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069-190-020
Butte Co 069-190-020 06-0016 7 county NOB:RIGA; EDWARD (530) 53E 192 KOKANIEE.. OROVILLl . QL I R BUILDER cc)\rQ'r `—�— 7 _ 9 Cont. t [L , 1 �e f S o G� APN: Permit No. -7 Owner. Site Address: - 1 r r— �O Contractor. Type of Permit: k4 1. � '�� yY - • fJ� © ill— CXTr—,2io2 St -F C-612 N OFFICE COPY Address GAS Meter By Date ELECTRIC a Date�,7 ^" Meter By 7 _ 9 1 �e f 1 SPECIAL CONDITIONS t . CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 4 %i _3 Ket y iz1� G DATE JOB FINALED: 312— 1 SIGNATURE: �I . =OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE j Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements S 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH. Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE 10 E C K S -C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6lec Enclsrs; Conduit Entries -Terminals -Listed 7 _fec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Efec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvi 10 Plmb; Cir Test-WtrSupply Test ' 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUVDERFLOOR Xn ing-Setbacks-Eas ements-Flood-S lope Ftg Main; Soils-Elec Grnd Ftg Dpth W8✓tg arage; Soils -Steel -Flet Grnd Ftg Dpth. 4 F Porches/Decks; Soils -Steel Ftg Dpth mwalls Main; Steel-Blockouts-Wrapped temwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7Slab, Steel Wrapped el4ers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1A Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd 13 fPJe4urns & Ducts; Cirnc-MaterialSupport-Insultn r Gi ers-Sills-Anchr BoltsJ oists -Vnts -Cripples f cc & Vntltn 16. Insulation DATE F R #14l N G Is Proper Materials & Anchrs W Is Studs -Nailing Spacing & Braces-PlatesSound 1 e ,ting Walls over Girders &flr Nailing 20 CStop in Walls (rat proof) Fitops, Furred Ceilings -Stairs -Chasers Tubs Fglfierrs-Po s & BeamsSz & Bearing st Caps-Anchrs-Cnnctns g Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 35�F Ic Ties or Type A Flue-Frplc Throat Cimc 26/P,f�c Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions y�28 G6ge Fire Prtctn Framing -RC Ctiannel 21A*10ty Line Firewall & Opngs UDeExt Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 irs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn Vjplo�.- on Roof Ovrhng-Attic Vnts-Rftr Outrgrs -Nailing Veneer S cco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc azing Area -Glass P rtctn-SkyLts-Plas tic Shear Walls; Nailing -Bolts S64- NO -U$' 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws o0 DATE JELECTRICAL tr & Trnsfrmr Clmc4ns Prtctn BRcptcls Spacing-Lts &Switches at Doors :' oxes & No Of Cndctrs Stapled x Installed Close to Edge of Studs & CJ p Grnd made up w/Mech Fstnrs sdng Electrode Bond Gas & Wtr Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz oa ❑ CU or ❑ AL- - C Wire Sz ga ❑ r [—I AL Range Circ % 92 CU or ❑AL Oven Circ - ,. ❑CU or DAL Insulated Neutral E] Yes ❑No Z;Se%�ice-Riser Cndctrs & Grnd Main Dscnnct .Egp Clrncs pnls-Motors-Mech Eqp 51 C thes Closet Lt-Shwr Lt -Spa Lt moke Detector' uAit JPL MBING Htr; Vent-Acc-Cmbstn Air Baffle Pipe.- Test & Anchr-Nail Prtctn D�Test Fittings & Anchr Nail Prtctn 10.rA. 167 S56 hw Pan; Test, First flr-Tub Acc 57 T t Tub & Shwr, 2nd fir - Tub-Acc as Pipe; Sz & Anchrs 59 F" a Sprinkler; Test Yard Gas Pi ing 7 C 0 0`� o UAit jMECK-KNICAL Wcts Insultn & Support int an. Exhaust abv Insultn 6ndensate Drain & Ovrflw, Sz & Grade l hurnace-Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 /A/(ttn/i`c Acc & Pltfrm if Furnace in attic "o 10 FIN teps-Door & SideLt Prtctn-Landings mo a Detector 68-rur a Vnts-Cirnc-Comb, Air-Cnnctr I arage; abv-flr-Ducts-Mech Prtctn 6wtodroom Exiting Gyt'& B th Fxtrs & Tub Acc-Spa GFI Fault 7 Trim & Subpnl, Breaker Szs & Labels , Guard/Handrails Frpic or Stove, Cimc-Hearth 75 EFGar.:pe�ire lee Outlets at Wood Pnl, Int & Ext xtr & Appinc; Grnd-Air-Gap-Cooking Cirnc Outlets & Rcptcls at Ktchn Counter Door; Swing -Landing -Closure 79 A uct in Garage -Damper AWWtr Vnts-Cimc-Com Air Cnnctr-PRV; abv fir C rtctn; LPG Appince Undr House 3" drain P ; EI c & Mech Eqp Listed for Loctn c cptcls in Garage (GFI) Romex Prtctn ul -Foam-Looked in Attic G rd Rails & Deck Cnstrctn-Post Caps Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth gnt3sAbvI �brnge Planters ❑Yes ❑No rown-Finish Dscnnct, Elec Plmb Roof, Plmb-Appinc-Frpic-Cirnc to Opngs 90 VO Well, Dscnnct, Elec, Plmb -- jec Trim, GFI Rcptcl-Undrgrnd GrtUxrttiru House 93�31ass Prtctn Corrections from previous Inspctns 95 Gas est -Meters Tagged, Gas-Elec 96, & Sewer Cnnctd-CIO to grade -HD Apprvl nergy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprin4er COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE at 1V�I Q� 19 (2 OWNER J 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. Date :3, 1 . 0_7 Inspector & REV 4/05 Phone # J 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 CORRECTION NOTICE ,/1%D GA Y��� ao1 � 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. Date Inspector / C' i_11l7-z/% REV 4/05 Phone #� �7 (a 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 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_cdntact the Building Inspector as indicated below. 'e4 -e 1 r,k'?--tom 1\-Y(Pe,-a J 0 t. 1 Date — (10 Inspector J rl�Au REV 4/05 Phone # �� t`l� �3 CD FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ..... ..........110 . ............. _ COUNTY OF BUTTE f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. k A routine inspection indicates that the following violations of Butte County Ordinances exist at F. the above address and should be corrected. Please call for re -inspection when correction of 'y work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. vle Dat ef -622' 04 Inspector REV 4/05 Phone FOR RE -INSPECTION. CALL: 538-7636 OR 891-2834 1. ROOF F- PAN= 2. CELM INO m -ant 7mckp-"-@ 7homid Lome M, 13 e', corps 5. Cmbub* aft No- "'o—fammenot EaERIOR WALL ThWW!!l RCe-m*--MM (R VA -*-r3) W RL 16 sandy"M & SLAB FLOOR I lldckT--zs P"Im" NM*--A-Ml Dsp* MFOUNDAMMVWW.L DECL4RAT" M, M -k --O) SWIT slsffi-s!!� Los= M-. W- ErvGrr�EERED woODtiYSrEM� Certificate of Conformance Certificate 044395 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products Identified below and marked wlth a collective mark of Engineered Wood Systems (EWS) were man- ufactured in accordance with the specifications Indicated below. 0 ANSI Standard A190.1-1992, for Structural G)ued Laminalad Timber Cl 9 Job Name 9)0ar - — - ,lob LbCAUM 1 �-� XQx Aw-� /cc custom es order No. Owe Mtge$ order No. Slpnetvry nW QUAL nY CONTROL co,np&ny BQSOORO LUMBER CO. Addresa SPAINGFIELD, OREGON Date IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of Engineered Wood Systems (EWS) Is subject to regular audit by Engineered Wood Systems, such audit consisting of the Inspection with reasonable Irequency of the manufacturing process, with adequate sampling to verify the quality of qulam consm-Mon and the adequacy of glue bond. ••Q�,Q W 0 0014e" m gl� CP'•,. i SEAL. r r I� Pie` • fit A S H tN G, by dL J a,-. Thomas G. Williamson Executive Vibe Preslderd - ENGINEERED WOOD SYSTEMS - A RELATED COMORAMN Of APA - TME EHOWEERED WOOD "SOC1ATION BUTTE COUNTY PEFtI'tii T NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060016 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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: 02/13/2006 APN: 069-190-020-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Nu ber: e__1? -1) Site Address: 192 KOKANEE DR ORO Dat@ --0�' Contractor: �//� Map Index: Description: NSF (2023) GAR(590), COV(380) OWNER -BUILDER bECLARATION 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: NOBRIGA LIVING TRUST to its issuance, also requires the applicant for such permit to file a NOBRIGA, EDWARD M. & DOROTHY signed statement that he or she is licensed pursuant to the provisions of 3929 ALMA CT 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 PLEASANTON, CA 94588 she is exempt therefrom and the basis for the alleged exemption. Any (g25) 462-1675 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: BETT R BUILDERS CONSTRUCTION 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, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 5263' ROYAL OAKS DRIVE year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of sale.). (530) 589-2574 ❑ 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: BETTER BUILDERS CONSTRUCTION INC pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 5263 ROYAL OAKS DRIVE Date: owner: OROVILLE, CA 95966 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 License #: 323225 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 Architect: HAWKINS, GARY the work for which this permit is issued. My workers' compensation Engineer: insurance carrierand policy number are: e% Carrier: 7C� ���i y��/'✓ �% Policy #:�l b Total Square Ft: 2993 S.F. C3I 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: $151,735.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. I I �'� j [), t 7)1-).1 6 CONSTRUCTION LENDING AGENCY This permit's hereb issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to-do w rk indicated above for which fees have been paid. performanceo 11* work t ' issued (Sec 3097 Civ.) By: Date: Name: Address: c� PERMIT EXPIRES (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Connto enter upon the above mentioned property for inspection purposes. Print Name: 1'i')��T� Signature: Date:` ❑ ❑ Cl Agent for Owner for Contractor Owner Contractor gent B. C. Building Permit 01-16-04 pg 1 FIRE SAFETY INSPECTION REPORT Butte County Fire Department CaCdnmia Department of Forestry and Fre Protection nnO LqN Oroville, Catifomia 95965 • (530) 538-�t Business Address: _l ko I City. nwjoy Business Name: owner/Property Management. <2. ' ,k a6 -mol Inspection Date: �I3! Business Phone: AP#. NO. F CORRECTIONS REQUIRED NQ LOCATION/ REMARKS CI EAR® LOCATION I. Provide address numbersbAft I.D. visble from street EXn1N(3 .. 2 Remove obstructions at exits, doors, aisles, stauways, eta 3 Exit door to open without a key or arty special krmledge/ effort. 4 Repair wagmable exit door hardware. 5 Remove obstructions from door required to be dosed. 6 Remove lodG ches from doors with panic hardware. 7 Provide sign over main exit door -'This door to remain unlocked during business hours'. 8 Remove storage from urxler unprotected 9 Prwididmaintain exit signlemagenq lighting. FIDE EXTINGUISHERS 10 Have fire i s serviced and tagged. RE -INSPECTION DATES INSPECTOR 11 Provide/mount fire extinguisher as indUlted. 1st 12 Post a sign indcatiN fire extinguisher location. 13 Provide clear access to fire extinguisher. 2nd FIRE PROfECIiON.EQUIPMENT 14 Maintain, repair, paint inspect, ardor test spnrikier/stanktope system/hydranVFDC/PN. Refer to FPB 15 Maintain 3 feet minimum clearance for access/use of fire appliances/equipment. District Attorney 16 Replace damage#ainteNmssirg sprinkler hea&dFDC raps. Final Clewarwe 17 1 Provide ear certification test for sprinklertstanchx system. OcaqwWC11855 ❑ Check Pre -Fire Plan for accuracy. 18 Provide Icier heads min ardor wrench. BY ORDER OF THE FIRE CHIEF You are hereby notified to correct all violations immediately or show cause why you should not be required to do so. A reanspeection will be conducted on . Willful failure to comply with this notice is a misdemeanor. Violations that are not corrected immediately and/or remain after the reinspection may be processed as a criminal offense. Thank you for your assistance and cooperation in minimizing the fire and rife loss in your community. ukhi tem to be serviced ev 6 mo. 19 Hoodidu72eamse 20 Remove from hood, dud, and filters.(KEEP C FIRE ALARM SYSTEMS 21 Maintain, 7, i dia , antest fn: alarm tem. FIRE SEPARATiDlfS 22 Repair holes in rearmed fire resistive construction. 23 Prmidetrepair self or automatic dosing fire rated assemblies. 24 Keep attic access and scuttle openings dosed. ELECTRICAL.. Signature of Recipient 25 Discontinue use of extension cards. 25 Install permanent wiring for fixed and statiomfy appliances. ❑ Owner ❑ Manager ❑ Employee ❑ Other 27 Provide ower plates for all junction boxes. I ng 28 Remove agmsed wiring or protect in approved conduit 29 Provide a 30arxh dear space to and in front of electrical panel. FPB: ine Com 30 Maintain winN in good ctxdbon and protect from damage. NO VIOLATIONS NOTED TMS DATE THANK YOU FOR BEING ARE SAFE! FLAMMABLE LlQtllta6 • COMPRESSED GASES 31 Provide a flammable fpuid storage cabinet or reduce storage to 10 gallons or less. Additional Comments: Page of 32 Remove all flammable liquids not used for maintenanceorc es. �� 33 Store flammable frau exits, stairs, , a caricas. 34 Secure compressedcylinders. . : STOppAW * HM(Np/�R 35 storage in an ordarly manner to govide access/ 36 Remove combustible storage from water heater and electrical rain. 37 Remove storage to 24 intches below ceifirg or 18 inches below sprinkler heads. 38 Remove IinVddxis from behind washers and dryers. 39 Remove wastehftish ma'wials from the premises. 40 Keep dumpsters 5 feet away from combustible walls, eaves, or openings. 41 1 Other violations ardor commends. STEM WAI #4 BAR VERT 12" O.0 COLO JOINT— BAR HORIZONTAL h., -FILL 12' MIN. INTO + NAT. GRADE NOTE: PEERS WILL BE EXTENDED WITH 12" SONATUBE. KOKANEE DRIVE SITE PLAN SCALE: 11r=ra m j2ev, 7-0 Q6 00/& �PUTTECOUNTY PULDING DIVISION APPROVED �&/oho p�T i LODGEV7kW DRIVE KtIV. V \�F CAL CZ ca Em In 2006-0000373 AND WHEN RECORDED MAIL TO: Recorded 1 REC FEE 7.00 BUTTE COUNTRY BUILDING DIVISION Official Records 1 7 COUNTRY CENTER DRIVE OROVILLE, CA 95965 Couuntttyeof i M FORNF-D COPY 1.00 CAN KE J. GWBBS I County Clerk-Recorderl I I BW 012:20Pb1 04 -Jan -2006 I Plage 1 of I IIII III III � IIII I ILII I II I IIII I IIIII AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT I FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 51, as shown on that certain Map entitled, "Kelly Ridge Estates Unit 3", filed in the Office of the County Recorder, of Butte County, California, on July 26, 1974, in Book 43 of Maps, at Page(s) 44, 45, 46, 47 and 48. Date \�' �.' J PROPERTY OWNERS: Type Name Edward M.. Nobricf State of California ) County of B E l� ) On I 1, 1 1 . before w Type Name Dorothy LouiseNobrigg personally appeared "8rsonally known to me (or proved to me on the basis of satisfacto evidence) to be the person(s) whose names() is/are subscribed to the within instrument and acknowledged to me that-hv-s e/they executed the same inlus4gertfheir authorized capacity(ies), and that by h' r their signature(s) on the instrument, the person(s) acted, executed the instrument. WITNESS my hand Signature A.P.# 069-190-020 �� JODY SAMUELS COMM.#1342621 NOTARYORNIA AL"DA COUNTY I My GM, E>seiroI Mer, 5; 2006 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. BP060016 1 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 the Business and Professions Code, and my license is in full force and effect. n License Class : 5 License Number: S Dat0V1_7_/3-09 Contractor: e. V- OWNER -BUILDER bECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Professions Code Date: Owner: 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:/�r-�t�/ �(/�t/ C•/+ Policy #: ❑ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: — 0 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. Issued Date: 02/13/2006 APN: 069-190-020-000 Site Address: 192 KOKANEE DR ORO Map Index: Description: NSF (2023) , GAR(590), COV(380) Owner: NOBRIGA LIVING TRUST NOBRIGA, EDWARD M. & DOROTHY 3929 ALMA CT PLEASANTON, CA 94588 (925) 462-1675 Applicant: BETTER BUILDERS CONSTRUCTION INC 5263 ROYAL OAKS DRIVE OROVILLE, CA 95966 (530) 589-2574 Contractor: BETTER BUILDERS CONSTRUCTION INC 5263 ROYAL OAKS DRIVE OROVILLE, CA 95966 License #: 323225 Architect: HAWKINS, GARY Engineer: Total Square Ft: 2993 S.F. Valuation: $151,735.00 Census Code: � 51 �,-3. 1 CONSTRUCTION LENDING AGENCY This permit is hereb issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do w rk indicated above for which fees have been paid. performance work for which I! e issued (Sec 3097 Civ.) Name:By: Date:1. `�>o Address: �/ v PERMIT EXPIRES (Date ElI hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Count to enter upon the above mentioned property for inspection purposes. Print Name: �Gc_r�: Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner4<gent for Contractor B. C. Building Permit 01-16-04 pg 1 -t 207 Ia .2a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** EMT 4f5,17 APPLICANT SIGNATURE X For office use only: CONTRACTOR OWNER Last Name No 6A, Type Const. First Name FcO WA AJ Address s A City Dat Appr ved: v 4 Fax State Zip Phone 5 _ Z` 7 S Fax E-mail n I�� APPLICANT SIGNATURE X For office use only: CONTRACTOR Name am f %r Type Const. City Book �3 Address �7 Phone Dat Appr ved: v 4 Fax E-mail City State License Number State - Zip Lt n I�� nl 9S9 Phone Fax S E-mail Lic. # Class S 0707.1 APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEER Name . am Address Type Const. City Book �3 State Zip Phone Dat Appr ved: v 4 Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name 1 t/ 7 II 4 Address Type Const. City Book �3 State Zip Phone Dat Appr ved: v 4 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA rYe)l No Dec. Type Const. Subdivision Name Ma �3 Book �3 Pae �{3J� Lot # 51 Plann,I 11 1 Dat Appr ved: v 4 OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. LOCATION AP# 66 9- 1,90 - 4076 Property Address 19,2 /Ce XA eu r Ci76Y,02 o��l l� Cross Street WORKER'S COMPENSATION Policy Number S Al A 7 t✓ Carrier l j YY nn STAT L r4 �10' If hiring anyone other than license contractors, a certirrcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name ti au e Address Description or Scope of Work: GU rw s owl e Sq. Footage NSF 2023 0 C '�(n ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: KG Amount: d II C4�� _ Bldg Y 204.91 SRA Receipt #: , Sheriff SMIP Date: `��q, Other t `+; lD Y' 3`72 O Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED, ALL PLANS MUST BE LEGIBLEAND 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 be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\13IdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner NOBRIGA APN No: 069-190-020 Application Date 1/4/2006 Permit No: BP 060016 Permit Type: NSF DWELLING 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,919.29 Plan Check portion of Permit Fee $1,167.72 $1,751.57 Balance of Building Permit Fee 2 FEMAYes Flood Elevation Review $109.98 0 3 SRA* X Yes Fire Plan Check - Non -Refundable $95.00 $95.00_ (State Responsibility Area) Building Inspection $109.98 $109.98 1 - $204.98 NON-REFUNDABLE portion of fees due at application $1,262.72 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION ,� $1;372:717 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT �$5?963T61 maiance or ounoing r-ermii rees ffom no. i aoovel SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) 12 SCHOOL DISTRICT FEES`\ 12a RECREATION DISTRICT FEES* RECEIPT DATE Tech/Asst j 1/4/06 Kourtni $1,751.57 N3isSS3 $15.17 RECEIPT $4,196.87 qL)3&S3 UA I t Tech/Asst � —LJ -4-If \/ i is At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: / 0 Y- 6L Pursuant to Government cod ecti 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of t porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Q r�Ul I I�' �et'ni-CI�'V Building Department No.� A.P. Number �'''�� ' (��%� Jurisdiction: City County Property Owner 6 , QR Property Location/Address� -12 yoka n C. �, Vf (ay ( I' C ( - A Subdivision Lot No. Residential Development 0 Q Q Q Sq. Footage 2 Q2.3 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundationiinspection) :........................................................................................ t l tI J, l` l" Deed Restricted Sq. Footage (Attach a signed coy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage New Addition (Including Exterior Roofed Areas) District Identification No. n �t--,.2 S Date bra N . l kip C--7 l�e_rsm School District certifies that 4. (Applicant) - (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ 4% - representing square feet. JB 2926 $ VLL MITIGATION : School District Date Paid by Check # Remarks: .lock ,., t qy --o q 0 aZ 2-3 0 R- - I -`f Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the 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 Quaft 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) feeformids (3105Wnm 0 CDF FIRE SAFE REQUIREMENTS AP# 069-190-020 PERMIT # 06-0016 NAME: Nobriga Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] 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. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 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. [X] Turnarounds. 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. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] Gate entrances shall be at least two feet wider on each end than the roadway they serve. 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. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Addressing [X] 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. [X] 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. C ED E Q U I R E M E N T S Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for 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 lines and/or the center of the road. [X] 2) For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] 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 [X] If your property was part of a parcel split after 1991, you may be required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. ' [X] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet: ✓ 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 o Masonry Veneer o Metal [ ] No Additional Requirements 01/18/2006 Date Last Revision 1/18/2006 Darren Read Signature FEB -10-2006 04:01 PM LOAPUD 5305331750 P.04 0(,0001 (Q PERMIT NO.: 1-06 Lake Oroville Area Public U#1ity District . . 1960 Elgin $treat ORMLLE. CALIFORNIA 95966 (590) 593-2000 DISTRICT APPROVAL AND VERIFICI OF BUILDING SEWERS INSPECTI This verification. form must be submitted to the Butte County Depa Department prior to fssuanc® of a building or occupancy permit, .whlc Prior to final approval of a Building or an OccupancyPermlt by Butte form., signed off -by Lake Orovllle Area Public Utility District, must be SL Date: January, 4, 2006 Applicant:. Edward: & Louise Nobriga (aette Applicant Address: Applicant Phone No.: Property Locations(s): A.P. No.(s): . r069 -19U - Fees -due: All fe®® Application'for service approved. as of Mo6vi (530-5 of Public Works Building is applicable,. r, a copy of this verification d to Butte County, auilde,ra Const.) 574) 1/4/06. New Single family. dwellin •. OROVILI .E AREA PUBLIC UTILITY DISTRICT lrispectlon(s) made and successful test(s). observed: Location• 5 By: ' Lake Orovllle Area Public Utility District release to close per Date: �." 9 "b , By. .tiy... .Iy,d.. _. ❑ - In Service Locked Out r rein - n/Whe F/nal Vollnw, . rlie*)MAr F/na/ - FOR F/na! GOICI - FOS BUTTE �OUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 0009 I q 0 Q l�.l Building Permit Number Or kj(L rte Property Owner (s) �} f� n Project Location /Address I-1 K� kQnee lJ1�nVl ��e f1 Subdivision Name )l.�/y �,oQ9� �, _ Assessable Sq. Ftge 202.3 Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Mobile home Demo Permit (date issued Non -Residential to Residential _ Mobile home replacement Comments: Build ng Department Re r sentative Date Multi -Family Dwelling verified by Assessor Department verified by Building Department D FRRPD D C17 ❑ PRPD D DRPD certifies that: e� Applicant Name Phone Number Cil Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: � Paid by Cash: Recreation and Park District Representative v .�rnn umm�rt - cllDw101 .._1. _..,, -..,.,,1—A F- Dov 1 Anr. per unit for a total of UZ3 per sq foot for a total of $ Receipt No: / FrC. 0 7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I Obm W.. ASSESSOR PARCEL NUMBER 0G) `1 ` I `1 0-0ZXJ Proposed Building Use: o S f N P li ! 1c\ Permit Technician: l7 . Date: `Ittenfs required in order to apply for a permit. All boxes;MUST be checked OR marked NA in order to apply. gYN 1. Site plansS 3 or 4 sets, signed by the preparer of the plans. ❑JtT�, 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. s 3. Engineered plans(J3 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 c3 5. Letter from Engineer or Architect for truss design review. 1❑�N 6. Energy compliance design and supporting documentation in duplicate. O 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 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) `fZ1� 14. Sanitation and site plan approval from the-Environmental-Health-Department-in-❑-Chico-O.OroviHe,.as.appl-icablel-0 h0 ❑ 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 ........................................... ❑/rosion Control Plan Required........................................................................ ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the Cly of Biggs ......................: ..:.... 22. California Department of Forestry plan approAkZI paid. Sent by: �j i/.yl0�... 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check :............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑/ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... �N26. 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.................................................................... N 1-6m 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 SPS - Q S 7 V 0on(Ar4ri- and hold for pickup. I have been inf rmed of the above items and requirements for obtaining a building permit. Applicant: Date: /- /� Si - t 1. Index permit applicati, n for th�above items numbered: Plan Check Lett 2. Additional items required designer', owner, was advised of the above data by 91 phone, ❑ mail, ❑ counter, by Date: V ontractor, 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: i 4o i Plans approved by: Date: ig Structural reviewed by: Date: Structural approved by: Date: Note transfer by: el Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 MHOACHMENT PERM i COUNTY Of BUTTE ♦ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive • Oroville, CA 95965 # Phone; (530) 538-7681 ♦ Fax: (53o) 538-4356" Download Forms: www.buttecounty.net/publiCworks NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District Phone: (530) 538-7339 E) Loc APPLICATION i VVE, ls, undersigned, hereby apply y the County n Butte for a s, Tdchment pemlit to do the folie mng work under or over the County roans 3nC i hicnways, all in accordance wiQ1 County ordinances and general laws (All information except signature must be typed or legibly printed.) Axi,canrs Name A)- L ' r_ n I � i 2 A7crcm - 7 MS'S` t� �: r'���-� r �3�. �r /c' •� _ t >'7 4`.7 ) n r 20 0 A)I work shag oonform to accompanying; J rnCne, / 4. Asseuors Pared Number, - Mike Crump, Director of Public Works r�, pp Q S-ocauon el Vwx to be Done: 6. Applimnre $ynatwe: 7. Date: 41 CONTRACTOR'S INFORMATION B. Contractors Name: % �w? ca •• QtA:T/OJ S. Andress: S.1 OA kv '1-)C 10. Phono: _12,T75111. Far 12. Compact's Number, / J i�U 1Ann 13. Cenincale or insurance; YCS No o 14 Cor.varors sgr,.awre: 15 Autnonzod Agent i TYPE OF WORIC�TO BE DONE 15 Please Cneck Curti: O Gutter: 0 Sidewalk: 0� i 17. Drrvcway (list Type): '�18. AV1er. - i PERMIT GRANTED r In compliance with the above request. and subject to all teras; Conditions (including those printed on'the back of this form) and spedal conditions written below, permission is herebranted. 19. Conditions l 1� ' V ,: a r z<<; LI.��K 7 MS'S` t� �: r'���-� r �3�. �r /c' •� _ t >'7 4`.7 Underground Service Vert U.SA must be notified two working daysprior to anX excavation. 800-227.2600 20 0 A)I work shag oonform to accompanying; Detail Plans O Special Conditions 0 21. Dale Lmuod: / 22. Upiralion Date: / C', y 23. St1ro1Y YOGA No O / (� Z✓ Mike Crump, Director of Public Works r�, pp "Note: If permits art: taxed to any number besides (530)5384356, they can be delayed tip to one week. Page 1 ort Gu:eni Condidous - See Page 2 - I'd 9SEb BES OES_ S"Iuoh ox1gnd o0. ,vine d22:en gn P2 uer AND WHEN RECORDED MAIL TO: BUTTE COUNTRY BUILDING DIVISION 7 COUNTRY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 4 -Jan -2006 2006-0000373 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 acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 51, as shown on that certain Map entitled, "Kelly Ridge Estates Unit 3", filed in the Office of the County Recorder, of Butte County, California, on July 26, 1974, in Book 43 of Maps, at Page(s) 44, 45, 46, 47 and 48. Date ��' �' J PROPERTY OWNERS: l� Type Name Edward M. Nobricta State of California County of On I ` V befor�nle Ile Z �. Type Name Dorothy LouiseNobriga — �l-`-- personally appeared tV I iviL I VLl ��rsonally known to me (or proved to me on the basis of satisfactor evidence) to be the person(s) whose names() is/are subscribed to the within instrument and acknowledged to me that-he7s%they executed the same in-4is,�heir authorized capacity(ies), and that by h' r their signature(s) on the instrument, the person(s) acted, executed the instrument. WITNES! Signature A. P.4 / ti JODY SAMUELS COMM. #1342621 NOTARY PUBLIC - CAUFORNIA r ALAWDA COUNTY My Comm, Explroe Mar, 5, 2006 PERMIT NO.: 1-06 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNU 95966 (530) 533-2000 DISTRICT APPROVAL AND VERIFICATION OF BUILDING SEWERS INSPECTION This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval of a Building or an Occupancy Permit by Butte County, a copy of this verification form, signed off.by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: January 4, 2006 Edward & Louise Nobriga ((B55etterrBuilders Const) (0 rovilR QeaCA066) (530-589-2574) Property Locations(s): 192 Kokanee Dr. Oroville CA 95966 A.P. No.(s): Fees due: KRE Unit 3 Lot 51 069-190-020 All fees paid as of 1/4/06. New Single family dwelling. Application for service approved: UU&E OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: In Lake Oroville Area Public Utility District release to close permit: Date: ❑ - In Service By: ❑ - Locked Out White - Customer Green - Office Final Yellow - CustomerFinal Pink -FOS Fina/ Gold -FOS Butte County Departrnelzt of'Develop.rzler2t e'er-Wces J o0�`3T.rFoo 7 County Center Drive ' ° __. `''' • yy, .. - o ", iL ` p _ d O oroville, CA 95965 0 (530) 538-7601 Telephone c0Jut (530) 538-7785 Facsimile BUILDING PERMIT APPLICATI0N WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: I need to submit applications for septic andlor well to Butte County Environmental Health immediately. ® I ant required to bring the approved Enviro tint ental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained: I am responsible for notifying Development Services, ill -writing, to stop processing of the application and to arrange for*dispositionof 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: Applicant Name: Jo�,� , S ��z n APN: 04-2- 120- 020 Building site address: 1 9 l o l< A I NCC Permit No.: (0(,0616 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: T) A TF Department .:C o u n t J. Michael Crump. Director .\ CtU� Acetic Public. f B u t.- t Works LAND DEVELOPMENT DIVISION Storm Water Mana-ement Pro;rarn 7 County Center Drive Oroville. CA 95965 (530) 538-7-266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase Il Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement TLESS THAN I ACRE] Project Description: /J 19LA3 J—/C#" e. Project Location andlor Parcel Number: n a re LDS 62 iio ®G 4m - o,2 o By signing below, L the project ownerlowner'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 andlor inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: /e Date: / - - 06. FEB -10-2006 04:01 PM LOAPUD 5305331750 P.e4 0(0 00 1 Ce RERMIT NO.: 1-05 .Lake. Oroville ..Area Public thility Distri"ct 1960 Elgin Street OROVILLE, CALIFORNIA 95986 (530) 533-2000 DISTRICT APPROVAL AND VERIFICATION OF BUIL` SEWERS-INSPECTON This verification. form must be submitted to the Butte County Deipartment of Public works Building Department prior to tssuanc6 of a'building.or occupancy permit, whichever is applitable.* Prior to final approval of a Building or -an Octupancy'Permlt by Butte County, A copy of this Verification form., signed off -by Lake -Oroville Area Public Utility District, must be submitt ed to Butte, County. Date: janaaryA,' 2006 Applicant:. Edward'& Louise Nobriga .(Bette auildex6 const) Applicant Address: Applicant Phone No.: tops ny'Locations(s) A.R No.(s): fees due: 74) (530-5 '4 -25' All fee®' aid ae of _1/4/06. -New'Singl® family.dwallin4. Application 'for service approved: UkE C)RO,VILLE AREA PUBLIC UTILI71Y. DISTRICT Irispection(6) made and successful tost(s). observed: Location- ka"ke w o-c� By Lake Oro'vllleAr'ea Public Utility Distri' ct release to close per Data- 9 - 6 BY: In Service 6cked Out - F0.4; F//7,9/. Gold -FOS