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04-2768
F,?dd
1,7
VILLE
T PERMIT
I f7 GLENESS, ORO
ROACHMEN
i Cont: OWNERc 'ATE
NEW SINGLE
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RESIDENTIAL
PERMIT NO.. _669:360-059 04-2768
VARGAS, NELL Y
3% GLENESS, OROVILLE
Cont: OWNER
NEW SINGLE FAMILY
-
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
C
Y 111cre5—P--t&
c ['.ice ess
DETACH FOR SERVING UTILITY I
Address 37 GLEAI—rSS
0A0VI LLr
I
GAS
� Meter By Date `6 °
ELECTRIC_
Meter By Date
J
JOB FINA ED(Date)_bbl v
Signature
w3.
J=OK
0 = Not OK
. = Not ReadyNotApplicable
tReadyable •MOBILE HOMES
Date
"` MOBILE HOME UTILITIES (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
1.
2. Soils; Special MH Support Sketch
2.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Water; Location -Test -Easement Needed (Sketch)
5.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Elec.; Enclosures; Conduit Entries -Terminals -Listed
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
8.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -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- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
W
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDtRFLOOR (Plans) OK except #'s
2. Ftg., Main; Soils-EW6. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. G d.-/ - V " Ftg. Dept
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel -Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wra ed
6a. yard Downs and Special Anchors
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -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
2_25'_0
A to r.d a -f es-% V 6 reachVJS
Date �)<f or-
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date PLU ING (Permit) OK except #'s
3 . ervice-Riser Conductors & Ground Main Disconnect
-Water Htr.; Vent -Access -Combustion Air Baffle
31. Equip. Clearances Panels-Motors-Mech. Equip.
ater Pipe; Test & Anchor -Nail Protection
34. Clothes Closet Light -Shower Light -Spa Light
D.W.V.; Test Fittings & Anchor -Nail Protection
-207'SFower Pan; Test, First Floor -Tub Access
21
Test Tub & Shower, Second Floor -Tub Access
2
. Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
Date
&` Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Fxture & Transformer Clearance -Ins. Protection
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
2 lec. Receptacles Spacing -Lights & Switches at Doors
.,Fireplace
X. Size Boxes & No. of Conductors Stapled
5V,
27 omex Installed Close to Edge of Studs & C.J.
. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
2 . Appliance Circuits in Kitch & Conductor Size GFI
Garage Fire Protection Fr -R
Property Line Firewall & Openings
feed Wire Size/ /ga. AI-A.C. Wire Size/ /ga Cu or Al
3 . Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At
16 Lj Insulated Neutral O Yes 0 No
3 . ervice-Riser Conductors & Ground Main Disconnect
r ,
31. Equip. Clearances Panels-Motors-Mech. Equip.
v )
34. Clothes Closet Light -Shower Light -Spa Light
35e." Smoke Detector
Date Card B-1 j/ Date Card B-1
Date Card B-1 Date Card B-1
Date ME HANICAL (Permit) OK except #'s
ucts Insulation & Support
7 V nt Fan, Exhaust above insulation
nsate Drain & Overflow, Size & Grade
3,B Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
4V Attic Access & Platform if Furnace in Attic
Date ) Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAYING (Permit) OK except #'s
4 Sills Proper Materials & Anchors
4/ Walls Studs -Nailing Spacing & Braces -Plates -Sound
4/,Bearing Walls over Girders & Floor Nailing
4 Draft Stop in Walls (rat proof)
45. fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING
(Continued)
e�-47.1
Hangers -Post Caps -Anchors -Connectors
4%
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
.,Fireplace
Ties or Type A Flue -Fireplace Throat Clearance
5V,
Attic cess; Size & Romex Protection -Draft Stop -Ins. Baffles
. Windows or Exiting Door ill Ht. & Dimensions
Garage Fire Protection Fr -R
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits '
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
SF, wood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
yStucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
OT
Glazing Area -Glass Protection -Skylights -Plastic
%D- SjVur Walls; Nailing -Bolts
BZace Interior/Exterior Wall Panels
Insulation-Walls-Ceilin
63.
Infiltration -Walls -Win ws
Date
Date
Card B-1 Date Card B-1
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 ❑ Yes
_
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O 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.
Corre tions from Previous Inspections
G Test -Meters Tagg d, 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:
Insulation Certificate
i BUILDING PERMIT I
BUILDINGOWNER:_'
BUILDING LOCATION: 1 C-? Iev) v S
roJ1.110, 1 ..a
Description of Installation.
ROOF < <
InMaterialMaterial�. � .� O ��"" � Brand Name .
Thickness (inches) f2
Thermal Resistance (R -Value)
CEILING - - Blanket T Brand Name .
Batt or Type , Value
Thickness (inches) _ �- `� Thermal Resistance_(R- )
Loose Fill Type Brand Name .
Contractor's minimum installed weightlft _ lb Ivfinimum es
inch
Manuf ictlirerps installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR -WALL VX t't _
Q�`fS Brand Name
Thickness Cinches) _ Thermal Resistance (R -Value) . f 4(
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Brand Name
Thermal Resistance (R -Value)
Brand Name
Mermal,Resismnce (R -Value)
Material Brand Name
ruralatess (inches)
Resistance (R -Value)
Thicl
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of -the
California Administrative Code.
GencralContractor (Builder)
License Number
Date
Signantre and Title
j2
b -C ctor ( on Install ) Li ease Number
A zly
uDate
Signature and Tide
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION.
APPROVAL AND A COPY SHALL BE POSTED WITH
YN 1'� BUILDING.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT r
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
LICENSED CONTRACTORS DECLARATION
1 hereby affirm under penally 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 1s in full force and
effect.
License Class: License Number.
Date: Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish-, or repair any structure, prior
to Its Issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9.commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Stale License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 'I a�m%Exempt
,under Article
g3-�off�tthh Bus' assn and Professsii ns Code
Date:l—=Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
insurance carrier and policy number are:
Carrier.
Policy #:
I certify that in the performance of the work for which this permit is
issued. I shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: f 2- 22QQ �f
Applicant:
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, interest, and attorney's fees.
-- CONSTRUCTION LEND!KIG AGENC.Y -- —
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
Address
PERMIT NO.
BP042768
Issued Date: 12/22/2004 APN: 069-360-059-000
Site Address: 37 GLENESS DR ORO
Map Index:
Description: NSF(432)GAR(1044)COV(144)
Owner: VARGAS, NELLY R
450 E ARBOR AVE
SUNNYVALE, CA 94086
�0 a - '?3c- 0115-7
Applicant: VARGAS, NELLY R
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 162Q S. F.
Valuation: $55,440.00
Census Code:
"h;1 -issued under.
work Indica)ed al
PERMIT EXPIRES ON: /_-
provisions of the Butte CInunty Code 8nrtlor
fees have been paid. ✓%_,/ I/
Dater
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that'I am the owner or the duly authorized agent of the owner. 1 agree to comply with
all county and slate laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes.
Print Name: / e'. I til &0%(b `+ �) C(% Signature: Z �v
Date f` Z -"22
VLDwner
0 Contractor
❑ Agent for Owner ❑ Agent for Contractor
r, v
ENCROACHMENT `+SENT A ERMIT
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.butter-ounty.net/publicworkdforms.htmi
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE �3mo—
District
Phone (530) 538-7157 Ext. 2016
APPLICATION
1WE, .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 hi hways. all in accordance with Coun ordinances and enerA laws. All information except t si nature must be ed or le bl rinted
Applicant's Namc: I f.-' I / l S
Ia. Company Name.
Q� DV1l(�i Cl 1(i (A
Address: 45v �b a l - Svti,�/'r`i/�r[v- . Cl •4 Gl �o� s
G 4. is Pared Numbu: !�,
`�
Phone- d) G C� 1 "��U
location of Work to be Done 31 7p% . ��r
Applicant's Signature//f 11 7. Date: % O
CON'TRACTOR'S INFORMATION
Contractor's Name ®� S
r 11. Fare" / -,?6 .
�
3. Phone: e77 4190 .� 3� -
2. Contrector's LiccnseNumbcr: � /Y D i J J 13. Certificate of Insurance: Yes 4 No: ❑
14a. Date Signed:
4. Contractor's Signature
5. Authorized Agent
9. Other Work -
TYPE OF WORK TO BE DONE
17. If Driveway
Curb: ❑ Gutter: ❑ Sidewalk: ❑
s- 31
19. Plans Attached:
❑ 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,
omission is b=bY grante& .
0. Conditions
Jndcrground Service Alert .SA must be notified two working days prior to an excavation. 800-227-2600
1. ❑ All work shall conform to accompanying: Detail ❑ Plans 11 Special Conditions ❑
23. Expiration Dau: 24. Surety V�
2. Date Issued _ ` • �
26 Amunt Paid 27. Paid B : 28. Receipt No.:
5. Date Paid: �j yAIM- AAF221'
dike Crump, Director of Public Works ny.-
on Dau: A Impeeted By. ❑ Completed - OK ❑ Completed — Not OK
29. Final lnspecU ❑ Additional Comments Attached
or County
u:t onir ents:
31. Comm
.- if.,.r, ;" a.T faxed to anv number besides (530) 538-4356, they can be delayed up to one week.
4 y
ATIO N:
DATE
;EMAN: MIN. DISTANCE: _
—
�MCT�:
N5 Fi
'ED LIMIT OF ROADWAY
RIVEWAY LOCATION: 3
TANCE TO NEAREST INTERSECTION:
'3HT DISTANCE
r GOOD
I POOR
POOR — RECOMMENDATION TO IMPROVE:
CUT BANK
REMOVE VEGETATION (TEMPORARY)
OTHER (EXPLAIN) �D X12 e� (.tJ�S7, `t �� c w�
3y- kra, k,
)JACENT TOPO
❑ FLAT
EDGE OF EXISTING PAVEMENT
(EP)
c�
z
w
J 12' MIN.
21' MAX.
r�
R
AREA
TO BE
PAVED
R/W
10' MIN.
❑ CUT SLOPE FT.
❑ FILL SLOPE FT.
❑ CURB AND GUTTER
❑ AC DIKE NOTE:
❑ EXIST. DIST. TO EP FL 'rF GREATER THAN
109e UP' OR DOWN
>RAINAGE RECOMMEND_ATIONS.. .. REFER TO ENGINEERING.
4y NONE
❑ SwALE
❑ CULVERT MAX. 1 FOOT VERT. RISE 'OR DROP
MIN. DIST. ', PER 10 FEET HORIZ. DISTANCE . ,
MIN. DEPTH TO FT. EP
DIAMETER IN. EXIST. DIST. --IMIN. DIST
LENGTH FT. 1�aX'
.
❑ OTHER (EXPLAIN) ` 2%
i�
MIN. DEPTH_ ' MAX IOy
• NOTE:
PAVEMENT TO EXTEND : !�
AT 29e CROSS SLOPE
OR MATCH EXISTING .
ROADWAY CROSS SLOPE.
FIELD REVIEW
PRIVATE DRIVEWAY �7 :�
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full foree and
effect.
License Class: License Number:
Date: Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec.,7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish; or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. if however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
�. I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ '1 am Exempt under Article 3 of th Bus'rass
Aand
_Prof-e0ss' ns Code
Date: L- ZZ ` %wner7t (mac. �^-�L w1ni7
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
insurance carrier and policy number are:
Carrier.
Policy #:
I certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:('?, j e
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
PERMIT NO.
BP042768
Issued Date: 12/22/2004 APN: 069-360-059-000
Site Address: 37 GLENESS DR ORO
Map Index:
Description: NSF(432)GAR(1044)COV(144)
Owner: VARGAS, NELLY R
450 E ARBOR AVE
SUNNYVALE, CA 94086
Applicant: VARGAS, NELLY R
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 1620, S.F
Valuation: $55,440.00
Census Code:
pe*
/2
CONSTRUCTION LENDING AGENCY " " I This permit is hereby issued und,
I hereby affirm that there is a construction lending agency for the Resolutions to do work Indicaled
performance of the work for which this permit Is issued (Sec 3097 Civ.) Z. I Venmm/,lwl.,
PERMIT EXPIRES ON:
Address:
,55, g�(,
sions of the Buns O.nunty CodR 8nrtlpr
have been paid.
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 form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes.
Print Name: ," C 1 �Li r`^�� c ` 0 " �71 65,
'Signature:
Date: 12 .` 22 —OL( _ .
'Owner
0 Contractor
❑ Agent for Owner ❑ Agent for Contractor .
COUJVTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDING...DI.VISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: I j /3I (4 {�C ; IPI/ o ASSESSOR PARCEL NUMBER��IJ�/
Proposed Building Use: Counter Technician: Date:
Items required in order to apply for if permit. All boxes �UST be checked OR marked NA in order to apply.
:J- 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.
O 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.
0 7. Statement of Intent for Non -heated and AIC 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
zdous Material Form
�' S: an;tion aR444e-plaa-approval from t ❑ Orev+e, asepphcabie.�04 tau T�
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 ........................................... ........
❑ Erosion Control Plan Required........................................................................ ...
Fees as shown on the attached Schedule of Fees Due Sheet ..............................
22. City of Chico Plumbing permit .....................................................
23. California Department of Forestry plan approvalpWaid. Sent by: ............. DR '�ti�0`� 9 ss •o.�
j 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: o
❑
25. Contact Land Development about _ Improvements, _ Drainage .........................
2 NPDES Form.............................................................................................
27. ncroachment Permit for driveway from the Public Works Dept ...........................
❑
. 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) .....................
[�,•
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 /I/)� 2/ - V L�� �'//��r oar and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:✓Mi/L/4.Date: q- o? / - OX
1. Index permit applica6{� for ve' u Plan Check Letter
2. Additional items re u
Contractor, designer owne vise a ab data ppone, ❑ mail, ❑ counter, by Date:
Contractor, designe own r as advised of the above data by phone, ❑ mail, ❑ counter, by Date: ! I'S -n
Plans reviewed by: Date: Plans approved by: W I L - t_ o A .-J Date: l I • os�
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: M Date: i t• 4.04 ►� ,, ,fin, ,,l
Yellow: Building Division uWllt�s�l ��
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 Uedq A.P. # q-3 (/—a cl
PROPROSED BUILDING USE N fQ%QG%(� DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $4� _,2 2 _
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
_0 L2. SCHOOL DISTRICT FEES C r0vi �G Vn all � I ,
(paid at School District Office) (form available after Plan Check)
f�
3. SHERIFF FEES (paid at Building Divis'
Residential ............$36 .0 $
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg
q -1 I • c)4-
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X = $ _
Sq. Fig. 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
UM (paid at Building Division)'
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone
Zone
X =$
# 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 changed during the playl checking process.,
APPLICANT
DATE 9_ I_ O
Pursuant to Government CodeSection 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 _
2004-0058384
Recorded
Official Records
Count Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
03:32PM 21 -Sep -2004
REC FEE 7.00
CONFORM 1.00
Alyce
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:
Lof I46, CA -5 sh OLJn on til 6J eer-tk1 h nma 00+ii(ed
X10-P?0r civ► i -I Ido �W In i VA ma.P UJ0--tin e o-Fk{ e- o�
Ae corclgA- o� 4Q Col:4-rl-j J I )ck� of �(-Fo�vl iCi � 0a, ho
"I 6 3 1 h 16®O�C D p -F iM -%,0 5 �f Pa� e5 20 ,e,v► d
Date LI PROPERTY OWNERS:
dialU 906110 I- VCtrlqCcB /llel�y R r7G�i/i��G1?�t�
State of Californi
County of a
personally appeared personally
known to me (or proved to me on ihe basis of satisfactory evidenc to be the personM whose name(*) is/mwsubscribed
to the within instrument and acknowledged to me that loWsheAboy executed the same in 9Wher/tom authorized
capacity(i*, and that by ft/her/t#sdr signature(o) on the instrument, the person() or the entity upon behalf of which
the person( acted, executed the instrument.
WITNESS my hand d officia ea
Signature Seal: MARIE F. CLARK
Cornmiss:ion 6 1365835
C _ _ Notary Public - California Z
A.P. # �. V ' ; g,0_ ,. Butte County
W Camm. Expims Jul 22, 2006
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per.Building)
!,;School District Building Department No.
A.P. Number Jurisdiction: City County
f Property Owner
Property Location/Ai
'Subdivision
Dql
Lot NO.
Residential Development
.................. ........ .......... ....................... 4 .... ...... . .........................
Sq. Footage I A/
No of Living
Mobile Home
Addition/ *Supplemental to
(Group R)
Units
Installation
Conversion Permit #
*(No foundation Inspection)
.......................
Deed Restricted
Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/industrial Q
Q
Sq. Footage
New
AddMon
(including Exterior
Roofed Areas)
Building Department kepre'se
Date
District Identification, No. L
School District certifies that
%plicant)
e- 171
(Street AddJess) (Phone Number)
0 a -i cvot
(City) (State) (Zip Code)
16
has complied with the requirements of Resolution No. 3-og- -t4 by payment of $
representing square feet. 2926 $
FULL GATION $
Ck
School District Repf6sentative Date
Paid by Check # Remarks: Q (dot
2-11C
Nofts: You may protest the imposition of the fees Identified above by submKtlng a written protest to the District, In compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely vaiftn protest vAll'prohfl*
you from challenging it* Imposition of the fees In any court action.
if, sidisequent to the School Dhold Representative signing this - Butte County Schools Impact Fee Certification Form, the SdxxA. Disirld Is
r.
nlofliled by the applicable Local Planning Agency that this poled Is being reviewed under On California Environmerdal Quality Act (M").
this project may be subject to additional school fen to fully mlilgals,ft Impact on the school dh&kft schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xIs (t0/03)d1m.rn
Department of Public Works
C o u m y o f B u t t e
O
o Director LAND DEVELOPMENT DIVISION
J. Michael Crump, Storm Water Management Program
C 7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NluDon)Preve Phase
11
Construction Storm Water Permit an rACRE
,Plan (SWPPP) Acknowledgement ILESS THAN 1
� 5 � d � (�1 Gt. Oi-Gf�-�2iC�g
Project Description:
Project Location and/or Parcel Number: 1
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 L 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:'
Title:
Ow
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
O.B.- I
OWNER -BUILDER VERIFICAUMN
Attention Property Owner:
An "owner buildee' 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 =necessary delay
in processing -and issuing Your building permit No building permit will be issued until this
verification is received.
*1. 1 personally plan to provide the major labor and materials far construction of the proposed
property improvement: YES �) NO ❑
2. I HAVE h$ HAVE NOT ❑ signed an application for a building permit for the proposed wo&
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAMM
ADDRESS: CITY..
PHONE: CONTRACTOR'S LICENSE NO.�
4. I plan to provide portions of this work, but I have bired the following person to coordinate,
supervise, and provide the major work
NAMM:
ADDRESS: CITY;
PHONE: CONTRACTOR'S IICE1 M NO.
/ �/ / ' • �� ' / _ / n r e . wee•: .e �e _ �•� n e e z • e d= e s e -e e
INAMM ADDRESS PHONE TYPE OF WORK
C�i�ra Yar be kg&r
SIGNED: ., n
SOCIAL. SECORTIYNDmmE%- ()
DATE:
NOTA: rhir Owwner Builder Verif-icadOn is required by Sec€ on 19831 and 19831 of the
California Heafth and Safety Code. M V rr w4fion rnuct be completed and
OWNER BUILDER INFOTION
Dear Property Owner.
12 -JR. — I
An application bra bmil&g Pmmit has bees submitted in y=,,rine listing yourself as he bm-M= of property
spc
For Yourprotec[ion, You should be aware that as "owner der" Yon are the resPM-Mlle party ofrecord on such
a Few Big Pemiju are not req¢aed to be signed by Property owe unless they are personally perfo
own work If your woric is being perfmed by someone other thanzmiBg ��
liabiUy if that Person applies for the Yamsel� S'O1r` P Yourself from possible
PmPerPeaaiE is his or her name.
license from V are s bY law in be li ceased and bonded by the State of CaMmia and to have a business
apply.
O1 p T hey are � required bylaw to put thea license nnmba on all pe7M for which tbey
If YOU plan to do Your own wad; WA the ecepiion of Various trades that you plan to Mbcautact
be aware of the foIlowing fi f n=mtlon for Your benefit and proms
you should
a Ifyan employ or otherwise eagage any Pms= ad= than your mmmedrate family, and the work (mclnding maimiA
and other costs) is $300 or more for tit$ entire project and such Persons are not iiceased as or
subCDUtr s, then you may be an =player.
♦ If you are an emPlaM YOU must regi WA tip State and Federal Govemmmrx as as
subject to several obiigalions inclndfrg sft and federal _ ta midand you are
W° = insurance, dkabituy iz ae = costs, and ill social seat* x.
♦ Tbm maybe financial risb for �� ' camprasatioa coniizbuiions-
¢Y°II aO CMY aui these obHPSDns, and ff=e rids' are espeaSaiiy serious
wi& respect to worms compensa m bsmm,,.a
♦ Formore V=f= inn about yaw obligadOas order Federal Law
if you wish, the U.S. Small Business • • • coz�act the REve�e Service (and,
State Law, contact the D )• For more spec im about your obligations under
epartmen2 of Payments and the Division ofIndust W Aoddmt&.
If tit' structure is bftnded for sale, property owners who are not licensed
work P��9 or frrough their own emPIoYees, without a licensed are aIlowed to perform theirconditions. �iracbr or sub=mhmctor, only under limited
A frequent pracdce of unlicensed persW Proms to be coairactorr is to S=M an
p�� Y imP�g that tine propy owner is p¢ oviding his or her own labor and bm7des" building
p_xmits are rat to be =31mW Building
InS�adion ° � �Y M pig � own p gy.
community or at 1020 N Street Sacaam� GA. 95814. S� Board is your
tb
SO fo
Please comple tine
=OW= BM
on t* revers' side of this ga that we car confirm ax you
IdWare aware of hese matters• The bWI&g P=Mk WM rot be issued u=j the Veaificaiion is returned.
!!T
71
-Er 0Wn-Cr Bi� is Te[jr &ed by S9CTZ0$ IsnDOf 1�!= CWOTlifQ $Pd�$t @Ld SOfE'ly C.
00
ti
N
O
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
TO:
O FROM:
1
SUBJECT:
M I DATE:
WILLDAN
Scott Rutherford
(530) 538-7160
srutherford(ftuttecounty.net
Plans Transmittal For Review Per Contract
9/22/2004
Applicant: Vargas, Nelly Permit 04-2768
Project Type: Residence/Att.Gara e APN: 069-360-059
100% 70%
Plan Check Fees $ 924.79 $ 647.35
$ 924.79 $ 647.35
WILLDAN Fee $ 647.35
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
ENCROACHMENT PERMIT
County of Butte Departinent 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/publicworkstforms.html
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Permit Number District .
Phone (530) 539-7157 Ext- 2016 -
APPLICATION
WE, the undersigned, hereby apply to the County of Butte for an encroachment permtt to do the following work under or over the County roads
td hi hways, all in accordance with Countyordinances and eneral laws. (All information except npayName:re must be or legibly rimed
Applicant's Name. , i L`�1 (�((,c t d 1( �C �� �S
Address: ,5() -( LA Gl� O
�J 1` S
\ CS
os Parc.17
el Number
-to � '�5
Location
of Work to be Done �Ze G
` `117. fate: (�
Applicant's Signature i��%
CONTRACTOR'S INFORMATION
Contra for s Name ®EEMBBANS WWRISES
Address 590 Saudi Fifth Avenue
�r
3.
r i 1_ Fax
Pb° (530 533-3114 -5 -3
33 (Z(
�� 13. Certificate of Insurance:Yes
2. Contractors License Number.
14a. Date Signed: /2 i.►��
4. Contractor's Signature: ��
5. Authorized Agent:
TYPE OF WORK TO BE DONE
17. if Driveway
Curb: ❑ Gutter: ❑ Sidewalk: ❑
8. Other Work -
s- 3t
No: ❑
❑ yes ❑ No
PERMIT GRANTED
nditions written below,
i compliance with the above request, and snbjeci m aD terms• conditions [mciuding those on page 2 of this permit form) and special co
ermission is hereby granted.
6. Conditions
)nd and Service Alert .SA must be notified two workin da riot to an excavation. 800 227-2600
1. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑
23Exp nation Date: 24_ Surety. , ,
2. Date issued _ G�
.5. Date
pug, PPaid27_ Paid BY
28. Receipt No.:
p,"4e
<-� :
dike Crump.- Director of Public Works
29. Final inspection Date: 30. t
;urCountY
Use only- 3 ],
By:
By. ---d ❑ Completed - OK ❑ Completed — Not OK
❑ Additional Comments Attached
PERMIT NO.:
91-04
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: December 21, 2004
Applicant: Nelly R. Vargas
Applicant Address: 405 E. Arbor Ave. Sunnyvale, CA 94085
Applicant Phone No.: (408) 736-0459
Property Locations(s): Gleness Ave. Oroville CA 95966
Ballantrae Sub Lot 16
069-360-059
A. P. No.(s):
Fees due: $650 LOAPUD Connection, $1,690 LOAPUD Capacity
$1,027 SC -OR RFC if paid by 12/31/04 $1,277 after 1/1/05
Application for service approved:
dQJZk OROVILLE AREA
PUbLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
M
Lake Oroville Area Public Utility District release to close permit:
Date: By:
Date:
tl 1-1. A— 1. R-11 R. Court, Anne R. Count. Jahn S.
- Treat., being all ft polfi,, hmi'n a lal—It In the
ANTRAE MANOR UNIT No 2. a. Ah- an flu .1t..bd map, do
I he andy pe- he.. --I I. w Pa.. . I..'
t�ni. RALL
lilt. cad " cOnseel to the seecololice, ard"nocati'lle, of sold race, a ShMa
iparr the CC4,.d If—
We off, 4w duffull.n for tpufl, prepaue the fallo.i.,;
RIdhh of way and *uccoun,to lawater. 912, and sure, Pipes and far pOas and
dad end andsWcond wins far de,16c and telephone, sar,tce Ingellnu with any and oil
O
rtuaranals M."WakV therelo,on.mv,andorder thou strips of land lying bMu,th6
crulle, ft Ilass of lots 006 the lines dasiguled PUBLIC UTILITY EASEMENT
GLEMESS DRIVE I BENCAJRNI DRIVE, CHARTE DRIVE, and PARCEL -A- are tremby
offered far dedk.11- for C-11 road ourp—
Charles F. Reals Ann L. Re I. Derrell R.Coso,l
An.. R. Calwat John S. Rua Ma
0-111. Till. Company 1,14214
. I /
L -O.R. R."R hereby cartIFY 0.0 1 am a
ChB
E,4— of 46 Rate of Caforyda; Ote He -3—d oup of
........ . . ..... . . .......... ............
adnae-ov -P-Ma ft A -7 muds —6 my up -49- In
*0 flet —.y 1. oeetAfsfe. dews. Ow the vntuanewd' A.- A— snot ad are at
the oho—ft, and apy 16 p.4ficut Indk4fd.andl ora suffi.40 ft onalle the tansy to
be retr.cad.
I . ....... ................ . . ....... ... .......... D6.4ar .11 P". Wcah .4 46
COUNTY OF BUM 5&.% .4 Colii.mi., & 1—by artily ffudf I has crunlaul The &.1
map of _044'_A" 44 !?: ..... . . . .............
and that If k -160ca" One .— as whet eppwrs on the T.If;- Mop ce file cad Any
.pp—ad .1farati—, flurf all M. P—iliand of flur S".6i- Map A& of A. State of
California, and tatty, local or&-- -PPI-W at the fima, at PF—I of mid Teal.N.
Meta be,- be- compEad .4b, and I — edally 0—f
7--r . .................
pA
I. D4_*.r of Pluoirng of the PLANNING
COMMISSION OF 71-M COUNTY OF BUTTE. St.% of Colifai.. do hereby ..W41 40
f6ananned fee] map of .................. .. ........................ ........
.. ........... .... .
Ste. of C.U.I.4
codecs aubstiorHolly wiM the svbcreiifan ddp 4— an the T.f.fi- Map width was
Coaafy of &&. by " cideactission, der the
MAS
lg-" beton ma.�RB11/1K12.
Noittay, Pubic in and fw He Country of eu*e Personally appeared
Cas 'FAC.S.— la— to me I. b. the P.— who —cuted
+be foregoing ..11if—to and kmr'jdgd to — f6f they saecdad fire
I . . . .. .. ... . ... ........... . . . . ...... .............. ... . .. ... Audit- of the COUNTY OF BUT*. State
Ithy, Commk� Notary at California, do h..by ..Mffy the Here are - fee 6. .9.imt.
A�J�j±(.qc, _ ..... ...... .. . .....
es i—its aN f.414 orr unp.;d Stele, County, M.rkjp.L A, 6..1 fuse., or W -W a,...
meats not YO py,,66. Taem ar w—dich wk" aro e Ber, "q*,04. py.66, 1 .01.
feerle, to 6. be fie .—.* of Szjsi2'9
State of Uifwni. I
Counly, of Belie
On MAY_. 4 19.63, before me _ZAr_1C tf. -r
personalty appaoed
... .. ... . . .. ......... ............... .. . ......
Into—
. . .. ... ........ .....
ter the pf;o,. flf —W 16 hhi, imt,t, -A one larcam to rue to be the
Ano-. -4. --W it — behalf of such —p -.t;. and .6-4.dged to — that --h
c.,par-fan, ne—ted the umd.
My CamaiionA'�zw',4 f.. ^11.a___'.. ,
Not— Public
Ido hereby certify ffif enthe day of .. .. ....... 196_3 floe
BUTTE COUNTY BOARD OF SUPERVISORS -PP,4,-d the S,6d;Af-- Map of
... . .....
. ...... it. receipt i ullfa.my Seung in the
AUD50R'S ,tim-faul a -u-f at $16-47-7,7-f- i-11- Payment of f.—,W.h are, . 6- but
net Yet payable .., ..Iteolodged.
.. .. .. ...... ...
Drown a.'said map cad offated For dedication wore —.0trd ow�' •i cf if. Rb!;c far
red purposes. cha�jl, D,;,, -1 P-1 A
C—ty �U.4.ins.........._ By ... ........... . ......
Deputy
R—dul In the, offlea of #6 heard. of BUTTE COUNTY, State of Calfeati., of free
quest ofAp.!_' this .6 dA" of _Xa'
19.63. at micut. pert 4 o'clock P. M. In M. B5 -k a'P 0
I — ! _.
Cau"Ay R—dwq4
Rft.,Uw Kew—
El A
BALLANTFAME MANOR
UNIT NO. 2
BEING A SUBDIVISION OF A PORTION OF
LOT 9-GLENDALE RIDGE TRACT -UNIT NCA
OWNER AND SUBDIVIDER
CHARLES F. REAVIS ET.UX.
OROVILLE CALIFORNIA
D. R. ROPER
CIVIL ENGINEER R.C.E.11553
OROVILLE CALIFORNIA
SCALE 1"-106'
SHEET -1 OF 2
�-- --�-a
o_=1-
s
N
RACT N'I
R!i
5 AP 8K.enc
13 IF,.
c
6
k
A �v T k
2'w
LOCATION DIAGRAM
C' I RioSCALE: 1'-4000'
3
7 6
o.Go) F.
9 %
Ad ,
x 10
14
13
8
o. DRIVE
o-------- - -------- ------IIB---
•
ia 6. GLE S --------
o. ..............
21 20 19 18 17
24
22
23
TAR.,
.73
CRECQRD 1721t5 1
o
CURVE DATA
A 0— E RIDGE TRACT UNIT I BALLANTRAE MANOR
A: IT S•47-CY OS* IIASIS OF BEARING 19 THE SOUTH LINE 0! LOT 9.
TOTAL siPG'A
L • ..'E' I L As g.a.57,w.
.'. :W.. UNIT NO. 2
A A FOUND IN.. I'll
5'9' BEING A SUBDIVISION OF A PORTION OF
L—A
I .... P.P.
FUND COMC. MO..
C
A• . LOT 9 -GLENDALE RIDGE TRACT -UNIT NO. I
-so' SET CONC. MON. A.C.1.11551
L•]].38
OWNER AND SUBDIVIDER
A AD. .
A0*
t -T3..4 CHARLES F. REAVIS ET. UX.
OROVILLE CALIFORNIA
D. R. ROPE R
CIVIL ENGINEER R.C.E.11553
OROVILLE CALIFORNIA
SCALE I"=100'
SHEET 2 OF 2
Y. W I LLDAN
Serving Public Agencies
November 1, 2004
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749:2199
www.willdan.com
Willdan Project No:
14353-1166
Jurisdiction Job No:
04-2768
Assessor's Parcel No:
069-360-059
Description:
Vargas Steel Building and SFD
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 conditions noted on this page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
* Plans: Two (2) copies sheets 1 of 2, dated 08-30-04, by Outback Building and Ask 4
Engineering Inc.
�k Steel Building Instruction Manual: One (1) copy dated 06/06/2003 by AG&S Building
Systems
# Structural Calculations: Two (2) copies dated 09-03704 by Ask 4 Engineering Inc. -Seth M.
Light.
�k Energy Calculations: Two (2) copies dated 09/18/04 by Nelly R. Vargas
The plans have.been stamped with the Willdan approval stamp and dated the date of this letter.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as redlined on the plans.
WILLDAN
Serving Public Agencies
APPLICABLE CODES .
Unless noted otherwise, all comments are 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 Electrical Code 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
Zr
abbreviated herein as "CECS". �' • ' ,: u r
CODE ANALYSIS
Type of
Occu anc
Type of
Construction
Sprinklers
Stories
T' Floor
S Ft
2° Floor
S Ft
Total Sq Ft
vim:
_ • x• -
7'
atsi 3N. L i.
-
;f a„'• ^+;r',y.;N,gr
{ tw.`
,.;/.` S'`7 •,
tir
.,, �"T e.
_�` ,-
R-3
V -N
N/a
1.
432
N/a
432-
U-1
V -N
N/a
1
1044
N/a
1044
Porch
V -N
N/a
1
143
N/a
143
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals noted at this time.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
A r
Sincerely,
Rick Essenwanger
Plans Examiner
CC: Alice Mefford, Email: ameffordAbuttecounty.net
Nelly Vargas, 450 E. Arbor Ave., Sunnyvale, CA 94085, Email: nellyvargas@hotmail.com
Seth Light - Ask 4 Engineering, Email: outback@ask4engineering.com
Page 2 of 2
County of.Butte 14353-I 166
i
SITE PLAN REVIEW APPLICATION
Date: it 1zqA# q AP# Ae 9 0 —05-1
Permit Number (if applicable) V —27(a
APPLICANT INFORMATION Parcel Size:
Owners Name:
Vd/i a.S
Owners Address:UC l/'Z 9`f0�
Telephone No.: (i�0�) % 3(e -O�9
Situs Address: S,S 917oZ
Proposed Use:
Residential
R New Single Family Residential
❑ Single Family Addition
❑
Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑Commercial Addition
Commercial Remodel
❑ New Industrial
t .
❑ Industrial Addition
❑
Industrial Remodel
Other
❑ Septic
❑
Well
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
ti
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
11 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By Date J1ZYAq
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
® Expansive Soils (Test for expansive soils and if verified proper foundation design required)
® SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: 1'
• Flood Panel No.: APz S/ Index Date: �¢ Q
❑ Sacramento River Reclamation District (Approval must be obtained from the tailffornia 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: —
GP -A-2
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
a0
Side
/01
Side Street
Rear
/0
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
Applicable Developanent Fees:
Standard Fees
❑ ,Fire.
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
--------------------------------------
Subdivision Map Special Fees
Amount r. • , - Formula
r ,
❑ 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: El 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 M^p: 7/q --L,
41
Map Date of Recording:
Lot: &
❑ Use Permit/Minor Use Permit
Permit Number:
Book: Page:
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 1.3D, 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
FM
Page 4 of 5
.j
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