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HomeMy WebLinkAbout068-343-013COMPLAINT TO INSPECTOR COMPLAINT TO INSPECT^O� 2 -/$ u S HOFF, Paul HELEN BANFIELD 68-343-13 3738 Hi..ldale_.Ave,� .ORev"ills- ContR: Kent Rankin PErmit#311-89P(lawn sprinklers & wtr piping)SF Hilldale Av 068-343-013 COLLEy DENNIS, a 3 73 8 HILDAL IS OS -3055 Cont: AVE, OROVILLE REMODEL- ITCH EN j 1 CSI I' A 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. BP053055-' 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 licensed under Issued Date: 12/01/2005 APN: 068-343-01.3-000 provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number. Site Address: 3738 HILDALE AVE ORO Date: Contractor: Map Index: 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 iha 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).): )� 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who.does such work himself or herself or through his or her own employees; provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with, licensed contractors to construct the project (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 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Profes ions Code Date: 112Wgner: WORKERS' COMPENSATION DECLARATION I 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. ❑ 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 for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I - 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.) Name: Address: Description: ADDITION TO KITCHEN (59) Owner: COOLEY DENNIS B & BELINDA S 3738 HILLDALE AVE OROVILLE, CA 95966 (530) 534-9078 Applicant: COOLEY DENNIS B & BELINDA S 3738 HILLDALE AVE OROVILLE, CA 95966 (530) 534-9078 Contractor: License #: Architect: Engineer: Total Square Ft:. 59 S.F. Valuation: $3,835.00 Census Code: g40171& 2 I2 l- o5 This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic ed above for which. fees have been paid. By: Date: _l 2- I - C)1J PERMIT EXPIRES ON: 12- k C>G ❑ 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 8 Safely 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 theabovementioned property for inspection purposes. Nam, 2 do Print NamL � ` co Signature: VJ Date: 42` 1.- VX P-15wner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor �{ 2G JS bulId- j Gere fee BUTTE COUNTY ► DEPARTMENT OF DEVELOPMENT SERVICES C BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Na TCD Name Name l, 1 cc Address 3� �c6j 4n ; City© l—©v 1 State , Zip Phone c5 -3,,.j. _ Cl ©, p C� Fax E-mail ,1 e k APPLICANT NAME CONTRACTOR Name L Address City n o t 11 Q City State Zip Phone Fax E-mail Lic. # Class Planner State License Number APPLICANT NAME ARCHITECT/ENGINEER Name Address 3 as Address City n o t 11 Q City st ,� State Zip Phone Fax Fax E-mail Planner State License Number APPLICANT NAME Name�;�S' r^ Address 3 as Crq% Stir ee� t I (.WORKER'S City n o t 11 Q I Yes st ,� zi q _ Phone _ q ©-) Subdivision Name Fax E-mail C c) [Ci i f 2)� � ,%a1 I U APPLICANT SIGNATURE X For office use only: Zoning I Ak I Flood Zone Crq% Stir ee� t I (.WORKER'S SRA I Yes I No Occ. Tye Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPO 53055 BIN # LOCATION - Address AN 0Gl� ` )' Pro erty Address� 11 , 70i" _ ?? tom(d�JF'C �l' 11�� Crq% Stir ee� t I (.WORKER'S COMPENSATION Policy N tuber Carrie 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 - OVER FOR SUBMITTAL REQUIREMENTS L, K:TORMSMILDING F0RMS1BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage E59 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: , fj. Amount: '4 1-10.1-7 Bldg 20g.QY SRA Receipt #: `7 �v� 1i Sheriff SMIP Date: 1— Iii - 05rr Other 1 31�`75. � 57 Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit: INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: L. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ,❑ 4. Letter from Engineer or Architect for truss design review. 5. 2 Energy compliance design and supporting documentation. (Note: ,�tired-jrer additions to mobile or modular homes.) J. dorm ❑ 6. 2 Flood Elevation Certificate, wet-stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ -9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!� ❑ 2. 2 Data sheets and installation instruction manual. , ❑ 3. 2 Marriage line information. ❑ - 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet-stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1.. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 :.. ' 6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO TS3055 7 County Center Drive, Oroville, CA..95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: cc, I eV ASSESSOR PARCEL NUMBER %O ( - 3403' C)'r6 Proposed Building Use: KI chm ftmA_'I /Add (I m Permit Technician: K.6. Date: 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. 55� 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. Hazardous Material Form �l?�1 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other e atnU items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1�17-Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... -18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 0 20. City of Chico Plumbing permit........................................................................ 21. Site plan and business license approval from the Ck of Biggs .............................. 49P Z 22. California Department of Forestry plan approvah❑ paid. Sent by: 1 l 0 0423. Planning approval for (A) Use:k (B) Parking: --(C) Parcel Check: ri�of ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ / . 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. - ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction ................................... ............. ..............."".................. ..... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �rJ�����-q�']R Ownefl and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: IL 1 �1 - == 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional it re ired Contractor, designe owner as advised of the above data by phone, ❑ mail, ❑ counter, by K.6, Date: 11-3 d.0 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: approved by: Date: Structural reviewed by Date: Structural approved by: Da Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ���` 1 �.� ��Pm� `�`(1(�l� Building Department No. A.P. Number (11 c�Li, ?j • (�1 Jurisdiction: City' L��County S _ a q Property Owner 0 -or) It \ ) Property Location/Address i ;�� I r� ir- he Ul riP _ OA Subdivision Lot No. Residential Development Q Q 0 Q Sq. Footage �q No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # .(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q New Addition Sq. Footage (Including Exterior Roofed Areas) (r .3n-cLs �- v Date District Identification No. `} 3 hra .rte kka e(e-rr School District certifies that v t e. (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. 03 --d representing °( square feet. School District 1k (fl (o (Zip Code) by payment of $ N (C -- B 292. $ ULL MITIGATION $ I z -(--a S Date Paid by Check # Remarks: 0 to oc Notice: You may protest the Imposition of the fees Identified above by submktlng a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the dots fees are paid. Failure to subm1t a timely written protest will prohibit you from challenging the Imposition of tit fees In any court action. If, 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 Que ty Act (CEQA), this project may be subject to additional school fees to fully mMgate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feelonn.xls (3M5Wnrn 6Pp53a55 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 Cool", A.P. # c(og-313-ni3 PROPROSED BUILDING USE (� ( 1 i'1 n . DATE IH y RECEIPT # DATE REC. 1. BUILDING PERMIT FEES C ' -- Balance Due ..................... $ �` ` 1{ 14x7$ 2- 12-J-05 --- FEMA Flood elevation review ... $ -- Additional plan checking Fee.... $ ,g)2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) 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 $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) '-SV8. ' SMIP fl �7S2 12-1- s 9. DRAINAGE FEE - 10. OTHER 00. - 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.115-1 9 APPLICANT o� DATE P-8 Pursuant to Government Code Section 66020, you are hereby notified items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) =i 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. a 1..I personally plan to.providethe major labor and material for construction of this proposed property improvement: YES [ ✓] NO [ ]• I HAVE [ ►/] HAVE NOT [ ], signed an application for a building permit for the proposed " work. 3: ' I have contracted with the following person (firm) to provide the proposed construction: NAME: ' ADDRESS: { w PHONE: CONTRACTOR'S. LICENSE NO: 4. 'I plan to provide portions of the work, but I have hired theTollowing person to'coordinate, . `supervise, and provide the major woik: NAME: ADDRESS: : PHONE: - CONTRACTOR'S LICENSE NO: I will -provide some -of the work but.l-have contracted (hired) the following'persons to provide the work indicated: NAME ADDRESS Y. • PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: . DATE: NOTE: This Owner -'Builder verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed and returned.to our office before we are permitted to issue the permit. Rev'd 11/4/2004 t Butte County Department of Development Services �%3T TF ADMINISTRATION `BUILDING t GIS `PLANNING o : �/� °° 7 County Center Drive`" --".10 Oroville, CA 95965�'O- i ='��== o (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance; disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perfonn their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an `owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ;�,�a-:.;; �, • .. pattme.:� Ru b i i c. W oar k s�_• ' .e,�nt o J(� o\ C o tl n t, p. f ,. 6 tl t t, e y LAND DEVELOPMENT DIVISION E Michael CrUMP; Director Storm Water Management Program 7 County Center Drive U �-1 / r . Oroville, CA 95965 p �g (530) 538-7266 AUC WOF (FAX) 538-7171 National Pollbtant. Discharge Elirnination . SysteM, (NPDES)' .Phase 11 Construction Storm Water Permit and Storm Water. Pollution Prevention Pd - (SWPPP) Acknow_ ledgement (LESS 7HAhd 9 �1CRE1 Project Description: Project •Locaticn andlor Parcel Number fig. �a��e�Q um ' By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply fora 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 fora project that disturbs one acre or more of land may result in revocation of grading and/or ocher permits or other sanctions provided by law. ' Signed:. 1 4Title: Date: Butte G`ounty Department of'Development Sel-�nces 7 County Center Drive oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile G� 0 0 cOU:14,y BUILDING PERMITAPPLICATION 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, Enviromnental'•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. 0 I am required to bring the approved Enviro tint Health site plan and approved sanitation,. clearance to the Building Division as soon as clearance is obtained a I win 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 subinitted, 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: p Applicant ,` APN: 0 5q� Building site address: —T s R LCWQ Permit No.:, I have read, understood and accept the terms and . conditions • as expressed herein as indicated . by my submission of the above -referenced building permit application. and my signature below: SIGNATURE OF APPLICANT DATE U •�i 0BUTTE�0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 C�u Nay OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY* OWNER Last Na �Q F_kskName �. 1 Address �[ e� City !� l 1 State ` Zip Phone �3 _ C� p C� Fax E-mail _1 l 2, LOycc 1 APPLICANT NAME CONTRACTOR Name L: Address Zi ` r"�� City Fax State Zip Phone Map Book Fax E-mail Planner Lic. #Class APPLICANT NAME ARCHITECT/ENGINEER Name City . �r G 0 Address Zi ` r"�� City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City . �r G 0 State Zi ` r"�� Phone �3 _9 Q 1 Fax E-mail � eoc) _1_-)bccA Type Const. Subdivision Name I V APPLICANT SIGNATURE X tS' For office use only: 1-11 Zoning Property Addresj�� 11 y.�� � �O �-1 i L -IC UCL Flood Zone I SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPO 530551 BIN # LOCATION API OCA`$ _ 5� /;- 013 Property Addresj�� 11 y.�� � �O �-1 i L -IC UCL ity I I Gl' 1 1 �v C f 'dSt t R lc � WORKER'S COMPENSATION Policy tuber Carrie 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 OVER FOR SUBMITTAL REQUIREMENTS L, K:TORMS\BUILDING F0RMS1BIdgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Addihnn Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �i. Amount: 1 •�! Bldg 0q,qSRA Receipt#: �����i Sheriff SMTP Date: Iq - 05 Other 1% J`%5.` `) Total REV 6-16-04 CDF FIRE SAFE REQUIREMENTS AP# D�O/"��PERMIT # 05 3�5 NAME: eegmVdre Under authority of Public Resources Code sec. 4290, the followin checked requ- by the Butte Countypa peg eq Fire De `rtment and made a part of Phis rmiL 'These r uirement - are minimums and may be superseded' by Butte County local regulations, which equals or .exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards 1XI All new , driveway construction or..an ' extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [XI: Surface. All driveway surfaces and structures- (bridges, culverts and other appurtenant structures which 'supplement the roadway bed or shoulders) shall Provided unobstructed access to conventional drive vehicles,` including sedans- } and fire apparatus weighing up to 40,000 pounds. [XI Grade. Not to . exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Drivewav Radius [XI No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet,to those from 100-200 feet. (XI . The _ length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water"shall be not less than 100. ` feet radius: [XI Tumarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. [XI Tumouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end.. AXI Width. All .driveways shall provide a- minimum 10 -foot traffic lane 'and unobstructed vertical clearance of 15 feet along its entire length. [XI Tumouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a tumout near the midpoint of the driveway. Where a driveway exceeds 800 feet, tumouts shall be provided no more than 400 feet apart. Gates fXl 1. Gate entrances shall be at least two feet wider on each end than the roadway they serve. , 2. The gates must be located at least 30 feet from the roadway and.` shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides access , to a gate entrance, a 40 -foot turning radius shall be used. R E Addressing [XI All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. (XI Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. (X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space T [XJ Maintenance of Defensible Space. To ensure continued maintenance of 1 properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. (] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property v lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See °other Requirements below. (Xj Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements T T If Building Setback is 15 to 30 Feet: ✓ Class A roof I ✓ Fully enclosed eaves [ J If Building Setback is Less Than 15 Feet: R ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ ' Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry T o Masonry Veneer l� o Metal [] T Date Signature HOFF, Paul 1911B COMPLAINT TO INSPECTOR HELEN BANFIELD 68-343-13 3738 Hildale.Ave, ORoville-- �15J/05/ ContR: Kent Rankin PErmit#311-89P(lawn sprinklers & wtr Hilldale Ave. 1/2 mi. east)of Arbol, Oro�i " piping)SF // p • R • jP rte t�__ t �N —ry i uRUc I _ , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATAON AND PERMIT PER3/1 �T O NO— E/7 SOR PARCEL UMBE -r _ ZONING BUILDING PERMIT ow R f P F � n .e TELEPHONE SO. FT. OCC. BUILDING VALUATION . OyINE 'S AI LI G�A E53 ^ 77 CC� b O A TOR'S NAM 'v a TELEPHONE CONTRACTOR'S MAILING AD as, CG, �-/ V Fireplace CONSTRU 10N LENDER r UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 C Permit tee = PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 rIc— Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5,00 O� Each qas water heater or vent 5.00 USE OF STRUCTURE SF;< Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobjde Home S G W O.00ea TYPE OF WORK New❑ Addition ❑ Remodel Utilities Install tin❑ Other Describe work: r lie% tiesELECTRICAL 10 Permit Fee $ 05_1 Contractor PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the �BUSIneSs Ix and Professions r'/Coodee and my license is in full force a(+�°d effect. License No.Sy f� Classification �- ! ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with I icensed. contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR AODNS. ACC. BLDGS. , /20sgft NEW CONSTR. MULTI -OUTLET NON.RESID .BRA CH CIRC ITS 2.50 ea /POWER APPARATUS al (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2ALO3 t eALa 30 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 'I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X�. t/.>` Leh Date V Signature of Applicant — Owner ❑ Contractors, Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �� oc CUP. CONST.TYPE ISCHOOLIFLOODIPANCILI PO Ho ISSUE This permit is hereby issued under sions of the -Butte County Code and/or work i.dcated above foraUB IRECsi " OWORKS B� P MIT EXPIRES Date the applicable provi- resolutions to do s have been aid. P a Receipt No. c f WHITE-D.P.W., YELLOW-ASS9390R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 APPLICAVON •ARCD PERMIT PE MIT M ASSE S R PA CEL UMBE ZONING BUILDING PERMIT if ow TELEPHONE -- `� SO. FT. OCC. BUILDING VALUATION O N R'S AI LIJ4PAf6 33 d WOW- 7 A CTOR'S NAM TELEPHONE I CONTRACTOR'S MAILING AD KESS 1 9 Fireplace CONSTRAICH LFENDEA f U OWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ------F Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Ida 16 v00�� Permit fee ` $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar'or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 1 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFK Duplex❑ Mobilehome❑ Other Building sewer 5.00 Mob' a Home S G W 0.00 ea SPECIFY TYPE OF WORK , New ❑ Addition ❑ Remodel Utilities Install ti ❑ Other Describe work: �_5 i Per..... Fee $ S^ r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business dee and my license is in full force and effect. and Professions� Co4.92 License No. A L 7 � 4. -1 2 Classification 0-27 F1 1, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OC CUP.e , ACC.B ft New DCONSTR( MULTOUTLET .50 a SI. BRANCH CIRC ITS 2.50 ea NON -R ES'.. POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ew 030 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensecontract-Misc. (Sec. 7044) Mobile Home Facilities �Yirinors. g #15.00❑ 5.00 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): Nrhe permit is for $100.00 (valuation) or less. MECHANICAL PERMIT FiIingFee 10.00 Heating LJ have placed on file with the County of Butte Building Department 1 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 3,00 to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation Pernit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $pjs OccUP. CON ST.TYPE S TOOL FLOOD PARCEL PD ND ISSUE against said County in consequence of the granting of this permit. This,permit is hereby issued under the applicable provi- sionsoft utte County Code and/or resolutions to do worki (cats above for which f have been paid. X��� : 9 Date Signature of Applicant — Owner ❑ Contractor, Agent E-1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. RE F PU B I ORKS a Receipt No. WHITE-D.P.W.. YELLOW-ASe(3SOR. PINK -INSPECTOR. GOLDENROD-AP►LI CANT P IT EXPIRES Date