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069-360-036
NOTES - REg9®ENTAL. - -'PERMIT NO.360;036 .. POT_STIO e -' GLENESS; OROVILLE a z Cont: OWNER ' w NEW SINGLE FAMILY ' a' SPECIAL CONDITIONS;' ; .• CHECKED _ BY " t SRA . - FLOOD CERTIFICATE REQ. ,- FIRE.SPRINKLERS REQ. _ SPECIAL INSPECTION ITEMS VERIFY ' USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER OFFICE COPY y�Address3 GAS Meter By&� Datek.&�" ELECTRIC i t Meter By Date ,-] r v r-% JOB FINALED (Date) - -� Signature J=OK 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning, Requirements-Setbacks-Easements Footings; Size -Spacing -Marriage Line 2. Soil6; Special MH Support Sketch 4. 3. Sewer; Location-Test-Fall-C/O-Concrete Electricity; MH Test 4. Water; Location-Test-Easement Needed (Sketch) 7. 5. Electricity; Location -Clearances-Grnd-/ /Amp-Concrete Gas and Electricity Tagged 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Enclosure; Fencing -Alarms 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test-Demand-Valve-Connector Card B-1 Date Card B-1 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 RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s F g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. F g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth ®� Stemwalls, Main; Steel-Blockouts-Wrapped Downs and Special Anchors /f' - 91 D.W.V.; Fall- Fi ing-Test-2 Way C/O -Sewer Test 17 10. , as ' e; Sizeori Gas Piping; Size Test /1 11. er Pipe; Test-Anc s -Regulator -Service Test ----92: ElectricerWourr 43 13. Ple11 u , lea - atm j-1p�" /7 14. Gioddr's-Sik6l-Anchar,Rolts-Joiktg-Ve -Cripifies 15. Ac4Ks & VenWion 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1 . Water Htr.; Vent -Access -Combustion Air Baffle 1 Water Pipe; Test & Anchor -Nail Protection 14. D.W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access Access �7c( Nom-�' 22e Gas Pipe; Sixe & Anchors Sprinkler; Test Date JL //, Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2e Fixture & Transformer Clearance -Ins. Protection 2.F(Elec. Receptacles Spacing -Lights & Switches at Doors 216. Size Boxes & No. of Conductors Stapled 21. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2. 2 Appliance Circuits in Kitchen & Conductor Size GFI Subfeed Wire Size/ /ga. Cu or AI-A.P' Wire Size/j6 /ga a or Al 34: Range Circle/ (3/ga Gdor AI -Oven Circ. / /ga Cu or Al Insulated Neutral U's'es O No 3;/Service-Riser Conductors & Ground Main Disconnect 3 . E ui . Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 3,5/,gmoke Detector Date JZ %b�r4__ Card B-1 Date Card B-1 Date Card B-1� Date Card B-1 Date MEC*NICAL (Permit) OK except #'s Ducts Insulation & Support 37. t Fan, Exhaust above insulation 30,."' Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4d. Attic Access & Platform if Furnace in Attic Date f t d rCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FR AXING (Permit) OK except #'s 4 SWg Proper Materials & Anchors 4 . W Studs -Nailing Spacing & Braces -Plates -Sound 43 a ing Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 45. Fir Stops, Furred Ceilings -Stairs -Chasers -Tubs Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection eaders & Beams -Size & Bearing Date F ING (Continued) 7, Hangers -Post Caps -Anchors -Connectors 45. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 8 . fireplace Ties or Type A Flue -Fireplace Throat Clearance 87. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8 . Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions & .Garage Fire Protection Framing -RC Channel 56. Property Line Firewall & Openings Se Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59! zing Area -Glass rotection-Skylights-Plastic '1./r Q K. Shear Walls; N ' ingests 6YBra Interior/Exterior VVMT Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls- dows Date Card B-1 Date Card B-1 Date L Js C- Card 1 Date Card B-1 Date FI (Pla s) OK except #'s >000Steps-Door & Sidelight Protection -Landings Ex moke Detector 66. Furnace ents-clearance-Comb, Air -Connector - I age; Above Floor-Ducts-Mech. Protection oom Exitina W. G Bath Fixtures & Tub Access -Spa p hJ , E . Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 7 Fireplace or Stove, Clearance -Hearth 72. EIeLrOutlets at Wood Panel, Int. & Ext. 7-6. I� ixt. & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure 76. ". Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector -PRY image; image; Above Floor-Mech. Protection 73' Pyr-; Elec. & Mech. Equip. Listed for Location ff 5r,y jup 7 Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. lation- Foam- Looked in Attic gward Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instid./Drive O Yes O No/Walks 0 Yes 0 No/Planters O Yes O No 84. StLL=o Brown -Finish AA-. Unit Disconnect, Electrical -Plumbing 8 . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wa er Well, Disconnect, Electrical, Plumbing 8 . �terior Elec. Trim, G.F.I. Receptacle -Underground 8 Ventilation Throughout House 9 ss Protection erections from Previous Inspections ge Gas Test -Meters Tagged, Gas -Electric 93. W er & Sewer Connected -C/O to Grade -HD Approval E rgy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date tel(, �? 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: DESCRIPTION OF INSTALLATION t ` 1. ROOF 1• >' ., . Matena . ........................................................................ Brand . .............................. Thickness' inches :':[ ( )........................................................ Thermal Resistance (R-Value):'''':': 2. CEILING Batt or Blanket Type Fiberglass ::: Brand Name :Knauf .Thickness (inches) ....: ...12:...... ........ Thermal Resistance (R-Value):::::::::;::"-:':.............. 38, .,.. Inose Fill Type ..:........F�berglass ......... Brand Name Minimum Installed Weight/ft ::::569 ab Minimum Thickness:::::::::::::::::::::::inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):'38 3. EXTERIOR WALL ` Frame Type: ................................j. , A. Cavity Insulation Material: '.F�be ......... rgiass€€ ............ ............ Brand Name:':'Kriauf€ Thickness (inches):3af2 �. Thermal Resistance (R-Value):;13`;;;:. B. Exterior Foam Sheathing � F Material::s€??:s:s''€€ :::::::::::::::::::::::::::::::::::::::::::::::::r:::::: , Brand Name........................................................� ...`. Thickness .................................. Thermal Resistance (R-Value):'::':::: �...............................................�.........................=....... 4. RAISED FLOOR ..... ................... Material: Fiber ass Brand Name: a-: :::::::::Knauf::: Thickness (inches) 6.1/4.....::::.' i Thermal Resistance (R-Value) ........... ..... 19 5. SLAB FLOOR/PERIMETER Material::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: _ ::::::::::::::::::::::::::::::::::::::::::::::::::::::: Brand Name:`' Th ic ess inches) '[ Thermal Resistance (R-Value): <' Perimeter Insulation Depth Inches::::::;:::::::, 6. FOUNDATION WALL " :::................ .....................................................Material:r................... 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 Regulations) as indicated on the . Certificate of Compliance, where applic ble. • . ,. Cheo;Insulation& p ........................ Item Number's Signature and Date ' Installing Subcontractor (Co. Name)'or v General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext 2016 Fax: (530) 5384356 Download Forms: www.buttec-ounty.net/publicworkstforms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number urstnct Phone (530) 538-7157 Ext. 2016 1 �f'`5J�©% Z�a APPLICATION t 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 td highways, all in accordance with County ordinances and gentral. laws. All information except signature must be typed or legibly rinted Aonlicanfs Name:. —% r - — ii_ _ r' _ _ la. Company Name: Address: -, 4. Assessor's Parcel Number. Phone f 7� x.33 - .3r 5! 06 7 0 Location of Work to he Bone / (�� y� J 3 • G. SS 1 V� O Nc:�S Applicant's Signri4e��-g 7. Date:CONTRACTOR'S INFORMATION Contractor's Na/" Address 2,5-90 Sts Ai(,— - r 3. Phone:11. Fare S-3 3 - Z1 Z 5-33 - //III L Contractor's License Number 2 , 13_ C ate Sig ed Insurance Yes NO: ❑ 4. Contractor's Signatrr>~ 14a Date Signed: ^ O S/ 5. Authorized Ago nt TYPE OF WORK TO BE DONE U. >f Driveway 1 Curb: ❑ Gutter. ❑ Sidewalk- ❑ 8. other work - Desedbr- -5-31 A/ Acl l4- 19. Plans ❑ Yes No Ft PERMIT GRANTED i compliance with the above request, and Subject to all terns, conditions (mcludmg those on page 2 of this permit form) and special conditions written below, omission is reel . 0. Conditions In mrd Service Alert .SA must be no0ed two worlds da r to any excavation. 800-227-2600 1.11 work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 2. Bate Issued 23. Expiration Date: 24. Suroty: •, -7 /— r 7 /o ®l3� 5 Date Amount • -----2ya � os- 1 dike Crump, Director of Public Works 70 c:,,>1 in - rm Date F 3-0-1 'or County Use Only_ 31. Comments: dote_ If ocrmits are faxed to any 1 28. � 4r- z By. I - pected By. ❑ Completed - OK ❑Completed -Not OK ❑ Additional Comments Attached 538-4356, they can be delayed up to one week_ AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2fQ105-00089b25 Recorded I REC FEE 7.00 Official Records I CONFORM 1.00 County Of I BUTTE 1 CANDACE J. GRUBBS 1 Recorder I ROSEMARY DICKSON I Assistant I Andrew 02:39PM 09 -Feb -2005 I Page 1 of 1 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: Lot 15, as shown on that certain map entitled, "Ballantrae Manor Unit No. 211, which map was recorded in the Office of the Recorder of the County of Butte, State of. California, on May 16, 1963, in Book 30 of Maps at Page(s)20 and 21. Date 2/9/05 State of California County of Butte PR ERTY OWNE T� `/f7m�5 W f '9Ti= S?i o On 2/9/04 before me, Angela 0. Mastelotto, Notary personally appeare&JamesaW! Potestio and Rosalie 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. ITNE S y hand and of ficial eal. Sign r ANGELA D. MASTELOTTO Tn Commission #1381124n v Notary Public - California Cn Butte County A.P. # ��� — 3 O — 03 (p My Comm..Exp. OCT. 22, 2006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050363 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am .licensed under Issued Date: 04/28/2005 APN: 069-360-036-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License lass License Number: Site Address: 38 GLENESS DR ORO Map Index: Date: Contractor: *4 1 e Z' Description: NSF (2182) ATT GAR (755) COV (195) 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 23 CELENA CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State- License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-9474 she is exempt therefrom and.the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the (530 ) 589-4765 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees.with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: POTESTIO JAMES W & ROSALIE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 23 CELENA CT provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA year of completion, the owner -builder will have the burden of 95966-9474 proving that he or she did not build or improve for the purpose of sale.). (530) 589-4765 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: JAMES POTESTIO pursuant to the Contractors' State License Law.). I 23 CELENA ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date:Owner: r (530) 589-4765- WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: GLAZEWSKI, FRANK required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 3132 S.F. Policy#: I certify that in the performance of the work for which this permit is Valuation: $163,070.00 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 forthwith comply with hose provisions. Z� a Date:/ Applicant#:ailure WARNIN to secure workers' compensation coverage is unlawful d shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency for the This permit i ereby issued er the applicableprovisions of the Butte County Code and/or Resolution to do work 'n ' ve for ich fe shave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) `Z 8,'0 Name: BY Date: PERMIT EXPIRES ON: 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 sub an of an offici or bcument f Butte County. I hereby authorize representatives of Butte Count to ter upon the above mentioned property for inspection urpos s. ' Print Name: vv Signature: Date: a� ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor J-(2 _(:)o 003 5 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 10 O A FEE WILL BE REQUIRED AT TIME OF APPLICA TION ' Website: www.buttecounty.net/dds GZ) l **PLEASE PRINT CLEARLY** U �j OWNER Last Name .t irstne Address 2 Gt: t✓� City © 20 U State l Zip `ls'i6 C - Phone C�iG� _ (riJ� J Fax E-mail CONTRACTOR Name Address 2_'; CLZt�v'� City c712_O1/lLLz; State cA- Zip fj-1G4 PhoneSc f7 & Fax E-mail Lic. #Y,,19 SSG Class /-7 APPLICA GN TUR X !� For ff' a use only: Name II Address 30 Ceres SUl tcC QS_ CityG h L GO StateG Zip���7 Phone 3 7 /. 3 — (1/ -30 �a Fax E-mail State License NumbQr7. APPLICA GN TUR X !� For ff' a use only: APPLICANT NAME Name Flood Zone Address�-- SRAes City Occ. State Zip Phone Page Fax E-mail Date Approved: APPLICA GN TUR X !� For ff' a use only: ZOAK9 Pig y Addr�ss6 LIE7AJ o5S Flood Zone I SRAes DNo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP,O 50363 BIN # A -ID LOCATION / AP# 3�10 3 Pig y Addr�ss6 LIE7AJ o5S City Cross Street I ,U&�U I &?ti 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: JS F 2i.4,--rT lvA-,P— (7 55 GoV (IG5)s t� QE Sq. Footage ❑ Structure Built without Permit. ❑ Proposed Change of Occupa cy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. 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. OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: 1<114-� Amount: Receipt #: �_ I Iq 691 Date: 2 . ( o • 8:>5 03 - V3 Bldg .ao-4. RB SRA Sheriff SMTP Other 13678-81 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper.! ❑ 2. Complete plan's,.3 6r4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie' down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 I Butte County Department of Development Services *.V T 7, YVONNE CHRISTOPHER, DIRECTOR °° 7 County Center Drive Oroville, CA 95965 y (530) 538.7601 Telephone ; . ' cou N'�y _ M (530) 538.7785 Facsimile - W „ ® TO: WILLDAN C ® FROM: Scott Rutherford (530) 538-7160 srutherford@buttecounty.netLO s ® SUBJECT: -Plans Transmittal For Review Per' Contract O DATE: 2/11/2005. A Applicant: Potestio, James Permit No: 05-0363 :. Project Type: NSF/Gar/Cov 069-360-03:6-] 100% 70% .-,. Plan Check Fees $ 814.00 - $ .569.80 $ 814.00- $ 569.80 WILLDAN Fee F $' 569.80 Copies Attached: Qty t ' Chk Application Site Plan Review FEMA Elevation Certificate ; Building Plans y Truss Calculations Energy Calculations . Structural Calculations Residential Plan Review Guide ' v Residential Construction Requirements Other Other ' , _ A. a v - -; ..f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER ca TEST 1 O ASSESSOR PARCEL NUMBER GYGI �p coV ( 1.15) ) Q Proposed Building Use: J$p ea l e*) R rr 6 A e (" 755) Counter Technician: Date? 2. I0/A=,3n Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to p ly. , i 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. r- 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. O 4. Engineered truss details and layouts in duplicate. No faxes! ' ❑ 5. Letter from Engineer or Architect for truss design review. 4., 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. O 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 ❑ 0:15. Sanitation and site plan approval from the Environmental Health Department in O Chico O Oroville, as applicable. I 16. Other �me t c) .4- P1 ( r") Remaining items needed to issue the permit. (May require additional plan review upon receipt of,the}following-items.) ❑ 17. Fire Sprinklers................................................................................... O 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 0 20. Erosion Control Plan Required........................................................................ ........ (fpFees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit ........................... ....................... 23. California Department of Forestfy plan approval .© paid. Sent by: --tT Tanning approval (A) Use: (B)Parking: (C)"Parcel Check:_ a'S 25. Contact Land Development a out _ Improvements, _ Drainage.. NPDESForm............................................................................................. w27.pire-Inspection croachment Permit for driveway from the Public Works Dept ........................... for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 0 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (Given to owner, _Mailed to owner) ..........:.......... O 32. Letter of Signature authorization.................................................................... AA. 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, O Letter from Legal Owner, ❑ Check to H.C.D. $ O 38. Other: ❑ 39. Other: When issued Telephone 4745! and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: /6 Q 1. Index permit plication for a above items numbered: Plan Check Letter 2. Additional i� s required Contractor, d2signer, owner, was advised of the above data by ❑ one, mail, ❑ counter, b Date: �cfdroesignt u , was advised of the above data by Vphone, O mail, O counter, by Date:', --.2 ns�ta reviewed by: Date: Plans approved by: a I Date : - Structural reviewed by: Date: Structural approved by: ti Date: Note transfer by: Date: 542 WW Yellow: Building Division i= 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 7 i:)0 -rES Tt_0 A.P. # PROPROSED BUILDING USE A 7T 6 &,P, [ 755, DATE �V Lf95) RECEIPT # DATE REC. 1. BUILDING PERMIT FEES c� �S ---Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES OR -0 V i Lt_ F_ (paid at School District Office) (form available after Plan Check) (. 3. SHERIFF FEES (paid at Building Division) Residential............ 1 X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X -=$ # Units Amt. Commercial (Sq. Fig.).... X = $ Sq. Ftg. Amt. _ 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) \ 7. SRA FIRE INSPECTION AND PLAN CHECK FEE • $89.00 (paid at Building Division) �%I q S1 1 l d • o S 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 = $ i Sq. Ftg. Amt. 10. OTHER S" t P z636 I Y -2Z -0 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 change g the p ec ing p cess. APPLICANT > , 4-ADATE Pursuant to Govemhfent Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 C01 -:11Y of Document Recorded 09 -Feb -2005 2005-0008025 Hae not been compared with original. BUTTE COUHTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this.property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 15, as shown on that certain map entitled, "Ballantrae Manor Unit No. 211, which map was recorded in the Office of the Recorder of the County of Butte, State of, California, on May 16, .1963, in. Book 30 :of Maps at Page(s)20 and 21. Date 2/9/05 PRERTY OWNE �'�-- �c./;W State of California ) . County of. Butte ) FPO Te s i () On 2/9/04 before me, Anqela D. Mastelotto, Notary personally appeared.:JamesoW:Pot estio and Rosalie 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. ITNE.S my hand and of ficial $,eal. Sig r ` ANGELA D. MASTELOTTO o- Commission #1381124 Notary Public -California a A.P. # c7 �� - 3 In C7 - O 3 (a Butte County My Comm. Exp. OCT. 22, 2006 EPPSTMENT O 603 T TF �wo QUO WO¢p Department .0 o u n t J. Michael Crump, Director 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 H Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE1 Project Description: Nem Project Location and/or Parcel Number: 0 4� 5F — 3� o — 0) 6 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 9 Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 PERMIT NO.: 8-05 Lake Oroville Area Public Utility. District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: February 9, 2005 Applicant: Jim Potestio Applicant Address: 23 Celena Ct. Oroville CA 95966 Applicant Phone No.: 589-4765 Property Locations(s): 38 Gleness Dr. Oroville, CA 95966 Ballantrae Sub Lot 15 069-360-036 A. P. No.(s): Fees due: $1,690 Capacity Chg, $ 650 LOAPUD Connection, $1,277 SC -OR RFC Total Due $3,617.001 Application for service approved: WADE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: . Location: Date: Lake Oroville Area Public Utility District release to close permit: Date: M WI LLDAN Serving Public Agencies March 18, 2005 Scott Rutherford -Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX Subject: BUTTE COUNTY PLAN REVIEW, APPROVED 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1405 Jurisdiction Job No: 05-0363 Assessor's Parcel No: 069-360-036 Description: Potestio New Residence Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the following Conditions: 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project., 2. Revisions and/or notes as red -lined on the plans. " The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets A-1 thru A-5, S-1 thru S-6 dated 10/3/04 �k Structural Calculations: Two (2) copies not dated by Frank M. Glazewski �k Energy Calculations: Two (2) copies dated 2/9/05 # Site Plans: Two (2) copies not dated The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive.other instructions. . On the page to follow is the identification of the codes and standards applicable to the project, a code analysis and identification of any deferred submittals. Serving Public Agencies 1.17 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code • found in the California Code,of Regulations, Title,24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • .Part 3, known as the California ElectricalCode and abbreviated herein as "CEC". • Part 4,.known as.the California Mechanical" Code and abbreviated herein as "CMC". °: Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy -Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Type of Type of 1s' Floor Occupancy Construction Sprinklers Stories S Ft Total Sq Ft R-3 V -N No 1 2,182 2,182 U-1- V -N No 2 755 '755 Covered Porch W V -N No 1 . 1 , 195 195 SPECIAL INSPECTION NEEDS- Our plan review reveals no,special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS None required. If you have anyiquestions regarding the structural comments please contact Kenny Dosanjli at (9 16) 924- 7000. For all other comments; please contact Michael Carlin at (916) 924-7000: Cc: Alice Mefford, ani.efford@buttecounty.net, Frank Glazewski, 1370 Ridgewood Drive, Suite 10, Chico CA 95973 ; James Potestio, 23 Celena, Oroville CA 95966 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM P41EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Building Permit Number Property Owner (s Project Location h Subdivision Name Assessable Sq. Ftge 4'�z 11 2 Type of Residential Development (check one) V/ New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: Non -Residential to Residential Mobile home replacement Multi -Family Dwelling verified by Assessor Department verified by Building Department 4'I+RRPD 0 CARD ❑ PRPD 0 DRPD certifies that: Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ 1r10 Do Square Feet @ $ Remarks: Paid by Check No: ,� Paid by Cash: Recreation and Park District Representative K:\FORMS\BU[LDING FORMS\park-rec standard form rev l.doc per sq foot for a total of $ Receipt No: D tBUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District /* YO 12 1/13 Building Department No. A.P. Number Jurisdiction: 'J F ---j city ©County Property Owner Property Location/Address 1) Subdivision Lot No. I ............................................................ ftsid6htial Development - = I Sq. Footage � I No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # .....................................................................................................7 *(No foundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy,of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial District Identificaiion'No. Nei Qj=�chool District certifies that J 01� (Street Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) — 4:1 (Phone. Number) C -A- 1; to fa (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing k square feet. JAB 2926 PFULL MMGATION $ 4 - School District Representative Date Paid by Check # ' Remarks: e Ou S— -116 0% Co Notice: You may protest the Imposition of the ton Identified above by submitting a written protest to the District, In compliance with Government Code Secdon 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest wtll'prohfl* you from chellenging the Imposition of the fen In any court action. If, subsequent to the School District Representative signing this - Butte County Schools Impact Fee Certification Form, the Se hool. District Is ntlfl by the applicable Local Planning Agency thatthis project Is being reviewed under the California Environmental Quality Act (CEQAh this pr al, may be s~ to additional school is" to fully midgets. Its Impact on the school dWtrkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.49 00103)dmm CDF FIRE" SAFE REQUIREMENTS The length of vertical curves in roadways exclusive of gutters, ditches and AP941PERMIT # 05- ,P.363 NAME 3 j7a Under authority of Public Resources Code Sec. 4290, the following checked items are required 'These T by the Butte County Fire Department and made a part of this permit. requirements are feet radius. minimums and may be superseded by Butte County local regulations, which equal or exceed [X] these standards. Butte County Building Inspectors will make compliance inspections. T Driveway Standards center of the road. [X] Surface. All driveway surfaces and structures (bridges, culverts and other [X] appurtenant structures which supplement the roadway bed or shoulders) shall T provided unobstructed access to conventional drive vehicles,• including sedans �1 and fire apparatus weighing up to 40,000 pounds. [X] pq Grade. Not to exceed 16 percent unless paved. %: I Driveway Radius unobstructed vertical clearance of 15 feet along its entire length. U pq pq No roadway shall have a horizontal inside radius of curvature of less than 50 feet T and additional surface width of 4 feet shall be added to curves of 50-100 feet length, shall provide a turnout near the midpoint of the driveway. Where a radius; 2 feet to those from 100-200 feet. pq 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 T feet radius. x [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from.the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and T T unobstructed vertical clearance of 15 feet along its entire length. U pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in T length, shall provide a turnout near the midpoint of the driveway. Where a 1 driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider than.the roadway E they serve. ` 2: % The gates must be located at least 30 feet from the roadway and M shall open to allow a vehicle to stop without obstructing traffic on the roadway. E ,r 3. Where a one-way road with a single. traffic' lane provides entrance, a 50 -foot turning radius shall be used. T S 6Y Setback for Structure Defensible Space Pq Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. 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. "6Q 2. For parcels less than 1 acre, local jurisdiction shall provide for / ` the same practical effect. See 'Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A or B roof ✓ 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 side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line -with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials - Date Signature c D F N T 0 4 SITE PLAN REVIEW APPLICATION Date: �J�.1 1a`) AP# a� �% —JO — 03�.� Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: 6 62 7 a0 z Owners Name: 0� 5'i2 o Owners Address: Telephone No.: Situs Address:�p�� Proposed Use: Residential ll New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home /� Residential Accessory a,&.e F] Permanent Second Dwelling �/ ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well 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 D� Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY ' i Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: —/ Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side � r � 6 � Side Street Rear �D 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 I Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) I Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. 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 IN Subdivision Ma /Parcel Mat): P P Map Date of Recording: Lot: / Book: ❑ Use Permit'Minor Use Permit Permit Number: M01111-� C4 4-��7 - r, 1 k 11 , —70 Page: 20"f--24 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 EJ 107 Page 4 of 5 x 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:V-arrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 4 Oih Chukka F. Rearls, Arsto L. Atolls . Darrell R. C rt, Anne R. Cosa", John S. P.foghos '-d ;Bjovflb Till. Company, T .. fee, he per fie. haling an Interest In the Wig all uttawi' 2, .. shmen an the attached map, do aerdry Men BALLANTRAE MANOR UNIT No. lh.� ws are It. any Per— whoa. —W I. _' to Pa.. . .1..r rib to mid. Amd, and lie cweml 1, the peadorallon of sold map a ohm, .i" Ill. .6r..d It... We offer (as dedimIlion far spoefl. psp the f.lialing: Rights 'of way and seassormis for l,olu. got, and owes pipes and for poles and ora - hem . . misevound who. 1. .1itcl,i. and I.tph.. together .41, .., and all ge appoetal.1.0 lhonste.ol,ce..ond ..do, In— trip. of land lying between the reg ondlw $Me lines of lots and the lines designated PUBLIC UTILITY CASEMENT GLENESS DRIVE I SENCAIRRE ORIVE, CHARTE DAME, and PARCEL 'A' are hereby offered fas, d -di -d- I., C-4 road wpoles. Charles F. A A- a., D.—Il R.Ca-1 1.� �Z_ "Pg—it az_rj�Z_ Ann, R. Cosall Job 0-111, Till, Company by I, issmab'y matify Ad I am . Rooghil CM 64moord the Staff of CoNfornle; Oust the annexed psips of 1ffAIAA1.TSA1: ...................... ... . ...... carractly .p—ft Is —y & —6 my cpavisbn in therf 16 wareary 1. ceeplests, so 'jonsm, the the m—nowsh It.— ; ';L;4cf to .'r the dwrr.-Isor and ocuspy tiles, positions h4otd.wd aro wlificisof er-11,11, 0. Y to be retraced. I.._ ... ................ A?_e.alycl . ........... . . ........ . .. .......... Dir�,aipr a paba. W" he of t COUNTY OF BUTTE. State of CaY-46 do hereby —Nfr thest, I help domireseel it. A-1 map of r --,L ..... . ...... .... . .. ............. and then N u retaken' IM h.By approvedalthereksm, thof .0 f:1 P-- of f6 Ssobcf;-6;- Map Act of the State of C.Iffonsi., and enty, 6.4 -,f-.c .: I -PPI -61- of the time of ppm -1 of said T.tf;le wkip be,e boost complied wilk t .11y _.f. 7-r . ....... .... . .......... 1, Desoaker of Pi. -I.9 of the PLANNING COMMISSION OF TK COUNTY OF BUTTE, Slid. pf C.Ife.A., do hereby —filly fillosif ff. sm—w f;..j map of — ----- . . . . . ............. ... .... . ... ............... ..... ... ......... .. .............. St.1b .1 Cdwmmd. modonn, gAnteadjoby with the imbefilkic. cloolign I—. an the Tont.fil. Map width Is. cdemiy d Births , by flis cis .. issims on ff. cley On this day of — Aldy 19." beard me RR BR21P_. .. ............ :a Notary Pbl. I. and I. the C—ft of Bane p—ally pp.—d Item to Ino to be, the person, who —tiol the fonego.9 —firk-ho and c6evowledgeed to m. that they .....foal the _ 1, .. .. ... .... . ................ ... Auditor of In, COUNTY OF BUTTE, State MY C—kf— Nof.'Y Pub,;. of Calif -4. do hereby erlify that there fax Fill, .pain". . ....... ............ se i-.;. sort f -'K or -Pw St.* C._+Y' M-kiptit or 6-1 tat.., or,pati., ---t- not Y -t P -Y-66. Tax. or ---h -h;.h .6,tj�ryvt.-poY.b6, 1 -9. rend far bot In the, inneaunt of SZLck_ State of C45fwni, ) he Comely of Butte ) On 'vwy.... & MILLI b0cerse a Notary F6bt, in and far C +Y. State of P -9y appealed ......... .. ... .......... know. to — to be the _YK .. ... .... . ........ .. of the —parliHor, "lef .—fed the wWa. M .6 In— tome to be #he P.— who al—k-d it ma 6.6.1f of .h —P—*;. and ecl..4alged to that such corwaticon vot-oad the My Commission Note, P.161i, I do thereby certify that on the _7.:9_ day of 19,( 1 0o BUTTE COUNTY BOARD OF SUPERVISORS fAeiolty i�-Asron Map of ... . ...... . ............ the 'mc."p, "; se-ii-ty in 6a AUD51OR'S esfimaud .mount of IIIS-471,7A. i-- wimsent of to.. which Sam bur Int yd Payable — --kno-loatiled. ✓R . ...... Drown an,;d map and offered Far dac4ei..' 'Mfjhe publicfor 1-d purp— Ch—Ar D,;,, .-d -a—/ A were pf"oersp ted. '�;�Z..........— B . k� �O _�_x( t .. ........ .... ...... Cowry �? yr Riscandad in the oflhu of dho Reesorder of BUTTE COUNTY, St.* of California. at 116 rt queof of 4L this Z day of �� 19.63, of _.yameninalives Pod 4 ed-li P. 1A, I. M.P Book .31-1 of Costanty R—dar Reso."1419 Nodabor D-FLft. BALLANTRAE MANOR UNIT NO. 2 BEING A SUBDIVISION OF A PORTION OF LOT 9-GLENDALE RIDGE TRACT -UNIT NQ1 OWNER AND SUBDIVIDER CHARLES F. REAVIS ET.UX. OROV(LLE CALIFORNIA D. R. ROPER CIVIL ENGINEER R.C.E.11553 OROVILLE CALIFORNIA SCALE 1"-106' I SHEET I OF 2 1 069-360-036 A3-2854 '.�' 4n-• ,. _ POTESTIO, -JAMES- �� 38 GLENESS DR, OROVILLE ELECT FOR LOT DEV: ! S OFFICE COPY Address MY---- mete ELECTRIC Meter By Date.- . t _ t M �• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASS ESSOg�_,�6 • ZONING -.. BUILDING PERMIT OWNERfVI TI LF117(7 9 JAMES TELEPHONE 5?9-4765 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS `.,,NTR 73 CELrNA DP. OROVILU: CA.. 9595,) CONTRACTOR 'S NAME OWNTM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 38 GLENFSS CR. OROVUILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ F Y -C. SRV. FOR FUUELIU!PP Describe Work: DVE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOV LESS Main Service zoOA OR 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 irlftill force and effect. [�j( y/ //� License Class Lic. No. 1 / S A i6OWN WILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo a following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Se -,ice 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. _OR ADDNS. ( a ACC. BUDS. niNON-RE°SID. MULTI- OUTLET SO 3.5¢FT. @7.50 PSO:M APPARATUS a SINGLE ovrtET CIR. OUTLET OR FIXTURES Ex. OUTLET 20 ''� BAL @ .50 P Ex. Occup. oirrLEE°TSA RL.16.°FRA 5.00 Temporary Service 4 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 c 7� PERMIT FEE $ 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 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 forthwith comply witFr ose pr vi ns. A,/ i /�/ X Date Signature of Applica - ❑ Owner Contractor ❑ Agent AWOSHA permit is required for excavations over 60" deep and demolition or construction o(Aructures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE 66.00[DOI TOTAL FEE $ HAZ. D. FEES IMP -- --- ,.— . FLOOD CDS PARCEL —„— — _Pq HD ISSUE _ _ This permit is heieby-Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B � x Date y PERMIT EXPIRES ON Date ReceiptNo. v 5r). W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CURVE DATA .•O.N, A.90° E A•I32°50' 0 A•A1.OA'OS' I, S,T A•920' R•50 `. 30 Tori, AFGA L A2 L -II-S• . AL., a- F' A••2•50' 0.9 Ane°00' A.R A•Iz°00' l07� M.8?7.Gc R•z5' Arno• R•r30: l•UL", L•5l.SI' L•.9.1T' TOliL A6 07AG c A•az°5o' x A..S•1e' A • 50' R . 50' L•3r.36 l •SA50' ' 0 x •T9•eO Sa• R•50' R• Se' L•TBA•' L • G64T - .. ' IM,AP BK. b� G' 81919 OF 8EAAIXO IS TNt SOOT" LINE OF LOT 9. OLEX GALE RIDGE TRACT UNIT I AS sea°37'x. FDuxO IRON "" SET IRON RIPE R.C.E.11353 FOUND CONC. NON. ® SET CONC. NOW. R.C.E.11553 BALLANTRAE MANOR UNIT NO. 2 BEING A SUBDIVISION OF A PORTION OF LOT 9-GLENDALE RIDGE TRACT -UNIT NO 1 OWNER AND SUBDIVIDER CHARLES F. REAVIS ET. UX. OROVILLE CALIFORNIA D. R. ROPER CIVIL ENGINEER R.C.E.11553 OROVILLE CALIFORNIA SCALE 1••=100 t•' m 10 I II 12 N T IOROr —� ,a • � —� T — d 5 I Q17 IS NNS 4- 4- - ' LOCATION . 1 y� SCALE DIAGRAM 1•.9000' BALLANTRAE MANOR UNIT NO. 2 BEING A SUBDIVISION OF A PORTION OF LOT 9-GLENDALE RIDGE TRACT -UNIT NO 1 OWNER AND SUBDIVIDER CHARLES F. REAVIS ET. UX. OROVILLE CALIFORNIA D. R. ROPER CIVIL ENGINEER R.C.E.11553 OROVILLE CALIFORNIA SCALE 1••=100 t•' s COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -V// i 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT o,a. cpol ASS ESUg PARCEL NUMBER 069-360-036 ZONING BUILDING PERMIT OWNER OTESTIO; JAMES TELEPHONE 589-4765 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS WNFR 23 CELENA DR., OROVILLE CA. 95966 CONTRACTOR 'S NAME OWNM TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 38 GLENESS DR. OROWILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELEC. SERV, FOR FUTURE LOT DEVELOPMENT Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR UE Main Service 20OAORLESS 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 ip4ll force and effect. / / i License Class Lic. No. �"( `.� OWNER -BUILDER DECLARATION 1 hereby irm under penalty of perjury that I am exempt from the Contractors License O Law fo a 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 Policy Number (The above sections need not be completed 0 the permit is for work of a valuation gPdne hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers'– compo on provisions of section 3700 of the Labor Code, I shall forthwith comp) wit ose p vi ns. COP > V X ``� Date Y I// Sig at re of Applica ❑ Owner Contractor ❑ Agent A O A permit is required for excavations over 5'0"deep and demolitioh or construction o ctures over 3 stories in height. Main Service 46.00 7200A NG CCU000A NEW CONST. DWEWNO OCCUP. SO OR ADONS. ( D7LING S. 3.5¢FT: NON•ReSID. I-OU„T NEW CONST. MULTTLR.E @7.50 aPs NGE. oPUARA US CIR OUTLET OR FD(ET 20 @ 1'00 Ex. Occup.BAL @ .50 Ex. Occu . OFIxLIT PAS ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP -- --- --- FLOOD ------ COF – PARCEL –_ PD -- HD ISSUE _ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ® d p By Q to d PERMIT EXPIRES ON / ! 0 I L Def Receipt No. 36�66066.0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT YrYY � .yl { •U..RZ; L .ol` -F f:�.m.,:p C1NTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - 7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / l�� l� t l !' �'J�I ASSESSOR PARCEL NUMBER ^ /n(J �lPi U + v Proposed Building Use:l 1 G( f '1 Counter Technician:12 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. 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. o 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 .................................... 1 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ 014. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 17. Statement of.lntent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑V4. Encroachment Permit for driveway from the Public Works Dept ................................. 5. Pre -Inspection for g' , . -TrIr-1TAur _.r'r f 7"pT,W ZF94uired................ ❑ 26. Contractor's license information: `(Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. 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 - - /J / and hold for pickup. I have been informed of the ve items al requirements for obtaining a building permit.. Applicant: Date: .� �" 1. Index permit plication for th a ve items r) mbered: Plan Check Letter 2. Additional it s required Contractor, de igner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division m -:5 11-PlIWO cii—ise> R—- - -- -- - - 11�ZIA7'CD�. LOCATION: CONTRACTOR: DATE:_ 9 e A.P. ZONING:_ PRE-INSPETION FORUeN. c /S/� �(� 5�7 i l� �f✓�V2�i[�/%C� li%L� DATE TO INSPECTOR: PERMIT HLSTORY:(AilroNE ( ) AS FOLLOWS: BUELDING INSPECTOR'S REPORT Building Description: ConunerciaWsage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off Condition of Electric Gas: - Natural Propane None Currently. On Off Obvious Problems: Sanitation: Plumbing Working Well Working r Potable Water Obvious SewageProblems Comments:__ �/L/X✓t'i( P�2/d 1 r'w /1y� �5 C 1 ACTION RECOMMENDED: ISSUE: t HOLD FOR Inspector.Date Sketch buildings on reverse and indicate location on property. C V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '7 County Center Drive a Orovillle, California 95965 •Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT "Y ASSESSOR PARCEL NUMBER . Y ZONING BUILDING PERMIT OWNER Ame TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS M9LLING_ORDRESS,�a ! _ Al / �._ _ .y . /'� . �� /' ' CONSTRUCTION LENDER PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoom oa LEss Fireplace Main Service 200A TO 1000A LENDERS MAILING ADDRESS NEW CONST. ( Total Valuation $ - 3.5C . OR ADONS. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 PERMIT EXPIRES ON Date Permit Fee $ ARCHnECT OR ENGINEERS MAILING ADDRESS $ Plan Checking Fee BUDDING ADDRESS Energy Plan Checking Fee $ $ r PERMIT FEE $ ADT NO. SUBDN61ONTi NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobllehome ❑ Other Water piping 15.00 SPEC"Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstEdlZL.. Other ❑ Buildingsewer 15.00 I / Mobile Home S G W @20.00Describe �Q1/ ��v Work: ( T(� _ LC• .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ DATE RECEIVED RECEIPT ## Ex. OCCU . OUTLET OR FDCTURES I eZ v *.50 FDCED APPL S. OR S.00 Ex. Occup. OUTLETS ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 I PERMIT FEE S 4(10- C" 0 MECHANICAL PERMIT Filing Fee 1 20.00 Hood 6.50 Ventilation PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoom oa LEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP. 3.5C . OR ADONS. a ACC. BLDS. it is hereby issued under the applicable provisions NEW CONS . NON.RESIO. MULTI -OUTLET meuru rmn me @7.50 Ex. OCCU . OUTLET OR FDCTURES I eZ v *.50 FDCED APPL S. OR S.00 Ex. Occup. OUTLETS ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 I PERMIT FEE S 4(10- C" 0 MECHANICAL PERMIT Filing Fee 1 20.00 Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ Vthrpe fLD. FEES IMP FLOOD CDF PARCEL PD HD I�UE it is hereby issued under the applicable provisions utte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date a ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE permit Number District Phone (530) 538-7157 Ext. 2016 APPLICATION WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County id highways, all in accordance with County ordinances and general laws. (All information except signature must be typed or legibly rinte Anolicant'sName- .— / _ I/_ r- _ A,-� l — l_,- - , ja Company Name: Address: Phone.. 7-5-IfO -564. Assessor's Parcel Number �� 7 7(�, Q ,5733 - 3! 5� Location of Work to be Done:, D .NEr�S i�i"r� J^ Ti Applicant's Signature 7. Date: APP6(mato - CONTRACTOR'S INFORMATION Contractor's Nam Address Zoo 5�7 . D. Phone: 11. Fax: 5 3 3 y/L 6, 2. Contractor's License Number. Z , 13. Certificate of Insurance. Yes No: ❑ 4. �Contractor's Signature: 14a. Date Signed: Y C 5. Authorized Agent 6. Please TYPE OF WORK TO BE DONE 17. If Driveway Curb: ❑ Gutter. ❑ Sidewalk: ❑ Work - Descnbe: S=3/ Ae-14 rype: S--/ O Yes - No PERMIT GRANTED i 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, ermission is btmby granted. 0. Conditions S� tai L . "tel !s 4J6 i /l Ind round Service Alert .SA roust be notified two working days prior to LnY excavation. 800-227-2600 1,11 work shall conform to accompanying: Detail O Plans O Special Conditions ❑ 2. Date Issued 23. Expiration Date: 24. Surety: , S. Date Paid: 26. Amount Paid: _ Zyd �os' Aike Crtunp, Director of Public Works —1 29. Final Inspection Date 30. btspected By. By- en 29. By: ' O Completed - OK ❑ Completed —Not OK ❑ Additional Comments Attached couor 11 oniy- 31. Comments: dote: If permits arc faxed to any number besides (530) 539A356, they can be delayed up to one week. . SITE PLAN _ ...�_ :...........:......:.....:......:......:.....:......:...........:..... ..............................................� . ..:....:.. .. .. 0. .. .. .. .. ... .. .. ............ Tad §mphq ....;...............................:......:.....:......::............-- .. ... .. .. ............. ... .. .. .. .. .. .. ....................... .. ............. ..�. .. .. .. .. .. .. c` . . . . . . . . .. : . . . . . . . . . . . . . . . . . . . . . .. ... .. .. .. .. .. .. ................................. .. .. ............ ............ .. .. .. .. .. .c:......: .. ................................................. ... .. .. .. .. .. .. .. .. .. .. .. .. .. ............. .. .. �•. .. .. .. .. .. .. .. .. .. .. ... 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V .. .. .. ... .. .. .. .. ........Qr.Ma sh�st. y...Z ..�.. �...:. ............ 1 .. 2 � ..............................................:.....:........................................................................ .. .. . .. ................... _ .......................... ..... ................. _............ ...... _....._........ a..........._...............--•..........................................................................---.......................•................................._ ... r' .................................... . Assessor's Parcel Number: Q 2 ®— 1212 =�_ 23 ® Scale: 1" _ Owner Name 577 V Address / Phone No. A!:�p lellL&f Site Location GLEN ESS Contact: Name �i1f 1=�� Phone .s�7 — Zt%1:110 Dosed., a, 2= FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.oar PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: