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066-360-019
Wn dt At tt PA. -4 Z eV Wn eV ni BALANCE OF FEES SB= DATE: PERMyr: ASSESSOR PARCEL #: 0-,A�s NAME: FEES- (Amount and Purpose): $ BALANCE OF FEES: ADDITIONAL FEES: $ REVISED PLAN CB= - $ BATTALION # SHF= FEF, $ SRA COPIES $ URBAN ARTA FEES CSA 87 (North Chico Spm) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE $ "T" $ 'Inu OTHER VALUATION - IF BALANCE OF FEES ORADDITIONAL FEES: TOTAL VALUATION: ADDMONALVA-L- 4. (Check on COUNTY CITY OF BIGGS (Check one) RESIDENTIAL MavfERCLAL s 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 penally of not more than five hundred dollars ($500).): PERMIT NO. BP051440 Issued Date: �41110PN: 066-360-019-000 Site Address: 13657 NIMSHEW RD MAG Map Index: Description: NEW DET GAR(832) LOFT/STORAGE(615) Owner: HALLEN RICK L. 13657 NIMSHEW RD MAGALIA CA 95954 (530) 873-5087 J� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: HALLEN RICK L. pp intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 13657 NIMSHEW RD owner of property who builds or improves thereon, and who does MAGALIA CA such work himself or herself or through his or her own employees, 95954 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one (530) 873-5087 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.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: 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 33oof the Business and Code QProfesssiions Date: �� v h Owner: ! -`�^ i // " " ro�" — License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 ❑ 1 certify that in the performance of the work forwhich 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: 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. 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.) Address: Architect: Engineer: Total Square Ft: 1447 S.F. Valuation: $59,943.00 Census Code: This permit is hereby issued under the applicable provisions of the Butle,Counly Code and/or Resolutions to do work indicated above for which fees have been paid. By: 1 r+ < Dale: I n PERMIT EXPIRES ON: 10 - it 1- 0 ❑ 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. Print Name: /l r C/C �c2 L ( 2 ^ - Signature: f l (%K- Date: Zowner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor A r Riulrrinn Pprmit n7-16-04 no 1 $ 11 i 5�.- BUTTE COU1\TY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 4 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION ( �. Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** ' OWNER Last Name / / Pti Name First Name 4% C Address City cc State G� Zip ys y Cr3u ) P,2,? 0 8 Fax /L-�.P A. e E-mail yo 1"P Type Const. V N 11 Q APPLICANT SIGNATURE For office use only: CONTRACTOR Name Name Address - -- — -- — 09 � - � O City I /�reV State Zip Phone Type Const. V N Fax E-mail E-mail State License Number Lic. # Planner Class Q APPLICANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name //" / Address cl City I /�reV State Zip Phone Type Const. V N Fax E-mail Map Book State License Number Q APPLICANT SIGNATURE For office use only: APPLICANT NAME Name //" / Address /?65 -? 36S cl City /,71 69a)�, e I /�reV State C 14 Zips Phone Type Const. V N Fax E-mail Map Book Q APPLICANT SIGNATURE For office use only: / rf AP#00^tl/'' 36t/ �( Zoning -21/ Flood Zone WORKER'S COMPENSATION SRA I /�reV I No Occ. LENDING AGENCY Type Const. V N Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT BIN # LOCA/TION / rf AP#00^tl/'' 36t/ �( Property Address 136S' 7 /V,-�S (e ��. Rpt City 'J" 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 Description or Scope of Work: Gam, -<G � L,., /o f + Sq. Footage ? 6'k 3 2''=,-s � � 2 i t nrncs-vl�-C LJ 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 Page 1 of 2 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. ef�6�7 = /� Received by� Amount: 2 , _� - Q`")' Bldg q7_7 SRA Receipt#Sheriff CIO SMIP Other Da//te:�7 Total REV 2-24-05 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 A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's _license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 utte County Department of Development Services )NNE CHRISTOPHER, DIRECTOR O 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: ' vow FROM: LO N 1 SUBJECT: O � DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecountv.net Plans Transmittal For Review Per Contract 6/3/2005 Applicant: Hallen, Rick Permit No: 05-1440 Project Type: Gar/Loft/Storage APN: 066-360-019 100% 70% Plan Check Fees $ 461.92 $ 323.34 $ 461.92 $ 323.34 WILLDAN Fee $ 323.34 Co pies, Attached: . Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 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 11 16)IOWNER:1� C (i ASSESSOR PARCEL NUMBER LJ((f/t� Proposed Building Use: ;1-),2t C�r�ij p Permit Technician: Date: l - Items required in order to apply for a permV All boxes MUST be checked OR marked NA in order to apply. [a' 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 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. Letter of intent for non-residential` buildiAgs ❑ 12. Hazardous Material Form g� 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in 9Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... k'f ❑ 19. Erosion Control Plan Required....................................................................... 9� 20. ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ - . City of Chico Plumbing permit....................................................................... ❑ 22. Site plan and business license approval from the City of Biggs .............................. q/ 23. California Department of Foresry plan approval paid. Sent by: 05 / 4. tanning approval for (A) Use:(B)Parking: (C) Parcel Check:.../..... /0 ❑ qontact Land Development about _ Improvements, _ Drainage ........................ gr_ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( liven to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ *6e ng violations and/or expired permits ............................................... �....................................................::.............gal descriptio ,❑ M.H. Title, title search, registration or MCO ......................... . ❑ 37. Other: When issued Telephone 723-5:(M and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: t/� /r'`� X�/ Date: 46- a' -0y 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer caner; as 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: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: I Date: Structural reviewed by: -Date:--L-.-Structural approved by: VV I t ` Date: Note transfer by: a Date: Yellow: Building Division E.H. USE ONLY Piot YWa Attechd IZ;;" Roos Attashod-__ Sona too S.D.B.! � TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Zgd-,5"-7 /(/1,W5/4eCj /c�� _ 066-9620 - 0/ 9 Owner Location AP# . Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other - Hold final for: Final cleara-nce O.K. for: NOTE: Environmental Health 8/96 7, P— 9, Date . be*b� - 1*w COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPROSED BUILDING USE G 1� BUILDING PERMIT FEES - Balance Due ..................... $ 100 SES ---- FEMA Flood elevation review ... $ 'Q -_F Additional plan checking Fee.... $ z l e? , 9 SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $_ Sq. Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning ( 6. SRA FIRE INSPECTION AND PLAN CHECK FEE I $204.98 (paid at Building Division) • A.P. # DATE RECEIPT # DATE REC. yy0 7 lo -11-0 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) CC 8. SMIP `<� J o� q 1906-710 - I 1- 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT �—a DATE 6 ` Z — c95— Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Dec i7 02 11:38a p.2 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity, to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1'. I personally plan to provide the major labor and materials for construcrion of the' proposed property improvement: YES 1$ NO 0 2. I HAVE.2 HAVE NOT 0 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: 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: PROPERTYOWNER:_ SOCIAL SECURITY NUMBER: DATE: ro —.2 —OS 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. OVER Butte County-Departmentof-Develop7iei2tSci-wces °vr0 7 County Center Drive ' o -` .•� ° Oroville, CA 959650 �" ': ° (530) 538-7601 Telephone ° (530) 538-7785 Facsimile c0U14-� 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 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 s 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 r uire 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: RI c�C L YeL Of ti APN: Building site address: /3 6 S 7 h e ti led Permit No.: 23P 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_ — atc-� W_Zz'� SIGNATURE OF APPLICANT 6-2-0-5-- DATE -2-aS- DATE Copy to Applicant/EH/File K:Forms/B1dgPermitwithoutClearences 020705 �UTr o �, o o �� • o p C o J _ c pcO U N4' s LIC W�� Department J. Michael Crump, Director of Public o f B u t 0 r k 5 LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538-7266 (FAX) 538-7171 National Pollutant. Discharge Elimination System (I.PDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Description: 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: 0 6-.2 —o s" ' WILLDAN ' Serving Public Agencies August 3,-2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1440 Assessor's Parcel No: 066-360-019 Description: Hallen-Gar/Loft/Storage Willdan Project No: 14353-1698-M Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: . * Plans: Two (2) copies, sheets 1 through 3rand S0.0, SO.1 dated 2/28/96 by Select Home Designs. * Structural Calculations: Two (2) copies dated 07/21/05, by Wegener Engineering Group. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Q W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. The information in bold text in the table below is not consistent with that shown on the plans and permit application. Butte County may recalculate the building permit fee based on this information. Specific Use Type of Occupancy Type of Construction 1" Floor Stories S Ft 2"dFloor S Ft Total Sq Ft Garage U-1 V -N 1 832 NA 832 Future R-3 R-3 V -N 1 615 NA 615 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 4. Because this project includes easily accessible un -finished Attic Space, approval is contingent on a deed restriction being recorded. Please contact Butte County as soon as possible about initiating the required deed -restriction recording process. County of Butte Residential Accessory Building & Space -Use Matrix. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sit a ely; ac ster lans Examiner Cc: Alice Mefford, Email: amefford@buttecounty.net Rick Hallen, 13657 Nimshew Road, Magalia, CA 95954 Page 2 of 2 Kisabuli �uctural Engineer Butte County 05-1440 W illdan 14353-1698 r(J _ BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) 'School District ?A Oil S157- t/Al ft e�? Building Department No. A.P. Number 0&6-. 360' d/ Jurisdiction:. City .County Property Owner /Cly Y+( L 6-A Property Location/Address 36 57 "MATI-14E Subdivision Lot No. ........... .......................................................................... Residential Development r0 Q 0 Sq. Footage f No of Living Mobile Home Addition/ "Supplemental to (Group. R) Units Installation Conversion Permit # *(No foundation inspection) - ........................................................................................ s Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Id os Building Department Representative . Date Identification No. L- ��05 (Street Address) District certifies that A t -- (Applicant) �7 3-SZe-7 P- (Phone Number) 1 (City) j (State) (Zip Code) / �J has complied with the requirements of.Resolution No. by payment of $ (J ��• �� P 9 (!/� 4 re resentiri square feet. B 2926 $ PULL MITIGATION . $: School District. Representative Date Paid by Check # Remark& Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Cods Section 66020(x), within 90 days from the date face are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Represented" 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 ►wlswad under the California Environmental Quality Act (CEQA), this projectmay ba subject to additional school fans to fully mitigate Its Impect. on the school district's schools. feeform.xIS (3105)dthm SITE PIAN REVIEW APPLICATION Date: D l� as AP# Permit Number (if applicable) APPLICANT INFORMATION Owners Name: C Owners Address: Parcel Size: ,- 3 ? 6 -C4 -F,_5 Telephone No.: .s0 7 v Situs Address: S !'� Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory ovk9-gk ❑ Permanent Second Dwetng ❑ Temporary Mobile Home (Aunt Minnie) ❑ -Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other 17 Septic ❑ Agricultural Exempt Building ❑ Other: Brief Txplanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel v ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 0 G# 95Yyz/ a Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval im Site Plan Stamped Approved ' By 2ayj Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: • •)-WO "0 J-60- 0-R. Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: �( �_ j • Flood Panel No.: O ? � C- Index Date: & Za �Y ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ ' Detached Building Use Form ❑ Encroachment -Permit — ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:'/��- Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front . O Side , d Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By 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: �1.�!/�zcS /1?riiv�,. �5-it" d — e24 ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel _❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 F1 Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ❑O Page 4 of 5 t, { El Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:1Larrys\Building Permit Site Plan Reviewl.doc • j 7 Page 5 of 5 f art:; RECORDING REQUESTED BY: idelity'National Title Company of California Escrow No:: 04 -215875 -BG Locate No.- CAFNT0958-0958-0002-0000215875 Title No.: 04-215875 When Recorded Mail Document and Tax Statement To: Mr. Rick L. Hallen 13657 Nimshew Road Magalla, CA 95954 d=: b:—Gn10721CED 9 Recorded Official Records Count Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON .Assistant 09:00AM 24 -Nov -2004 REC FEE 10.00 TAX 220.00 MONUMEN 10.00 Kathy Page 1 of 2 APN: 066-360-019 SPACE ABOVE THIS UNE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declare(s) Documentary transfer tax is $220.00 j X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of Magalia, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Russian River Land Co., Inc., a California Corporation hereby GRANT(S) to Rick L. Hallen, an unmarried man the following described real property in the City of Magalia, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: November 22, 2004 STATE OF CALIFORNIA COUNTY OF ON Nit/ " Russian RiVtr L&ndZo1I 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(les), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon b r f of which the person(s) acted, executed the instru e t Witness my Signature �wGOLLING COMM. 0 1509342 RM C-OeuNTY UffE COMM tecta!�M�w 20, j W.J. GOLLING COMM. # 1509342 NOTARY PVOLIC-CA11FORNIA COUNTY OF Bul Comm. Exp'ues Sept. 20, 2008 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(09-04) 0 By: r . ✓stir before me, II p red Frank refi e t/ By: M Judiv. Archer 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(les), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon b r f of which the person(s) acted, executed the instru e t Witness my Signature �wGOLLING COMM. 0 1509342 RM C-OeuNTY UffE COMM tecta!�M�w 20, j W.J. GOLLING COMM. # 1509342 NOTARY PVOLIC-CA11FORNIA COUNTY OF Bul Comm. Exp'ues Sept. 20, 2008 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(09-04) 0 Escrow No.: 04 -215875 -BG Li:,^.ate No.: CAFNT0958-0958.0002-0000215875 Title No.: 04-215875 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of Lot 3 in Section 34, Township 23 North, Range 3 East, M.D.B. & M., and being more particularly described as follows: BEGINNING at the Southeast comer of said Lot 3; thence North along the centerline of Nimshew Road, 158.00 feet; thence leaving said Nimshew Road centerline South 860 06' 29" West, 626.40 feet to an iron pipe tagged LS 2843, said iron pipe marking the Easterly line of the Pacific Gas and Electric Company Ditch right of way; thence Southerly along said right of way line, South 430 30' East 52.00 feet; thence South 500 45' East, 40.00 feet; thence South 440 31' 13" East, 73.57 feet; thence leaving said right of way line East 506.60 feet to the point of beginning. EXCEPTING THEREFROM the South 20 feet thereof. ALSO EXCEPTING THEREFROM all mineral rights in said land heretofore conveyed to Ethel Mine, a corporation, by Deed dated May 28, 1898 and recorded in Book 50 of Deeds, at Page 416, records of Butte County, California. TOGETHER WITH all that portion of the North half of Section 34, Township 23 North, Range 3 East, M.D.M., lying Northerly, Easterly and coincident to the following described line: BEGINNING at the North one-quarter corner of said Section 34, said point being marked by a 2 -inch iron pipe with a 11/2 - inch brass plug marked for said corner, LS 2780, set in concrete, being as shown on that certain Record of Survey Map, hereinafter called Map, filed in the Office of the Recorder of Butte County, California, in Book 110 of Maps, at Pages 8 and 9; thence following along the North and South centerline of said Section 34, South 00 14' 12" West for 1,369.21 feet to the lot corner common to Lots 2, 3, 6 and 7, of the Government Subdivision of said Section 34, said point being marked by a 2 - inch iron pipe with a 1 1/2 -inch brass plug, LS 2780 as shown on said Map; thence North 880 47'25" East, between Lots 2 and 7, for 239.85 feet to a point located on the centerline of Nimshew Ridge Road; thence following along said road centerline, South 10 17'47" West for 20.12 feet to a 3/4 inch iron pipe, said pipe being called the Northeast corner of Lot 6 in Deed to Robert L. Wilson, et ux, recorded in Book 1361 of the Official Records of Butte County, California, at Page 557, said point being also the Southeast corner of that certain parcel of land described in Quitclaim Deed to Albert Melvin Johnson, et ux, recorded on December 8, 1987 under Butte County Recorder's Serial No. 87-44943 of the Official Records of Butte County, California; thence North 10 17' 47" East for 20.00 feet along the centerline of said Nimshew Road to the True Point of Beginning for the parcel of land herein described; thence from said True Point of Beginning, North 880 43'50" West, parallel with and 20.00 feet Northerly of the Southerly boundary line of said Johnson Parcel, for 352.01 feet; thence South 860 16'32" West, parallel with and 20.00 feet Northerly of the Southerly boundary line of said Lot 3, for 162.24 feet to a point located on the Easterly bank of the Pacific Gas and Electric Company Ditch, said point being marked by a 3/4 - inch Iron pipe and tag LS 3634; thence following along said Easterly bank, North 430 31' 13" West for 62.60 feet; thence North 490 55'24" West for 40.00 feet; thence North 420 40'24" West for 52.00 feet to a 3/4 -inch iron pipe and tag LS 2843 to the end of said described line. The above described parcel of land is in conformance with the Conditions of Approval by the Advisory Agency of Butte County, California on October 22, 1990 no new parcels being created. A Record of Survey Map is being concurrently recorded in the Office of the Recorder of Butte County, Californla on November 21, 1991 in Book 124 of Maps, at Page 38. I ll:. C" ni "t -d I .. .. . ..... ... ....... . .. I'JA QJ T'CIND- 1. ......... .. . 0.' ----- ----- ....... ...... i\: W • TO )- elooh - C,:,. LCU 71 C)' - ------------ P'O -.J A— ............ 'h 4 64 In, 11 -70 All r. o Cj k�, ((a I r;"A Vin --d T.-, nt!d E D -0 'el -16 7, v r—W-13 Lp Z� 1`111 (.0 1 J.L� S; Gd. RCLND S"S.F. Gd. RCLND L r l., T. S,.- S. F. Gd. RCLND S. F. Gd. RCLND • 6-a 2 A)a` V) 11-70 Uo V I OO OP Ll At, v, q. e TOTAL Int. Roof Ile. Fdln. Fir, Ext. A ............... f; $.-S.F. Gd. RCLND S. F. Gd. RUND ...... 'N 'C T ... ..... .. . D, W. C, C,!:., A J. i .!_1 DE' T; -N, 1 1 0 1 Fi u, W.il, C . .... ... x i[ L IUS STRUCTURES Ca 1, ezn. TOTAL _J_ V. V.. V. 0-liltA c oLl!\IG W;- hill. Vin --d T.-, nt!d . ..... bAl —5-_ ,4 S�I 16- t 1A lie. fdi.. E.I. Int. Roof A,. 5i.. E D -0 'el -16 7, v r—W-13 Lp Z� 1`111 (.0 1 J.L� S; Gd. RCLND S"S.F. Gd. RCLND L r l., T. S,.- S. F. Gd. RCLND S. F. Gd. RCLND • 6-a 2 A)a` V) 11-70 Uo V I OO OP Ll At, v, q. e TOTAL Int. Roof Ile. Fdln. Fir, Ext. A ............... f; $.-S.F. Gd. RCLND S. F. Gd. RUND ...... 'N 'C T ... ..... .. . D, W. C, C,!:., A r ... ..... C .!_1 DE' T; -N, 1 1 0 1 Fi u, W.il, --L--c-v 1 -1—u b- 1 J..Jj [j, x i[ L IUS STRUCTURES Ca 1, . ..... bAl —5-_ ,4 S�I 16- t 1A lie. fdi.. E.I. Int. Roof A,. 5i.. E D -0 'el -16 7, cc"-) E5 cc 14 1 A -=l Cq r—W-13 Lp Z� 1`111 (.0 1 J.L� S; Gd. RCLND S"S.F. Gd. RCLND $,,S.F. Gd. JRCILND -e a S,.- S. F. Gd. RCLND S. F. Gd. RCLND $/S.F. I-,!. Gd. RCLND 6-a 2 A)a` V) 11-70 Uo OO OP Ll At, v, q. e TOTAL Int. Roof Ile. Fdln. Fir, Ext. A S. F. % Gd. RCLND $.-S.F. Gd. RCLND S. F. Gd. RUND y _e' 'I- Lie— _+,c) 0 1 ezn. TOTAL PIN 17 Lei D 440 - Sc� � F %� �� 6���� Th�2cu� to/ fo s V2AAIN. FO?55 �Le j\ S c a tj F-eE �I�S v l✓>�.A Y&o 0,4-kovt ATat.teT S (iv k t IZfta GC— ,A w. 'vy ver V d �P• �a D OAA T ON 1/ItS(0sSeo w{ 12-tc-K- ti�ALLENJ '21 /045 (� w%t,L 5v►5MI T R€vtsew HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Sep 08 2005 3:50pm Last Fax Date Time Twe Identification Duration Pales Rtauft Sep 8 3:49pm Sent 914256491120 0:00 0 No answer a r V PLAN REVISION Owner's Name: AP#: BP#: ��`� `����� Received By: Dater Time: ,O_, / � 4 m Contact Person & Phone Number: PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: Er Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: Minimum $54.99 -+Receipt #; F ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 PLAN REVISION/RETURN Owner's Name: r� BP#: �%��� —% Y % 0 AP#: a G6 -- ,Q9 -©/ 91 Received By: I Date: �� Time: Contact Person & Phone Number - PURPOSE OF RE -SUBMITTAL OR REVIS ❑ Permit Application Data Sheet Item O *Engineering *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Inspector's ❑ Requested by Plan's Examiner — Plan Examiner's Name: Other: /N/o /4/vfwEx !�!o,- /,Zf r� 6_Y\1 j -44-;V5 _S v v .tir i rrZ--O -- STih2 (A3 L' *If revising a plan which has already been issued, submit two (2) draw,,/ ngs reflecting the revision for plan review along with your approved plans. If engineering is i-fivolved in this revision, the engineer must put his requirements on these drawings and wet/stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCE ❑ Mail to Owner/Co78" 's.address: t Call PC �� % S G15 AS FOLLOWS: hold for ❑ De Iver wit next Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 r c� C, Aaz `- jv_ kxv�� rk - owet-u►J6 v r n.60 vtrte r A te- ir-cc+e,J S p6 c Fr vs E a� 2'�� �LA0aft _ �� V4 n�N al aop Xvt ai2rL VZ.00M CAMLT. rlooM Ora ?? t ASW (2 g-7 3 — oNo�-7 GUSy 8!3/05 cc- ���v �(scus s wI c (4A L �. PC k/ I 2ND ✓%vi L (. V v N t T. uNt T. o l- o� S ���c �12. Ct-�r'tcS �tce;) f _ T E.H. USE ONLY Piot Ran Anachod Floor Plan Anachad G — - J seem to 8.o. ! Y /-/IIIvwy TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal X, Water Supply: Public -�., Private Wellx Clearance for X dwelling. Other 2 MY' Hold final for: Final clearance O.K. for: NOTE: Environ n Ith Specialist Date 8/96 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County CenterpDrive\- Oroville, California 95965 - Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATLON AND,PERMIT 0.3 3.:U ASSESSOR PARCEL NUMBER 66-360- 019 ZONING BUILDING PERMIT OWNER ARCHER TELEPHONE 895-3930 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 13988 HELLTDWN RD, CHTCO 95926 CONTRACTOR' NAME DAWRAY REMODELING 1892-0976 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 *1697 NIMSHEW IRT), MAGAT TA 95954 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE MAIN SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15:00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 iORLE Main Service ?DDA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Bu iness and Professions Code, ( g ) and my license i /'h full f rce and effect. /� t� License Class '� Lic. No. ` 1 I , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license 'Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DIN ELJNo °COUP. OR ADDNS. ( 8 ACC. S. S° 3.50FT. NEW CONST. MULTI.OUTLET NOKRESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1. 00 BABAIL@ .so50 FIX Ex. Occup. DUT ETS R o,°Rw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of fornia, and agree that if I should bec me subject to the r ers' compensati rovisi ins of section 3700 of the or Cod I shall rth ith comply wit se provisi s. X Date Signature of pplica Ow rContractor ❑ Ag nt An OSHA permit is required for excav Ions over 5'0" deep and demolition or Lnstruction of structures over 3 stories in heigh Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD COF PARCEL Po HD ISSU This permit is hereby Issued under of the Butte County Code and/or indicated above for which have By Ex, I PERMIT EXPIRES ON 1 the applicable provisions Resolutions to do work been paid. Date Date Receipt No. ,PINK WHITE-D.D.S.-B.D. CANARY -ASSESSOR -INSPECTOR GOLDENROD -APPLICANT Feb 01 02 0,8:13a,. P. 1: COUNTY OF BUTTE -'=DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-7541 2 T NO. Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER '$�1�gI�IN� !� $�$ I r„_/A+� ��/\1^ T SO. FT. OCC. BUILDING VALUATION M OWNER 1 / 1 /)D /1 S I �L[IN�V�' PERMIT FEE S Mobile Home Installation Fee $ ��� —� Energy Inspection Fee $ *"PICIP" "imam ( occ CONST. TYPE TOTAL. FEE $ // -• SCJ. * TO " Pir zwo COMTOR 0. FEES IMP FLOOD CDF I PARCEL I PO I NO I ISSUE This permit is hereby issued under the applicable pmvisions'" " of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. BY Date Receipt No. PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD•APPLICANT DIV -- COM R'S � ode-�I 7 COM OR6NwU j2RESS b 1 _1, c 5� _g; "—_— CONS RUCTION LENDER . LENDER'S MAILING ADDRESS Fireplace Total Valuation $ • ARCHITECT OR ENGINEER LICENSE NO. Fling Fee $ 20.00 ARCHTECT OR ENGINEER'S MAILING ADDRESS _ Permit Fee $ Plan Checkin Fee $ auaowo ADDRESS i / f� I Y'",f InJ Ener Plan Checking Fee $ Energy g $ _ PERMIT FEE $ LO NO. SUBDNLSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sveciFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition 11 Remodel ❑ Utilities ❑ Insfapetion ❑ Other ❑ Describe Work; e,oI au Maly) Each gas water heater or vent 15.001 Gas i in system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S (31 W 18720.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service.EOOA OR NESS aooA oR LEss 23.00 "PERJMIT FEE PAM s �� SRA,Mobile SHERIFF - / AIKOVN'T RECEZVEp � IJIJ Main Service 200A TO IOWA 46.00 NEW CONOT. OWEWNO OCCUP. 30. OR ADDNS. 6 ACC. BIDS. 3.50Fr. NON•REOS10. My _02 CIRCUITS LTI.OIm,ET @7.501 ----.. POWER APPARATUS 6 SINGLE OUTLET CIA. Ex. Occu . OVnEr OR M-TUAEB 20 ®I.ao BAL 0 Z EX. OCCU DFIXED APPLNS. OR U LEID RFS10. EA 5.00 Temporary Service 23.00 Home Facilities 20.00 —Misc. Wirin 23.00 e ,.� s 2 PERMITTEE' '$ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ ��� —� Energy Inspection Fee $ *"PICIP" "imam ( occ CONST. TYPE TOTAL. FEE $ // -• SCJ. * TO " Pir zwo COMTOR 0. FEES IMP FLOOD CDF I PARCEL I PO I NO I ISSUE This permit is hereby issued under the applicable pmvisions'" " of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. BY Date Receipt No. PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD•APPLICANT DIV -- County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Dave Ray Remodeling ADDRESS: P.O. Box 801 CITY & STATE: Forest Ranch, CA 95942 DATE OF CLAIM- n5/1 1 /nri SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 066-360-019 P_ermit_No.:.___._-_-_.04-3223 --.. PAID.. - -RETAINED- REFUND - Development Services $ 989.82 $ - $ 989.82 THERM DRNG $ - $ - $ - SMIP $ 3.80 $ - $ - SHR $ _ $ $ SRA $ 95.00 $ - TOTAL $ 993.62 $ - $ 989.82 a' ...... .. ..... :: .... i2EAiCCOiTNT ::-'A-NT 101001 DVLPMNT SVC 440-001 4210500 $ 989.82 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ 3.80 1011811 SHR 1800 280 $ 101001 SRA 0100 4617240 $ 95.00 TOTAL $ 1 088.62 $ q88.62 ,r: �,��o� a�y��cu, ucaaie u UVI pendny V1 penury ural ure services or articies ciaimea nave een pertdrm d or delivered, an tat thi claim is true and Corr ct as stated. Dated this day of 2005, at V Calif. Ignature of alma I, the undersigned, hereby certify that, to the best P my knowledge, the services or articles specked above have been perf rm d or delivered and that thhee(re� is a Budget Appropriation or Speck Board Approval (Check nform . Dated this 4% day of 2005, at Oroville Califf. AM epa t nt H or Auth r¢ d Deputy Dept. SEE Exp.- Code xp.Code BREAKDOWN Code PAYABLE FROM FUND vV VJV I VVRI I C 6CLVVV I rna LINM - AtJUI I UK'J USt UNLY EPT & SUB PROJ I SUB. OBJ I CLAIM NO. I INV NO. I INV. DATE I ENCUMB. GROSS AMT. r'► SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES County of Butte DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY Oroville, California GENERAL CLAIM CLAIMANT: Dave Ray.Remodeling ADDRESS: P.O. Box 801 CITY & STATE: Forest Ranch, CA 95942 nnTF nl: rl Alnn• SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 066-360-019 Permit No.: 04-3223 PAID RETAINED REFUND Develo ment Services $ 989.82 $ $ 989.82 THERM DRNG $ - $ $ - SMIP $ 3.80 $ - $ SHR $ - $ - $ - SRA $ 95.00 $ - TOTAL $ 993.62 $ - $ 989.82 ...+........ : i2EAKDO W1V »::::::: RUT ::ACCOUNT: : AMUUNT: 101001 DVLPMNT SVC 440-001 4210500 $ 989.82 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ 3.80 1011811 SNR 1800 280 $ 101001 SRAJ 01001 4617240 $ 95.00 TOTAL 1 1 $ 1,088.62 $ 1,088.62 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2005, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2005, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. PERMIT Bin INF7066-360-019 "ASAME ' ' FIRST NAME CONTRACTOR RAY • CITY/CTY STREET NO STREET NAME CITY-jWGALIA USE TYPE MMEM-CNEW PRI DET GAR/GUEST H B � go Eu MC) 25 char. max VALUATION FLOOD _ FEES PAID RECEIPT m • FEES 2 RECEIPT 2 -_ FEES 3 RECEIPT 3 FEES 4 RECEIPT 4 ON PLAN CHECK ACTlV1TY Plan Chk-7: Chkd By -9: _ Plan Chk-2s Chkd By -2:- Plan Chk-3: Chkd By -3:_ Comments: 255 char. max Return -9: Return -2: Approved: APPLIED ISSUED FINALED gChk-2:.','���� 11/4/04 SRA & SMIP(3.80) FEES PAID. 11/5/04 sent to Willdan for p/c.// REFUND REQUEST IN, FORWARDED TO D.D. 11-9- 04. Call Frank Archer 895-3930 when at Diane's Desk. Call Dave Ray at 893-8830 or fax 893-5338 �OTrFButte County Department of Development Services oo o Building Division - O 7 County Center Drive COUN'��l Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the RECEIPT DATE: l L �.... RECEIPT AMOUNT: REASON FOR R FUN R QUEST: Check those fees which you wish to have considered for refund: wilding Permit Fees =Sheriff Fees ` lESRA Fees (CDF Fire Planning) Other (specify): -- Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for -Refund. If you want the plans, you may ick them up prior to that time. Signature Date K:/Forms/Refund Application 082203 CLAIMANT: Dave Ray Remodeling ADDRESS: P.O. BOX 801 CITY & STATE: Forest Ranch, CA 95942 DATE OF CLAIM: 12/22/04 APN: 066-360-019 RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED 413160 11/04/2004 Dave Ray Remodeling 738 $1,088.62 04-3223 Yes No Yes No Yes No X X REFUND BREAKDOWN Title Fund Dept Accnt Cash BLDG 0010 440-0o1 4210500 101001 THRM DRNG 1800 I-HRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHER DEV FEE 1800 (SHR) 280 1011811 FIRE 0100 (SRA) 4617240 101001 DETAIL PAID RETAIN REFUND BLDGTime 109.98 879.84 ::.:::::::::::::::::::: :::::::::::::::::.:::::::::::::::::::::::::::::::::::: ............................... :::::::::::::::::::::::: :::::• :::::::::::::::::::::::::: .......... ............................... .......... ............................... ::::::::::::::::::::::::::: :::::::::: .......... .......... ::::::::::::::::::::::: ..................... .............. .......... .......... ....... :::::::::: ::::::::::::::.. . .......... :::::::::: ::::•: .......... .......... .......... .......... .......... »>: .......... Filin from Plan Check 0.00 0.00 0.00 Plan Check/Filing0.25 27.50 351.94 351.94 351.94 Inspection 0.00 527.90 1 527.901527.90 BLDG FEES OTHER BLDG SRA 109.98 109.98 109.98 0.00 0.00 REFUND PROCESS FEE 54.99 0.00 0.00 0.00 BUILDING TOTAL 989.82 0.00 989.82 989.82 THERM DRNG 0.00 0.00'.1'.1"",,*,*.,.'.'-''-*-*-*..,..,..,.,.*.*- SMIP 3.80 3.80 SHR 0.00 0.00 SRA 95.00 95.00 95.00 APPROVAL Date Reviewed Scott Rutherford $ 1,088.62 $ 05/10/2005 A. -L4 - $ 1,088.62 $ CHECK: $1,088.62 DIFFERENCE: $0.00 (Should be blank) 989.82 $ 1 $ 3.80 $ - $ 95.00' Chief Building Inspector DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET BUILDING DIVISION DEPOSIT # BAG # 229 33-0 PERMIT# RECEIPT# ACCOUNT# F-10 ACCOUNT# ACCOUNT# AVA COURT (SRA) 0100 (SHR) 1800 F-10 ACCOUNT# ACCOUNT# (CUA) 1800 (SMTP) 1001 ACCOUNT# (COPIES) 0010 043181 413153 $ 934.83 043215 413154 $ 659.88 $ 95.00 $ 7.48 043216 413155 $ 1,385.40 $ 95.00 043218 413156 $ 714.87 $ 95.00 $ 305.01 $ 16.37 043219 413157 $ 55.00 043220 413158 $ 219.99 043224 1413161 $ 109.98 043225 413161 $ 164.97 033541 413162 $ 54.99 043211 418429 $ 110.00 043212 418431 $ 110.00 043213 418432 $ 165.00 043214 418433 $ 549.90 043217 418434 $ 385.00 043222 418435 $ 1,431.17 $ 95.00 $ 7.20 042783 418436 $ 880.43 043226 418437 $ 110.00 $ 9,031.23 , $ 475.00 $ 305.01 $ i$ i$ 34.85 1 $ MONEY COLLECTED: audftor:yellow Zf COMPILED BY: GRAND TOTAL TO BE DEPOSITED DIANE LEWELLEN extn 6869 DATE dy $ S`7q.SL4 w .I W., BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 3rd qLl AND SUBMITTAL REQUIREMENTS o?�16�36 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** ARCHITECTIWqINFER OWNER Last Name ��.� •, First N �&A Address . r City w I Stat', Z' Phone V Fax E-mail Page ARCHITECTIWqINFER •e • ��.� •, IXW1r' �I r P 3111:0 m. ill Mull Fax J w I E-mail S t License Num r I Type Const. OMly Address Map Book Page Lot # ARCHITECTIWqINFER Name Address d City St Zip PhoneJL� Fax J w I E-mail S t License Num r I Type Const. OMly APP CANT NAME Name Address 71 nIj GStat City �© aV), OA Zip/ _ lI Phon / 6 Fax ✓�2� E-mail For office use only: AP# �Q Zoning it Flood Zone SRA res No Occ. I Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO. BP o4 -32Z3 BI) • LOCATION AP# �Q Prope d ress it 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 Dguiption or Scope of Work: t,C ` o v 2,-) 749 6'jl Sq. Footage ' v ❑ Structure Built without Permi s ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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. Received by:�Amount: B4- Bldg 2v4•�18 SRA Receipt #: 4-13 ite o Date: f 1. 4_0 4 - _61 eo SMIP Other j�f3g• �x Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a per it. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). 1 ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. - California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required), ❑ 9. Letter of Signature authorization (if required). -� ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7-27-04 Butte County Department of Development Services �vTr YVONNE CHRISTOPHER, DIRECTOR • ° , �` (�/� ° o � � o o 0 7 County Center Drive oT,---y o Oroville, CA 95965 °— - = - ° N (530) 538.7601 Telephone c011N'�y (530) 538.7785 Facsimile N TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 srutherford(c�buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract O DATE: 11/4/2004 Applicant: Archer, Frank Permit 04-3223 Project Type: Gar/Cov/Guest APN: 066-360-019 100% 70% Plan Check Fees $ 351.94 $ 246.36 $ 351.94 $ 246.36 WILLDAN Fee $ 246.36 Copies Attached: Qty Chk Application • Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 5/11/2005 Butte County Department of Development Services www. buttecou ntv.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone ,(530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Dave Ray Remodeling P.O. Box 801. Forest Ranch. C'A' 95942 RE: Permit No. 04-3223 APN#066-360-019 Owner: Frank Archer On 1'1/4/2004, a deposit was made in the' amount of $1.,088.62, of which $0.00 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1,088.62. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen Senior Account Clerk Administrative Division enclosure 04-12h.ltr 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:H E P__ ASSESSOR PARCEL NUMBER /61C) 320 Proposed Building Use: 6; A 2.4GC- e'579-' 6sT 4S E'Counter Technician: `' Date: f f ' 4 • �' 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 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 faxes! 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. Cl 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) 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. Site plan and business license approval from the City of Biggs O , 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner " ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required..........' ................................. ........ 0' 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval l�iaid. Sent by: . ............ 24. Planning approval (A) Use: '.;)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, - Drainage ......................... 26. NPDES Form............................................................................................. If 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ...............................* .......... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ...................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement .....................: ...... ..... ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephones 651a and hold for pickup. I have been informeLthe `ove items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Let er 2. Additional items required 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: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # 0(t,4o • 3ti64 . t> I ei PROPROSED BUILDING USE Per ef_141� DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ �� - `r' 4-13 1 fe® 11-4-o4- --- 1.4--®4- --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) —10 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89-.W(paid at Building Division) 8. WATER TENDER FEES BATTALION # .$200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone Zone Commercial (sq. ftg.) ......... _ —20 10. OTHER A'1 r P X =$ # Units Amt. X =$ Sq. Fig. Amt. a 9d A-131("6 .4l .04 1 f A If- 4-,:54- II.4•p4- At time of permit a tc tion, I was advised the a fees are required to be paid prior to issuance of the permit. These fees may be changed d g t e plan checking pro s. APPLICANT DATE ©� % Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 61-0 5 W61' Department r n ti n t V J. Michael Crump, Director of Public Works o f B u t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 536-7266 (FAX) 536-7171 National Pollutant Discharge Elimination System (NPDES)Phase l Construction Storm Water Permit and Storm THAN 7 ACREtIon Prevention Plan (SWPPP) Acknowledgement ILES Project Description: CA t Location and/or Parcel Number: J Pro�ec jj By signing below, L the project owner/owner's agent, certify that this project,WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need toapply for a Construction Storm Water Permit from the State of California Regional Water Quality ControlBoard. 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,b�w• 19 Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification .�r .w►R,^,e.,.,nntProemm NOV-05-2004 11:13 AM FRANK E ARCHER 5308935338 P.02 tY.0.4 Q5. -0-4 Ota : as&_- Da-ue: 0�� - 360.0le SSP A44n Department of Development Services ' �uitd>filtrgDwision 7 County Center Drive Oronaille, CA 95965 (530) 338.7541 (530) 538.2140 FAX D ETA eH1kD * e E E 9S0RY RUj-LDJNG . OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner add retu�te� to-ti►tBt theEButteBn�ldi�4Divis� A �;ccessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. A ! Owner: Mailing Addr Site Address; Assessor's Parcel Number:.. Q �b " ?j 40— 1244 —zone:. Please this form answer questions 1-16, and explain any yes answt;r4 for gneetlons 2-14 in. the tt�oe_Rrvyfded =pege a at GENERAL WORMATION: 1. b theme-pdmary dw Uiag_oa-the-property? Yes No 2. Is thm ctmctm aLa4dy built, under aonsvnetlon, or under notice of cede violation? Y No 3. . Will Items Rroduoed La this buildiogbc-oflbred_for sak? Will -. _ 4. the public haaccess to accto this building? YNo Yes S. Will any advertising, on or off site, be associated with the W af-this buiiding2_- SITE CONDITIONS: Yes 6. Is the structure foundation within 5' of septic tank or l0' of leach Unes? 7:_'Is yeaN any poitIoa-of 1he-svneturo-te0ftted ctoW titan 20'tti your swat Property line? S. Do you plan to add a driveway or mo" e,tisting access to .0 Yes ❑ No a county maintained road? y. �Nill_the Rropasedstau�ute-eotmaeh.wlthin aa�reeoededeasemertt? YesQ No yes 0- No - CONSTRUCTION FRATUR>egt , 10. Will this buildinghave ineWated f)aQr. Wall&.. of cell e - 11. Will Ws bwldingbe heated orecoled? Yrs � Will this building have a water closeVtoilet? yew12. NO 13. Will fids bu1rdInS-bm-a-"7- Ye Ne_ 14. Will this building have a weer heater'! Yee No Yes No 13, What type of noor =voting %%III the building have? t C 16. What type of %%-all covering will the building have? e� aVR 1 of 2 NOV-05-2004 11:14'AM FRANK E ARCHER 5308935338 P.03 PROPOSED USE.- (clwk-MyFone-bat-), 1. ❑ Residential Storaga.Shed-L.wciq.be slortttf ' not be Wed fbr Arty other purpose (no bathroom errd so head::; :.: 2. 0 Private Game - "A building or a pofdon of a building uiding - - .Pili .,., .. L' i:i:ir ! .),..1 .�,.IP: �i �. l�..:.•f )�,1 :V \•. e(ception) in arms in which only motor vaNcles used by tenants of the buildire cr 5u!=f sg. oa .':c premise: ~c stored or kept." A $areae doer is n,,.iM 3 Q Reaideutia!_Casport —A covBred•strtctws intoendedImpar@fngof vehicles T W0 U,• ,suis s;&s must t,. 4,,*XMdendsk.0ccupancY-- Spvcn,nesmenaetabe.oauple4asoppthecked #4. please cheer@ the uses below which bast 6t this buildingjj�G uastHause Pool House. SStudy Studio Apadment_ L aw.gygtter•S Recreadon Room Game Room ❑ Bonus Room Playroom 1)etr �` Studio D Arinin I(lo._ - - Hebby-Room- erar. -Roar• Q CaaninI IC9tcben Musk Roost4plknally0S�� Rcc [1Privata.015a. . �� � Room _ ❑ Sun Room aR- Q-Homa.QwupancyQ-0thec—tk- r. D"W60 up erw.11 Explanations: This area is fbr exploration of any "yes" answers on questions 2-14. Please Indicate the quessian number before tht-explanation_ - - ' - Additional Informidon. glen rerie.�xlll ost staeted until -thin forte is eompkEed nerd teeefved k Ptaaa r -will wutacttbr '- owner with speeific requirements per the use iadkated, t,�bY-�rnlrmdecpeoalgr-o�pea#ttcg.thectha-abavelni>u�lott`Is-tea-asd-txtrroat: i-urtdatatacd-tbatamy` to the user, or charaew of use, of this building will require pertaltz frmrtt the permitting Authadly. I understand taet� Beal. Estrus. Dlsctcntm.iesus cequlu�.dPscloatue oLthisinlhaaatloa ttocwl the progaty. is -a ftws� ON-rer's Name: ?lam Print " 1� raCM�� �L�'C►� Owner's Sipature: 2of2 1 Pd RL -60-P.8® OE.S. 6Q8-.0^Ra-. -I SENT BY: BUTTE COUNTY RISK MANAGMENT 5305382030; MAY -9-05 4:08PM; PAGE 1 0011 tF0 0 0 0 0 0 0 o ' o RISK MANAGEMENT COUNTY OF BUTTE Telephone: (530) 538-7090 Facsimile: (530) 538-3831 To: r _ 71t-r,era ./.rr.r�fA Front'�---_.---._- COMPOe► Pages: Phonec Date: ,S� / /S' Ree CC: O Urgent ❑ For Review 17 Please Comment 0 Please Reply ❑ Please Recycle CALL VA d;a, md 7L && .e_.4 ids 44 , SENT BY: BUTTE COUNTY RISK MANAGMENT ; 5305382030; MAY -9-05 4:08PM; PAGE 2 t FILE WIT14: Butte County Risk Management COUNTY OF BUTTE ; • RESERVE FOR FILING STAMP 3-A County Center Drive CLAIM FOR DAMAGES - r. • Orovi Ile, CA 9596S TO PF..RSON OR PROPERTY CLAIM NO. INSTRUCTIONS E COUNTY 1. Read entire claim form before tiling. VA►aOEMEW 2. See reverse side for diagram upon which to locate place of accident. 3. This claim form must be signed on the reverse side at the bottom. i 4. Attach separate sheets, if necessary, to give full details. SIGN EACH SITEET. 0130J 5. Claims for death, injury to person or personal property must be filed not later than six LE, C LIFORNp months after occurrence (Gov. Code Sec. 911.2.). Claims for damages to real property must be fried nut later than 1 year after the occurrence (Gov. Code Sec. 911.2.). Name of Claimant�q'�/L✓ Y rQ�� 1� Date of Birth of Cl an zq .s 7 � 7, 3 H me 4ddrcss of Claimant City. State and Zip Code W- Atp-*,t, Himm Telephone Number 5 30.813-58 3 0 Mailing Address of Claimant ` ,p City, State and Zip Code 1 34-88 �' 1 +bWv1A Occupation of Claimant Cc.�RqAiAwa#aR-- i ( 6 • L.il-t\C� Business Address of Claimpnt City, State and Zip Code Sa*v•e =1D Business Telephone Number 0-s ve— 53o - eq3. 8830 Give address and telephone number to which you desire notices or communications to be sent regarding this claim: Claimant's Social Security Number -IK 3 4 BS F del I -(-a,vh ; co C /� 5528 _ 2-LidI3 s5 -t - 'it �t'z-9 z. When did DAMAGE or INJURY occur? county employees involved in INJURY orDAMAGE Date Time If claim is for Equitable Indemnity, give date claiman�0-Ctserved with the complaint: „t FiNamesany e(Q�t7 t 0 G Y alvtesDateS , Where did DAMAGE or INJURY incur! Describe fully and locate on diagram on reverse of this sheet. Where appropriate, give street names, addresses and measurements from landmarks: e, 6t1*"4VKe*k Describe in detail how the DAMAGE or INJURY uc:curred. 5e.2— Why do you claim the County is responsible? C 10.i ► r ` ua•L �, 1A S l �G ma K+ks i�'PL `�� Aa+wa � S 'See er,lz+ tka� Describe in detail each INJURY or DAMAGE_. A (OVER) THIS CLAIM MUST BE SIGNED ON REVERSE SIDE SENT BY: BUTTE COUNTY RISK MANAGMENT 5305382030; MAY -02-2005 12:21 PM FRANK E ARCHER A . APR -89.30M 1.:46 ZELLMER LAW DROOP MAY -9-05 4:09PM; PAGE 3 3306935338 P.04 530 477 i "3 P.1)"' ibe amount cls(a sd, ao of the date etprucautiart 6f tus claim. is Q=Vutsd as &flows: Dmeade to ptnp.. i Future xpeua tttedieai sad boa tial Date.... "`a^e°e htnedlesl sad hospital tAcce.... S 8 es for p .... 3, Funue Io•• of attW+eta........... ................................. 3 Lou of 4amlag...,. tiq���� .,...�,.. S Atlter praepestive spatial damps .......................... C— Speei do yes for.. Yti105�tt�r.......... S .G Z pre sotfw eaaral t Iq�fw�d C.� tea hDdl� t dame oo................................. 9 Total eatbwa prospective damages .......... i General damfil :....(?� Zfi.... ----- Tail danntes kowed a dam .................. S Told &==I ollMnod as of dses of prawatatian of thle 416itu................0 Was dartuta wdror 4ury investigated by police?' go !f so. city. County or Stats? Wvt parsrnedios or W*WMos 661649 1f se, namo pra.tder wubolsoe%„ — If bound, sura due, the. umo and sddtaa of doctor of your gat vior . WrrMS?J to DAMAGE az 1NXMV: Wtall peewee and addtavp of persolIns !mown to have informa6m. Noota i�e,1 Address un 1aRni photo 530-650• :TC DOCTORS @If HOSPITALS: H+ospinl tJ ,address boomDato HospitrLa dam Dote ofTtunaent Doan Hata efTr•tQtt•at des---------- �•- BEAD CAAaVMLYi For all tocideet clattea place on lbllowlot diynm am of streste, including Nott4 &ask South sud Wart; lndkele plus of acoldsu by "R" trod by sbowiop house oumbnfl or dlsUmaa 10 street Coma", 7f Cottitty vehlcie wa tavWva& destgnste by letter -A~ location of County vehicle urban you Brat Mw it, ad by "B" lock, of yourso f or your which whin you Nae sari county vehicle; tocation of COMAW "Aisle tl data of aoeideet by "A-1" and IwAllon atyom§lf or your vehicle at 1110 timo of tha accident by -B. in and he point of Impact by 'X." MOTE: V 'didpax Wow Ass not fir the fiwalion, ar/ach berflo a proper drarow Noted by elernunf. AIa6WALK nnis nee 91trtaoue of CUimaot of living re1atlon1WP to 0 rM u— Paasat,timi oto false able is 6 felon (Pea Code Se1 vrence tt7ov. cods Sac. 915a). TOTAL P.63 SENT BY: BUTTE COUNTY RISK MANAGMENT ; 5305392030; II 1' 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MAY -9-05 4:09PM; PAGE 4/7 SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF BUTTE ATTACHMENT OF GOVERNMENT GOVERNMENT CLAIM AGAINSTTI-IE CLAIM OF DAVE RAY AND FRANK COUNTY OF BUTTE ARCHER • [Govt. Code Section 910 el seq.] BACKGROUND In November 2004 claimant Frank Archer hired Dave Ray Remodeling to rebuild a garage at property owned by Mr. Archer at 13657 Nimshew Road, Magalia, APN 066-360- 019. I On November 4, 2004, Mr. Ray appeared at the Butte County Building Department, and was issued a receipt for a permit for rebuilding the garage, Permit No. 04-3223. Frank Archer paid Mr. Ray for the cost of the permit, in the amount of $1,088.62. A true and correct copy of Receipt No. 413160 for payment for the permit is attached heretic as Exhibit "A." Shortly after obtaining the permit, Mr. Archer received and accepted an offer to sell'his property. The new owners of the property did not want the garage rebuilt. Therefore, Mr. Archer instructed Dave Ray to cancel the. permit and obtain a refund of the $1,088.62. On November 13, 2004, Dave Ray went to the Building Department and applied for cancellation of the permit and for a refund. That refund has never, been received. On November 22, 2004, Frank Archer spoke with "Diane" at the Building Department who advised that the refund check was being processed. Having not received the refund check by January 25, 2005, Mr. Archer again telephoned and spoke *with "Diane." Mr. Archer was informed that the majority of the people in the Building 1 (:LA1M AGAINST B1,117E COUNTY SENT BY: BUTTE COUNTY RISK MANAGMENT 5305382030; MAY-9-05 4:09PM; PAGE 517 1 Department had either retired or quit, and that they had insufficient staff to timely �2 process the refund, and that Claimants would have to wait at least an additional three to 3 six months. 4 On January 26, 2005, Frank Archer sent a letter to Kim Yamaguchi, Butte County 5 Board of Supervisors, requesting that he assist in obtaining my refund. A true and 6 correct copy of that letter is attached hereto as Exhibit "B." Mr. Archer did not receive a 7 8 response to that letter. 9 Mr. Archer has made numerous additional phone calls to the Building Department 10 since February, 2005, still with no results. 11 Claimants seek immediate refund of the fee for the cancelled permit in the amount 12 of $1,088.62, along with interest as permitted by law. 13 Dated: May (D, 2005 BY 14 FPAN A CHER, Claimant 15 16 Dated: May, 2005 17 By 18 DAVE RAY, Clai 19 20 21 22 23 24 25 26 27 28 2 CLAIM ACAINST BUTTE COUNTY QN SENT BY: BUTTE COUNTY RISK MANAGMENT ; 5305382030; MAY -03-2005 1,0:37 AM FRANK E ARCHER 1 i MAY -0-05 4:10PM; PAGE 6/7 5308935338 P.02 OF BUTTE uNF le"weuwr jov. sow p D � D^WA O RecaTed ban t^ `. 1151,11 ! "Is Tfie Sus of Nwe1w0: CASW Q T;dw 1. CHECK I'd ALSO -266 06S Rob sng0 *80:60 t0 20 IoW SENT BY: BUTTE COUNTY AIS( MANAGMENT ; 5305382030; MAY -9-05 4:1OPM; MAY -02-2005 12:20 PM FRANK E ARCHER 5306535336 FRANK E. ARCHER 13488 HELLTOWN ROAD CHICO, CA 95928 (530) 895-3930 (530) 893-53.38 FAX FAX TR.ANSMISSION COVER SHEET DATE: Jan. 26, 2005 TO::Kim Yamaguchi COMPANY: Butte Co. Board of Supervisors FAX NO: 872-6339 NUMBER OF PAGES: l INCLUDING COVER SHEE'1- Dear Mr. Yamaguchi: On Novembet 4, 2004. my general contractor. Dave Ray. gave Butte County Building .Department a check for $1,088.62. The receipt number is 411160. This was fora permit to rebuild the garage far my propctTy at 13657 Nimshew Rd.. Magalia. APN 066-36i)_ 019. The permit number is 04-3223. On Nov. 13, 2004, Dave Ray informed Butte County Building Department that we were canceling the request for a permit and he applied 1`61- .t refund. All of our contacts have. heett with Diane at Butte County Building Dept. Her phone number is 538-751.1, On Nov. 22. 2004. .1 spoke to Diane who told me the refund was being processed and that I should be patient. Having not vet received a refund check. on ,lar. ?5, 2005. 1 spoke to Diane again.. This time Diane said that the majority of the people in the building Dept. have either retired or quit. Diane said thea do not have a scalyShe told me again thflt I should be patient. The authorization to disburse the refund has nut conte W her desk. I asked her how long it would take to prucess the refund. She told nme it could be 3-6 months more. This dues not seem reasonable. Is there any wav thilt vols can help speed Lip this refund? Butte County makes me feel uncertain whether l will ever yet nap stunt v back. Thank u for your help. r A re ar 4�7XHt13(7 1tls PAGE 7/7 P.02 J r OWNER: LOCATION:= T PRE -INSPECTION REPORT K0_yl� (L .L -E (M s v DATE:_ (0<Zz-03 A.P. # d �� -36a - �'�• ZONIIVG: PRE-INSPETION FOR COIAP1211t, �S� -✓(/ DATE TO INSPECTOR .11D —45[0L pSRMlrI' HtSI'ORY:( )NONE/01S FOLLOWS: BUELD1KG jNSp9CTOIt'S Rsp03tT Bulldinj DacttpBoar . Reaidea&W dUnitx--�V Electric: / Yes No ✓ Condition of Electric Gans: Na _^ Obvious Problem Sanitation: -Plumbing Working Well Woridn&_ Obvious Sewawjf y c curreatly On Off N Currently On Off ✓ I Potable Water / (f i I ACTION RECOMMENDED: ISSUE: V FOLD FOR i Inspector: I , Data (0, Z-3,0_7 Sketch buildings on 'reverse and indicate location on property. t-eo ui ue uu: ids P. ZOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ;r 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-7541 PERMIT NO. lRev.12/96) APPLICATION AND PERMIT ASSESSOR PAACEL NUMBER ZONING �� _ BUILDING PERMIT OWNER IG '€ SO. FT. OCC. BUILDING VALUATION OWNER s — Uhu COM R'S OV"c/' 17 ic TE (//� G •Y._.7 _—_ CONTrOR LENDER'S "UNG ADDRESS Fireplace Total Valuation s • ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS _ euaouiaiLooaEss Permit Fee S Pian Checkin Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ lOTNo. SUSONLSWNSNAME °AROEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other sPcclfr Each Trap 7.00 _ Solar or heat pump water heater 1 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E3 Describe Work: (� /] �n {�/I "` Each gas water heater or vent 1 15.00 Gas i in system 1 - 5 outlets 15.00 pg sewer t 5.00 Mobile Home IS G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 oov oR LEss 2 Main Service. a 23.00 2ooA oR Lass *PERAkIT FEE PAIb SHERIFF OTH1k&R ,Y 1 AMOUNTRECEZYEb � VlJ *RECV" TO96 � � CO Main Service 20 AA TO I00DA 46.00 NEw ODM T. DWELLING OCCUP. SO. OR ADDNS. 6 ACC. BIDS. 3.52FT, NtWO MULTI.OUTLtT NON•RFSID.BRANCH CIRCUITS @7.501 POWER APPARATUS —" 6 SINGLE OUTLET C0. l ' EX. Occup. OUnzr OR FxrURES 20 ®I.Oo SAL @ .SO FIXLN ED APPs, OR Ex. Occup. o YLE" Es ID. EA 5.00 _ Temporary Service 1 23.00 Mobile Home Facilities 1 20.00 Misc. Wiring 23.00 re t'/) s fi O 2 0 PERMIT FEE $ _6 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee I b occ CONST. TYPETOTAL FEE $ �- IMP FLOOD CDF PARCEL PD I HID ISSUE This permit is hereby issued under the applicable pa sidris of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date _ EXPIRES ON ere --• ReceiptNo.PERMIT WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INS PECTOR GOLDENROD•APPLICANT _ FIRE DAMAGE REPORT OWNER: 1yaL DATE: 10vZ% p LOCATION: 1�,,,5%LPh S4&, A.P. # — CONTRACTOR: { ZONING: f � DATE TO INSPECTOR: JOPEPIAIT HISTORY( ) NONE (XAS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: I Currently Occupied Abandone ac _ Electric: ( ) Yes (� No Electric Currently ( ) On (�d Off Condition of Electric en �0- o y Gas: Currently --- ( -) On (Off " Condition Sanitation: Plumbing Working (6 Yes ( ) No Obvious Sewage Problems ( ) Yes �J No Mobile Home Condition of Utilities::( ) Damaged - Requires Permit ( ) Undamaged — No Permit Required Description of Damaged Area: G 6w0( c� `- V a C Estimate Cost of Repairs: 0 o 0 p Condition of Foundation: ((jo Good ( ) Poor Explain if repairs needed: Inspector: Sketch building on reverse and indicate area of damage. Date: t o • 2 F - 0) t 0 CDF BUTTE COUNTY FIRE INCIDENT LOG DATE r 10/20/2003 INCIDENT NUMBER ' 12344 LOGGED BY MB REPORT TIME 3:41 LOCAL FIRE NUMBER Laat Leral Firq RO SITTER STATE FIRE NUMBER 554 I aqt Ctatq Fira P u BI CASE NUMBER ��� MEDICS PARADISE M LOCATION ACROSS FROM 13662 NINSHEW RD PRA V7 ECC ❑ RP MICHAEL I PHONE NUMBER 873-6468 I REPORT METHOD 1911 WILDLAND FIRES ❑ ESTIMATED ACRES r=0 FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HOW EMAIL BY MB TO STA 33 OTHER FIRE 7 -DAY LOGGED W INITIALS JK MEDICAL AIDS INCIDENT NAME INIMSHEW PSA/OTHER START DATE 10/20/20031 START TIME 3:35 HAZ MAT DIAMOND # COMMENTS v CAUSE RISC WATER HEATER EXPLOSION ,,,1 RESIDENT LAND USE IDOMESTIC BURNED ACRES _ 0 TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 85000.00 SAVE r--"120000.001 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES _01 # CIVILIAN FATALITIES 0 EMD ❑ OES ❑ # FF INJURIES # FF FATALITIES 0� FC -40 INFORMATION New Incident FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY County Notifications EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ VAN VEEN, Eva 2,� ---68B - 181-68E -68P w app. 2000' below Pondero Way, Magalia (addition & remodel) SITE P Ic�iy / r ,1ld • t }rte // • { �; J•' 3 ...' _.. ................... :.... ......_........ .... _. .. ... ....... .. .. •' _ ... .. ... _ ...5 . .... ........ ........ .....a .. i� l ."i {!•" �j •�� f- ,�• �,! 1 � ..�,..�.M�,u, �,(J/�,,I-/;,•*fir,, . . .. _. _.... ...... .. _ .. .... ... - ... ...._ ... ... .. .. ..... ;. ...... .. .. iia .Kf, ._::�...... -`.J, .. ...41 .. _........ ... ........... ........... ........ .. . ..... .._..... ...._ ,.......... ... ... , .. ....:.... �.... .. �. .._..._.. _.....i. .. .... ............. .. .. _ ....... .. - _ _ .... ... ................:.... :... ... ;..... _.............. ........ ...... ...... .... . ;.... _...... _ ......... .. . ; iav- sutup Caen - tyt . .. .. - - I.H h ........_._ .. .............. .. .... ........ . 'V. _ e �,irenmenta(Healt• ..... _.... ._ ....... �► _... .. .... .. ..... _. h ..... ..'......... '.. .. ........ .. .................. .... .:....:. :... re ..... �... ... MAR 2 9 joh4 . .... . . �. ............... .... .. .. ;• .; .. ,.... • C`" .... .......... _ .................. ... .. . _... .... • ....,r--. -, Le .. - . .i. L ses 1 1: � 1 1 .� � 1 .... . . . .. .. ... ... .. .... . .. ... ..t... ... ... ... ... --... ..,-.. . �.... .. ...... .. . .. .. . ....... . s. . .r .j.. . , f,�. .. .....�. .. �� r � _ _ _ _ _ 1-tri• . � - g� T TF� FOR OF10E USE ONLY PROVIDE FOR ALL Assessor's Parcel Number. [ ] Scale: lot. - a 9 i ot ADJACENT PARCELS Owner Name O a Zon(ng. SIZE fAC): Address !Phone No. cC0 o General Plan DEsig: ZONING: Site Location �o .�-� Size, Acres GEN PLAN: v N.00u USES: Contact: Name 6Lh'Y Phone Q.� .� -- - oa.rzi, aoa3 AI'rrt aA I L.1fironment21 Health n ! 1 .._...._.� ._.. __ SCALE: MAR 2 9 2004 APPROVED DY: / DATE:��"��. / : Q REVISED Chico, CA � DRAWING NUIN�ER J / o } i I L.1fironment21 Health n ! 1 .._...._.� ._.. __ SCALE: MAR 2 9 2004 APPROVED DY: / DATE:��"��. / : Q REVISED Chico, CA � DRAWING NUIN�ER J / o