED The undersigned &anbw(s) Deovv(s): DOCUMENTARY TRANSFER TAX $MAO; QTY TRANSFR TAX $0.00; J SURVEY MDM MENT FEE $ computed on the cm Weratlon or full value of prowny omweved, OR r 1 am Vtod on ft oorfilft tlon or tirU value less vahre of ftm and/or errambanoes remalnIng at fume of sale, X 1 LWnmpaatea am; I ) My d, and FOR A VALUABLE CONSIDERATION, mmeipt of which is hereby acknowledged, Wallace SchwaTtZ, an unmarried man and Katherine Schwartz -Kramer, an unmarried woman as joint tenants hereby GRANTS to Alfred Rabinowitz and ]anis Rabinowitz, husband and wife, as to an undivided 1/2 interest and Klyde Chdvrell and Suzanne Chdvrell, husband and wife, as to an undivided 1/2014 Interest,, as joint tenants the following described property in the UNINCORPORATED AREA of , County of BUTTE, State of California: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 6, 1986, IN BOOK 105 OF MAPS, AT PAGE(S)1. PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 1, 2 AND 3, LYING WITHIN SHANE COURT, COFFEY•LANE AND THE UnMNG ROAD, ALL AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 6, 1986, IN BOOK 105 OF MAPS, AT PAGE(S)1. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, ON, OVER AND UNDER A STRIP OF LAND 30 FEET IN WIDTH LYING SOUTHERLY OF, PARALLEL WITH, AND CONTIGUOUS TO FOLLOWING DESCRIBED LINE: THE EASTERLY 705 FEET OF THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN A DEED TO ]AMES B. COFFEY, ET UX, RECORDED APRIL 19, 1976, IN BOOK 2064 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 155. PARCEL IV: Mail Tbr Statements To: SAME AS ABOVE A.P.N.: 062-710-010-000 Grant Deed - continued Fie No.:0403-2221678 (AM) Date: 01/20/2006 A RIGHT OF WAY FOR ROAD PURPOSES OVER THE WEST 30 FEET OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER, AND OVER THE WEST 30 FEET OF THE SOUTHEAST QUARTER OF THE SAID SOUTHWEST QUARTER OF SECTION 3S, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL V: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: >. BEGINNING AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE S EAST, M.D.B. A M.; THENCE NORTH ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35 TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY ROAD AND THE END OF SAID CENTERLINE. Wallace Schwartl/SIn,/ bt( NA So -k"" STATE OF 011ifoynIa– )SS bkUNTY OF ) On Notary (or proved wvikon the within l=and apadty(iesth which the person(s) Katherine Schwartz-Krame `, .117 + by &Aq Sr t -dg -o- 7 — More me, MURA71 personally known to me the basis of satisfactory evidence) to be the persons)nan-e(s) Is/are subscribed to and acknowledged to me that he/she/they ex same In his/her/their authorized R his/her/their stgnature(s) on the instrument a person(s) or the entity upon behalf of eaMW the Instrument. WITNESS my hand and official My Commission Expires: Notary Notary This area-Yoca ida/no anaisea/ Notary Number: County of Principal Place STATE OF California COUNTY OF Butte . CALIFORNIA NOTARY ACKNOWLEDGEMENT AS On January 20.2006 . before me, Angela D. Mastelotto, Nota W onally appeared Cary Schwarts . personalty known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the within Instrument and acknowledged to me that he/shejdW executed the same In his/her/their authorized capacity(les), and that by his/her/their signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. �ASignatU My Commission Expires: 10/22/06 Notary Name: Angela D. Masteiatto Notary Registtratlon Number:1381124 P Notary Phone: 530-533-6680 County of principal Place of Business: Butte 11 a F f Y � a a � g 3Nd7 .zQ*PTG (r) M. 40' (V 0,t/b�� x rr 36Ni( /Oej 3✓ �. 3 3c � Mo.vo Aa se CLOSET � o Wf D ® � DINING ROOM pi • \ Q� REF. .-c® • BR3 V PASS THROUGH1I T-0 •� WITHSHELF APPROVEy-D5�/� :b' Butt® Couor nty ErMmn nta! H MBR Signe J 271' OK BR2 M ► �S �LOSET �. CLOSET6� 1 ENTRY arsI oh �<< «� eta 3BR 2 BA MOBILE HOME ENVIRONMENTAL HEALTH MAR 15 2006 _//��� 7 COMITY CENTER DRIVE SITE PLAN REVIEW APPLICATION / Date: AP# o (a_ Permit Number (if applicable) Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: Parcel Size: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel &Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: v GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) %._ l OP Approved Conditionally Approved By 1 T. Resolved Prior to Approval Date &4, ( 7— .4 2e� ALL ITEMS .CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: �.. • 1 Flood Zone: t Flood Panel No.: Index Date: ; ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtairied from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: 0 - General Plan: Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side S/ 3>0( Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access El Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain.a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: QA 0 Lot: Book: Page: 3 60 R/w / ws 70 BAtO ROCK AMA 1405 QR. 2Bz, 307 lsso O.R. /0B Z411 O.R. 536 2311 O. R. 376 2573 O.R. 500 z63L 0.9. 453 1 30' 1 30' Q v t� ,r •,,, ,4°a+ SITE pp o SCALE /"=50' LOCATION MAP N. T 1. LEGEND • SET !V REBAR - t.3. 4202 0 FO. % ' REBAR - L. S, 4202 (R) x f0. %" REBAR - RLE 9092 (R) O WELL ,S/7E (R) 6/ /N G4 f ✓_ � SOT' /' � \— WELL SITES BASIS OF BEARINGS • 337 52 • I ',07.05 /0 7, C. 5' THE "SIS Of BEAR/N65 /S TRF E2TER/6R BOUNDARY . �/ . u72. BL' .V 65'37.46'9" (R) .. 00'?/w�RU. E. AS 5110WN ON (f). EX/57/Nt; OVE? ROd O(flFNOTE /) SHANE COURT 60 f/w;fvE I (_' 25// D.R. 370 i�A�i MAp ]O 30• .�,:- (513 O.R. 500 ' I PARCEL 2 OF 81 M 66, IN NOTE4, 1)60FFFYLANE, SAdNEGOu?T ONO4OO/7/0,V4C 1116A70fW4Y4RE 00' • N47N-EXC4L'S1✓EFY/.4L/CEd5EMENTSF-0?/NGQE55ANOEb'QE55eNOPU9L/C 072/TY THE NW Y4 OF SECTION 35 PU11R]5E6 , M 70 dERESEQVEO /NOEEOS ONO /5 NERE9YOFfE?ED F0?DEO/CdT/ON - 70 fJU77E e6wN7Y. / T21 N/ R5 EL M D ME /N THE 1i )� 2) ?DAO MO/N7ENdNCE .66?EEMEN7 QEGOQOEO 1592 O..P. /OZ �FFEC75 7/JESE RaQLELS. • ' -' 9) 2iB7 O.R. 470 MAY AFFECT TAE 5 1/2 OF,!W411 COURT. UNINCORPORATED AREA OF . 4) FMAgEO'A,eEAS A?E 4EACAF/EC7l FREE SET94Ck'AREdS. BUTTE COUNTY, CAL /FORNIA. . FDR LOUIS CECCN/ ' 40 r9": A.VdiF/0JV/r O/ OWNEafN/r 1190-6 eVWCURafNTEY recj"O®rAffffb VNrY?ECOROId UNOOFR05lR/ALNNM ER33rleSi SUAMEYOR'S CfLPT/E/•,� TE. COUNTY SURVEYOR'S CEAWRCArE ?ECOrQOE/I�S CEQT/F/G TEn �/EET1 OF i SHEETS 7N/S MOP WAS AMA44M BV ME Oa OlCT/ON dN0 /S BdfEO L/PONdf/FLO SURVEY/N 7Ll af0(//q!- ... TN/S MdP CONFO?Mf W/TN INE ?COu/?PMENrS OF THE fuB- O/V/9/ON MAP dCT NO IOCdL O?O/NdNCF. f i/L !O rN/fes 04Y OFA✓-'� BB4 /9H�7 OTyyR,OB,M. /N BOOQ[e1�Oi MOPS, dr ad6F_L, J, 7N!? q—, O� Lgu/a F e .. Y6�g. wN/. L p /7/IOTi �7i7ELI/1 CL' �.�.10L/QiB1 MF TlN Lv, ,Wazv /ON MARALTA.V4 A OVL'RIOI/Kl of or R M(l. /NlRllr 11NI> KK.W.� �car>dNrALwoavieR.+47onrdaaraw owo rAw�wreo Od TEOt 9/.`f iOQ0.`d[dl/ON ! ' auuor�•iiyrwoay ' swvrAnYs wmr ✓ANY. >Ne Msww.rev7i"MOM�O. wRt al TNe LNdtllrfl aNb AfCNrY >av/vN/i �Ott4 o'd✓/J.<I17N f1tAC/ AN?doh /yFP/A wNTTaeNdw /r6T.>6 r; A�{valA TNF 40'NON•fKCL04/VEPI/BL1L E46E,NFNTS OiiERfp NfQEONMFNE7dCLEPT['O L dNOQM O(@GEFQ /.0.4p wz prpille,(d. osN� ai/eY•rlil - �/ - •?%/�— /TTN/S7/MEC/V/L /( L�/Tl/Gs[IC.G_+ ENGINEER'S - LAND 54V?VEYOR5 /� / RICHARD BA .S. L 4202 W/(L/AN/ C16—RC! 1"0seWAL couvrr suavE✓o'/i No p(p-•-���sy' 9 - . ..., . FLP 42-23-131 1 % " 2006-0019914 4 Recorded I WC FEE 10.00 AND WHEN RECORDED MAIL TO: Official Records I ?` BUTTE COUNTY BUILDING DIVISION Count tLeof CONFGRNED CUPY 1.00 7 COUNTY CENTER DRIVE CAN"L J. GRUBBS I OROVILLE; CA 95965 County Clerk -Recorder[ I I OD 03:44PM 19 -Apr -2406 I page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building n permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, �}- and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of Se e Gi-S�'¢a d PROPERTY OWNE On A -\A -ONO before me, \4L,;,"'ce.v.2rr2+a. «Norary Q% bIic�� personally appeared p\b , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s)rwhose name(&)'is/ara4ubscribed to the within instrument and acknowledged to me that he/slleltheexecuted the same in his/hefMieir authorized . capacity.(.i94 and that by his/het4their signature(sj.on the instrument, the person fs)or the entity upon behalf of which the person(r�acted, executed the instrument. WITNESS my hand and official sea Signature Seal � KEVIN FEUERSTEIN - Commission N144f1825 n 7 NotaryPublic - Celifomia �� Z " ! A0 —4016 Bufte County A.P. 4 My Comm. Exp. ,i 04.2007:. `=.1 LEGAL DESCRIPTION . Order Number: 0403-1726727_ Page Number: 5 Real property in the unincorporated area of the County of Butte, State of California, described as follows: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 6, 1986, IN BOOK 105 OF MAPS, AT PAGE(S) 1. PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 1, 2 AND 3, LYING WITHIN SHANE COURT, COFFEY LANE AND THE EXISTING ROAD, ALL AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 6, 1986, IN BOOK 105 OF MAPS, AT PAGE(S) 1. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, ON, OVER AND UNDER A STRIP OF LAND 30 FEET IN WIDTH LYING SOUTHERLY OF, PARALLEL WITH -AND CONTIGUOUS TO. .. FOLLOWING DESCRIBED'LINE:­. THE EASTERLY 705 FEET OF THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED i IN A DEED TO JAMES B. COFFEY, ET UX, RECORDED APRIL 19, 1976, IN BOOK 2064 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 155. PARCEL IV: A RIGHT OF WAY FOR ROAD PURPOSES OVER THE WEST 30 FEET OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER, AND OVER THE WEST 30 FEET OF THE SOUTHEAST QUARTER OF THE SAID SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. &.M. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, y, DESCRIBED HEREIN. PARCEL V: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE �? CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35 TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY ROAD AND THE END OF SAID CENTERLINE 5 APN: 062-710-010-000 Mid Valley Tide & Esavw Company I COPY of Document Recorded 25 -Jul -2003 2003-0049139 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: '(N BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE + �✓ �� ; + ` �� ` �, �J OROVILLE CA 95965 r J/ ✓` r~SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBELEHOME). OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM\ Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of bccupancy for installation of:the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GOSTA H. STRIDE BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTTFTCATE OF OCCUPANCY 13807 COMPTON DRIVE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE =P SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT SAME CITY ODUNTY STATE =P CALIFORNIA FEDERAL SAVINGS/LOAN ASSO UNIT OWNER (ialso property owns, write'SAMM P.O. BOX 60093 MAILING ADDRESS LOS ANGELES LOS ANGELES CA 90060 CITY COUNTY STATE TIP UNIT DESCRIPTION OROVULLE BUTTE CA 95965 O[TY COUNTY STATE MP 03-1537 A = (530) 538-7541 BUILDNG PERMIT M0. n If TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealt sale, wri "NONE) NONE DEALER INCENSE NO. BAYSHORE HOMES CALIF 1985 BAYSHORE HOMES / 25048 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMIM BHA0082A/B 44'X24' CAL315952/53 SERIAL NUMBER(S) TENGTII X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPT[ON ASSFSSOR'SPARCELNUMEER AP # 069-290-001 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD. Building Dept BUILDING PERMIT NUMBER: 03-1537 Address or location of unit: 13807 COMPTON DRIVE, MAGALIA CA 9.5954 Legal. Description of Real Property: AP # 069-290-001 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundationsystem pursuant to Health and Safety Code Section 18551. Owner's name: GOSTA H. STRIDE Owner's address: 13807 COMPTON DRIVE, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL315952/53 SERIAL NUMBER OR V.I.N.: BHA0082A/B MANUFACTURER'S NAME: BAYSHORE HOMES CALIF YEAR: .1985 OFFICIAL APPROVING INSTALLATION: DATE: `i.• X3.03 PHONE: (530) 538-7541 . H.C.D. 5130 <_ ";pSl28/03 08:49 FAI BTEC CHICO STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Gov—orTR DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMEWNG NT A�. OMslon of Codas and Standards r. Title Search �c pad D Date Printed: 05/27/2003 Decal #: LAH6592 Use Code: SFD Manufacturer: 90047 BAYSHORE HOMES CALIF D Original Price Code: AFN Tradename: BAYSHORE HOMES Rating Year: Model: 25048 Tax Type: LPT . Manufactured Date: 10/01/1985 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On:' 10/17/1985 ILT Exemption: NONE Serial Number BRA0082A BHAO0828 Registered Owner: HUD Label [Insignia CAL315952 CAL315953 Length 44' 44' COSTA H STRIDE 574 CRYSTALBERRY SAN JOSE, CA 95129-1906 Last Title Date: 11/01/1985 Last Reg Card: 11/01/1985 Sale/Transfer Info: Price $24,000.00 Transferred on 10/17/1985 Situs Address: . 13807 COMPTON DR MAGALIA, CA 959549430 Situs County: BUTTE Legal Owner: - CALIFORNIA FEDERAL SAVINGS/LO.AN ASSOC PO BX 60093 LOS ANGELES, CA 90060 Lien Perfected On: 10/23/198516:11:00 Title Searches: BLDW ELL TITLE 500 WALL ST P O BOX 5173 CHICO, CA 95927 Title File No:' 209914 -CDL ** END OF TITLE SEARCH �** Width 12' 12' GENERAL NOTES GUS GUARD TUF-1 � 1. 11ESIGN LOADS: LP/E LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOM - 80 MPH EXPOSURE SEISMIC ZONE "4' * SKOW` LOAD 100 PSF (SEE ROTE #15) 2. WS BE CONST A FAIRLY NLEVEL SITEYWITH NO EXEM IS ISTING SOIIGNED TILL PROBLEMS.RUCTED O OF C����� 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SUED fOR'THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D -S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', OR, WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNTT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SCIL FOOTINGS. ARE DESIGNEE FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS_ CaMPACTEC SAND WAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6- STRUCTURAL STEEL- FABRICATED. ACCORDING TO RISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM ASM. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOUDWING LOAD& ALIAWABLE TADS: HOR12ONTAL VEEMM GUS GUARD TUF-1 2200f 6000l GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 2200f 6000/ B. DURING PRELIMINARY IPSPECTION, THE ESTIMATOR SHALL. ENSURE THAT M081LE HOME CHASSIS BEAUS ARE OF STANDARD SECTION. 9. EXISTING COACHES HAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN OR THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-.1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES FOT EXCEED THE HEIGHT 6 OF THREE FEET, I1. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROYIDEO/V THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE-WME UNITS REWIRE AODTIONAL RESTRAINT. • (SEE SHEET #3) • 13. ALL KUAL COIIPONEM AND ATTACHYEIITS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE .SLAB IS IN DISTANCE, PAD IS NOT 91A4i[xl-- Gj. d& u E DATION BLOCKS 15'x 16'x12' POURED IN PEACE AT GROUND LEVEL MAY US.O AT DIALLERS DISCRETION ALTERNATIVE 10 PADS.* SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MTV. / 11' MAX, S= 6' MIN. /16' .MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70'. (SEE TABLE ON SHEET 431 S —5 --5 ❑ ❑ ❑ - RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER (TYPICAL) ' 8' ,}NCM. PADS IN ANY PAIR MAY EE STANDARD M-14. FOUNDATION, ROTATED 90 DEGREES OR P E ED BY OF:"SET TO I PVC SERIFS OTHER SIDE TD6 AVOID CLEARANCE PROBI&fjl�.I{ y - A U KOUT v L�j G DIVISION A /1l1w _ SUPP', RT PAD (-EYP) or cl'w\'v REQUIP,ED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR ;4) 1/2-x 3 1/2' EXPANSION AKH04M FOUNDATION SYSTEM i 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVU}ES I ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY WITH EXISTING STANDARDS P.EQUIRED BY COACH 5851 FLORIN-PEREZINSRC" MANUFACTURER OR R=PLACE THEM ON A ON_ TO SACRAivvIENNTO,CA45823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL 11 IAIi17i'ACiURM HOMEA-11OB" BOMB FOUNIMTJIO14SYSTEM 111 ALM AND SAFETY CODE, 9TsT.'1 om 18951 APPROVED - - STTB= -m COR$F.cnON8 TIO w AM0VAL DOBE N0T AUTFTOR= OR A?PROVE ANr - OJ&MOHS 01 DUVTATION FRMI REQUJRBJMM OF APPLDGAWA STAT$ LAWS AND AEGU"TIONS Shb �Califorai,� OtHamsing wd C==dty DmkpmcrA CEDES AND STA14DA SDS . BY Td) SPA N.,. - - 1' g='ka,4-1 WAYNE T_ POLVADO, PE—LISTING NO. F94249 zk w m co w Ln ry D til m U7 0 0 H L' J1 c m vF_ 2 of 3 2'x 2Dz 3/11 STEEL ANGLE DETAIL -A"- CHASSIS FRAME 3/4n GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x BOLT Willi NUTS (4) REQUIRED 01 1/2" SGH 40 PIPE RISER WFTH 01%2" AOJUS7ER HOLES AND 3/8' THICK TOP PLATE 02' SCM 40 .PIPE STAND WITH TWO ID1/2" ADJUSTER HOLES ABESCO ABS PAG #503 3/8' CAO PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (B) REQUIRED 1/4' STAND BASE PAD J503 No. ! �134T Clef �0%��`t C� / 36" MAX TO BOTTOM Of PAD 01/2'x 3' C.R. LACK PIN WITH 01/8' BRIDGE PIN COACH "C' FRAME 2" CHANNEL 1/4`x1-1/4" TEK STS (2) REQUIRED 1/4" GRIPPER BASE . i�._� •wv7 o01_7 (2) REQUIRED 3/8'x 6'x 6' STEEL PLATE 1/2' A307 BOLT (2) REQUIRED 1/4' GRIPPER PLATE C—BEAM ATTACHMENT COACH "J" FRAME TER STS (4) REQUIRED XT-� 1/4' -31?IPPER BASE i �L I A307 BOLT I_) REQUIRED F�ii i J—BEAM i ATTACHMENT 14.00 • i 10.00 8' 1/2- DIA. HOLE (8) PLACES o _—r +r $ + 04/16 HOLE (TYP) �• 30"� STAND BASE STEEL FRAVE 70P Vi EW TOP VIEW �aoF�+O STATE APPROVAL 37' TUFA PERMANENT \�- % FOUNDATION SYSTEM 18 1/2' / ABESCO-GUS GUARD COMPANY \� 58i I FLORIN - PERMNS ROAD SACRAMEWO. CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WANWACEOREDHOM MOBII.EEI I +^ FOUNDATION SYSTEM le BBALTH AND SA1f'M CODE, 86CSI0N IWI APPiIOVED 317B78Cf TO CORREC7WWS W079D .. 'APPROVAL DMN0r AIITHOR1Zlff O t APFAOVE ANY ONEMSXWS OR DgvlATtox nom mQuIlm4m Of Ayt XABLESPATELAWSANDREGULATIONS sate of c&I :: of RarrEg mf Cotte D-nWpmma AND STANDARDS BIT AM iY o 4 lilt RmAn"W RIIIII . N WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 or 3 N w w �r m W LO w cn N CD 1> w m rn C) 0 Z C? m N ap 1/2"x 4 1/2" - EXPANSION ANCHOR (4) REQUIRED -•H.- . 41 CONCRETE PAD CHASSIS FRAME 1/4" GRIPPER PLATE -11� (2, REOUIP.EO 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4n—'� BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2- ADJUSTER HOLES AND 3/8" THICK TOP PLATE 82" SCH 40 PIPE STAND W,TH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 Q STEEL FRAME, 1/2"x 8- LONG ANCHOR BOLT (4) REQUIRED PI ArF •1 f,Y1.tiv1 ? rnNr_p_f_Tf DATION INSTALLATION Exp`36" MAX F OF TO ElmOM 'rte OF PAD 01/2`x 3" C.R. j LOCK PIN WITH ] 01/8" BRIDGE PIN I 37 E -Z TIE 'A!; z/.wl ma .. 4e^ — LIGHT HEAVY—WEIGHT PLASTIC PAD NSTALLATION i WM-of-*mv TN}PO HOMEOF 24 HOME 2fi ,{ UP TO 44' $ I 8 $ 12 44'-1 to 66' 12 . 12 12 18 68'`1.10 20 20 20 24 9ilif.3 R Urnm vain 4 UEDNIM HOME to 1MIaTH OF RD11E i 14 18 UP TO 44' 6 6 6 6 4r-1 to &8' 8 8 $ 8 10 1a 1e lO 1a —MOF•" yr 1vr-1 KLUURCU NUMBER OF TUI• -1 REQUIRED NOTE, SINGLE WADE UNITS REQUIRE (4) E -Z TIE PAM GUS CUA1tD TUE-t PIERS ARE TO BE PLACED AT APPROXWTELY EQUAL WTEI MS ALONG EACH Fltkl� RAIL '4 OF C TUF-1 PERMANEN FOUNDATION SYSTEM STATE APPROVAL I�I,p MANU?AC7rMD HOM131MO ILE AOM& 7 FOUNDATION VSTEhf y HBALT1i nam sAFErY cans, s>rcrlmt � sss t APPROVED - SUSIECTTOCORRECIrioNs-TOTED Tri" - AFPRONAi. DM NOT 4LUrRORIM OR APPROVE ANY OMIS51ONS Ol DEVIA11011 FROM R£QUM104&M bF 0� APPLICABLE STA'T'ELAPIS AND REGULA710N3 �0 s,aw of Ca1;rom;. ES AMID STANDnRDs4 By WAYNE T. POLVADO, PE—LISTING NO. 794249 SHEET 3 of 3 N t ti N m CD Ln N W co LO m LO Jb W cn N CD T> LTJ m LO n 0 H L is % ►, ,r t et ► ,r 7 �'� ��� `� • �, t tt _,, CLOSET DW WJD � DINING .� [4z: ROOM �. CJ ITR ►E LSI ICLOSET O .REF. �—�--- Ii•.C� � • BRS PASS THROUGH WITH SHELF e 1 ��re�'s W ok a -_j LIVING ROOM HR2 CLOSET 1 t ENTRY et 1 if Ce 1 3 BIZ. 2 BA MOBILE HOME BUTTE COUNTY $UILDING DIVISION APPROVED MOBILEHOME SUPPORT DATA If -other than single wide, Mobilehome Mfr. ` furnish Setup Model No. 2-. Year Width (ft.) -(ft.) Box Length(ft.) Tagalong or•Expando Size _ft, x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from Swat of mobilehome'unless otherwise specified. Footings (check one) f Single 1' Wood either r • , tIf center pieta are other than drawn above, i �� t. "draw in -locations, spacing, and dimensions. pressure treated c foundation grade. 2. Other: ( specify) :enter support locations* Center support footing sizes . Supporta (check one) (in.) 1, Concrete block., •2: Other. (specify) x (ft.)(in.) (in.) (in.) <---Tagalong or Expando,' show support details. (in.) (in.) / 2 x3c'� -- Typical Support (in: (in.) Footing Size. 3G Y - 3o (ft.)(in.) (in.) (in.) Jam`. -- Max. Pier Spacing (ft.)(in.) y0�� Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.') r • , tIf center pieta are other than drawn above, i �� t. "draw in -locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yet f / No (If yes, furnish permit' number OR siteservice? --------------------------------------------------- Yes7-7 (If.yes, identify -the load and size: (Load) 9. What is the mobilehome site gas pipe size? .---------------=------ 10. What is the type of gas service? -=--------------------------- �, No .717 _(Amps) tural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehom 1 esS 12. What is the mobilehome gas demand? ------------------------------ (BTU). (This information not required if pipe.length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED Is the site an existing site? Yes /' / -No (If yes, furnish two (2) plot plans.) .. 4. Will the mobilehome be located at least 5 ft. away from'sep,tic tank and leach fields and clear of. all setbacks.and easements? Yes / / No ' (If no, clarify ( i 5. What is the mobilehome electrical rating? ----------------------- �_ Amps 6. What is the mobilehome site service rating? --------------------- 2 Apps 7.. What is the mobilehome site circuit breaker rating? ------------- 1� Q Amps 8.' Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes7-7 (If.yes, identify -the load and size: (Load) 9. What is the mobilehome site gas pipe size? .---------------=------ 10. What is the type of gas service? -=--------------------------- �, No .717 _(Amps) tural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehom 1 esS 12. What is the mobilehome gas demand? ------------------------------ (BTU). (This information not required if pipe.length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 19 -Apr -2006 2006-00T9914 Has not been compared vith original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but riot limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation., plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of On 4-\q PROPERTY OWNE before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person;(s�-whose name(*)-is/ar"ubscribed to the within instrument and acknowledged to me that he/shgUh4 executed the same in his/herAheir authorized capacityEies), and that by his/hefrk4eir signature(ej on the instrument, the person f*or the entity upon behalf of which the person(s)vcted, executed the instrument. WITNESS my hand and official sea Signature Seal: KEVIN FEUERSTEIN A.P. # comrtussion !1449825 0 Notary Public - C'Ji fomie Butte County My Comm, Exp. NOV. 04, 2007 0 Order Number: 0403-1726727 Page Number: 5' LEGAL DESCRIPTION Real property in the unincorporated area of the County of Butte, State of California, described as PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 6, 1986, IN BOOK 105 OF MAPS, AT PAGE(S) 1. PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 1, 2 AND 3, LYING WITHIN SHANE COURT, COFFEY LANE AND THE EXISTING ROAD, ALL AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 6, 1986, IN BOOK 105 OF MAPS, AT PAGE(S) 1. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, ON, OVER AND UNDER A STRIP OF LAND 30 FEET IN WIDTH LYING SOUTHERLY OF, PARALLEL WITH, AND CONTIGUOUS TO FOLLOWING DESCRIBED LINE: THE EASTERLY 705 FEET OF THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN A DEED TO JAMES B. COFFEY, ET UX, RECORDED APRIL 19, 1976, IN BOOK 2064 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 155. PARCEL IV: A RIGHT OF WAY FOR ROAD PURPOSES OVER THE WEST 30 FEET OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER, AND OVER THE WEST 30 FEET OF THE SOUTHEAST QUARTER OF THE SAID SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL V: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35 TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY ROAD AND THE END OF SAID CENTERLINE APN: 062-710-010-000 Mid Valley Tide & Esavw Company M 3 s f.REa Butte County Department of Development Services. IN O T E S 7 county Center Drive, Oroville, CA 95965 ' (530) 518-7601-:butiEcoimty ne Vg0S1. co°Nty a APN: RESIDENTIAL Permit No. Owner. 062-710-010 _ 06-0570 RABKNOWITZ, ET AL, Site Address: A COFFEY LN, BERRY CREEK, CONT: OWNER Contractor. DECK y Type of Permit: SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID Q ENV HLTH CLEARANCE El DATE JOB FINALED: SIGNATURE: OK O = NO[ Vn MANUFACTURED HOMES MISCELLANEOUS. DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch I 3 Sewer, Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cirncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ ' Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers °'� DATE DEC K S -C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftg§; Soils-Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs -S hth g Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 0 °moo DATE POOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/L6ng; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs• Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12.Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide o'er 0• Pool Drawing j OK Not OK - - - RESIDENTIAL (Sin'gle. & Duple)() DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg. Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn' 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan-, Test, First flr-Tub Acc 5 Stemwalls Main-, Steel-Blockouts-Wrapped 57 Test Tub &Shwr, 2nd.flr - Tub•Acc emwalls Garage; Steel -BI ockouts-Wrapped _-.. .. _ -: -- 58 Gas Pipe; Sz & Anchrs 61 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrtlw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic A 4 °tea 0 p 0 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F 1 N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls B3 Insultn-Foam-Looked in Attic 38 Ins ultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters Q Yes Q No s 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex. Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 9 ❑ CU or ❑AL 98 Address Posted AC Wire Sz 9 ❑ CU or DAL 99. Fire Sprinkler 48 Range Circ ea Q CU or ❑ AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral Yes D No e` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060570 • 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 m L.. ounumy ruinni W 1-io-w" Ny 1 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/17/2006 APN: 062-710-010-000 the Business and Professions Code, and my license Is In full force and effect. Site Address: 56 COFFEY LN BCK License Class : License Number: Map Index: Date: Contractor: Description: DECK (8 X16) (128) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RABINOWITZ, ALFRED & JANIS permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a CHIVRELL, KLYDE & SUZANNE signed statement that he or she is licensed pursuant to the provisions of PO BOX 1608 the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 589-1011 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Id I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RABINOWITZ, ALFRED & JANIS Code: The Contractors' State License Law does not apply to an CHIVRELL, KLYDE & SUZANNE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 1608 provided that such improvements are not intended or offered for OROVILLE, CA 95965 sale. If however, the building or improvements are sold within one (530 ) 589-1011 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O 1 am Exempt under Article 3 of th usiness a rofessions de Owner: Date: License #: WORKERS' COMPENS TION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 128 S.F. Valuation: $1,280.00 Policy#: Censu Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 4V @1� and agree that If I should become subject to the workers' 1 jjJ'1 compensation provisions of Section 3700 of the Labor Code, I shall 1 v forthwith comply with those provisions. Date: Applicant: 5 J y�(1rq WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706'of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolution to do work.indi led above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . ` _' �G By Date: Name: C _? f\ J —1 �y� PERMIT EXPIRES ON: Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. I O Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. I � Print Name: 117AGG Signature: Date: XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor m L.. ounumy ruinni W 1-io-w" Ny 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060570 b. L;. buticmg vermnui-io-u4 pg i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/17/2006 APN: 062-710-010-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 56 COFFEY LN BCK License Class : License Number: Map Index: Date: Contractor: Description: DECK (8 X16) (128) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RABINOWITZ, ALFRED & JANIS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a CHIVRELL, KLYDE & SUZANNE signed statement that he or she is licensed pursuant to the provisions of PO BOX 1608 the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 589-1011 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RABINOWITZ, ALFRED & JANIS Code: The Contractors' State License Law does not apply to an CHIVRELL, KLYDE & SUZANNE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 1608 provided that such improvements are not intended or offered for OROVILLE, CA 95965 sale. If however, the building or improvements are sold within one (530) 589-1011 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of thy usiness a Professions de Date: s', /7,04 Owner: License #: WORKERS' COMPENS TION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 128 S.F. Valuation: $1,280.00 Policy #: Censuk Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ��JJ become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 1 vlD forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.) Resolution g to do work indi ted above for which fees have been paid. % �J 06 performance of permit By. Date: -) Name: _ 1 0� PERMIT EXPIRES ON: l Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.A4,, �� ��I✓� k B�7V 0 � / �� Signature: Z Print Name: 7 b t; Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor b. L;. buticmg vermnui-io-u4 pg i OT r BUTTE COUNTY O DEPARTMENT OF DEVELOPMENT SERVICES i O BUILDING PERMIT APPLICATION o AND SUBMITTAL REQUIREMENTS p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF A PPLICA TION c0U Pj'�� Website: wwev.buttecounty.net/dds / **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name first e Address 0. U F l0 O nn City 0/0 i/v/®„ Slat WO I Phones �GO g � /0 y Fax 5-3. E-mail , e uC ' aw,­6ooC . 12e--7 4- APPLICANT INFORMATION CONTRACTOR Name StatecA Address P)oc L"/v / City E-mail State Zip Phone Book Fax E-mail Planner Llc. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name StatecA Ad s P)oc L"/v / City E-mail State Zip Phone Book Fax " E-mail Planner State License Number APPLICANT INFORMATION Name Address Aa ® /'6e)e City L�J, � StatecA Zjp��- �- P)oc L"/v / Faxes o W/ 3� fall �7 E-mail APPLICANT SIGNATURE j4 X < J For office use only: Zoning Prop ddress� ^ 1w Flood Zone Cross Street � r, L 7 lr'T SRA lVes No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS I PERMIT NO. BP : - BIN # PROJECT LOCATION . Prop ddress� ^ 1w ty Cross Street � r, L 7 lr'T 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 D scription or Scope of Work: Sq - Liviny Garage Openja Cov • ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew faction 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. ei d by: Amount: 1 3Idg r . i A Receip � Sheriff \y� SMIP r Date:33 —,----Other � 1.� 6 _�—-Total IC•\RIRhAC\RI III r11Nr: Fr1R(,AC\R1rinAnnMiihRnmtc dnr. Paae 1 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: G�I /� Ci t I �Z- ASSESSOR PARCEL NUMBER G U a 10 G ) U Proposed Building Use: (, Imo--- Permit Technician: Date: G C. Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No 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 A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find 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. Hazardous Material Form 9 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Re nin items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Sanitation and site plan approval from the Environmental Health Department in ❑Chico ❑ Oroville, as applicable ❑ 5: Fire Sprinklers........................................................................................... ❑ 16. Agricultural Buffe-?clr-and-site-plan-apr--from the Ag Commissioner Sent by .. ❑ 17. Soils Report and/or Engineered Foundation requiredA2.!". ........................ ❑ rosion Control an Required........................................................................ Cad' 11 ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs....... 22. California Department of Forestry plan approval ❑ paid. Sent by: . �. .. 23. Planning approval for (A) Use: (B) Parking: cel Check: Q EF ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 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 .......................................... 9 30. Owner -Builder Verification (✓ to owner, Mailed to owner) _..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... C335. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ............... 36. Other._ ('v p v\ � C-�? C o4 c�� c) Gr\ -i 37. Other: t When issued Telephone } LI U (J Com_ and hold for pickup. I have been informed of the above item5.and requirements for obtaining a building permit. 3- Applicant: ' � /� f Date: )3- 1. Index permit pplica on for the abov items num ered: Plan CheckkLef " 2. Additional items r d - Contractor, design ow was advised of the above data by 9 one, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by Da Structural approved by: Date:. Note transfer by: Date: Yellow: Building Division " K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www,buttecdunty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner RABINOWITZ, ALFRED APN No: 62-710-010 Application Date 3/13/2006 Permit No: BP 060570 Permit Type: DECK 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $150.00 Plan Check portion of Permit Fee $60.00 $90.00 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 _ $204.98 (State Responsibility Area) Building Inspection $109.98 0 4 5 6 7 7a 8 NON-REFUNDABLE portion of fees due at application $60.00 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $60.00 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $90.13 $90.00 �I? •(xl1 $0.13 4r,0E�4�1 5.1717(n Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMPAC 11-t_t_b - KtbIUtN I IAL' I Per Dwelling Per Dwelling Per Dwelling Applications After 2/14/05 SFD ,c MFD at MH 3117.43 4889.56 2326.36 7726.49 RECEIPT DATE Tech/Asst 7236.49 County 4096.871 3071. $200.00 Chico Urban Area 5372.091 3995. 771 Comanche Creek EI Medio Fire District 3128.311 2297. North Chico Specific Plan $8,792 A SR -1, SR -3, SR-1/PD 7938.531 6757. coo R-1 8031.53 6850. $8,139 'L° R-2 7541.53 6360. 775 SUDAD Ditch R-3 6780.531 5599. Processing Fee is automatically added to impact fee total 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 3117.43 4889.56 2326.36 7726.49 RECEIPT DATE Tech/Asst 7236.49 RECEIPT DATE Tech/Asst � Kourtni � 6475.49 0 $100.00 $200.00 10 n CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 New construction, vacant 774 Lindo Channel $8,139 land, on 1 acre or less - 1 E trrlesr vl 775 SUDAD Ditch $6,975 e o s ace a ue 776 Mud -Sycamore Creek $6,070 RECEIPT DATE Tech/Asst 777 PV Ditch $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. I PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check I is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville High/Pioneer 101 12a RECREATION DISTRICT FEES* Oroville At the 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: Date: 3- /3, v ( Pursuant to Government dodeS ction 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the rpajx labor and material for construction of this proposed property improvement: YES [ NO [ ]. 2. I HAVE [ l/ HAVE NOT [ ] sigried an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the .following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to. our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by -the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your conununity or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte County �epar�ment ofl?evelopinel�t Se1TiCCS °�`'Tr 0 7 County Center Drive ° o..':° <. °::. ° Oroville, CA 95965ate. °�, . (530) 538-7601 Telephone - y° (530) 538-7785 Facsimile ouN-1 BUILDING PERNIIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • 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 a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. i. 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: /�� �� i;D O`� JA) 0-M) J �2— APN: Building site address: ,0- Z-AN16, 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: i �*.)3'd6 SIG A RE UF APPLICANT DATE K:Form.VBidgPermitwithoutClearances020705 FP�TM�NT :TT�0* Department of Public Works o �\ C o u m y o f B u t t e �I C -r C J. Michael Crump, LAND DEVELOPMENT DIVISION Storm Water Management Program Director 7 County Center Drive Oroville, CA 95965 AveCIC W0 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination . System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: 0 2— .716 010 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil_ will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit'from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: / -J96 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 i• ' 6' TYP. 4"x to" 1.._ Tf G PLYWOOD CC EYT.�I`--h — � 1 - r vl •'•FRMuf� � ' CLI P— _- �� � • STAT STRIIJGER. ?OP VIEW a HAUMIL -NOT-NOT 5HOW9 •FDR CLARITY. �u •rr . p L2"vtg DECKING'(w) 5y, BOLT ' pacec{ so 4ha+ a.. q G F 2 GIRDERS y 'l sphere Canno-� 1'!B" Ti G PLYWOOD CC EXT: 2'k4' boa a-3 -{-h re) cc q h . MOBILE IIDME �r INI OR Epp WE a oW`c 4B" KrL. FRMIJ MAX. CLIP (EA. DE •: B `y w COUNTY lViow • 4•K�• POST I G DIVISION t r--- GrUAR�RAIL a2 F+ (2 sla ao 2"K4" PRESSURE TRrArttr *A DECKIIJG GIRDER 13OLT3 RFowooaPI .' 77 R w t PRECAST 4x9' POST ,�14uMtN., OD--3O-f19 • TER _. APEO=E DIACONAL BRACING. TYPICAL REST DkiVTm saps , maloe pEck 8 Illi (�• ` " BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS IQ"xl �tKN, F'OOT1M6 7 County Center Drive — Orovlllo. Catliornte o5sss 'Telephone: California Department ofYorestry and Fire Protection - Butte County Fire Department t Fire Safe Requirements Permit# Under authority of Public Resources Code Section 4290, the following checked items are required by CDFButte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] 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 these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [XJ (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [XI (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) 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] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Tumarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the -17' shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 C ED] F Is E Q U 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space [ ] (a) 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. Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less N then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 2 t� �gMe Practical Effect for Buildings less then 30 feet from roe line: If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit Other Requirements- Installation of Residential Fire Sprinklers [XJ If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 1o6 Date Revised 02/28/06 Darren Read Fire Protection Planning BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2405 Issued: 10/27/2006 Address: 56 COFFEY LN BERRY APN: 062-710-010 Permit Subtype: Wood Deck Owner: RABINOWITZ, ALFRED & JANIS ETA Applicant: RABINOWITZ, ALFRED & JANIS ETA Description: REAR DECK (4X4) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EAC INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 X 7 a PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 56 COFFEY LN Owner: Permit No: B06-2405 APN: 062-710-010 RABINOWITZ, ALFRED & JANI Issued Date: 10/27/2006 By TMP Permit type: MISCELLANEOUS PO BOX 35 Subtype: Wood Deck BERRY CREEK, CA 95916 Expiration Date: 10/27/2007 Description: REAR DECK (4X4) (530) 589-1011 Occupancy: Zoning: U Contractor Applicant: Square Footage: RABINOWITZ, ALFRED & JA Building Garage Remdl/Addn PO BOX 35 BERRY CREEK, CA 95916 Other Porch/Patio Total (530) 589-1011 16 16 FEE INFORMATION Deck (wood) $150.00 Total Charged: $150.00 Fees Paid: $150.00 Balance Due: $0.00 Receipt No: B458 LICENSED CONTRACTOR'S DECLARATION OWNER'/'BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/27/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is or one hundreddollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: 1 7 l CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LI ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 10/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Ow er's nature Date provisions.G���~ A X 10/27/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I >reby certify that I am the property owner or am authorized to act on the property o errs lie alf. ,444-XC�� ,),A �L' 10/27/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner❑ Contractor OR; Agent for Owner ❑Agent for Contractor W11Lender's FILE COPY Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam/SID kv Name irs 'Name SII Address D /� D /� L" 0 Zip "M1 Cily/(-) ate // State-" Zip - 6 S_ Phone,r,,, S-rfld Fax�3,o 0?13, 6 E-mail Fax APPLICANT INFORMATION CONTRACTOR Name City 0/'_ v Address Zip "M1 City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City 0/'_ v Address Zip "M1 City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address�� City 0/'_ v State /' /I Zip "M1 Phone�JJ 2 mil 1,;71dd Fax E-mail AP LICANT SIGNATURE X office use only: Zoning Property Add re� �/ (ltl Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 64--465 BP BIN # PROJECT LOCATION AP#00 Property Add re� �/ (ltl City 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 Page 1 of 2 L Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. i d by: Amount: I Bldg SRA Receipt -Sheriff 60SMIP Datep I (l �) Other Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 8-12-05 BUTTE COUNTY FEE SUMMARY Permit Number: B06-2405 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 56 COFFEY LN Contractor: Printed: 10/10/2006 10:57 am Fee Description Account Number Fee Amount Paid Date Pmt Amt Deck (wood) 0010-440001-4210500-1010 $150.00 10/10/2006 $150.00 150.00 $150.00 Printed By: Karen Jones Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. h Signature: Date: 10/10/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County' Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL�,Njq PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. ( S R NO) 2. 1OHAV NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY, PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REAR DECK (4X4) Reference Number: B06-2405 Applicant Name: RABINOWITZ, ALFRED & JANIS ETA Signature of Property Owner: Date: AD—/D —e �o Butte County' Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municil2alcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2405 Date: 10/10/2006 Location: 56 COFFEY LN Parcel Number: 062-710-010 Owner Name: RABINOWITZ, ALFRED & JANIS ETA Phone: (530) 589-1011 Description: REAR DECK (4X4) Signature of Property Owner: Date: 10/10/2006 61 FIL Butte County' Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2405 Date: 10/10/2006 Location: 56 COFFEY LN By: KEJ Parcel Number: 062-710-010 Sub Type: Wood Deck Owner Name: RABINOWITZ, ALFRED & JANIS ETA Phone: (530) 589-1011 Description: REAR DECK (4X4) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. P Signed: Q—a. Title: FILE Date: 10/10/2006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2837 Issued: 12/21/2006 Address: 56 COFFEY LN BERRY APN: 062-710-010 Permit Subtype: Patio Cover/Cvd Owner: RABINOWITZ, A. & CHIVRELL, K. Applicant: RABINOWITZ, A. & CHIVRELL, K. Description: COVERED DECK (144) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed \ Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final F 801 -T PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 56 COFFEY LN APN: 062-710-010 Owner: RABINOWITZ, A. & CHIVRELL Permit NO: B06-2837 Issued Date: 12/21/2006 By KCG Permit type: MISCELLANEOUS PO BOX 1608 • Subtype: Patio Cover/Cvd Pch OROVILLE, CA 95965 Expiration Date: 12/21/2007 Description: COVERED DECK (144) (530) 589-1011 Occupancy: Zoning: U Contractor Applicant: Square Footage: RABINOWITZ, A. & CHIVREI Building Garage Remdl/Addn PO BOX 1608 OROVILLE, CA 95965 Other Porch/Patio Total (530)589-1011 144 144 FEE INFORMATION EH Building Review Fee $70.00 Patio Cover/Porch $150.00 SMIP - Residential $0.50 Total Charged: $220.50 Fees Paid: $220.50 Balance Due: $0.00 Receipt No: B1186 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / 6cpires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 12/21/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date fM I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section nee not be completed if the permit is for one hundred dollars ($100) oror est ❑ I AM EXEMPT under Section A B. & P.C. for this reason: �( I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FORWHICH THIS PERMIT IS L�l ISSUED, I shall not employ any person in any manner so as to e6ome subject to the Workers' Compensation laws of California, and agr that if I s d �e subject to the workers' X 12/21/2006 compensation provisions of Section 37 the L or o , I hall forthwith comply with those provisio Owner's gignature Date X 12/21/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SignatureDate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above m ned property for inspection purposes. I hereby certify that I am the pro rty o er or tith ' to act n t e pr arty o e s behalf. 12/21/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency tor the performance of the work for which this permit is issued. (3097 civ. code) am of Permittee [SIGN] Print bate I Owner ❑ Contractor OR; Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip t__ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.neVdds "PLEASE PRINT CLEARLY" r OWNER INFORMATION Last am Qof no W/ CityQ/Q irst ame r Mailina Addrew189 L -5 -ox 160 81 Citydj d� State Statee A Zip���� Phone, O� Fax �3U 9 r�3LJr E-mail Lic. # r APPLICANT INFORMATION CONTRACTOR Name CityQ/Q Address City Fax State Zip Phone Lot # Fax E-mail Date Approved: Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityQ/Q Address City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name / Address d�0 CityQ/Q State oneloS—�9/d // Fax E-mail z / In APPLICANT SIGNATURE X For office useonl : AN Zoning A R I Flood Zone SRAYes No Occ. Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AN Property Address City Cross Stre 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: /a n coves /!o Sq FT- Living Garage Open Cov q24 ❑ 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. I Received by: Amounts 150. 00 Bldg I I Receipt #: V l U Me l✓K 170 Date: (2- �- SRA r Sheriff .50 SMIP 00 ir-A (0 , Other n / 2-0 _ M—Total BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2837 Job Address: 56 COFFEY LN Contractor: Printed: 12/13/2006 12:14 pm Fee Description Account Number . Fee Amount Paid Date Pmt Amt EH Building Review Fee 0021-540013-4614901-1010 $70.00 12/13/2006 $70.00 Patio Cover/Porch 0010-440001-4210500-1010 $150.00 12/13/2006 $150.00 SMIP - Residential 1001-0-280-1011298 $0.50 12/13/2006 $0.50 Printed By: Kourtni Graham 220.50 $220.50 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. r Signature: Date: 12/13/2006 Pursuant tGovernment code Section 66020, you are herby notified those items listed above may been imposed on your project. the date of approval of the project or from the impostion of the above, referenced items during which you may request a protest. protest are specified in Government Code Section 66020(a). You have 90 days from The requirments fora Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and fedeial government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.(YES R NO) 2. I VE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: COVERED DECK (144) Reference Number: B06-2837 Applicant Name: RABINO TZ, ALL & JANIS r =ns Signature of Property Owner: Date: /2- /3 ' 4 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2837 Location: 56 COFFEY LN Parcel Number: 062-710-010 Date: 12/13/2006 Owner Name: RABINOWITZ, ALFRED & JANIS Phone: (530) 589-1011 Description: COVERED DECK (144) Signature of Property Owner: Date: 12/13/2006 FI Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0 0 �8 m �3 7!C National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2837 Location: 56 COFFEY LN Parcel Number: 062-710-010 Owner Name: RABINOWITZ, ALFRED & JANIS Description: COVERED DECK (144) Date: 12/13/2006 By: KCG Sub Type: Patio Cover/Cvd Pch Phone: (530) 589-1011 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: 0 Title: FILE Date: 12/13/2006 'VARIES- ' .�_ r+ 55 o :_ Q � p v N s 0 cm CA 6' ' N TYP a •f rirn s UI>� s MAX. 41 na Ol �G i` • •' rri • ' r' - m 1 `moi •� '� 3 .�rr_,=_� - �n � 7. 1 ., �!- mtmi••34° R 11 tl •' 1 - ° � i �� z �HWtURAIt 11E16}Ii • z � i t y - - 1.== �a z "� 3b"MIN. STAIR � MAX. r, rn WID-M o �-itv zr o t' at 4 c ' epi r � 6S y may 1995 SITE PLAN .-._......-. • .... _............ ..... _ 1 - - .. - =� � --------..: _ .................. .. - . -- - .. .. ......................... .. ..... ..... ...... ..... `v -$ g i � .... - _ i .. ...... .. ._ .. .............. : ............3 .. .... .. . ..... L . .._t.. 1L ..... ..........:. .. .. .. .. .. 1 .. . ..... .. . ........... ..... . ..... ..... 7­1*1: ..... IV+II ...... ...... • •� • ... ...... .. .. .... ..... ...... .. .. .. _. .. .. \ .. .. .. _ .. . _ ..... :.� .. .. ..... .. .. ........ .. ...�... _ _ J ..... . ..... ...... ......- - - - ........... .. :0 c.......... ...... ............ 1...... t{ . ..... ........... ...... ............. .. ...... ............. ........ ............ .. .......................... pQ . .. P .. .. ..._ .. --.. . - .. ... .. ... .. e unty - �- n ®k .. - i _ 6 s - o{........ ... _ -�. :L :..........:..' . �.... 2 �. . ,i. :n J _ �$ ...... _.............. . .. .. .. .. .. .1. (x��_ .I.. .. .. V/E - - .. ..................®> - =o �• . =� - ,.c.; IN` _. .. `R .. .. P Jn a _ . .. .. o:.. _.. .. ............. ............ .. ... .. OL- .._. .00 -_................. - .. .. �... _.. _. ................... ......... .. .. .. .............. .......... _ .. .. .. .. .. .. ... _ .. .. ._. .. .. .. .. ........... .. .E — t E .. < .. _ - a .. ............. .. .. .. ............. 6: .. .. .. .. �. _. .. .. .. .. .. _ __ ' •'H ............ .. .................. ............. ...... ...............I..� .. .. .. .. ... .. .. .. .. .. .. {/C�� .lww... (/q .. •�' .. .. .. .. .. .. : ®U/ .. _. .. n� "�/ ..K A Y +..: : !'a1.....N.._ . _ p .. .. -. _.._.. .. .. . E . N UI.. .. I. . .. NTi� .. 1. EA��'N .. .. .. .. .. .. .. .. .. •-............... ............ I..........i•ti----..I...•-'+ -' •• .. .. .. _ .. . •. .. .. _.M .. .. R ;.... .. .. .. .. .. .. _ .. l G 0 l�V T. .. G _.... ...... _......_....._..........._..................__...._-..........._....._............_..... _...........-..... _........ - ...I......:......;............. } -. .. .. .. .. ... _. .-..... ...... _..... ....... ....... _..._._..... . Assessors Parcel Number. Owner. Name lqlfP Address 1 Phone No. Site Location© - © ®— 0 LU [_0J—LOJ L] 0 Scale: lot -r_ Contact: Name y Phoned—.� — 0'4 r zi, FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: _ - - SITE P LAN . -- _•Y PLAN APPROVAL -. - . • . •. .. .. .. .. � - .. Parks n ..---:_ _ .. .................... �: .. .. .. �i s. .. .. �Ttire - .. 9 .. .. .. . - . .. ..............1 8 .......... :......:__... •....... _..... ......................:.............:........... ...... .......... ••..........._........._. .. .. .. i .... .. i r .. ...:... .. ..............:... ...:.............:.. . : -...... .. .. ...: .. _... _. .... ._ v -.... �" .. . . ._ .. . . ..: .......... .. - - : .. .:.. - - - - -- .. -^ .. .. ate...:.. C.�......:...... .. ..�... .. .. .. .. 1 �� � ZIL ;. ( - �.. .: s• - :a \p - (�h 1 'meq'• .. .. t�• . ._ - - 8 .. �: f- .. __ .. .. .. .. .. ...}..... .. .. ._ .. _ .. .. .. .. "® / - l�_ c - .. c - - ,.c.€ IN LT (� . :.. _ _ .. - 0: ............ .............._ .. .. .. P.. daLt ......... . f•• .. .. Y• ............... V_ . .. / .. {V .. .. .. ._. .. .. G . ............... .. .. .. /J�. .}-r._...... .. (� .�Y --- ---- ..�...},.................. /p�y 1COUNTY .. ............ .. ( -j•1 .. .. .i...: (yam_ .. ^^ ii ! 1 .. ..T4 -0I ..5..1 . . . .. .. . . . . . . ._ . . . `� ..PP ROVE _ ............... .. .. .. .. ............ ................................... . .. .. .. .. .. .... - .. .. _. .. _ ............ .. ................... .. .. .. .. ................ .. .._... .�......:.....�.....:......:... �:.:�` . -- .. ..f . ............ ....:......:....... .. .. .. ..................... .. ;.... .. •••.. ... .. .. .. .. .. .. .. _................. ............... .. ...:.... .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . : . . . . . . : : .. .. f-1 r--1r---1n ��._._...._.....-..........._.................._....._..........._... ........... .........._............. Assessors rarcei Number. U U U— U U UC — U U U Scale: 1" _ o Owner. Name 1A is �,,� y \ �. Address 1 Phone No. 0 35 CA S Site Location n- A1 Contact: Name A /Y1 Phoned o 5F - Deng A 2W3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres'. 4.00" PROVIDE FOR ALL ADJACENT PARCELS S IZE (AC): ZONING: GEN PLAN: USES: SITE PLAN Use: Date: -------------- •--•-----•-•------•--•-.._... ---------- - - ... ping: r <• = - ---........................................ - . _.. _.. ._ r 3= �� _.. - - - .. --. _ .. f) _ 1 :- - - - Dl. . . . . . . . . . . . . . . . . . . .. .. �l. .. .. .. .. .. . . .. . . •. _. .. .. __ ♦ ._ .. .. ^ .. ..... _.. _ ••I '.V =G fes.. :j . w .. .. .. _. .. .. -- -............. - .. - .. .. ©-�-' u _. 6 K 0 { X. - _.. �. - w ' L (1L. - .. e$O . ... .. _ .. — .. .. .. .. F •i• . ............. ............. . J E..... .. .. .. .. LLJ .. l - !�" - _ . �. -.._. _ .. .. .. - - P `R IN - c - - �' -r b -. _............................... _. ................ - l._ .. .. .....:•..__.;...... >.................. : = _ - ...................... - ... �..... __ .. = .. .. ............•f•• .. .. .. .. .. .. •Y`• .. .. _ .. .. .. .. _. .. ... .. .. .. .. .. .. .. .. .. .. _.. - T- .. .. .. .. ............ .. .. ............ ............ ... E F• _. .. _ .. .. .. .. .. .. ` �� •p .. ........... .. .. .. — .. .. ... .. ____ ____ •.Elr...r....:........... .. V — S.A.A..lw:....• (meq - % .. .. .. _.. CIN . D .+.•: :� .. .. __ .. __ -....... _ _. .. .. .. .. ..............A. - •_ .. .. .. ..... ..:.. ..: .... .. _ _. .. _ _ _......_.............._ .. _ ................ .. • / F.....}. .. ............ .. .. .. •• ........a ..........................;....... ........ _ _. .. • .... _ ...._ -- -- .. r°r ... o� .... .. — ... . . . .:........:. ........ ... .......... ............ ............. F....... :_....;. :... JII�QIV _.. .. .. ............... .. . .... _ ....---....._..........._....._.........................V� f - - ...t7 _....._.._.... - ...._._........ - .._.._....._.._.....-........._.................._..........._...-..._......_....._..._....... _..... -........... ................... _...... ..... ......_....._........_....._.. `3 ....---...._.........,.�. ���i�l l Assessor's Parcel Number. Owner. Name Address / Phone No. Site Location Contact: Name oR 0 .0 0— 0 El 0 Scale: 1" _20 A� 1a)o�`�`Z rL�l�cL� ISuzA��NC e1��v �\ Phone S,3 0-5 -'F' q10 ? SITE --ALAN , --------------- : - :-•--•-..... - ..... ------------ = = ---- ------ -- _ BUTTE 1V I-----._ ------------- --- ------ IOr-' .............. - ----- - ..- ..... ...._._...-------- ----------------------- ••.ROVE - -.............._ . .. _ .. .. .. _ _ -• ........... fly ------------------- _$ I °1 .y a? - C. y - - - c�c� v� - .CJ o- 0 - . .. 13- --------- - - _ __ ®" - - -- - -- --- --- :. O - - - - - • __ w 6 ..... __ .. __ _..-.1 ._ _.. ` �[ �i.� :V Y .. .. .. _. .- . . ' o. ...... _ N .. .. A Cl s =�• /y�� T..:...' ............_............................... .. E - '.. -- ..... _ - - C,_. ' _ _. P `� - - .. ._ .. P Rl N. F a .......... ...E.._._; . __. R ._. -{ - - i- ._ .. .. .. __ .. _. ._ .. -. .. ... ._ ._ _.0.: __ - - . . 7-7 �0... T: 1.. ---- off' .. . - .. _....._ ...................... ._ .. .. .. ... .. .. .. _. .. .. _. ._ .. •�'b _. .. .. .. ._ _ . . . . . . . . . . . .... yj� ... ... .. .. .. - r `� _....._-...cc._ +� _. .. - - _ . - . -. ... .._.. .. _.. _._............... .. _..... . ............ :......:......�.....;......;......:.....;.__...E...._{ ..... {.. _. t......}... _..; --._. .. ._......... - .. _. .. • — __ .. _ .. .. .. _ .. .. .. .. .......... .. ._ ._ .. _ .. .. .. f APPROVED PLANS AND ..�.. .. �.....:............._._-- .................. . • - .. '- - - -- •• _ PERMIT SHALL BE ON SITE E............... ._ .. .. ...................E... ... .. .. ... _.........-. __ .. ._. FOR ALL INPECTIONS .. ._...............f.... ......................................... _.. -..._.._........_....._....._.....__...._......__._................... __._.._........... --.._....... - -.........._..... _........... _..... ......_..... _..--...................... _..... -..... .....-..... ...... -........... _....: -........... _..... - ..... �9 Assessors Parcel Number.' © ®— 0 — Q scale: 1" - -90 Owner.Name -P iANI S - pc�c Suz N� e . 11 Address 1 Phone No. N o 0 35 r'RKCA Site Location - -Aj Pr Contact: Name Phone3 FOR OFFICE USE'ONLY Zoning: General Plan Desig: Size, Acres L d nn+ — PROVIDE FOR ALL ADJACENT PARCELS S IZ-E (AC): ZONING: GEN PLAN: 1 ICCC- • SITE PLAN ............ .. ...... .. ..t..................................... ................_..;_ .. .. ...j... ........ ..... .................... .. .. .............. ... ...... .. .. .. .. ..... ._ .. .. .. ............ ._ ........... !.. _. .. .. _. .. ..+......_ .. .. ....i. _. .j. .... -_.... 3 �«�« J: -L - - - - . •. L4 - i.. .. - . . - a• _ o.._.. .._ . 13- j... _.�.._..{- . ® - ................ .. - .. =�. w �: ... 6 moi: .. .•11;.. ---.... r1, . .. nl.. .. .. _- .. O - 5.. p {1 !.. ._}..... {..._..! .tet.:... ........._ .;......}.....}rc!_..4.. \` •. i.. _..... .. ..a............ i..... .•. i..� .. .. .. .. .. .. .. .. _ .. .. _ .. .. 1• l.. .. _ .. .. .. .. .. �1 �[ Y V :. v�. . . . . . . . . . . ...... ..... ..i.. r..}.....i...._. ...... r......;... ._s_....v............ :.....: .. .. ..------i..... i.....i...... i.. ............. ` _ - R I Nt-... ...._ .. .......... _ . .. .. .. .. .. _. ... _. 8 - - - �0... 1.. t..... r .............}..... ......;...._ - ...................i. ,. ......i................p .. . ........:....... ! ............ - .... _. .. .. .. .. .. .. .. .. .. .. ............ .. ............ ._ 6 i . '/• !• ..WANF .. .. ............ .. ------------- - .. - - _ . .. .. .. • ........... . _ .. .. _.. .-- . .. .. .. .. .. - ... .. _ ..._ ,._.....:....._.............. �r ,�� off . . . . . .«... _.....__....._........... _..... «..... ....... ..... _..... ....... ..... ....... ...... _..... —........... _.... .--..... ...... _..... _........... _..... _........... ............ _..... —......... —..... ............ _..... _........... _..... ...........—..... .. .t.... _.}... Assessor's Parcel Number: DO © 0 — 7�VIR — 9 0 12 Scale: 1" _ _3 Q, Owner. Name 5A ti 1 S. w z Address/ Phone No. P10' Sou 35 B rR?Y Q �:p"* q Ccs. \ r Site Location Contact: Name Phone O-,� 0 FOR OFFICE USE'ONLY Zoning: General Plan Desig: Size, Acres A MY' ....t......;.....; ......:..... .....{............. ....... THIS PARCEL IS IN A 3 PSF SNOW LOAD AREA BUTTE COUNTY BUILDING DIVISIONd 1 APPROVED Owner:r?A 9w6 w i T'Z BP# Uf:,-W5 APN:O 2- G- Ola FILE COPY PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: 1 mec. 2x !FA Sec I �} Z, s �6 OIZ t,c) 2x 1,GGiG, j Nor I A7 rim I l E E� G-, l of i a; u , . # 2 or �� k � SITE FLAN Pc � Poste C� com,�uq,�-, Lc �, ...........�Su PP..2 . _ .. . - - - . .. _ .. _ j • .i. . •i-• i.. •i' •s ;... _v. .. Nt .. t ,.- ^� fl .. .. ... E . �� �_ l.. .. "� �+y .. .. i• .. J .. .j.. •r v � t ,. : •• 5 .......... - — 4jj • 1. .;. }. i_�. .. } ; 1 .- .. .. .. .. .. , .. �.. .t - .I )+ ;.. ..y.....{..... ........... .. ........... e .. .` ....... .. _ ........... .. .. .. •- ............_ 1 _ �. + i I i. j• r .. .. - - ••Jr: - t v. ...... ..... L t•- .. . ... . .. .. : - ,,.. _�....................- - .._ s . . ... .... .. .. .......................... .. �.�y. W •t J. V.. rte. ............ .. _ _. .. .. ........ N Y A _ L ..• • t• l H .1w.L..... • 1� •� • { . ..i.. ..}..... i......:......}..\♦.......;......i.....i..._.j......y..... j..... ...... ............. ............' i .. .. .. p' _ .. .. . --i-• •- i .. i...... ;.......... ! .. .. .. l is } — —.— — .. — -F cr i. �D F. .. z .. - _ . x: ( .;.....}.:...{......j.....: .. .. .. tai ����l��. i.c, . �• ..� % `� .. 4: t U:L� Ci . _.................. ;, ,.. `_ .. - ........... ��. �•:.� :Y • : : : : : - JOX - I P _ .. c.. :'.A ;..> ......: .{.. .j.. ...:..... i ..... .. ... _.——........... _..... —... .... _ .�.. �........... _....._.......... ��•� r� ._.....—..........--••••.—••---......_....._..........._....._..........._....•------ Assessors Parcel Number. -Qp ©0 - a .a a - F^_1� • � - _ R A h i /U o Address / Phone No. b a�(, 3 � r: Site Location ��� �' o f �? � Aj . Contact - Name _ & $ q - �-(� 1 a � Phone M. Owner. Name ' M. Scale: 1" _ kt �$9= i ^q i Cd.[xr 23, =3 FOR OFFICE USE ONLY Zoning:------------- , General Plan Desig: Size, Acres' a.00r ... PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 'p,„ S