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Home My WebLink About064-560-038064-560-038 ...i, 1 1 1 1 1 i : { .} fi. j f+17{i ;�`s fiI; WRP13F_L, ALBERT MAGALIA it {pr 5 j�s'11tf1''�;1 NSF CONT: OWNER del `yp A Butte County Department of Development Services • Dur>c I c TCS i 7 County Center Drive, Oroville, CA 95965 (530) 538-7501 vnwv.bu[tecounty netidds iii RESIDENTIAL APN: Permit No. _ t Owner. 064-560-038 06-0705 WROBEL, ALBERT Site Address: (,,%I�DAWSON CT, MAGALIA ONT: OWNER Contractor. NSF Type of Permit: r OFFICE COPY 1 Address_ lJ54 j er By Date ," ELECTRIC_ --- .e Meter By L --J Date" : T . 5 r)GLW Som CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE — � P DATE JOB FINALED: _ _ _ SIGNATURE: . = OK o = Not OK MAW UFAC-TVRED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE D E C 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 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; FaII/C/0-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs -Studs -Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath ' 11 Wtr & Sewer Connected -C/O to Grade 10 Roof, Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs ❑ Foundation ❑ 12 Braced Wall pnls ' 14 Exits IS Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers I 4s`. 0 o'er _ o I Pool Drawing POOLS 1 Setbacks -Easements 2 Soils-, CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI S Elec Pool Lting; 15 volts-DFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/S-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs=pnlboards4risultn 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 m OK Not OK / RESIDENTIAL (SIngla & Duplex) .._, DATE (U,9D-,ERFLOOR Y}/Lo ng -Setbacks -Easements -Flood -Slope IVfain; Soils-Elec Grnd Ftg Opth F,w rage; Soils -Steel -Flet Grnd Ftg Dpth. rches/Decks; Soils -Steel Ftg Dpth alls Main; Steel-Slockouts-Wrapped 6 Xemwalls Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Pi f-Frplc Ftg-Steel9WV; Fall -Fitting -Test -2 -way CIO -Sewer Test 49-t E Gas Pipe; Sz AnchrsSz Test Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plen ms & Ducts; Clrnc-Materia"upport-insultn 1 r ersSills-Anchr Bolts,)oists-Vnts-C rip pies 1 cc & Vntltn 16 Insulation d o'er o DATE FRA G iie.rii�^alls Proper M erials &Anchrs IIStu - ailing Spacing & Braces-PlatesSound over Girders & fir Nailing 20 D Stop i Walls (rat proof) Fzi St s, Furred Ceilings -Stairs -Chasers Tubs %ZHea rs & Beams-Sz & Bearing 23 ngers-Post Caps-Anchrs-Cnnctns cciling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg Ties or Type A Flue-Frplc Throat Clmc Arc; Sz & Rmx Prtctn-Draft Stop4ns Baffles Bdrm Wndws or Exiting Doors -Sill Ht &Dimensions arage Fire P cin Framing -RC Channel /Prprty Line rewall & Opngs 3<f Ext Door ne T -Check Garage 3rd Story, 2 Exits 31 Stairs- idth-Hdrm-Rise-Run-Landing-Fire Prtctn 32 PI d n Roof Ovrhng-Attic Vnts-Rffr Outrgrs ng-Frea-Glass Veneer f (/ Stucco eep Screed-Fndtn Vnts-Undrflr Acc GI zin Prtctn-SkyLts-Plastic 36 S r Walls; Nailing -Bolts race Int/Ext Wall pnls 38 Ins u ltn-Walls-Ceilin gs , 39 Infiltration-Walls-Wndws o'. m o'er o e` DATE JELECTRICAL 40 F&tr & Tms -11r Clmc4ns Prtctn• ec Rcp s Spacing-Lts & Switches at Doors Sz Bo s & No Of Cndctrs Stapled Q+5"Ro x Installed Close to Edge of Studs & CJ qp Grnd made up w/Mech Fstnrs 49'�r dng Electrode Bond Gas & Wtr G62 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga Q CU or ❑AL Wire Sz ga ❑ CU or ❑ AL 46 Range Circ ga ❑CU or MAL 'Oven Circ ga ❑ CU or ❑ AL 1 ulated Neutral ElYes ❑No Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 9'r:Clothez Closet Lt-Shwr Lt -Spa Lt Smoke Detector UArt 1�BING` - --__] tr Htr; Vent-Acc-Cmbstn Air Baffle .' 'Wt, Pip.; Test & Anchr-Nail P 55 DWV; West�Fittings & Anch rtct 56 Shwr Pan; Test, First flr-Tub Acc 57T�t Tub & Shwr, 2nd flr - Tub•Acc Gas Pipe; Sz &Anchrs 59 Fire Sprinkler; Test 60 Yard Ga Pi. ing d� m DATE IMECHANICAL (Le St*KC. Ducts Insultn & Support (Le eTtt Fan, Exhaust abv Insultn ondensate Drain & Ovrflw, Sz & Grade 64A -r ace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 63' ttic Acc f& Pltfrm if Furnace in attic 0 DATE IFINAL 6 Ste s -Door & SideLt Prtctn-Landings moke Detector 6jL-9"rrr2L'E'Vnts-Clrnc-Comb, Air-Cnnctr Garage; abv-flr-Ducts-Mech Prtctn 6 In edroom Exiting 7Gr,@V 8 Bath Fxtrs & Tub AccSpa Arc Fault 7,-EfffETrim & Subpnl, Breaker Sts & Labels 7.iwStairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 7575 E�utlets at Wood Pnl, Int & Ext Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 ets & Rcptcls at Ktchn Counter 78 rage Fire Door, Swing -Landing -Closure 79 AC D t in Garage -Damper 8 Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr Me Prtctn; LPG Appince Undr House 3' drain —8 '1_1 Elec & Mech Eqp Listed for Lottn 8 lec Rcptcls in Garage (GFI) Romex Prtctn 83 tn-Foam-Looked in Attic 84eer92 Rails & Deck Cnstrctn-Post Caps 85 '& Crawl Hole Door Drnge & Wood -Earth 86 Cir Drnge Planters 0 Yes Q No ucco Brown -Finish /_88'XC U it Dscnnct, Elec-Plmb is abv Roof, Plmb-Appinc-Frplc-CIrnc to Opngs 90.W ll, Dscnnct, Elec, Plmb 9 t Elec Trim, GFI Rcptcl Undrgrnd 92 n thru House 63 GJaas Prtctn 9 C rections from previous lnspctns 9�Te t -Meters Tagged, Gas-Elec Sewer Cnnctd-C/O to grade -HD Apprvl gy Cmpinc Cert -Other Certs ddress Posted 99. Fire Sprinkler o'er 0�� o`' o IM AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0021190 Recorded I REC FEE 10.00 Official Records I County of I CMRNB Copy 1.00 Butte I CINAM J. BRUM I County Clerk-Recorderl I I KL 010:22M 26 -Apr -2086 I page I of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMAIIIIII"III'II1I"1'IIIII'11I'1 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 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: 1 Date 31 -21/o o PROPERTY OWNERS: rF Jahn Wrd& l State of California ) `- County of bL/f/e- ) personauy appearecr 1T/yX /t e/ 7� 1111"V r_ / personally 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/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offs ' I seal. oKRISTEN MAGGITTI by .... v Signature ASeal: O F� o0 Comm. #1472558 NOTARY PUBLIC CALIFORNIA 0 0 BUTTE COUNTY 1 A.P. # V(L — My Commission Expires Feb. 24, 2008 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL A: .Lot 138, as shown onthat certain Map entitled, "Paradise Pines Unit No. 10", filed in the Office of the County Recorder of Butte County, California, on November 19, 1970, in Book 38, of Maps, at Page(s) 11, 12, 13 and 14. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all .mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. PARCEL B: A non-exclusive easement over Lots A and B (the common areas) of said Paradise Pines Unit No. 10 and the lots designated for common and recreation areas as described in the Declaration of Annexation for Units IV, VI, VIII, X, XI, XII, XIII and XIV. 0 .J Exhibit Page - Legal(exhibit)(8-02) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 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 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): LLT 1 as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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 (Sed. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date:— Owne WORKERS' COMPENSATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance,., as� required by Section 3700 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: Policy #: 011*-, 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 5141 y Applicant:) Q Q X1 — ✓"6� PERMIT NO. BP060705 Issued Date: 6' �m4APN: 064-560-038-000 Site Address: 6190 DAWSON CT MAG Map Index: Description: NSF (1625) GAR (440) Owner: WROBEL, ALBERT AND KAREN 1671 SWEETBRIER LN PARADISE, CA. 95969 530-876-1075 Applicant: WROBEL, ALBERT AND KAREN 1671 SWEETBRIER LN PARADISE, CA. 95969 530-876-1075 Contractor: License #: Architect: Engineer: Total Square Ft: 2065 S.F Valuation: $116,185.00 Census Code: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one (;:i.��lJ/ �✓1C� 3,�3 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. j I,14(3 CONSTRUCTION LENDING AGENCY This permit is her b - iss/uedroR erlthve:p[pI,1,cablle provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o ork indicate above for which fees have been paid. � performance of the work for which this permit is issued (Sec 3097 Civ.) ' + J > � - G� ��. By: Date: PERMIT EXPIRES Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: o�� YLXI� _ SignatuX�A Date: (/ U-Uwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 \oo BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Nam?Firs \ o(3F,L Name i Addrgsk swce'-rVSrz1R z ul City Ne i] l5 e .State V�- 5.q (o Phone 3V_$_76_)() 5 Fax E-mail GVkS5 TA04 2 (2 Cf0Tt V+1LL . Go,AA CONTRACTOR Name Ow JW 6 U L L 1D C VZ Address Sl�ll�G pAtt� tie City Phone State Zip Phone- Subdivision Name Map Fax E-mail " # Lic. # Class ARCHITECT/ENGINEER Name (30m"\ 1 Address Address State City Phone State Zip Phone Subdivision Name Map Fax E-mail # State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE 61 For office use o y: Zoning I f2 — I Flood Zone jG SRA Yes) No Occ. Type Const. Subdivision Name Map Book Page Tot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP D•b a 70 BIN 9 t5-1 8 PROJECT LOCATION AP0(0`I 5-oo 0'3g roperty Address SOV') it Cr s Street _ If�GI Wt I 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: iN _Li HO Us C Fq L(o Sq FT- Living Garage Open Cov O Structure Built without Permits 0 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�igrj tm� c`)ts are not 411-- -r bib Received by: Amount: ✓Bldg C'I Gd L/ SRA Q�0 Receipt #: r, V Sheriff SMIP Other Date: 2 �2 Total The fpM 2. EK. 3. 4. ❑ 5. ❑ 6. ❑ 7. 8. 9. 10. 11. 12. TTAL & PERMIT RE ng drawings and specifications must be submitted to the Building Division in ore ply for a ;OMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE ANb IN INK. 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. Engineered truss details and layouts in duplicate (if required). No faxes! Energy compliance design and supporting documentation in duplicate. Statement of Intent for Non -heated and A1C for Non -Residential Buildings. Manufactured homes: (A) Installation manual', (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in'triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). Site plan and business license approval from the City of Biggs. Letter of intent for non-residential buildings. Building Permit Application Without Required Clearances Form 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.) ❑ 4. 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 planlapproval 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 . y 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 KAFORMSWILDING FORMS\BldaApbISubRamts.doc Paae 2'of 2 REV 8-12-05 I w TO: . Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. SE ON Y Plot Plan Attached Flow Plan Attadied % Sent to BD/DS Owner Location AP# Plan Approved for: Sewage Disposal: '/ Water Supply: Public Private Well Clearance for '� dwelling. Other ✓fir_' B .� .O -U-)0 x-) ,�1 coli c� /fie v .49-tol-31"e6 U e,el JOL19A.JS . Hold final for: Final clearance O.K. for: Building Clearance 9/2005 Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ty ` / L�� ASSESSOR PARCEL NUMBER Proposed Building Use: S'� Permit Technician: Date: r Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed tiy the preparer of the plans. IN 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 a❑5. Letter from Engineer or Architect for truss design review. amu/ / 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 --q d 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other mainin ' ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) r • ' Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applic J . 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........................................................................ W 9 Fees as shown on the attached Schedule of Fees Due Sheet .............................. 13`. City of Chico Plumbing permit........................................................................ ❑ _ 21. Site plan and business license approval from the City or Mgg S.-�-..Y....�".�-�fl-�-�/Z 9 /� 22. California Department of Forestry plan approval paid. Sent by: !N' " 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check:.......... �. ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ \ ❑ 25. Fire Marshall Review (comm{ rcialpro��%only).. Sent by: ...................... �❑� / 26 NPDES Form................................................:.........................................:... Encroachment Permit for driveway from the Public Works Dept ........................... Contractor's license information. (Number, Name Style, Classification) ................... \ ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner Builder Verification (_Given to owner, _Mailed to owner) ..................... ❑ etter of Signature authorization.................................................................... _nAecorded copy of Agricultural Acknowledgment Statement ................................. 13. Existing violations and/or expired permits........................................................ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone Al-151-v2-7-��U -- 6'� d ofor i� . I have been informed of the above items and requirements for obtaining a building permit. Applicant: - Date:7Q 4i 1. Index permit application for tb� bove items numbered: Plan ChecrC leiter 2. Additional items required Contractor, design caner as advised of the above data phone, ❑ 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: Date: fl 27 grZ Structural approved by: Date: YZ 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.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner wrobel, albert APN No: 064-560-038 Application Date 3/29/2006 Permit No: BP 06-0705 Permit Type: nsf 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,642.39 Plan Check portion of Permit Fee $1,056.96 2 FEMA Ld Yes Flood Elevation Review $109.98 0 3 SRA' Yes Fire Plan Check - Non -Refundable $95.00 95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 1 - $204.98 NON-REFUNDABLE portion of fees due at application $1,151.96 RECEIPTDAT„E Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,261.94 f/L%9790® $1,585.43 Balance of Building Permit Fee cnecKmg process. Applican(2 ,�J Date: Pursuant to Govern t code SectipfiP6M0Yydu ar hereby noti i hose Items followed by an ”', may have been imposed n your troject. You have 90 days from the date of approval of the po t 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 1 OWNER -BUILDER VERIFICATION TION 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 major labor and material for construction of this proposed property improvement: YES .[--�] NO [ ]. 2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: 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: "�S 1 10 (o 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. Butte County Department of Development Services � X ADMINISTRATION ` BUILDING t GIS r PLANNING ° ° `� o o o 7 County Center Drive-- ` Oroville, CA 95965 o) (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 of 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. I 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 Califomia Health and Safety Code. P pSTMENr OKI gvTr� \� oovtlzy A�Qtic Deportment C o u n t J. Michael Crump, Director of Public o f B u 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 ACRE] Project Description: p 5 P Project Location and/or Parcel Number: 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: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelopjnelit Scj-wces OQ,V� / - 0 7 County Center Drive 0 Oroville, CA 95965 f� o- o (530) 538-7601 Telephone 0�.^ may' (530) 538-7785 Facsimile DUNS BUILDING PERMIT 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: a I need to submit applications for septic andlor well to Butte County Environmental Health immediately. o 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 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: . L Applicant Name: Kt ftn�j Ah�rN POISE L— APN: 0(9T '50(9(2 0 3g Building site address: T)AS0N CTS V \ AOA Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the abov eferenced building permit application and my signature below: 10� SIGNATU F APPLICANT DATE AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 26—Apr-2006 2006-0021190 Has not been compared with original BUTTE COUNTY 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 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 -3 f 2� rl PROPERTY OWNERS: State of California County of , ulye- nally Known to me dor provea 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/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offi ' l seal. Signature r Seal: A.P. �(L `f —�S �O D Q O EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA; COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL A: Lot 138, as shown on that certain Map entitled, "Paradise Pines Unit No. 10", filed in the Office of the County Recorder of Butte County, California; on November 19, 1970, in Book 38, of Maps, at Page(s) 11, 12, 13 and 14: EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. PARCEL B: A non-exclusive easement over Lots A and B (the common areas) of said Paradise Pines Unit No. 10 and the lots designated for common and recreation areas as described in the Declaration of Annexation for Units IV, VI, VIII, X, XI, XII, XIII and XIV. Exhibit Page - Legal (exhibit)(8-02) oma? WTMENr o� TrF° . Department ®f Public Works ° ° C o u n t y o f B u t t e ° ° ° ° 7 County Center Drive \ Oroville, CA 95965 ° C y ° J. Michael Crump, Director (530) 538-7681 A U N� e (FAX) 538-7171 �Uc woP'� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 06y 6_60- 03 9` Building permit # Owners Name: 19/6,,,e -_f L✓rolw l Owners Mailing Address: 16-7, r - Property Address: 42" f ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: 06 O 3L ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: rc.r- ❑ Not a County maintained road ❑ Existing driveway conforms to County S-31 standard ❑ Other Approved by Printed Name Z_0e'. Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older. and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. Y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (Oneform per Building) School DistrictLr'i (�) ►�-p� `?,4 n A� Building Department No. A.P. Number �-�5� ��.� Jurisdiction: City County Property Owner Property LocatioNAddress �� / %� � l / ! t%9a/ ha. %s`7,Y � . e Subdivision Lot NO. ............................ Residential Development. Q 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 Sq. Footage Addition (Including Exterior Roofed Areas) aNew -h Building Department Representative . Date District Identification No. &44&A9I-IWPACZ School District certifies that Applicant v Ile 7 (Street Address) (Phone Number) 959 i (City) (State) (Zip Code) i has complied with the requirements of Resolution No. by payment of $ y r Lj Q representing A.9 square feet..... B 2926 $ IPULL MITIGATION $ School District Represen ative Date Paid by Check # Remarks: Notice: You may protest the Imposition of the tees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), whhln 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing this Butt County Schools Impact Fee Certification Form, the School Disolct Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fess to fully mlggate Its Impact on the school distrlcrs schools. White (school district), Yellow (building department), Pink (applicant), feeform.xis (3105W= i a a BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) P -PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s)� Project Location /Address Subdivision Name V New Development Alteration/Addition(s) Mobile home Demo Permit (datehs Comments: Department Representative 15 Building Permit Number e Sq. Ftge 16,,25 Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department F,do verified by Building Department ❑ FRRPD .0 CARD I1.IPRPD ❑ DRPD certifies that: Date i My rf ulro b � z 'S 76 - /07� Applicant Name Pho Number l� 7 , 5 -u oa r1)a racllse Cdr- 5%1 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No._0 `_t l �19 by Payment of: Dwelling Units @ $ per unit for a total of $ �6a SSquare Feet @ $ — per sq foot for a total of $ Oa Remarks: i Paid by'gheck No: G RecreaMori and Park District Paid by Cash: Receipt No: Date SITE PLAN REVIEW APPLICATION Date:' p (o AP# n (o �/' SZ, 1- 6 3 _ Permit Number (if aanlicable) APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.:. 177 C, I r, -.' ` Site Address: Proposed Use: Residential 41 -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 1 Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Bin Number Parcel Size: m ❑ Commercial Remodel ❑ Industrial Remodel Zone: GP: Other eptic ❑ Well Lj Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Other: Brief Explanation/Issue: DEVELOPMENT SERVICES INFORMATION For Sta Use Appr v d ❑ onditionally Approved ❑ Resolve Problems Prior to Approval ❑Resolved • By Date 1 2006 �. J 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: • Flood Zone: ' • 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 obtained 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: F— General Plan: L- .G 2 Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. I ❑ Use Permit/Minor Use Permit Permit Number: - Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front D Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. I ❑ Use Permit/Minor Use Permit Permit Number: - Date of Approval: 2 Parcel Created By: [1 Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements X Subdivision Man/Parcel Map: Map Date of Recording: Lot: Book: V Page: 3 2006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES .�, BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 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 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): fD t, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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 (Seri. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ i am Exempt under Article 3 of the Business and Professions Code Date:] S7Sr.— Owne w WORKERS' COMPENSATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 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: Policy #: e icI 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: S to Applicant: C Q — �A� ✓ f�`�""`� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP060705 Issued Date: 5' `�Z APN: 064-560-038-000 Site Address: 6190 DAWSON CT MAG Map Index: Description: NSF (1625) GAR (440) Owner: WROBEL, ALBERT AND KAREN 1671 SWEETBRIER LN PARADISE, CA. 95969 530-876-1075 Applicant: WROBEL, ALBERT AND KAREN 1671 SWEETBRIER LN PARADISE, CA. 95969 530-876-1075 Contractor: License #: Architect: Engineer: (Total Square Ft: 2065 S.F. Valuation: $116,185.00 Census Code: 4140 CONSTRUCTION LENDING AGENCY so Relution I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) . ' By: Name: PERMIT EXPIRES Date: �D, G� Address: ❑ 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. livable to the scheduled construction of this project. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not app complywith ❑ Attached are copies of the required E.P.A. notification forms. owner or the duly d agent of th I hereby certify that I have read this application that the above information is s correct, unlawfand that I am the alter thesubstance of any official form or document of Butte Countyf el hereby e to all county and slate laws relating to building for inspection purposes. authorize representatives of Butte County to enter upon the above mentioned property Signatu 6�� Print Name: Date: ❑Agent for Contractor (�(Twner ❑ Contractor ❑ Agent for Owner ' B. C. Building Permit O1-16-0�� BOB MANGRUM fiRGY'CONSULTAIVT : .530-$7G-9616�.— P_w'_;w A-iLA Title 24 Residential V1 itle'24 Commercial Lid. 11510627 TITLE 24 SUMMARY JOB NAME: OB.r-_C, H.E.R.S. VERIFICATIONREQUIRED YES. NO r •t r STREET 5655 �lLivIOND ST '., .PARAD'ISI,,CA.95969 530477-3979 FAX euAG4)t V j t crc o INSULATION: ATTIC WALL FLOOR SLAB = FENESTRATION:. 1--0 w Z' V r �j KL_ «U99 VALUE = On 3S SHGC SHADING HVAC SYSTEM: SQUARE FOOTAGE HEATING btu's = .Z8 085HSPF AFUE COOLING btu's = 2/, y/8 SEER: r.� WATERHEATING SYSTEM: GAL. STORAGE GAS = 50 -ENERGY FACTOR = GAS INSTANT = , RADIANT ROOF: -YES: / NO: HOUSE WRAP: r YES: I ATO: r ��/� resoU� ,� .Avo Pct s:; WESTERNWOODS.EWP PAGE 01/01 APAgra Certificate of Conformance Certificate 054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of !Engineered Wood Systems (EWS) were manufactured In accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber .1 NER-486 Glued laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits In accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify -onformance to industry standards for lumber grade and glueline bond quality. If IT 'w �,..�o w o 00 rn 42it g� by Uj n, C Thomas G. Williamson ' Executive vice President •��ASNIN ENGINEERED KWO SYSTEMS is a related corporation of ARA — THE ENGINEERED WOOD ASSOCIATION 7011SOUtft 19M St'M • P.O. Box 11700 • Taooma. WA 98411-0700 Talepnone; (283) 588-8800 • Fax Num4er, (253) 585-7285 �V2 `17x 1A -Z If IT 'w �,..�o w o 00 rn 42it g� by Uj n, C Thomas G. Williamson ' Executive vice President •��ASNIN ENGINEERED KWO SYSTEMS is a related corporation of ARA — THE ENGINEERED WOOD ASSOCIATION 7011SOUtft 19M St'M • P.O. Box 11700 • Taooma. WA 98411-0700 Talepnone; (283) 588-8800 • Fax Num4er, (253) 585-7285 COUNTY OF BUTTE rBUILDING DIVISION W DEPARTMENT OF DEVELOPMENT SERVICES fur,' 7 County Center Drive • Oroville, CA • (530) 538-7541 �st.. d- CORRECTION NOTICE OWNER PERMIT NO. t 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 .r work is completed. If you have any questions pertaining to this matter, or need additional Cr explanation, please contact the Building Inspector as indicated below. ain Ju Ann .- Gh�r:' Date ! I — I D �_ NO Inspector [ oAm-P Q -0 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 'f�ni�'..Z,i. ...ti, �+..+�n ...-.:ti r-.- .. .. � ♦ . �-,Y.-f.ti. i .,..� -�.., � . r -ti-• —•:r. -. �a.� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Wro,�S'`a OWNER PERMIT NO. A routine inspection indicates that the following vuolations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date �h •�� Inspector REV 4/05 Phone # �35� FOR RE -INSPECTION CALL:'538-7636 OR 891-283 4; I L COUNTY OF BUTTE 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. jf you have any questions pertaining to this matter, or need additional explanation, ple contact the Buiiding Inspector as indicated below., Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 i l /.7 4i7 Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE a 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 to this matter, or need additional explanation, please contact the Building Inspector as indicated below. i l /.7 4i7 Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 SITE PLAN REVIEW APPLICATION Date: 41as- Lo AP# + 5141) - 03? Permit Number (if applicable) NOM QT Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: — ( 0-7 S� Site Address: Proposed Use: 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 T ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use Zone: GP: IM Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By ADate 1 .. i ALL ITEMS .CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ tResidence'can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • 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 obtained 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: kd, 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 0'9-0 aS 1. Side 5— 30 J.0# f 0 v Side Street go/ Rear 1 S 3C) f 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 ❑ 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: Lot: 13 Book: J0 Page: 3 /� \,� rim do is 'o:� + � w•r `\2 �� .��u� �6, m ., ri 7- I AIVI vs: ki > t ml 0 40 .. .......... 40 D 71 Z7 Zt . . . . . . . . . . . . evy- ITE,PLAN - ... ;. .. 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