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069-220-044
a'r f NOTES I h.�T '� PERMIT RESIDENTIAL 069-220;044._ 03-2855 - POTESTIO, JAMES 194 APACHE CIR, OROVILLE' N SINGLE PAM/MST #01-13 •i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address ELECTRI Meter Byz r, JOB FINALED (Date) _7/ —7 Signature K odc_".f JV r. J=OK 0 = Not OK . = Not Readyab1e 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Date 3. Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 7. 1. Zoning Requirements=Setbacks-Easements Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 2. Footings; Size -Spacing -Marriage Line 10. 3. Gas; MH Test -Demand -Valve -Connector Light Niche 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings - 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready Date UNDWLOOR (Plans) OK RESIDENTIAL (Single & Duplex) t #'s I Date FRAMING (Cont t ain; Soils-Elec. Grnd.-/ t pth g., Garage; Soils-Steel-Ele . Gr . r-lo?-Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test F, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test ater Pipe; Test -Anchors -Regulator -Service Test 12. E tric Under round Plenums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLU ING (Permit) OK except #'s W ter Htr.; Vent -Access -Combustion Air Baffle VAI�Water Pipe; Test & Anchor -Nail Protection .W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access T st Tub & Shower, Second Floor -Tub Access KeOltas Pipe; Sixe & Anchors 24Rra CTS aT St ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT131CAL (Permitl OK except #'s Fixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing-Liqhts & Switches at Doors e Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech Fasteners -Bond Gas & Water 99 9 n & Conductor Size GFI gator nl n r ^ ire-Size/_/ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al tpAeted Neutral ❑ Yes O No Se ' 'e -Riser Conductors & Ground Main Disconnect _quip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s (36 ucts Insulation & Support Vent Fan, Exhaust above insulation Conden a Drain & Overflow, Size & Grade nace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing k,1_4"raftStop in Walls (rat proof) 'Stops, Furred Ceilings -Stairs -Chasers -Tubs . Headers & Beams -Size & Bearing inued) f Han s -Post Caps -Anchors -Connectors - ing. Joist-Rftr. Ties-Purlin-Roll Brac.-T*ttss-Shting.-Rtng. hroat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Gable Fire Protection Framing -RC Channel roperty Line Firewall & Openings 4. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection �A,16-'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers hiding -Nailing Veneer creed -Fd. Vents-Underflr. Access GI Area -Glass Protection -Skylights -Plastic hear Walls; N ' 61. Brace Interio terior Wall Pane 62. Insulatio Wall i Ings 63. Infiltration- alts -Windows Dateg/�c ,y% Card 13-1 � Date Card B-1 Date[/'Card B-1 Date Card B-1 Date FINA ans OK except #'s Ext. teps- Door & Sidelight Protection -Landings 16 moke Detector rnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection �- room Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 6 IeyTrim & Subpanel, Breaker Sizes & Labels fairs &Rails learance-Hearth ec. Outlets at Wood Panel, Int. & Ext. i . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance c. QjAiats & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure 76. ara e -Damper tr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection ; Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic 8 ar Rails & Deck Construction -Post Caps 2 t VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 03,-Fol—owing Instld./Drive O Yes D NoMalks D Yes O No/Planters O Yes Cl No 84,--Staseo-BKewar€iaisti' A.C. Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Z7_AA Btt, Di=Z1 nect, Electrical, Plumbing PW -Exterior Elec. Trim, G.F.I. Receptacle -Underground enti tion Throughout House L09 -'Mass Protection $1!C2tions from Previous Inspections Ga,,Te'st-Meters Tagged, Gas -Electric �Wat Sewer Connected -C/O to Grade -HD Approval n y Compliance Certificate -Other Certificates aJ Address Posted Date - ( and B --1,,M Date Card B-1 Date 10ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION M 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754. PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASS ESSORPARCEL NUMBER MQ -920-044 ZONING QT_1 BUILDING PERMIT OWNER P(7TESTIO JIM 58�'-4TEL5r7-Z7&SO. FT. OCC. BUILDING VALUATION 1172 R 63288.00 OWNEWS MAILING ADDRESS 9050 LASALLE IN DURHAM CA 95938 504 U 9,072.00 CONTRACTOR'S NAME O'WNER TELEPHONE 24 C � 312.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 72 672.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 518.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 194 APACHE CIRCLE OROWLIE Energy Plan Checking Fee $ $ PERMIT FEE s 561.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE �j SF 1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINIZE. FAMILY MA-STF 97-511+71 -1 3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S1 00 OTn NW ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A oR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is I _ ull force and effect.-71 yrS License Class y q f Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La �w f�oJl,the following reason: Is1/ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. . Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. ( DWELLING OCCUP. BLDS. 3.SQF°; �• NEW CONST. MULACC. Noµ00 aEslo. 97.50 APPARATUS POWER SINGLE OUTLET CIR. 8 Ex. Occu oLmFr OR FaTUREs 20 @ ' 00 SAL @ .50 Ex. Occup. ouTlFrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 103.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall I/ ' not employ any person in any manner so as to become subject to 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 fortw hwith comply ' h th se provisions. X � ' �` J Date J/C�' O Sign tore of Applicant - �wner Contractor ❑ Agent An MHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hep ht r MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 Ventilation q PERMIT FEE $ 6515,41 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occco r. TYPE � TOTAL FEE $ • w HAZ. D FEES GIMP Y/ FLOOD �7�/ CDF Y/ PARCEL PD HD I uE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By - PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dere Receipt No. 7. 4Q•, i ',�h 1 /7.r)J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT INSULATION CERTIFICATE Job Number: 411 f Jim Potestio 194 Apache Cir., Oroville Contractor/Owner Name Job Address (street, city, state) Butte County Subdivision Name Lot Number DESCRIPTION 1. ROOF 'i Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 2. CEILING Batt or Blanket Type: Fiberglass Brand Name: Johns Manville/Knauf Thickness (inches): 12 Thermal Resistance (R -Value): 38 Loose Fill Type: - Fiberglass Brand Name: Johns Manville/Knauf Minimum Installed Weight/ft .642 lb Minimum Thickness: 15'/2 inches Installed weight per square foot to achieve Thermal Resistance (R -Value) of: 38 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: Fiberglass Brand Name: Johns Manville/Knauf Thickness (inches): 3'/2 Thermal Resistance (R -Value): 13 B. Exterior Foam Sheathing Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 4. RAISED FLOOR Material: Fiberglass Brand Name: JohnsManville/Knauf Thickness (inches): 6'/4 Thermal Resistance (R -Value): 19 5. SLAB FLOOR/PERIMETER Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): Perimeter Insulation Depth: 6. FOUNDATION WALL: Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of R 'ons) as ' on the Certificate of Compliance, where applicable. 0, Chico Insulation Item Number's Signature and Date � Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's . Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner 'i \�y1 COUNTY OF BUTTE BUILDING DIVISION _ DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 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 notice this office when correction of work is completed. If you have any questionsye taining to this matter, or need additional explanation, please contact this office immediatel , , Date G b 4 Inspector��� REV 1/6/92 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: James POteStlO ADDRESS: CITY & STATE: DATE OF CLAIM 23 Celena Oroville, CA 95966 11/05/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 069-220-044 Permit No.: 04-1684 PAID RETAINED REFUND Develo ment Services $ 259.98 $ 150.00 $ 109.98 THERM DRNG $ - $ - $ - SMIP $ - $ $ SHR $ - $ $ - SRA $ 43.00 $ - TOTAL $ 259.98 $ 150.00 $ 109.98 ............ ............................................ ............ ............................................. ............................................. BRi �} IiOVVN:;:;::::«::::::: .............. YJIS: :11`t::; .............. ............. .............. :AC OCJiVT ............. .............. ......... .... :::A-MOUN:T:: 101001 DVLPMNT SVC 440-001 4210500 $ 109.98 1011822 THERM DRNG 18001 280 $ - 1011430 SMTP 1001 280 $ - 1011811 SHR 1800. 280 $ - 101001 SRA 0100 46172401 $ 43.00 TOTAL I I $ 152.98 $ 152.98 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim claim is true and correct as staled. �.y/ /C✓.!/�'-- Dated this y�. ! day of /'/0 6.12004, at Calif.- // - Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles sp ' d above have been performed or delivered and that there is a Budget Appropriation1\\\ or Specific Board Approval (Check one) foo r� 1 Dated this ' day of , 2004, at Oroville Cal . n' ] e Q , Dement Head or Authored Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. 0 Z]v %. - 6"4 Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 11./5/2004 James Potestio 23 C:el.ena Oroville, CA 95966 RE: Permit No. 04-1684 APN#069-220-044 Owner: same On 6/10/2004, a deposit was made in the amount of $302.98, of which $1.50.00 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1.52.98. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen , OA III Administrative Division enclosure 04-1684.ltr County of Butte Oroville, California GENERAL CLAIM CLAIMANT: James Potestio ADDRESS: 23 Celena CITY & STATE: Oroville, CA 95966 DATE OF CLAIM: 11/05/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: • 069-220-044 Permit No.: 04-1684 PAID RETAINED REFUND Development Services $ 259.98 $ 150.00 $ 109.98 THERM DRNG $ - $ - $ - SMIP $ $ $ SHR $ $ - $ - SRA $ 43.00 $ - TOTAL $ 259.98 $ 150.00 $ 109.98 ............ ............................................ .....I ...... ..... .......... ::' ............................................. ............................................. ::::::CJD:G: .............. T::; .............. ............. .............. ::AC. CONT. ............. .............. ............. ;: A1�IgCJNT:: 101001 DVLPMNT SVC 440 001 4210500 $ 109.98 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ 43.00 TOTAL 1 1 $ 152.98 $ 152.98 I'the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as staled. Dated this day of , 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND UU NU 1 VVKI l t tStLUVV I MIJ LINt - AUUI I UK'J UJt ONLY DEPT & SUB PROD I SUB. OBJ I CLAIM NO. I INV NO. I INV. DATE I ENCUMB. I GROSS AMT. W o�UTrFo Butte County Department of Development Services Building Division O O -a ;'= - 7 County Center Drive cOUN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees aid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the Check those fees which you wish to have considered for refund: =Building Permit Fees =Sheriff Fees SRA Fees (CDF Fire Planning) Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. i nature /Forms/Refund Application 082203 Date CLAIMANT: James Potestio ✓ ADDRESS: 23 Celena ✓ CITY 8 STATE: Oroville, CA 95966 DATE OF CLAIM: 10/05/04 APN: 069-220-044 ✓ NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: t REFUNDS: VERIFIED I 406356 06/10/2004 James Potestio 492 $302.98 04-0821/221 Yes I No Yes I X X $ 302.9 $ 150.00 $ 152.98 $ 109.98 $ $ $ APPROVAL CHECK: $152.98 Date Reviewed / DIFFERENCE: $0.00 Michael Vieira (Should be blank) Building Manager REFUND BREAKDOWN Title BLDG THRM ORNG AUD SUSP SHER DEV FE 'SRAv Fund 0010 1800 1001 1800 a 0100 h A-AkKSl .. Dept 440-001 HRM DRN (SMIP) (SHR) A"%''Q (SRA) ' Accnl 4210500 280 280 280 4617240 Cash 101001 1011822 1011430 1011811 101001 . )ETAIL PAID RETAIN REFUND BLDG Time 109.98 150.00 ''•''''''''''''''' ?:':'ii: }} •:•:•:•:•:•:•:•:: ?:•}i:•:•?? .:.:.:.::,:,:,. :• ,- romPlanCheck 0.00 0.00 0.00:•:•:::•:::• reck/Filin 0.25 27.50 60.00 60.001 0.00 0.00 ion 0.00 90.00 90.001 0.001 0.00: FEES ER BLDG 109.98 109.98 109.98 0.00 0.00 )PROCESSFEE 54.99 0.00 0.00 : :::::::: :iii:<:: :...... . ' :.:.»:.»: .:.:.;.>::.:.: )ING TOTAL 259.98 150.00 109.98 109.96 M DRNG 0.00 0.00 0.00 0.001 0.00:: $ 302.9 $ 150.00 $ 152.98 $ 109.98 $ $ $ APPROVAL CHECK: $152.98 Date Reviewed / DIFFERENCE: $0.00 Michael Vieira (Should be blank) Building Manager Counter Kim Person Fund 10 (Bldg Permits) $259.98 SRA Fees (Fire) sFriday, Payment Date 6/10/2004 I SHR Fees (Sheriff) _ $0.00 October 15,^2004 BP041684 I SMIP $0.00 Receipt Number 1406356 BUILDING DIVISION .Ver. 1.0 Check Number or Cash Counter Kim Person Fund 10 (Bldg Permits) $259.98 SRA Fees (Fire) $43.00 Payment Date 6/10/2004 I SHR Fees (Sheriff) _ $0.00 Permit Number BP041684 I SMIP $0.00 Receipt Number 1406356 I Copies/Document Sales $0.00 Check Number or Cash 1492 ( CUA (Chico Urban Area) $0.00 Parcel Number 069-220-044 I TUA (Therm. Urban Area) $0.00 Applicant JAMES POTESTIO I Water Tender Win #= $0.00 West Chico Fire Station $0.00 Received From SAME Witness Fees $0.00 Total Received" $302 98 I Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Total Fees To Collect _ $302.98 Oroville Area Traffic E Notes: NSF (Non Sufficient Funds) ---L0-00 $0.00 Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/ Bridges $0.00 NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks Type $0.00 Value $0.00 PERMIT - • : Bin WN • • i - LAST NAME • • FIRST NAME CONTRACTOR • CITY/CTY STREET NO STREET NAME VM CITY • ' • USE MOD NEW DECKS mc P . E ■ n/1ED 25 char. max VALUATION FLOOD _ RECEIPT • RECEIPT 2 RECEIPT 3 APP�� . � � 1 ' ISSUED IMEM-- – W1 -11 , � FEES 4 , RECEIPT 4 FINALED PLAN CHECK ACTIVITY Plan Chk-7:• Chkd By -9: ® Refurn-9: Str Chk-1: Plan Chk-2c -_ Chkd By 2: — Return -2: �— Str Chk-2: �— Plan Chk-3: �— Chkd By -3: _ Approved:Inn 071we ml Str Appr: 255 char. max, 15/04(6/10/04) $152.98 SRA#406356.mjs. Refund SRA Fees & change port. Of fees to SMIP ($0.28) To Deborah. Planning proval required -data sheet item.mc BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.nehdds PERMIT NO. BP041684 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: 08/20/2004 APN- 069-220-044-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 194 APACHE CIR ORO Date: Contractor. Map Index: Description: DECK (280) 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 Owner: POTESTIO JAMES W ROSALIE 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 23 CELENA 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-9474 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).): s 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 Applicant: pOTESTlO JAMES W & ROSALIE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CELENA sale. If however, the building or improvements are sold within one 23 CT year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95966-9474 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.). Contractor: ❑ I arp Ex pt under A ' of the Busi e5 a Profusions Code � "�l 6 Dater'LC Owner: WORKERS' COM E SATION DECLARATION I hereby affirm under penalty o erjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer' insurance carrier and policy number are: Carrier: Total Square Ft: 280 S.F. Policy I certify that in the performance of the work for which this permit is Valuation: $2,800.00 issued. I shall not employ any person in any manner so as to 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 forlhwithlcomplwith those provisions. 2�1-W h9 Date: / Applicant: [� WARNING:F ' ure to secure workers' compensation coverage is unlawful, an all 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 This permit is hereby issued under the applicable provisions of the Butte County Code anrvor I hereby affirm that there is a construction lending agency for the Resolutions to work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ �/ _ 8 , 2Q 4' �°�`"'"'� Name: B y Date: PERMITXP ES ON: C 5 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forrr.Lor document of Butte County. 1 hereby authorize representatives of Butte County to enterupthe above mentioned property for inspection pu es. Print Name: xh ©r Ic ! f D Signature: Date: P-0 ner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor 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 OWNER Name�M,i TZ 0 Address City Di(%��[�LL� StateGf� Zip Phone `S-� _ c.. f 2 6 Fax E-mail APPLICANT NAME CONTRACTOR Name �� 7� Address Zip City Fax State Zip Phone Lot # Fax E-mail tic. # Class APPLICANT NAME ARCHITECT/ENGINEER .�ame City Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail For offs a use only: Z inFlood Zone SRA vet No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION Property Address � � cr" Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address � Description or Scope of Work: Sq. Footage 2 ❑ 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: Amount 150 • Bldg 15.98 SRA Receipt* +D (0 3 5 (o Sheriff IP I I Date: 1-/10/0. Other I I 302.gg Total f` SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. 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 GRAPH PAPER! ❑ 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 KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 430-04 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: Ir C!5Tf 9:2� ASSESSOR PARCEL NUMBER O 6-7 • -'2 -12 0 • 04¢ - Proposed Building Use: Counter Technician: 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. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ �!/ 23. California Department of Fores ry plan approval ❑paid. Sent by: ............. py 24. Planning approval (A) Use: gt (B)Parking: (C) Parcel Check: 8� 25. Contact Land Development about _ Improvements, _ Drainage .............:........... 26. NPDES Form............................................................................................. -�j 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification ( ✓Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization ............................... .......:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance..: ............................................................ ❑ "35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 1^!!!1 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, as advised of thea ve a by phone, ❑ mail, ❑ count r b Date: Plans reviewed by: Date: 0 Plans approved by:� Date : ' ' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B.- 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. I. I personally plan to provide thepAjor labor and materials for construction of the proposed property impro went : YES NO 13 �2. I HAVE. HAVE NOT ❑ signed an application for a building permit for the proposed work . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: may: PHONE: CONTRACTOR'S LICENSE NO. Y I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: > DATE:�e / y / o \--1 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Bealth and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit I OWNER BUILDER INFORMATION Dear Property Owner. An application far a building p=a& has been submitted in your name listing yourself as the builder of property improvements specified. For Your Protection, You should be aware that as "owner-bmlder" you are the responsible party ofrecord on such a peri Building permits are not required to fie signed by property owners unless they are personally performing their own worm 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 aPP$'- If you plan to do your own work; with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ? IfYou employ or otherwise edge any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, You must register with the State and Federal Govenm== as an employer and you are subjca to several obligations including state and federal income tax withholding, federal social security taxes, sobers compensation msia-ance, disability msuri ce costs, and unemployment compensation contributions. There may be financial risks for you if you do not cony out these obligations, and these risks are with respect to wouiCer's co especially serious compensation ice. ♦ For more specific inf na ion about your obligations under Federal Law, contract the hAmnal Revenue Service (and, if yon wish, flue 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 per5eum their work personally or thmugh their own employees, without a licensed contractor or subcontractor, only under limited condhions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Pemk nwusty m3Pbmg � that the ProPowner is providing his or her own labor and material personally. Buil ding permits are nOt required licensed a be signed ct property owners unless Huey are pig their own work personally. Infarma�ion about licensed contractors �y be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building pew Will not be issued until the verification is retumed. ly, M I C. Vi tern, C.B.O. Buulding Inspection NOM This Owner-Buaderlxfomu ou is required by Section 14830 of the Czlyi,,,d. Heelth mzd Safety Code Department C o u n t 1 Michael Crump, Director ✓ g rc �nioP� Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: �- Z 2,6 V O SG /51( gf:z�. By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed:- Gc/ Title: �-�- Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 Building Permit Number: DY -169V Owner Name: r p 5 f -e �7h 0 Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. _ Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: D q wy Owner Name: bio S ve-sh 0 mi Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. 3y!% The following parcel map requirements shall be met: All structures and �� equipment including overhan� �s shall be clear of all easements. A setback oKV 5"'"'1'eet from the side and N 01OP't'from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this .site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 8 I 1. _ �IG PLYWOOD CC EIT. 0 TYP. — A•,cta"• IT IncJ -r Cl z • CLIP_ _ r - „c . • 2' K 12" STAT STRI146EIZ. 4rf3•n.c.. MAX. • j?,yx12'PI 51, '' Tpp VIEW It 11) .. • %n fF wi.a. 44 H 11kID�DIL : NDT SIIDUI N •FDR CLARITY. 2"atfo DECIOUG '(ALT) •3/g BOLacect _-5o4 ct• LW • DF*2•' GIRDERS _ _ y 11 sphere, ca nno � E..'a I Ya' TIC, PLYWDOD XT: 2'%(4PCC 'LLDe"3,3 -{'h MOBILE IIDME M = OR DELK I a � 48". MTI.. RHO •' I CUP EA. QE MAX. .. 9-MIN. • y , j�% Tit �. ®Cx. - 4'u4' POST' • : . 2 F+ _T m E VIA" PRESSURE m rr•=- GUARDRAIL , • Er DOLTS RFDWooD 1F1AYfi' ' 1 U n 10-00 i DECKIIJG' • GIRDER : . . �W.- `fir ,IM < z W PRECAST 4 9" POST OD-- 0-03 � > • IER AprQU4ifi' DIAGONAL t3RACING. TYPICAL1��'S1 DE WMIL sr4ff .�No/�K � e ,� , - �'� • • ' ' (o■ " ' • " " " , BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' • Q"wI "KH. �ooriN6 � 7'Cowty Cenlaf Drive — Orovllla. Cellfornla 9S98S -Telephone: SITE PLAN REVIEW APPLICATION Date: G�AP# O&Y Permit Number (if applicable) W Lf— (t, _ APPLICANT INFORMATION Q Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory Q?S ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel' ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel . Other ❑ , Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) IN Approved ❑ Conditionally Approved ' ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved' By Date / 0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY 0 Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the Cali fomiaReclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: P -T-- Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 5 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount 'Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Maw: S Map Date of Recording: Vot4) �y Lot: a Book: 3 Page: (0 r ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa n Paize 4 of 5 t - i_1 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 "40Z NOTES RESIDENTIAL PERMIT NO. 069-220-044 04-1684 POTESTIO, JAMES --I 194 APACHE, OROVILLE Cont: GREENE ROOFING NEW DECKS r' �r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) d ' Signature iva. _ J=OK 0 = Not OK NotReadyable` DECKqGOVERS, CARPORTS, GARAGES (Plans) OK except #'s n V MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Footings; Size -Spacing -Marriage Line 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 3. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect Gas; MH Test -Demand -Valve 8. Utility Clearance 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Exits 2. Footings; Size -Spacing -Marriage Line 10. 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining l 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Card B-1 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 11. Cert. of Occupancy Date DECKqGOVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) ecks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. Carports; Windows -Doors 3. Blocking Electric 4. Gas; MH Test -Demand -Valve 9. 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Ext.; Steps -Doors -Landings 7. Water and Sewer Connected 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Exits Card B-1 Date Card B-1 Date 10. License Decals 1. Setbacks -Easements 11. Verify #'s with Office Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining l Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKqGOVERS, CARPORTS, GARAGES (Plans) OK except #'s o ' Requirements -Setbacks -Easements FopUK% Soils -Size -Depth -Spacing -Connectors -Steel ecks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining l 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 53. 21. Test Tub & Shower, Second Floor -Tub Access 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 22. Gas Pipe; Sixe & Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 23. Fire Sprinkler; Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 60. 24. Fixture & Transformer Clearance -Ins. Protection 61. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 62. 26. Size Boxes & No. of Conductors Stapled 63. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI FINAL (Plans) OK except #'s 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Ext. Steps -Door & Sidelight Protection -Landings 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Cl Yes 0 No Smoke Detector 32. Service -Riser Conductors & Ground Main Disconnect Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 33. Equip. Clearances Panels-Motors-Mech. Equip. Bedroom Exiting 34. Clothes Closet Light -Shower Light -Spa Light G.F.I. & Bath Fixtures & Tub Access -Spa 35. Smoke Detector Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 73. 36. A.C. Ducts Insulation & Support 74. 37. Vent Fan, Exhaust above insulation 75. 38. Condensate Drain & Overflow, Size & Grade 76. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 77. 40. Attic Access & Platform if Furnace in Attic Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing _ 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing W Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes O No/Walks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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 OWNER Nam`\�,n D 77 0 V Address City ���/`LLL� Statee� I Zip Phone _ Y 7 6,- Fax E-mail APPLICANT NAME CONTRACTOR Name '�n7WT�� City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State license Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail For offs a use only: Z inFlood Zone SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 041(08¢ BIN # LOCATION Property Address I Cr_ Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 12 Description or Scope of Work: 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: Amount Receipt #: +0 !0 3 5 e, Date: 10/10/,.4 15,1.98 SRA Sheriff SMIP Other 30 :2.478 Total COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT UQ. (Rev. 12/96) APPLICATIONJANb PERMIT ASS ESSOR PARCEL NUMBER 069-220-044 ZONING RT -1 BUILDING PERMIT OWNER POTESTIO JIM TELEPHONE 589-47 SO. FT. OCC. BUILDING VALUATION 1172 R 63288.00 . OWNERS MAILING ADDRESS 9050 LASALLE LN DURHAM CA 95938 504 U 9,072.00 CONTRACTORS NAME OWNER TELEPHONE 24 C 312.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 72 C72.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 518.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1-00 BUILDING ADDRESS 194 APACHE CIRCLE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 561.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 81 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 15.00 19.00 Each as water heater or vent 15.00 19-00 TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Descr,qibe Work: NEW SINGLE FAME Y MASTER # 97— 51.101 —1 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 136.00 nT.n lUFG1 ELECTRICAL PERMIT 20.00 Main Service 2o0'0 OR LESS 23.0011 LICENSED CONTRACTOR'S DECLARATION 1 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 i ull force and effect.�� G r License Class Lic. No. /J OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f5v6e following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Polic Number (r above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of ection 3700 of the Labor Code, I shall forthwith comply Pt&h.epy,.i o X Date / 0 Sign re of Applicant - wrier Contractor ❑ Agent An MHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hpht. Main Service xooA To 000A I NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. S.60.00 NEW CONS MULTI.OUTLET NON-REslo. 8 PSINGLE O=J_7 CIR.OWER APPARATUS 20Q10° Ex. Occup. OUTLET oRFIXTURES BAL @ ,50 Ex. Occup. ourLEEDTSA_RES1UNS6J Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 103.0 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 65 50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 o c� corT. TOTAL FEE $ 911.50 HAZ. FEEs P FLOG CDF PARCEI /•�/ PD D uE This permit is hereby issued under of th tte Coun Code and/or ind' at o e for Nich fees have /� PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Da/ �� 4/0 /� /� , Osfe Receipt No. . Q WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK•I PEC OR GOL ROD -APPLICANT �r CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT � vY/1 V O-AZNA,'LZ hereinafter referred to as "Applicant", being the p erty owner or owner's agent desiring sewer service, hereby requests Lake Oroville Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service. Location of property: 9L/ A.P.#: Subdivision: tJ Lot#: JQ-T Block#: Property Annexed ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: rSPResidential -B,_Residence'of Owner ElRental (single family) ❑ Rental (duplex) ❑ Industrial ❑ Commercial ❑ Site plan heviewed ❑ Jobsite No. of E.D.U.'s this permit: Multiplication Factor: _ s 1�17 Monthly Charges: Capacity Charge: Connection Fee: ❑ Apartment SC -OR Facility Charge: �P Total Amount Payable This Permit: The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and charges as are est blished by District ro ti a to ti e. ignature of Applicant r Name of Owner if not Applicant Mailing Address of Applicant Mailing Address of Owner Phone # of Applicant: E—,�:9 " L1-1 ( S Phone # of Owner: CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 11 1. In accepting this application, District does not hold itself liable to Applicant for failure to perform any of the obligations imposed upon it or assumed by it under this application if such failure be caused by accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's lines to handle the sewage or nay other cause beyond reasonable control of District. 2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. Aaplicant shall secure permit(s) as necessary from the County of Butte prior to doing any work, including encroachment permits when work is within county right of way. 4. Installation of the subject sewer line shall be at the sole cost and expense of Applicant. 5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. 6. All work shall be inspected and approved by District. 7. This permit is valid for one (1) year. If work is not completed within said year, permit renewal will be required, together with payment of any increase in capacity fee, connection fee and/or SC -OR Facility Charge. 8. District verification form must be issued with this permit. Payment of Fees/Charges required prior to final LAKE AREA P.U.D. inspection. Payment received by: i Date: Receipt # • By: ❑CASH [--]CHECK # Date: O $ Permit #: "Monthly charge payable at the current rate at time of connection 3 Commercial/Industrial New Addition Sq. Footage (Including Exterior `Roofed Areas) hi Date Irioor rians reviewea oy acnow uisincl rersonnep District Identification No. (p (p LCCS\") N,- C_�l �...n �."C u School District certifies that 1 ` n (Applicant) A P"i Inc, c - (Street Address)��nn (Phone Number) �YOV`��er W (City) (State) IZip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. IFABi2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # g0"4tTs�/��l Remarks: O(pC) `y. t� �� .} :. ..... .r.:<-..vcrcPk ..a.,.........�..�........_.__......__....._..,..�—.—.._...•T...,.,.,.-,._ i. : •...«...tet .._.r......,... ..... .. _... . r _ :.h+.c,�. . BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM° �. '(One form per Building) School DistrictC� ( / n IA / to (_I� I iJ Building Department No. N A.P. Number Jurisdiction: City County Property Owner Property Location/Address Subdivision s 1 p ��• , //�pj �, ���js `f Lot No. �J � u Residential Development .................................................................................................................. Sq. Footage No'of Living Mobile Home Addition/ *Supplemental to (Grouuo R) �. \ units Installation [ Conversion Permit # . '(No foundation inspection): 3 Commercial/Industrial New Addition Sq. Footage (Including Exterior `Roofed Areas) hi Date Irioor rians reviewea oy acnow uisincl rersonnep District Identification No. (p (p LCCS\") N,- C_�l �...n �."C u School District certifies that 1 ` n (Applicant) A P"i Inc, c - (Street Address)��nn (Phone Number) �YOV`��er W (City) (State) IZip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. IFABi2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # g0"4tTs�/��l Remarks: O(pC) 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. 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 Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm !2 ?c.r+'... -4 `rwaTr►....--�-,.• . -e.r`r*^�_ .r .}.�-+^,.-�.yrkif `�,i.�.ts-',.•. �...c x..r-�-v4�_..+a*..r..ri... y,,,..r.:i . 4. „x•7: i - . E'r.,�..+' " � y,-....-.�r.�.+,.,,,.`. t-.. .,... . ... .. .. 4 .. , v 4� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .y 7 County Center Drive, Oroville, CA 95965 3hbtEi(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: r/ (" �t `� 1 � �' n I ASSESSOR PARCEL NUMBER � i (/� - Q Proposed Building Use: I V s -F- / 1 V-1 ,� {`P� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. -�7 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 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 ..................................... ❑ 12. Hazardous Material Form........................................................................I...... q13. Fire Sprinklers............................................................................................ 1© 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by YIA cl - ` :LM ❑ 15. Other i pg items needed to issue the permit. (May require additional plan review upon rec ' g items.)L ees as shown on the attached Schedule of Fees Due Sheet ....................................... O ' atement of Intent for Non -heated and A/C Buildings ............................................. �� S nitation and site plan approval from the Environmental Health Department in B-t�J. ity of Chico Plumbing permit .............................................. .. .... California Department of Forestry plan approval paid. Sent by ....... O ❑ 21. Planning approval for (A) Use: ®K (B)Parking: (C) Parce22- 0 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 421 A'R123. NPDES Form............................................................................................. 1;@ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, C1 Mailed to owner) ..................... 29. Letter of Signature authorization........................................................ q............ 0. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. I have beinformed of the e items and requirements for obtaining a buil) i pe mit. Applicant: W" (4��a 1711D� 1. Index peit'application for the a ove items nu ered: Plan Check Letter 2. Additio ems required Contractor, designer, ow r, advised of the above data by phon , ❑ mail, ❑ counter, byUte: �0� �bt Contractor, designer, o as advised of the above data ,y ❑ hone, ❑mail, Elcoun r by Date: Plans reviewed by: " Date:WIS • Plans approved by: Date:. 0 • U Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER ` 1 S�C� A.P. # _/N PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $(� --- Additional Fees Due........... $ - vised Plan Checking Fee.... $ OOL DISTRICT FEES 01004 G & onII I) (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division(�� Residential............ 360.0 =$C--' ) Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after P1an,Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. RE INSPECTION AND PLAN CHECK FEE $89.00 id at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. 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 changee,ing the plan chec ' g rocess. ` APPLICANT G t C, DATE ?/ -3/6/J Pursuant to Govern nt ode Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from thhAte of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive p• Orovilllle, California �l915965 •OT��ellephone (530) 538-7541 /�� BERM (Rev.12/96) APPLICAl'ONA VQPEREf IT C(�) ASSESSOR PARCEL NUMBER Z BUILDING PERMIT Cj OWNER .j1- TELEPHONE SO, Fr. OCC. BUILDING VALUATION 1I O owNERs MAIu s n i nLQ. � o a (, TELFPNONE •v0 CONTRACTOR / JY70, r 2 I ri c+0 FORS MAILING ADDRESS .TION LENDER MAILING ADDRESS T OR ENGINEER T OR ENGINEERS MAWNG ADDRESS ADDRESS T /y i 4-, ��1✓t_� IQ i TID�-Gti CST-, ?� T ^ �� SUBDIVISIONS IONS NAME ` t J ? ^� e� / _--) P L USEOF�SITRRUCTURE f b SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK nl— n Addition ❑ Remodel ❑ Li irrSes ❑ Installation ❑ Other ❑ Ff =x, C!>Sszsc, .PERMIT FEE PAID SRA SHERIFF OTHER eJ AMOUNT RECEIVED $ 1 Q ;� • OC-) DATE RECEIVED. q- 1& - c�s 20.00 CO C, v iling Fee 20.00 7.00 23.00 15.00 15.00/ 15.00 15.00 @20.00 Fireplace Total Valuation $ I cNO Filing Fee $ Permit Fee $ eoov oR LEss zooAOR LEss Plan Checking Fee $ Main Service Energy Plan Checking Fee $ $ NEW CONST. ( PERMIT FEE $ ' L MAP PLUMBING PERMIT i Each Trap 12 -OAC- Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S G I W Ff =x, C!>Sszsc, .PERMIT FEE PAID SRA SHERIFF OTHER eJ AMOUNT RECEIVED $ 1 Q ;� • OC-) DATE RECEIVED. q- 1& - c�s 20.00 CO C, v iling Fee 20.00 7.00 23.00 15.00 15.00/ 15.00 15.00 @20.00 EX. OCCU . OUTLEr OR FDn'URES PERMIT FEE FDIED APPLNS. OR EX. Occup. OUTLETS ESID. EA ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LEss zooAOR LEss 23.00 Main Service 200A To 1000A 46.00 NEW CONST. ( DWELLINGP. 3.SQ s0. OR ADDNS. & ACC. B(DS. FT• NEW CONS -MULTI:OUTLET 07.50 EX. OCCU . OUTLEr OR FDn'URES BALI O .50 FDIED APPLNS. OR EX. Occup. OUTLETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wirinq 23.00 G PERMIT FEE $ 0 MECHANICAL PERMIT Filing Fee 1 20.00 Hood 6.50 Ventilation PERMIT FEE .5 c> Mobile Home Installation Fee $ Energy Inspection Fee $ Do PETOLFEE $° HAZ DS U E .O This permit is hereeSy issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date RECEIPT # 33S -&&t PERMIT EXPIRES ON Department ®f Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Construction Requirements EV20RTANT . This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL REQUIREMENTS • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, U.B.C.) • Provide required room dimensions and ceiling height. (Sec. 310.6, U.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.) • Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door. (Sec. 1003.3.1.3,U.B.C.) • Provide adequate clearance and type A flue for fireplace/woodstove. • All stairways to comply with URC. section 1003.3, for rise, run, headroom, width, landings and handrails. • Hallways to be minimum 36" wide y (U.B.C. 1004.3.3.2). - • Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per N.E.C. Article 410-8. • Provide certificates of conformance for all glu-lambeams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide''/:"x 10" anchor bolts @ 6' o.c. max. and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt. (Sec. 1806.6, U.B.C.) • Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) • Slabs -on -ground with turned -down footings shall have a minimum of one number 4 bar at the top and bottom (Section 1806.7.2, U.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Page 1 of 2 Owners Name: PO e 5 /^ Building Permit Number: 3 - �_ 5 Plans Examiner: Martha Christy 509, U.B.C.) • Veneer per Ch. 14, .U.B.C. • Exterior plaster —weep screeds (U.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. • Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance(iJ.P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C. SPECIFIC REQUIREMENTS 1. Provide safety glazing in all hazardous locations (U.B.C. section 2406). 2. Garage firewall separation — required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3). 3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1. 4. Special roof covering required, class B minimum 5. Provide 2 separate exits from the third story (U.B.C. section 1004.2.3.2 exception #4). 6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear operable area of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a minimum net clear openable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4). COLOR CODE USED ON PLANS Blue = Engineering Pink =Firewall Green = Braced wall panels Yellow =Important COMPLY VVM ITEMS INDICATED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: I. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood elevation. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 7. All building materials below the 100 -year flood elevation must be of fire-resistant material. ❑ Fire sprinklers are required in this structure. This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary. ® All structures and a ui ment including overhangs shall be clear of all easements. A setback on 4 om the side and _5!L from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 Owners Name: 10 • " T/ C7 Building Permit Number: — 2� Plans Examiner: Martha Christy NOTE: Ift "ee the attached Residential Construction Requirements Pages `—Acc�-.v, PCS -e— N� ELECTRICAL, MSCI CONSTRUCTION ( SHALL COMPLY W OF NEC, UMC i `6i NNING DIVISION - BUILDING PLAN APPROVAL Use: O K Date: 4) _21-03 Partdng: Landscaping: Other. Signature: D1 -13 pj'�tz alu- -/Z obc Ar rte. �`►� s� �c s ot fo 17 /all kL, AND PLUMBING PLAN CHECKED U"'.". �= /7'0 UTT`r COUNff �.. RUDING DEPARTM'_ AP's; U r ALL STRUCTU%JES AND EQUiPMENT %K'LUDING OVERHANGS SHALL BE CLEA OF ALL EASEMENTS. A SET BACK OF J _ FROM THE SIDE AND . FROM THE REAR PROPERTY LINES AND aLAFROM TIE ROAD CENTERLINE SHALL BE CLFAWOF STRUCTURES AND EQUIPMENT EXCEC� 'OR A 2 FT. SAVE OVERHANG. r REVIEWED B)— BUTTE CO. FIRE DE PT. CALIF. DEPT. of FOR STRY ❑ approved as submit ed [approved Frith cond tions er alta , st, �et. / Signature' Date 3 6� Z;Z) 0 tt� CDF FIRE SAFE REQUIREMENTS e `? - Z� --r�k t"-') 'T" AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 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 provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. 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. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 �t v AP# PERMIT# NAME [X] 1273.10 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. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. [X] 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 that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ ] 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. �j 2. For parcels less than 1 acre, local jurisdiction shall provide for \ the same practical effect. See other requirements on page 3. 1276.02 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 and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 D r0 72!5s-r7 o f wIL AN PERMIT # N Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves [�] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire 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: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 5.". AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 i 20�z-053054 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AN 09 -Oct -2002 REC FEE 10.00 CONFORM 1.00 Cheryl Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE; A'-:iACHED LEGAL DESCRIPTION A.P. NO 069,7-22-0=0-4-4 t-0-69-050-015 Date AUGUST 6, 2002 State of California County of BUTTE PROPERTY OWNLRS.: I Re On 8/6/02 before me, ANGELA D. MASTELOTTO, NOTARY PUBLIC personally appeared JAK ES W. POTESTIO personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signatu \ ANaELA D a .Mew IGL TTO A.P. #O K�� �G"�`��� y Commission #1193925 . _ n. Notary Public -Calitomia Butte County My Comm. Exp. SEPT. 16, 2002 Cc Preliminary Report . Description Order No. BU -197581-3 AM The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCELI: LOT 224, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, STATE OF. CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. APN: 069-220-044-000 PARCEL II -A: LOT 43, AS SHOWN ON THAT CERTAIN MAP ENTTrLED, "KELLY RIDGE ESTATES UNIT NO. 2B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 19, 1973, IN BOOK 43 OF MAPS, AT PAGE(S) 27, 28 AND 29. APN: 069-050-015-000 y fE' SITE PLAN REVIEW APPLICATION Date: - 1 b AN Permit Number (if applicable) 0 3 - Z U S !�' Bin Number APPLICANT INFORMATION Parcel Size:�— Owners Name: T�10,T C S 7 10 j Owners Address: 5 D La S A L Ll✓ LIK) _ 6 0 (ZH Pi%-, C-A 9S 9 3 g Telephone No.: Situs Address: A e A C-H E C j Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Single Family Remodel ❑ Commercial Remodel - ❑ Industrial Remodel ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY 4 Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: O $ 2"S C Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the Califomia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: `T)"T — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S� Side S Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 •8 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current EnvironmentalHealth Department requirements Page 3 of 5 Subdivision Map/Parcel Man: i��(�ty �� e Map Date of Recording: 7 -26-- L) Lot: 22-,') ❑ Use Permit/Minor Use Permit Permit Number: Book: y 7S Date of Approval: Page: H Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. n Page 4 of 5 40 National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (S)APPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNTs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: �ii'Y►-P� (.tl _(�� Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.httnl NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit NumberDistrict 1 45 APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: Y�9 m &=9 / I I a. Company Name: 2. Address: /l ^�G E-- ! 3. Phone: ' _ l L b ` 4Ass . essor's Parcel Number. O `" 5. Location of Work to be Done 6. Applicant's Signature 7. Date: / 610-3 NTRAC R' S INFORMATION 8. Contractor's Name rte- eS T'�7Z�STZe 9. Address � � / f4 10. Phone: ^ 1 y `7� 11. Fax: 12. Contractor's License Number. / `�� r 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Sign c. 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): GO . / ,v 18.Other. PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ted. 19. Conditions r r Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. work shall conform to accompanying: Detail)f Plans ❑ Special Conditions ❑ 21. Date Issued Q 3 22. Expiration Date: p / r 23 Surety: Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up o one week. Page 1 of 2 General Conditions — See Page 2 IF' GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This pemhit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Departrnent of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fig or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 5. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shag assume fug responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shag defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfired and compacted immediately after work therein has been completed. Trenches shag not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shag be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shag conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shag be no less than ninety percent (905/6) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. c The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shag be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shag be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shag be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as dose to the right -of --way fine as possible. No portion of the baddill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities Impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shag be restored immediately upon backfilfing or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2') of asphalt concrete over eight inches (8') of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permi lee prior to starting work 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shag cause to be placed, erected, and maintained all warning signals, rights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shag notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 v BUTTE COUNTY PUBLIC WORKS DEPARTMENT AJO TES PRI IIA rE Ed9z of e.�isti�y p�iernP�; f oz f"a; LIA/4 OF /�•C:, fllKE \ i 12 /77//7• Area /o be p,,, 2(" - Ir, ax �°i'o�oerf y Line /0' tin.. • E l . 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