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068-330-023
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 19 KAMPONG CT Owner: Permit No: B07-0389 APN: 068-330-023 WHITLOW, KAREN L Issued Date: 03/26/2007 By KCG Permit type: MISCELLANEOUS 4 SOUTHVIEW DR Subtype: Private Pool OROVILLE, CA 95966 Expiration Date: 03/25/2008 Description: INGROUND POOL - MST #01-516 Occupancy: Zoning: AR HC Contractor Applicant: Square Footage: POOL BUILDERS INC POOL BUILDERS INC Building Garage RemdUAddn 3080 THORNTREE DRIVE 25 3080 THORNTREE DRIVE 25 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 899-8988 (530) 899-8988 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Swim Pool -Master Plan Co $467.42 Total Charged: $543.12 Fees Paid: $543.12 Balance Due: $0.00 Receipt No: B2002 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License POOL BUILDERS INC 833994 / C53 / 10/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 th Section 7000) o Division 3 of the Business and Professions Code, and my license (commnlor.ande4et. pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fu c 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 of not more than five hundred dollars 03/26/2007 penalty [$500]; Please check one of the following: ,Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ® I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance The Contractor's License Law dows not apply to an owner of the property who builds or improves carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND policy Number: 713-0012060 Exp. Date:03/01/2008 Contractor's License Law.). (This section need not be completed if the permit is oris or on�llars ($100)—or—lass-.7— Rorless.R I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 03/26/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date pr isi s. 03/26/2007I XVre�� hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Coun o ter the above me a roperty for inspecti n purposes. I hereby certify that I am the prop ow er ora 9uthori ad t on the property o behalf. CONSTRUCTION LENDING AGENCY 03/26/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na O ermittee [SIG Print Date the performance of the work for which this permit is issued. (3097 civ. code) OwnerContractor OR. ElAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds Zolawbowp— g Uc WO�'� National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0389 Date: 02/28/2007 Location: 19 KAMPONG CT By: GLB Parcel Number: 068-330-023 Sub Type: Private Pool Owner Name: WHITLOW, KAREN L Phone: Description: INGROUND POOL - MST #01-516 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: P",A)t� Title: FILE Date: 02/28/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buffecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0389 ate: 02/28/2007 Location: 19 KAMPONG CT By: GLB Parcel Number: 068-330-023 Sub Type: Private Pool Owner Name: WHITLOW, KAREN L Phone: Description: INGROUND POOL - MST #01-516 The above permit application has the following Clearances requiredpr' r to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your pe it application. Yes No DRAINAGE DIST ICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Or ville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - 30) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 959 6 - (530) 895-4711 ❑ ❑ Chico Area Recreation District, 545 Va ilbrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction &Park istrict, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks &Recreation, 66 6 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified S/Distri, ric , 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified St ct, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unifieistrict, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School 29 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville Scht, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elemeool District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union1 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise U ❑ Recorc ❑ city o� ❑ Other: ❑ Other: ❑ Other: ed School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER y of Agricultural Acknowledgment Statement- See Attached Instructions Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Signature of Property Owner: FILE Date: 02/28/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0389 Location: 19 KAMPONG CT Parcel Number: 068-330-023 Date: 02/28/2007 Owner Name: WHITLOW, KAREN L Phone: Description: INGROUND POOL - MST #01-516 1-1 Signature of Property Owner: QDate: 02/28/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0389 Job Address: 19 KAMPONG CT Contractor: POOL BUILDERS INC 3080 THORNTREE DRIVE 25 CHICO, CA 95973 Printed: 02/28/2007 4:39 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 02/28/2007 $75.70 DBMSC Swim Pool -Master Plan Co 0010-440001-4210500-1010 $467.42 02/28/2007 $467.42 Printed By: Gwyn Benedict 543.12 $543.12 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 02/28/2007 - L2 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE.COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 F,1JC #: (;)30) 538-2140 A FEE WILL BE REQUIRED AT TIME c.';FAPPLICATION Website:.www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION CONTRACTOR Last Name W ' _V_ First a e ; OJ I Mailing Address k4vwPoA-)& er-, City V Sta Zip q5 Phone S3 Fax 6o(.(3uf . E-mail qCjClass APPLICANT INFORMATION CONTRACTOR Name City St z&1 Address CityL � c, State Zi 5 Phone geiyw Fax E-mail 6o(.(3uf . Lic. # qCjClass r APPLICANT INFORMATION ARCHITECT/ENGINEER Name City St z&1 Address Fax City State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name U Address City St z&1 Phone � gq �y 1 O Fax E-mail APPLICANT SIGNATUPE X R-1 PERMIT NO. BIN # I{ PROJECT LOCATION AP# s Zj Property Address City (i�LC. q�� WORKER'S COMPENSATION Policy Number `1 13 - O� 1 Zoo Carrier r, ' o r - 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: _r f i Sq FT- Living Garage Open Cov I ❑ . Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): NOTES r RESIDENTIAL PERMIT NO. 068-330-023 05-1834 WHITLOW, KAREN t KAMPUNG CT, OROVILLE Cont: RD PRATER CONT. CO NEW SINGLE FAMILY OFFICE COPY Address GAS Meter By�-opkpFx-r VLDateJZ7 01� ELECTRIC Z y ��� Meter By � �I DZ_,2, ry 6 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f i 1}} I 1 ' I..JOB FINALED (Date) Signatur���� CHECKED BY J=OK 0 =Not OK = Not Applicable =Not Ready MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft1 P LPG 7. Well Clearance 8; Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.-, Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing • 11. Ext_; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.-, Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing • 11. Ext_; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J =0K 0 = Not OK • =NatAppfitabte . = Not Ready RESIDENTIAL Date UND FLOOR (Plans) OK except #'s . Z2ning-Setbacks-Easements-Flood-Slope F ., Main; Soils-Elec. Gmd.-/ Z/" Ftg. Depth Ftg_, Garage; Soils-Steel-Elec. Grnd.-/ (Z/" Ftg. Depth -4' FW., Porches & Decks; Soils -Steel-/ /" Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped Anchors 9 D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer t -+9: SIF, Gas Pipe; Size Anchors -Yard Ga ing; Size st Water PIDe: Test-Anchors-Requlator-Service Test 12. Electric Underground 13: P nums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation 16. Insulation Date Z(o 0 Card B-1 Ze=,7 Date -IO Card B-1 , Date? t , p(y Card B-1 % - Dat Card B-1 Date PLUMBING (Permit) OK except 11.eWater Htr.; Vent -Access -Combustion Air Baffle 'If Water Pioe: Test & Anchor -Nail Protection CA) DAY.; Test Fittings & Anchor -Nail Protection irst Floor -Tub Access 21. T Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 (Single & Duplex) Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 2 i ture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors 6. Size Boxes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. Ground made up w/Mech Fasteners o Gas Water 2 Appliance Circuits in Kitchen & Conductor ize GRI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33._Equip. Clearances Panels -Motors -Meth. Equip. 3<7 Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s C. Ducts Insulation & Support nt Fan, Exhaust above insulation 8. Pondensate Drain & Overflow, Size & Grade 3 F riace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform K Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAWNG (Permit) OK except #'s *r.Sip Proper Materials & Anchors IIs Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing - 44 Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers&'Beams-Size&'Bearing- --. Date FR G (Continued) angers -Post Caps -Anchors -Connectors 'ng. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. .Fireplace Ties or Type AFlue-Fireplace Throat Clearance 9ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. �pperty Line Firewall & Openings 54' Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plyw22g on Roof Overhang -Attic Vents -Rafter Outriggers 57. a-Nailina Veneer fc U / 5VFtucco Mesh -Drip Screed -Fd. Vents-Underflr. Access W. 5kffing Area -Glass Protection -Skylights -Plastic �• w- L9 W \ . Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Dates f -Ca Card B-1 �,,'7- Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ns) OK except #'s _541Exj�ps-Door & Sidelight Protection -Landings 65 , -Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - I er Qe: Above Floor-Ducts-Mech. Protection Fixtures & Tub 69. Fje6 Trim & Subpanel, Breaker Sizes & Labels 7,91 Stairs & Rails 71. Firea or E 7.;?5e--cD4,Aets at Wood Panel, Int. & Ext. 73 xt. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter (:ZS. -Garage Fire Door, Swing -Landing -Closure 76. A.C.j3uct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb . & Mech. Equip. Listed for Location lec. Ejeceptacles in Garage (F.F.I.)-Romex Protection 8 ul - oam-Looked in Attic §1,o,@VardAsffs & Deck Construction -Post Caps 8 n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Followinq Instld/Drive 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes 0 No • l • fJ 4a( 84 n -Finish Unit Disconnect, Electrical -Plumbing 86 n s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88.E or Elec. Trim, G.F.I. Receptacle -Underground 89. i ation Throughout House 90 lass Protection g�corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Vsdr & Sewer Connected -C/O to Grade -HD Approval 9 Ene mpliance Certificate -Other Certificates 9 ddress Posted 96. Fre Sprinkler Date r6 7S • (� CargA* Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: It COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. ��- in 1, / -G 1 �-► i C 1 4-c i5- 1 .1aJ.f V \i C>--% Ao 5 t 47: 9 � S . Date ('?' 21. 010 Inspector a.. kw, RSV 4/05 t_� Phone # RE -INSPECTION CALL: 538-7636 OR 89 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. y A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanatiop, please contact the Building Inspector as indicate low. 7 t�-.1 �- r.-(, C- x� REV 4/05 Phone # « t / �3 to FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 1 CORRECTION NOTICE 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is complete . If you have any questions pertaining t�matter, or need additional explanation, Iding ase contact the Inspector as indic elf d below. eF � Ct)�cd rvS y c :3 Q. ICN it Is 4 �o-Z r- e c 5 a ( b ; r"' e-- ( J CA5 s C % -Z— 1�/G Gc-4 c� - Gu�j Date Inspector 0% REV 4/05 Phone # S .5 - FOR FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ii COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMh NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional e`xplan on, please contact the Building Inspector as. indicated below. % I I C� 'ez- a r �,Z�LAJ Date Inspector A Z CVOK REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CertainTee d M in8 � InsulSafe°4 Builders Statement Fiber Glass Blowing Insulation e Addre s � Installer/Con ctor ) Company Name Date 'Tow - 5/;'o O� Builder g Company Name Date C Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ.. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/+ 38 22.8 44 0.615 143/. 30 18.0 56 0.485 12 26 15.5 65 0.416 10'h 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 43/< THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE 16 LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30.24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 R -VALUE AREA (SQ. FT.) INSULSAF 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS 1.38 %THICKNESS WALLS FLOORS / THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE 16 LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30.24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BPO51834 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. . LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/14/2005 APN: 068-330-023-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: I4 kArr 1 Date: Contractor: Map Index: Orsi 1 Description: NSF 2277 GAR 736 COV 519 p 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 Owner: WHITLOW, KAREN L. to its issuance, also requires the applicant for such permit to file a 4 SOUTHVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA 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 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-534-1191 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PRAYER CONSTRUCTION CO., INC. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PRATER, RON provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 336 year of completion, the owner -builder will have the burden of PALERMO, CA 95968-0336 proving that he or she did not build or improve for, the purpose of 530-534-9230 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: PRATER CONSTRUCTION CO., INC. pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code PRATER, RON PO BOX 336 Date: Owner: PALERMO, CA 95968-0336 530-534-9230 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 License #: 442145 Labor Code, for the performance of the work for which this permit /j is issued. �J I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance En ineer: PURSELL, FRANK JAMES g arne and oli y number are: Carrier' f (� Policy #:QEDC I,' { i ^ f�- Total Square Ft: 3532 S.F. ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $173,973.00 become subject to the workers' compensation laws of California, Census Coder and agree that if I to the workers'compensation provision0 of the Labor Code, I shall Xlecsubject forthwith comp wit Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand C, r L J �� 6 dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is herby is ued under the applicable provisions of the Butte County Code a d/or I hereby affirm that there is a construction lending agency for the Resolutions to ndiC, ed above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) n f' /`\ Name: BY Date: I (J Address: PERMIT EXPIRES 0 Pate) ❑ 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 sched led structio 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 b duly iz age f the owner. I agree to comply with all all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of o or c t of Butte County. I hereby represli sof Bu ounty to ter upon the above mentioned property for inspection purpose Print Name: Signature: i Date: ❑caner ontractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPOS1834 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/14/2005 APN: 068-330-023-000 the Business and Professions Code, and my license is in full force and effect. 'License Class : License Number: Site Address: I9 KamPGrn3 C - Date: Contractor: Map Index: OT -6 l Description: NSF 2277 GAR 736 COV 519 p 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 Owner: WHITLOW, KAREN L. to its issuance, also requires the applicant for such permit to file a , 4 SOUTHVIEW DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-534-1191 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PRAYER CONSTRUCTION CO., INC. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PRATER, RON provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 336 year of completion, the owner -builder will have the burden of PALERMO, CA 95968-0336 proving that he or she did not build or improve for the purpose of 530-534-9230 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: PRATER CONSTRUCTION CO., INC. pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code PRATER, RON PO BOX 336 Date: owner: PALERMO, CA 95968-0336 530-534-9230 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License M 442145 Labor Code, for the performance of the work for which this permit ` f) is issued. �J I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance arae and oi' y number are: Engineer: PURSELL, FRANK JAMES 9 Carrier Policy #:� Total Square Ft: 3532 S.F. ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $173,973.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I shot'! ec subject to the workers' compensation provisions o{ Se ' 7 0 of the Labor Code, I shall forthwith comp wit se pr ions Date: IrVAL Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars in ($100,000), addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. r (j I S'3-�' 4a CONSTRUCTION LENDING AGENCY This permit is her by is ued under the applicable provisions of the Butte County Code a d/or I hereby affirm that there is a construction lending agency for the Resolutions to o ndic ed above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) P I Name: By: Date: Address: PERMIT EXPIRES 04.3 V ate ❑ 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 applicAtheled structio 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 thy iz age f the owner. I agree to complywith all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subor c t of Butte County. I hereby authorize repre i sofBu ounty to ter upon the above mentioned property for inspection Print Name Signature: Date: ❑ wner ontractor 0 Agent for Owner ❑ Agent for Contractor -"3 Ott?, 1? 7 BU4TCO NTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 / OFFICE #: (530) 538-7541 9 -(� 1 6 A FEE WILL BE REQUIRED AT TIME OF APPLICATION 0% • Website: www.buttecounty.net/dds 1 l **PLEASE PRINT CLEARLY** OWNER Last Name First Na Address / l Sta ftoCity Zi Phone 4- 01V Fax E-mail E-mail U '� ' � (_ j,'1, Cly T� 0 �9�f1 O�p� l� � F X CO For office use only: Zoning Flood Z� Occ Subdivision Name Planner 'TURF os ./ SRA s I No ,onst. Map Book I Page Date Approved: Lot # PERMIT NO. 1-5.1 ?34 LOCATION CONTRACTOR Name 1 , e, Address Address City Ai4ew Policy Number!°��y� Sta Zi Phone :77r,(, O Fax 6 E-mail Fax Lic. ZI Cla8 E-mail U '� ' � (_ j,'1, Cly T� 0 �9�f1 O�p� l� � F X CO For office use only: Zoning Flood Z� Occ Subdivision Name Planner 'TURF os ./ SRA s I No ,onst. Map Book I Page Date Approved: Lot # PERMIT NO. 1-5.1 ?34 LOCATION ARCHITECT/ENGINEER Name -� r Address WORKER' COMPENSATION Policy Number!°��y� City If hiring anyone other than license contractors, a certificate of worker's State Zip Phone / ` Fax E-mail State License Number APPLICANT NAME Name Address City /C'Xl?� O0 State Zip E-mail U '� ' � (_ j,'1, Cly T� 0 �9�f1 O�p� l� � F X CO For office use only: Zoning Flood Z� Occ Subdivision Name Planner 'TURF os ./ SRA s I No ,onst. Map Book I Page Date Approved: Lot # PERMIT NO. 1-5.1 ?34 LOCATION AP# Property Address Cross Street 6 SRA WORKER' COMPENSATION Policy Number!°��y� Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Other LENDING AGENCY Name Address Description or Scope of Work: 00 ST Footage L: G. ✓ Structure Built wi hot Pe mits Ne o Cha f 0 a yre)Ve): 0111 111111111 111c, ........... OVER FOR SUBMITTAL REQUIREMENTS I EXPIRATI N OF APPI ATION Applications for which a pe mit has not bees ' sued wil expire one ear aft th dat - f i on. n to a ction on an pplicat n after ex ' ti e'catio d fee will be require . REQUEST FOR REFUNDS Refunds can only be made u erson who paid the fee. est must be made prior to the expiration of the permit no construction work has been done. Filing fees, plan check fees for work plan chec r epartment costs are not refundabl K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 Amount: )3/g• s Bldg W 6 SRA �Receipt #:s Sherif SMIP Date: 7 !� S Other � [ Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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. 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 bye 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 UFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 CY) 100 r i L(7 O Butte Cou.-?P, Department of Development Services O�VTtF0 YVONNE CHRISTOPHER, DIRECTOR o 0 0 0 7 County Center Drive 0 Croville, CA 95965 _ 0 (530) 538.7601 Telephone c�U N'�y (530) 538.7785 Facsimile TO: FROM: I 1 SUBJECT: m DATE: WILLDAN Scott Rutherford (530) 538-7160 sruthe rfordebuttecountv.net Plans Transmittal For Review Per Contract 7/14/2005 Applicant: lWhitlow, Karen Permit No: 05-1834 Project Type: NSF/Gar/Cov 068-330-023 100% 70% Plan Check Fees $ 1,21.9.95 $ 853.96 $ _ 1,219.95 $ 853.96 WILLDAN Fee $ 853.96 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 ,)3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfbN 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 6493 OWNER: `t V" /�� Yom/ ASSESSOR PARCEL NUMBER" • �� Proposed BuLilding Use: ) t ' Permit Technician: Date: % � U5 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in Ord#r 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. :12 4. Engineered truss details and layouts in duplicate. No faxesl '44 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 buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other% U �- 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 ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ O 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 9. Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the Cty of Biggs ............................. 23. California Department of Forestry, plan approval %Z Sent b r 24. Planning approval for (A) Use: (B)Parking: (C) Parceleck:.4 ...... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form.............................................................................................. r 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*3. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑etteofSignature authorization.................................................................... ecorded copy of Agricultural Acknowledgment Statement ................................. ❑xisting violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ , M. Legal descriptionH. itfe, title search, registr tion or MOO ......................... 36. Other: `� C { ar ❑ 37. Other: When issued Tefephone a� and hold for pickup. I have been informed o l "/eA(14nsnd requirements for obtaining a building permit. Applicant: Date: < �� 1. Index permit pplication for the above ile sr�numbered: Plan Check Letter 2. Additional items required ractor, esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: a or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Dale: 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 y: Date: Structural approved by: ,_ Date: Note transfer by Date: Yellow: Building Division TO? -Building Department FROM: Environmental Health E.H. USE ONLY Pith Plan Anachad rtcas Plan Attacte 3®n4 to S.D. ! r�3-a7�sg' SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Clearance for dwelling. Other Hold final for: Final clearance O.K. for: Suoolx: Publioi'�-,— Private Well NOTE: Environmental Health Specialist Date 8/96 �` �� 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 �I — / Website: www.buttecounty.net/dds l _ 2�� OWNER ` `► V `� A. P. #�tX�' i" • ��� PROP OSED BUILDING USE J DATE 1. # DATE REC. ,eBUILDING PERMIT FEES RECEIPT ,,/y�i'� --- - Balance Due ..................... $ --- FEMA Flood elevation review ... $ �(2. -- Additional plan checking Fee.... $ 1 SCHOOL DISTRICT FEES �1�%, I� f 05 (paid at School District Office) (form available after Plan Check) 3.HERIFF FEES (paid at Building Division) R sidential............ X $360.00 =$ Units Com ercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 11' \\ ,, 4. RECREATION DISTRICT FEES�-P{Q`-CV���� (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FFES 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 $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. � C 8. SMIP ( ( / , �/ 'T J 9. OTHER 10. OTHER 11. OAdur*e At time of perdvised the above fees are required to be paid prior to issuance of the permit. These fees may be changeking process. 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. 3/05) Department C 0 U n Michael Crump, Director oU14-\ AUCF�S of Public Works (AND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm .Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit 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 o may result in revocation of grading and/or other permits or other sanctions provided by law,/I Signed: Title: Date: Butte Coun[yDepar&ncrit of Developinelit Serrrces $0 T)- 7 County Center Drive - Oroville, CA 95965 <�c 0 (530) 538-7601 Telephone ° � -Y'�� 0 (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: ® I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e 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 v I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: A licant Name: /` Am� A�/1 d4z6e' APN: PP - - - Building site address: _ I have read,der. oc submission of the/Abov, SIGNATURE OF APP PermitNo.: and accept the terms and conditions as expressed herein as indicated by my referenced building permit application and my signature below: � DATE SITE PLAN REVIEW APPLICATION Date: � �f 2 AP# O &'£3 — 3 ?Q _ D Z 3 Permit Number (if applicable) �%� (/� �� Bin Number APPLICANT INFORMATION Parcel Size: ' Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential in New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): Email: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) '* Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Pia Stamped Approved By Date Z6 Page 1 of 5 4 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone 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: C/ —6 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. it CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 6 Side 4 ' Side Street Rear t i Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. it CDF approval needed for encroachments into SRA setbacks. Page 2of5 40 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ 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 ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice 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 ro `i Subdivision Map/Parcel Map: Map Date of Recording: 3 1 Lot: Book: 73 Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 road maintenance, and stop sign maintenance. 0 C Page 4of5 SITE PLAN REVIEW APPLICATION 2.3 Date: l Permit Number (if applicable)_ AP# Bin Number APPLICANT INFORMA TIO Parcel Size: P CA -LS Owners Name: A u n 4 'h '� l o Owners Address: U I�� 33L,, �P `�4�^n �� —743n. Telephone No.: Situs Address: Proposed Use: V --Zit Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved E] Conditionally Approved ❑Resolve Problems Prior to Approval Site Plan Stamped Approved By CSX Date 0� ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ 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 attaed) • Flood Zone: • Flood Panel No.: UC_ Index Date: (? ❑ Sacramento River Reclamation District (Approval must be obtained from the C l6mia 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: / `G Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Do-- I -1 [ Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � � � S Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Do-- I -1 [ Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * 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 ❑ Deeds: Date of Creation: Legal Access. Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice 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 Subdivision Map/Parcel Map: Map Date of Recording: l 7 i Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: , % 3 Page: `� 1 Date of Approval: 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 0 M 0 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. CALarys\Building Permit Site Plan Reviewl.doc P• 1540.00 o• oo•zi v' Hv/i � /A/W 9ooK 2Q2 011 ]TI ' /` 909^49001 l40T0(RY OLIVE _y�Gasm SB9•SB•4G'E Selo. IMIo _ rD K! RLE 24]6 CDIL LOT 220 NIl•00.00'W 57.32(MBRY' aj ♦ y0. ` F0. IP. L! 2411 THE WESTERLY land 14 �A.p ] 11'I'''. HERESY ]10.]2 BED—TIO.. • NONef4we l� \ \\1'b, VI euC�CA4EN yo c • TAd0lll 19.0(00' diuTe na u�rPe+eO� e]92?il 140!181 Dams. 4 N' \ NI'e j0A6 f0 C13 upl. . WALT R/W BOOK SOI m .08 TRAM! NM COR. W4LR Booty >14 pR Ts \ \1 We, 80gt HrO.rn and JoYlae BrO.m, hmDme end vire, u Je1at tenants, . and Hortlom.tem Title C.VW of Hotta Cennty,'e CorlKaatlsn oDd.r 11eWd of Tre.t reeerded Rsreoner 13, 1967 1n Hoot 1494 of Off! !al Aseo, at Page t%eo Denby Certify that re pp the only Parade. rDen am.u mt fa eeceuary to pun eLor Citld te aald lead, apd hereby eooaaat to the pMe—tion and nevr6atiee of aeiejtMID-Y aDere dthin tDe eDlD M border )A-.. ] YAR�i� LL Cm. MON, Mm 2414 WALTZ TRACT PARCEL 16 LOCATION MAP NON TAGGED HE CGn, WLLTZ h 21 -Lj,�,'?%x / J SURVEYOR'S CERTIFICATE THIS MAP WAS PREPARED BY ME OR UNDER MY DIRECTION AND WAS COMPILED FROM RECORD DATA AND IS BASED UPON A FIELD SURVEY IM CONFORMANCE WITH THE REQUIREMENTS OF THE SUBDIVISION MAP ACT AT THE REQUEST OF EDGAR BROWN ON MARCH 2 ,19 78 -1 HEREBY STATE THAI THE PARCEL MAP PROCEDURES OF THE LOCAL AGENCY HAVE BEEN COMPLIED WITH AND THAI THIS "lfE;ylu• PARCEL MAP CONFORMS TO THE APPROVED TENTATIVE MAP 'A( '0 THE FCONDI IULFILLED PR OF APPROVAL THEREOF THE WERE REQUIRED l�� "" ��• BE FULFILLED PRIOR TO APPROVAL FILING L ER OF TJHE PARCEL MAP. 0 R. ROPER -T� /C'/ R.. C.E. 11553 v OF C1t�� COUNTY SURVEYOR'S CERTIFICATE THIS MAP CONFORMS *.IN THE REQUIREMENTS OF THE SUBDIVISION MAP ACT AND LOCK ORDINANCE, ZDAT0 ,,. 4MlFZYR i F3 ;M.AYKNff IS NOY ACCEPTED AT THIS TINE LAY -C TLEBERRT C.E.14224 COUNTY SURVEYOR COUNTY OF OU77E RECORDER'S CERTIFICATE / FILED FOR RECORD THI 4A DAY OF 02&" . 19>a, AT M IN BOOK'/;S0( dfAT PAGE / AT THE REQUEST O&- 1_1.,_..,�t 'CLARK A. NELSON'. COUNTY RECORDER BY ((--1 ��.'p—__e9 - DEPUTY T SERIAL NO. 6 aB THE BASIS OF BEARING FOR THIS SURVEY IS THE NORTH LINE OF THE WALTZ TR9CT RECORDED IN MAP BOOK 20 AT PAGES 18 AND 19 AS N79.01'00 E g .r..N•.A.!w.ru [ 4._�/12..C'.'M �. .arw.w.N... rNN •.�uw ��.+..: '�� ��.tlZ ij?:�i�� r. � +.�.r s WAnOA'4 o�fTLQi•.:� A.T t Y J "t ILI SET CONCRETE MONUMENT d TAG MARKED R.C.E.11553 SHOWN THUS 'p SET 3/4e IRON PIPE d TAG MARKED R.C. E.11553 SHOWN THUS 0 FOUNp IRON'PIFE SHOWN THUS 2'.00• STRN OFFERED FOR DEDICATION REC SORD ED Maapp BOOK 20 AT PAGES IBB 19 (R RECORD PER OEEO 49408 345 Ia PARCEL MAP A PORTION OF LOTS 219 AND 228 OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 6 IN SECTION 16, T19N, R4E, MDB.&M. BUTTE COUNTY CALIFORNIA FOR EDGAR; BROWN D. R. ROPER e4d 9,V c t ENGINEERS © S RIEYCIR w s<,u 1*• 100' 2-20-79 i' N4V WILLDAN Serving Public Agencies September 8, 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: Jurisdiction Job No: Assessor's Parcel No: Description: Willdan Project No: Dear Mr. Rutherford: Approved 05-1834 068-330-023 Whitlow, NSF/Gar/Cov 14353-1782 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 2nd 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 8 dated 4/27/05 by R.D. Prater Construction Co. * Structural Calculations: Two (2) copies dated 7/5/05, by Jim Pursell, Civil Engineer. * Truss Calculations: Two (2) copies dated 5/13/05, by MiTek. * Enemy Calculations: Two (2) copies dated 5/3/05, by Martin Alvis 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. .W I LLDAServing Public �N APPLICABLE CODES 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com 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 Specific Use Type of Occupancy Type of Construction Sprinklers Stories 1s` Floor Sq Ft Total Sq Ft NSF R-3 V -N N/A 1 2277 2277 COV R-3 V -N N/A 1 519 519 GARAGE U71 V -N N/A 1 736 736 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 notes as redlined on the plans. 3. Contingent upon Butte County Planning Department review and conditions of approval. 4. Contingent upon California Department of Forestry (CDF) review and conditions of approval. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Tom Trueb Plans Examiner Thank you Cc: Alice Mefford, amefford@buttecounty.net R.D. Prater Const. Co. Inc. Fax (530) 533-7186, Karen Whitlow, 4 South View Dr., Oroville, CA 95966 Page 2 of 2 County of Butte Willdan 14353- 1782 PC2.F BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM (r�EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number �s) �``� .� Building Permit Number' Property Owner (s)� Project Location /Address Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) V--'N'ew Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date is ed ) verified by Building Department Comments:cj/a� 0 -CARD 0 PRPD ❑ DRPD certifies that: <;-3 q, Applicant Name Phone Number G o f '3 (g (iAr_ (�4- M 04 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment o£ Dwelling Units @ $ Square Feet @ $ _ Remarks: per unit for a total of $ ,06(0 , C TO per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: Recreation and Park District Representative Efate .. ,.---1 ....-1 ... .............. .... . - - -' i-- ---. , J.... School District A.P. Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: Q City County Lot No. Residential Development 0 Q Q Q Sq. Footage V? r) No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # (-.foundationinspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition Sq. Footage (Including Exterior Roofed Areas) Y Date District Identification No. "j 3 5 (o v School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) G L Code) has complied with the requirements of Resolution No. O '� —c7 �4 `� by payment of $ i �— representing square feet. AB 2926 $ FULL MITIGATION $ School District Paid by Check # - Remarks: ok —kit t —d S Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In coanpliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform,ds (3/05W= AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA.95965 COPY of Document Recorded 13 -Sep -2005 2005-0054674 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building pen -nit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said.zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. i All that real Droperty situate in the County of Butte, State of California, described as follows: Parcel I: Parcel 4, as shown on that certain parcel map recorded in the office of the recorder of the County of Butte, State of California on October 5, 1979, in book 73 of maps, at page 41. Parcel II: A non-exclusiveright of way for ingress and egress and public.utility easement as shown on that certain parcel map recorded in the office of the recorder of the County of Butte, State of California, on October 5, 1979, in book 73 of maps, at page 41. Date • IC2. A D 6�;7 PRO ERTY OWNERS: State of California ) County of ) On before me, personally appeared XkLreA L, iAA hi-fibW personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within .instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESSm nd and official seal. Signature Seal: MICHELLEA MILLER - A.P. # 06e-330 COMMISSfon,#1351456 0 U Notary Public -California CD Butte Couh Mmm. Exp. APFi. 15, 2006 y Co RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: Karen L. Whitlow 4 Southview Drive Oroville, CA 95966 A.P.N.: 068-330-022 2005-0039455 Recorded I REC FEE 1@.N Official Records I TAX 6640 County of I Butte ! C_ANIIALCE 3. GRUBBS i County Clerk-Recorderl I i C LK.@gA 07-,lul-2N5 I Pace 1 of is Space Above This line for Recorder's Use Only GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $66.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Leslie F. Brown and N. lean Brown, husband and wife hereby GRANT(s) to Karen L. Whitlow, an unmarried woman the following described propertyin the unincorporated area of, County of Butte, State of California: Parcel I: File No.: () . Parcel 4, as shown on that certain parcel map recorded in the office of the recorder of the County of Butte, State of California on October 5, 1979, in book 73 of maps, at page 41. Parcel II: A non-exclusive right of way for ingress and egress and public utility easement as shown on that certain parcel map recorded in the office of the recorder of the County of Butte, State of California, on October 5, 1979, in book 73 of maps, at page 41. Dated: 05/09/2005 Mail Tax Statements To: SAME•AS ABOVE -AV.N.: 069-030-022 ZIA Leslie F. Brown STATE OF California )SS COUNTY Butte ) OF Grant Deed - continued File No.: 0403- 100000BU (CB) Date: 05/09/2005 On June 13, 2005 , before me, Michelle A. Miller, Notary personally appeared Leslie F. Brown and N. Jean Brown personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on the -instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. This area for official notarial seal Signature wo t� My Commission Expires: Notary Name: Notary Registration Number: MICHELLE A. MILLER CommiSsiori:A�1351456 n V Notary Public-Calibmia butte county d My Comm. Exp. APFFii 15, 2006 t, Notary Phone: County of Principal Place of Business: Page 2 of 2 Iv iGHELLE A'MI LLER Commission #1351456 O U Notary Public - California Butte County . My Comm. Exp. APR. 15,1006 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0054674 Recorded I Official.Records I County of I Butte I CANDACE J. 6RUBBS I County Clerk-Recorderl I 01:12M 13 -Sep -2M I REC FEE 7.00 CONFORMED COPY 1.00 A6 Page 1 of I AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real Droperty situate in the County of Butte, State of California, described as follows: Parcel I: . Parcel 4, as shown on that certain parcel map recorded in the office of the recorder of the County of Butte, State of California on October 5, 1979, in book 73 of maps, at page 41. Parcel II: A non-exclusive right of way for ingress and egress and public.utility easement as shown on that certain parcel map recorded in the office of the recorder of the County of Butte, State of California, on October 5, 1979, in book 73 of maps, at page 41. Date Id. al PRO ERTY OWNERS: State of California County of " On - -zg a 4D5 ; before me, personally appeared /E44reA L, /, hi-NBW personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS mi hand and official seal. Signature Seal: MICHELLE A MILLER A.P. # 06e-330 Qo� UCommission:#t135145t0 Notary Public -California 'Butte CouA -- d My Comm. Exp: APFi. 15, 2006 . d i N "Cox ffxLuaexn Soso Thorntree, 4p2s Chico, California 96973 OYiice: 4(030)o S99-8985 Cell: 4(s30> 624-3639 Zdcezzee #: 833994 l� K ITL.aw t�gGE i MleHWA so. � � — O /w $EP rtc. TgaJ r< red g, — — 182.0 *F> tWOT . i>tw� C At ., loo BbS-33o-oas GRAPHIC SCALE Assessor's Parcel. Number: Size (Acres) Owner Name /Address/ Phone No: KAP E ay,8-5553 Site Location Q VPS r&P oIJG- = Q eA-- . I (o 6 Zoning General: Plan ` Contact: Name Phone r ck. ��,ee n.�s Tool l�der 3080 Thorntree, 4*25 Chico, L7al"40rnia 95973 OYfice: 4c530> 899-8988 Cell: <530)o 624-3639 License #: 833994 Row GRAPHIC CALE X68-33o-oss Assessor's Parcel. Number: ©®©- © 0 E - ® ® O Size (Acres) Owner Name/Address/ Phone No. KAagw W w-ra-ow- fGa rf\n0,j & a u2r E 90- 5553 Site Location D p -o U < L L IF- . Q-A- Q► scr(o6 Zoning General Plan e, Contact: Name -RIC-W- cW. Phone 9,;U .1 v :-A '01A '.9inieuBIS On"'U"S U8440 .6 -.Buldmpug-ml .9sn 1 VAO I I d c4NV uwl cd -17011 - Ila 1. 1 n i i -NOISIAICI ONINNVId ELLIS A&E SUPPLIES tr► %I T U Owner: O ki i o V.) Q BP#s APN: ' -('"Z'� FILE C PY -17r'! i SPA GENERAL SPECIFICATIONS �_ SPA TYPE: MDL Il DIMENSION: ` DEPTH: COLOR TOTAL GALLONS SPA JETS TILE HEATER: PUMP i MOTOR: AIR SLOWER: GAS LINE: PLUMBING FOR SPA: ELECTRICAL: CLOCK: EXCAVATION: DECKING MISCELLANEOUS: SOLAR GENERAL SPECIFICATIONS SO. FT. POOL SCI. FT. PANEL PANEL TYPE PANEL SIZE Jr NUMBER PANELS PLUMS RUN AUTOMATIC MANUAL THERMOMETERS BOOSTER PUMP SINGLE D DOUBLE O ELECTRIC BY: Jos No. MAP BOOK NO. LEGAL DESCRIPTION LOT NO. TRACT NO. BOOK—PAGE—BLOCK ESCROW CLOSE TENTATIVE DIG DATE PERMIT OFFICE MGR. SALESMAN C.S OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION POOL AREA TO BE FENCED, BY OWNER PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY POOL OR SPA NAME i44# -r -J Wat-T-Low ADDRESS K T I� = CROSS STREETS t0L V iw RES. PHONE X28 -5553 BUS. PHONE 5 3 12S J`ool � derma 1080 Thorntree Drive, Suite 25 Chico, CA 95973