HomeMy WebLinkAbout071-160-059CO PLS �tTTO ECTOR
BUILDING'CODE VIOLATION
30 DAf�LETTER
2�`'
BUILDING CODE VIOLATIOI
`LETTER -10 DAY
`� 071`-160-059 - ''' y PERMIT#94-3290 V" S Lee M. ' 5.56,6gB3 _ 114-67B
[]EBB+.TRUST ', , " - �• . - 8WgH -257=67P
e
,, �, 931 6
400`CANTFIELD DR`. OROVILLSq r _ 53-67E
CONT: TODD'HEMSTALK7'
REROOF W/COMP °„& HOT SF off e/s Lumpkin Rd.• ap, 12 mi. (Byers Tra�,
05-07' A (new si ngle f y) "add garage
WEBB y *gib(,%HMNEWAL) J-o��-Ci
400 CANFIELD DR,AO CVILLl T � ,
Cont: OWNER: ^ r '
-,ADD GREAT ROOMISf
9
9
X�
• NOTES # RESIDENTIAL
�ll0 - I `•PERMIT NO. 071-160-0`,_
WEBB
O , 400 CANFIELD DR, OROVILLE
Cont: OWNER
ts:
ADD GREAT ROOM/SF
- QTY you -2539, ?Y&D Coe
Or -I"' FoawE 7awM - LumPlc 1�
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SPECIAL CONDITIONS
j CHECKED
ABY
SRA' `
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS' -
VERIFY
USE PERMIT CONDITIONS
{< SUB -STANDARD HOUSING LETTER
3
`,JOB F:INALED (Date) VA /6
'y Signature
li 1 "�'•},�i iw.. N •f, j.L y`..'ww�.T.' ey.. ... ,.....��l..il :,;;i. YY��N_iQ '�(e. �-e. P.y� � ..r
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Or -I"' FoawE 7awM - LumPlc 1�
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SPECIAL CONDITIONS
j CHECKED
ABY
SRA' `
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS' -
VERIFY
USE PERMIT CONDITIONS
{< SUB -STANDARD HOUSING LETTER
3
`,JOB F:INALED (Date) VA /6
'y Signature
li 1 "�'•},�i iw.. N •f, j.L y`..'ww�.T.' ey.. ... ,.....��l..il :,;;i. YY��N_iQ '�(e. �-e. P.y� � ..r
J=OK
0 = Not OK
Not Ap
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Locaiion-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or / P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except ft
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Regjirements-Setbacks-Easements _
2.
Footings; S'ze-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
t
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
I(-j(o-Q(D M
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
53.
6a.
Hold Downs and Special Anchors
54.
7.
Slab, Steel -Wrapped
55.
8.
Piers -Fireplace Ftg.-Steel
56.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
57.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
58.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
(16V
1.
12.
Electric Underground
62.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
63.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
FINA tans) OK except #'s
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
.
QIV
Water Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
69.
20.
Shower Pan; Test, First Floor -Tub Access
70.
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
72.
23.
Fire Sprinkler; Test
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Date
Date
Elec. Outlets & Receptacles at Kit. Counter
IC 1 Date Card B-1
Card B-1rZ
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
R ex Installed Close to Edge of Studs & C.J.
80.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
9.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
_
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
87.
Water Well, Disconnect, Electrical, Plumbing
Date
00
Card B-1 Date Card B-1
Date
89.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Glass Protection
36.
A.C. Ducts Insulation & Support
Corrections from Previous Inspections
37.
Vent Fan, Exhaust above insulation
Gas Test -Meters Tagged, Gas -Electric
38.
Condensate Drain & Overflow, Size & Grade
ter & Sewer Connected -C/O to Grade -HD Approval
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Energy Compliance Certificate -Other Certificates
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Q
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & 9oor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
%.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
I(-j(o-Q(D M
arage Fire Protection Framing- &%rt@I 1'= CAy6AZ
53.
Property Line Firewall & Openings S )f6,cT20Cje_ o'/e- 0C_
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits /f-!
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Acgess
(16V
1.
Glazing Area Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINA tans) OK except #'s
E . Steps -Door & Sidelight Protection -Landings
moke Detector
66.
Furnace Vents -clearance -Comb, Air-Connector-
IryGarage; Above Floor-Ducts-Mech. Protection
�droom Exiting
.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
yrs & Rails
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 0 Yes
_
83.
Following Instld./Drive D Yes 0 NoMalks D Yes 0 No/Planters 0 Yes D No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
ter & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
4pard
B-1 2, Date Card B-1
Dat
Q
Card B-1 ti t Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Fi al:
A. Joiner Enterprises i
_ 4
1170 Marian Ave:
Chico, CA 95928
REPORT OF EPDXIED ANCHOR -
INSPECTION/ TESTS
DATE: 2/25!06 PROJECT: Bart & DebbieWebb
Residence,
CLIENT: Bart & Debbie Webb
Spencer Road
.Oroville, CA 95966
Type of Adhesive: Simpson Set 22
Number of locations: Two @ 5/8" dia.. and Four @ 7/8" dia.
Hole depth: 3" and 8" embedment
Hole diameter: 1�4" and l"
Anchor type: Threaded rod
Placement: -Lower level foundation/footing
DESCRIPTION OF WORK:
Arrived at job at am hrs to provide observation of epoxy-grouted seismic anchors in the
footing/foundation. A total of 6 anchors were•installed per detail on sheet 1 of. 4. All holes were '
brushed and blown clean withcompressed air. The adhesive was injected into each hole in
sufficient quantity to cause exudation of the materialwhen the anchoi•s•were•inserted. The anchor'.
bolts were rotated during and after insertion to insure proper bonding of the adhesive•to the bolts.
Departed jobsite at pm hrs.
A.Joiner
Inspector CBO/ICC # 5028458-48
FT
COUNTY OF BUTTE.
BUILDING DIVISION:"
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
,1
CORRECTION NOTICE
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OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
j.
work is completed. If you have any questions pertaining to this matter, or need additional
-'
explanation, please contact the Building Inspector as indicated below.
(,A
Date , V 7 Inspector
REV 4/05 Phone # � ;!5 7- (�2
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
Y
,'1C0UNTY OF BUTTE, ,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
b-7 33
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OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
1 1
PIS 0 U 10C- S 01OI-C- LSC -FC- C70 K S
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PEP-- Oon 2E-cT1 o � A(6 ICE D1472�;D
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Date V b Inspector
REV 4/05 Phone #`. Z
FOR RE -INSPECTION -CALL: 538-7636 OR 891-2834
Date Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
<.
COUNTY OF BUTTE
,zF _
BUILDING DIVISION
r
'
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
-:
CORRECTION NOTICE
OWNER PERMIT NO.
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t�
A routine inspection indicates that the following violations of Butte County Ordinances exist at
s'
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
t
explanation, please contact the Building Inspector as indicated below.
Date Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
.7 County Center Drive * Droville, CA - (530) 538-7541
i-n120=1-T1t-1K1 K1r%T1PC
OWNERS PERMIT NO
?," A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
ork'is completed. If you have any questions pertaining to this matter, or need additional
planation., please contact the Building Inspector as indicated below.
I mt� ..
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FAP
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VP-,, Date Z' Inspector
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REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
rgryr•.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
»N1711kiIN, [a]
BP050733
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, ORIF 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: 07/13/2006 APN: 071-160-059-000
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.
Site.Address: 400 CANFIELD DR FFS
License Class : License Number:
Map Index:
Date: Contractor:
Description: addition over exis carport - as is (688)
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: WEBB TRUST AGREEMENT SEPT 16TH
permit to construct, alter, improve, demolish, or repair any structure, prior
1983
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
WEBB ERNEST JOHN & JOYCE THATCHER
the Contractor's State License Law (Chapter 9 commencing with Section
TRUSTE
7000) of Division 3 of the Business and Professions Code) or that he or
2256 W. RIVERS EDGE LANE
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
ST. GEORGE, UT 84770
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
Applicant: WEBS TRUST AGREEMENT SEPT. 16TH
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
1983
sale. If however, the building or improvements are sold within one
WEBS ERNEST JOHN &JOYCE THATCHER
year of completion, the owner -builder will have the burden of
TRUSTE
proving that he or she did not build or improve for the purpose of
sale.).
/l,
2256 W. RIVERS EDGE LANE
as owner of the property, am exclusively contracting with
ST. GEORGE, UT .84770
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State' License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Contractor:
Date: d�0 Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
License #:
is issued.
❑ 1 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:
Architect:
Engineer:
Carrier:
Policy #:
6d'11 - 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
Total Square Ft: 688 S.F.
become subject to the workers' compensation laws of California,
Valuation: $44,720.00
and agree that if I � should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
Census Code:
forthwith comp y with those provisions.
Applicant:'�
/ A /,/� /%�
C / 18,
%
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
��/
`/ /' `✓ Vf ` " (l/
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
���(/
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CONSTRUCTION LENDING AGENCY
Tis permi ' hereby issued under t app cable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
esolutio to do work indicate a ve f which fees have been paid.
`f
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
PERMIT EXPIRES ON: / u / 3 :�'
Address:
,Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that 1 am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon theaaboov�ee mentioned property for inspection purposes.
• Signature:
Print Name: QyiL�ey \77
^
Date: ��/ �+��y
IWOwner ❑ Contractor ❑ Agent for Owner . O Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
rJ4 ��o '-$ f C�-a " :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 C v
A FEE WILL BE REQUIRED AT TIME OF APPLICATION Cf.
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY** �1
APPLICANT SIGNA URE
X
For office use only:
OWNER
Last Name
Name
Firs Nam
_rM
O LT
State
Zip
Address
Zip
Fax
E-mail
City
Lic. #
Stat
Zip
one-mai
re
Fax .
E-mail
APPLICANT SIGNA URE
X
For office use only:
CONTRACTOR
Name
Address
Name
City
_rM
O LT
State
Zip
Phone
Zip
Fax
E-mail
Lot #
Lic. #
Class
APPLICANT SIGNA URE
X
For office use only:
APPLICANT NAME
ARCHITECT/ENGINEE
Name
--�"
_rM
O LT
City/
Address
Stat
Zip
City
Page
Lot #
Zi
Phon
r
1
Fax .
E-mail
Ste Li se e�
APPLICANT SIGNA URE
X
For office use only:
APPLICANT NAME
Name
IA -71 4X a/
Address S
_rM
O LT
City/
Occ,
Stat
Zip
Phone
Page
Lot #
E-mail
Date Approved:
APPLICANT SIGNA URE
X
For office use only:
Zoning 41517D
Flood Zone
City
d Raw /4
SRA
No
Occ,
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
65' 61-3�3
BP
LOCATION
AP#
Property Address
Yo G
City
d Raw /4
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
I.compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:
Amount: I _<1�'� Bldg
SRA
Receipt #:
1 asll�v
I
Sheriff
SMIP
Page 1 of 2
Date
Total
REV 7-27-04
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
KAFORMSWILDING F0RMS16IdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
1
r'
v
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 plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C 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 bidgs: (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
KAFORMSWILDING F0RMS16IdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
I
LO
C)
utte County Department of Development Services
)NNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
TO: WILLDAN
FROM: Scott Rutherford
(530) 538-7160
o�vrr
Fo
O p/ / O
0 0
o
CIO U N'�y
E AM srutherfordabuttecounty.net
® SUBJECT: Plans Transmittal For Review Per Contract
DATE: 3/22/2005
Applicant: JWebb, Bartley Permit No: D5 -0733. -
Project Type: Room Addition APN: 071-160-059 ..
100% 70%
Plan Check Fees $ 428.92 $ 300.25
$ 428.92 $ 300.25
WILLDAN Fee $ 300.25
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
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:���
ASSESSOR PARCEL NUMBER , ( 1
Proposed Building Use: �� 1
Permit Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orderapply.
IS> 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
❑ 12. Hazardous Material Form
.1 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
wining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ..........:................................
�1�/ Erosion Control Plan Required........................................................................
'4' C/20 -.,,Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the Cityy;of Biggs ........ ... .............
jr23. California Department of Forestry plan approval to paid. Sent .
(Planning approval for (A) Use: (B)Parking: (C) Parcel eck:...... e
❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................
26. NPDES Form ............................................. :...............................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number.�.....................................
30. Owner -Builder Verification ( _ Given to owner, _ailed to owner) .....................
31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
35. ❑ Legal description, ❑ M.A. Title, title search, registration or MCO .........................
6 Other:
❑ 37. Other:
When issued Telephone �P`t� and hold for pickup.
I have been informed of the abov items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permi a pli ation for the above items numbered: Plan Check Letter
2. Additional items re wired
Contractor, design r, o ei as advised of the above data byphone, ❑ mail, ❑ counter, by Date:
Contractor, designer, ner, 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: r
Structural reviewed by: Date: Structural approved b ° `� Date: Tj
Note transfer by: Date: ' - 6
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
PROPROSED BUILDING USE
1. BUILDING PERMIT FEES
--- Balance Due ...................... $
�.'?
Additional Fees Due........... $ _
A.P. 4011 ' I (0d Vc
DATE ✓ � � I - 05
RECEIPT # DATE REC.
---Revised Plan Checking Fee.... $ `
2. SCHOOL DISTRICT FEE ' 1� veil !6-6(paid at School District Office) (form available after P an C e k) 1
3. SHERIFF FEES (paid at Building Division)
Residential............ 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.
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
_�. SRA FIRE INSPECTION AND PLAN CHECK FEE
—'$89:00 (paid at Building Division) dbLy O) V'2'
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Gone S units Amt.
Commercial (sq. ftg.) ...... -----X, _ $
Sq. Ftg. 'Amt..
10. OTHE 178-9
_ / 6
At time of permit application, I was advised, the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT DATE 3 - 9--1 " XD6
Pursuant to Government 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)
Butte County Departmelitof-DevelopnelitServices o%)rrFo
7 County Center Drive o
o
Ciroville, CA 95965 0 ` = o
(530) 538-7601 Telephone o =' o
(530) 538-7785 Facsimile cOUN'�y
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
• I need to submit applications for septic andlor well to. Butte County Environmental Health
immediately.
• I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
• I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for'disposition of plans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities. that could prohibit issuance of the building_ permit or r uire
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
i
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer -zones, and habitat/species).
Please print:
Applicant Name:
Building site address: 400 C/1 -n 1 -ti) %c-1 A A
APN: C�7� , �G d -e 9f
Permit No.:
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
SIGNATURE OF APPLICANT DATE
Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 020705
03/15/2005 03:08 4082519089
Bartley Webb
11755 New Ave.
Gilroy, Ca 95020
To whom it my concern:
MCKEE DENTAL XRAY
March 15, 2005
Jeff Ford has the power to act in my behalf regarding permits for our property at
400 Canfield Dr. Oroville. if there are any questions my phone numbers are Day (408)
251-5112 Eve (408) 686-1336 Fax (408) 251-9089
Thankyou,
Bartley J. Webb
AM 07/- iso -059
3fallv5 C
Y-
r r�v �"ro,n�zrfeof
aLV 012,bb �5 �k's
WA
PAGE 01
? PST'^4NT
T T�°�
i O t
�a
�LIC WCR�
Department
'.0 o u n .t
J. Michael Crump, Director
of Public
o f B u t 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 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement rLESS THAN I ACRE1
Project Description:'j)i
Project Location and/or Parcel Number: Q-7/ —.� 60 — 069'
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'd 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:
Less than 'l Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
C-,bM-PJ:bC"
Attention Property Owner: 6
oS�An "owner -builder" building permit has been applied for in your name and bearing your
signature.
= Please complete and return this -information at -your -earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the ma' labor and material for construction of this proposed
property improvement: YES [ NO[ ].
_ 2.. I HAVE,[., ]..HAVE.NOT [ signed an application. for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
!!G_/ __/_; _, /_
SIGNED:
PROPERTY OWNER: I X66
DATE:
NOTE:.. This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed. and returned to our office before we are permitted. to issue the
permit.
V - Rev'd 11/4/2004
Butte County Department of Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538-2140 Facsimile
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There'may be financial risks for you if you do not carry out these 'obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
'state law, contact the Department�bf Benefit Payments and the Division of lndust ial Accidents. '
I£'the-sttvcture is intended `for'sale, properly owners who are not licensed contractors are allowed to pefform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensedpersons professing to be contractors is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
/AJ.....l'N . I I . .
MicYkel C. Vieir4 C.B.O.
Ma ager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
03/15/2005 03:09 4082519089 MCKEE DENTAL XRAY PAGE 01
Bartley Webb
11755 New Ave.
Gilroy, Ca 95020
To whom it my concern:
March 15, 2005
Jeff Ford has the power to act in my behalf regarding permits for our property at
400 Canfield Dr. Orovzlle. If there are any questions my phone numbers are Day (408)
251-5112 Eve (408) 686-1336 Fax (408) 251-9089
Thankyou,
,3�Aze,0000
Bartley J. Webb
101V o171� os9
1
i) E.H. (_ICF AYI V
Plot Plan Attached _
Floor Plan Attadred
Sent to BD/DS /
TO: Building Division = Development Services
FROM: Environmental Health
SUBJECT: Sanitation Clearance
r—&v+ Uj " i M
Owner Location AP#
Plan Approved for:
Sewage Disposal
Water Supply: Public
Pri,
ate Well_
Clearance for
dwelling. Other
1� i'
a
Hold final for:
Final clearance O.K. for:
NOTE:
J
Environmental Heal-th Specialist
Building Clearance 9/2005
Date
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
FACSIMILE CO
Date:
To:
From:
Subj ect:
'R SHEET
a�
Number of pages (including this cover sheet):
Fax Number: v6 I
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
Special Instructions/Comments
/ �. C,v--e ire �� l o'nce� i �'�• �S
Sincerely; f'("�''-�
G
C
ONFIDENTIALITY NOTE: The information -contained in this facsimile is confidential and may
tain privileged information. The infor tion is intended only for . the use of the
l of entity to whom itis addressed. If you e not the intended recipient; you are hereby
hat any use, dissemination, distribute of copying of this communications is strictlyd-lf—you—have--received— csimile, in error, please notify me immediately by
telephone, and return the original to me. Thank yqu
S
lice
V36(
07/0312005 13:22 53053202550 JFORD PAGE 02
School Dalrict
A.P. Number
Property Owner
Property Location
Subdivision
BUT"T"E COUNTY SCHOOLS IMPACT-YEE CERTIFICATION FORM
(One form per Building)
etJ Guliding Department No.
C�7�-i� ���ur►edlkxton: City . E counr1
�pg000
Lot No.
R"dentlal Development i Sq, Fuge
No of Living Mobile Home Addit rV 'Supplemental to P R
Units Installation Conversion Permit 0
.
•(No foundation Inspection)
.-...... W ........... ........ ............ .............. _... ..... _..........
.
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice bf Limited Use Facility document)
COrttm6tCigl/indu5btal M $q. Footage
w Addition (Including Exterior
Roofed Areas)
Sul Department Representative Date
Identification No. 7 VA 0 ® 7
has opmplied with the requirements of Resolution No.
ftrt388ntfr (� o squarefeet
School District Representative
certifies that
plic�nt)
(Phone Number)
(state) G� (Yip Code),. f pf�
by payment of $ / a v�
EU
2921iLL MMOATIOIN S
- . — Date
Paid by Check 0 Rernartcs:
Nafte: You mer proast the hnpaaltian o1 tho two loontifled Above by sukmrA ng a wrfdm prolad to On DiMct M convoNaoc* eultfl
6over»mem Code Skden $ 020(al. wkWn 90 doyre from Ow doom Pom aro paid. Fettum to submit a timNy m ft" pro"" Wo pratrlbit
tau from_chalio►1Eing ft (reposition d the few In any court mom.
�..rr.n�.. ,rigrr+row
N, 6uAa6quent to the School District RWeaenWive signing We ate Cowft 80mmis Wood fee Cartmcstton Four, dw olslrkl in
noMod by tea apptraela Local Planning Agwrcp VW 11116 pra$6et N being nn to m d under ar Calt<brnia Emdraremanai sassing Act (cEOA),
SITE PLAN REVIEW APPLICATION
Date: q. ?�- d AP# OV - 40 - GS
Permit Number (if applicable) 0 T -,Q 73T Bin Number
APPLICANT INFORMATION . Parcel Size:
Owners Name:
Owners Address:
Telephone No.:.
Situs Address:
Proposed Use:
Residential
❑ New Single Family Residential
Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary. Travel -Trailer -
Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ S eptic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
LQ- — Uj- V�-,
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ Applicable ❑ -N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
SiteAan Stamped Approved
/tom- �/ • . - , ,
Page 1 of 5
IV
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: X G
• Flood Panel No.: 6�9 3-0l 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: CA- 10 (A -g)
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. P CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
�
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. P CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
--------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Amount Formula
t
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access. ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
❑ Subdivision MM/Parcel Map:
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
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 road maintenance, and stop sign maintenance.
❑ --
EN
Page 4 of 5
�-dl
r/
n
0
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.
CMArrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
N4�WILLDAServing Public �N
April 15, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
Tel: (530) 538-7169
Fax: (530) 538-2140
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.wilidan.com
BUTTE COUNTY PLAN REVIEW REPORT
Status:
Approved
Willdan Project No:
14353-1484
Jurisdiction Job No:
05-0733
Assessor's Parcel No:
071-160-059
Applicant:
Jeff M. Ford
Description:
Webb -Room Addition
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 the 2nd 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 cover sheet dated 07/19/04, sheet 1 dated 07/13/04, sheet 2 dated
07/16/04, sheet not dated by, Barry Rubanoff.
* Energy Calculations: Two (2) copies dated 08/03/04, by Barry Rubanoff.
* Structural Calculations: Two (2) copies dated 02/25/05, by Tim Leefeldt, Architect.
* Miscellaneous Documents: One (1) copy Site Plan dated 07/13/04, by Barry Rubanoff.
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.
APPLICABLE CODES
r
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 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
abbreviated herein as "CECS."
- CODE ANALYSIS
Type of - Type of Upper level Total
Specific Use Occupancy Construction Stories Sq Ft S .Ft
Dwelling R-3 V -N 1 *688 *688.
CONDITIONS OF APPROVAL
1. Approval is. eontingent' upon the review, requirements and approval of other departments '
and/or agencies`that have jurisdiction over this project.
2. Revisions and notes as redlined on the plans.
3. All plan sheets shall be signed by "designer or person responsible for the plans as required by
- California Health & Safety Code Section, 5536.1..
4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans
to Butte County's satisfaction.
f
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
DEFERRED SUBMITTALS
Our *plan review reveals no deferred submittals. ;
Sincerely,
Michael LeBeau - Brad Boehm, P.E.
Plans Examiner' Plan Check Engineer
Cc: Alice Mefford, amefford@buttecounty.net _•
Jeff Ford, 45 Shadow Oak Court, Oroville, CA 95966, Fax: (530) 532- 0266
Tim Leefelt 2350 Zanella Way, Chico, CA 95928 '
Bartley Webb 11255 New Ave. Gilroy, CA 95020, Fax: (408) 251-9089
Paae 2 of 2 Butte C umv 05-0733
�. W.i.la.dan. 14353-148 PC1:F :'41.C'
Forest Floor
Rutherford, Scott
From: DeBrunner, Deborah
Sent: Tuesday, December 21, 2004 11:29 AM
To: 'toothxrar@aol.com'
Subject: APN 071-160-059 400 Canfield Dr., Feather Falls
Page 1 of 1
Information for file - please file.
Mr. Bart Webb called (408) 251-5112 (office) (toot hxrar@aol.com) regarding building violation
latter (10 -day) recently received ori above subject property owned by his parents.
Mr. Webb is working with engineer and general contractor, plans are almost ready, estimates 30-
60 days before he is able to submit plans for correction.
This confirming email was sent to Mr. Webb for his records and for our file records.
If we need to contact Mr. Webb, we can do so at this email address and/or phone number
Deborah DeBrunner
Principal Analyst
Butte County
Department of Development Services
7 County Center Drive
Oroville, CA 95965
(530) 538-7464 FAX 538-7785
7
12/22/2004
Forest Floor
Strand, Myles
From: DeBrunner, Deborah
Sent: Tuesday, December 21, 2004 11:29 AM
To: 'toothxrar@aol.com'
Subject: APN 071-160-059 400 Canfield Dr., Feather Falls
Information for file - please:file.
Page 1 of 1
Mr. Bail Webb called (408) 251.-5.11.2 (office) regarding building violation latter
(10 -day) recently received on above subject property owned by his parents.
Mr. Webb is working with. engineer and general contractor, plans are almost ready, estimates 30-60
days before he is able to submit plans :for correction.
This confirming email was sent to .Mr. Webb.for his records and For our :file records.
If we need to contact Mr. Webb, we can do so at this email address and/or phone number
Deborah De_Bninner
Principal Analyst
Butte County
Department of Development Services
7 County Center Drive
Orovi.11e, CA 95965
(530) 538-7464 FAX 538-7785
12/21/2004
Butte County Department of Development Services
www.buttecou nty.netidds
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
December 10, 2004
Ernest John and Joyce Webb
2256 W. Rivers Edge Ln.
St. George, UT. 84770
RE: Formal Warning Notice
Building Code Violation
Location: 400 Cantfield Dr., Feather Falls
AP #: 071-160-059
Dear: Ernest John and Joyce Webb
This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent
you a courtesy notice dated June 9, 2004, notifying you that you are in violation of the BCC, and
1998 California Building Code (CBC), at the above -referenced location. As of this date, the
following violations still exist:
Failure to obtain the required permits, inspections and approvals from this office for the
construction of additional living space above existing carport.
1. Section 106.1 Permits Required
2. Section 108.1 Inspections Required
3. Section 108.4 Inspection Approval Required Before Use or Occupancy
4. Section 3405 Change in Use Requires Conformance to Code
The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets
of plans, applying for the required permits, and paying the appropriate fees, including penalties.
After permit issuance and field authorization to proceed, the work must be completed and
approved by this office within the permit specified time.
This is your final warning. Unless you contact this office and make the proper
arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the
date of this letter, enforcement shall be pursued through the issuance of a citation (ordering
you to appear in court) for said violation(s) and for failing to comply with this warning
letter.
`v
Ernest John and Joyce Webb
December 10, 2004
AP#: 071.-160-059
Page 2
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose
penalties (fines) and a Notice of Violation shall be, recorded in accordance with Butte County
Code Section 41-7. The Notice of Violation shall include. a description of the premises the
violation concerns, a description of the violation, the date of your conviction and the action
necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact Scott Rutherford in this
office at the address or telephone number listed above.
Sincerely,
Scott Rutherford
Chief Building Inspector
SR: ms
2
PROOF OF SERVICE BY MAIL
I am a citizen of the United States and employed in the County of Butte. I am, and was at
the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the
within action. My business address is Department of Development Services, Building Division.
7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's
practice for collection and processing of correspondence/documents for mailing with the United
States Postal Service and that said correspondence/documents are deposited with the United
States Postal Service in the ordinary course of business on the same day.
On December 10, 2004 the foregoing 10 Day Notice on the person(s) named below by
placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid,
addressed as indicated below, and by placing said envelope
In the appropriate place within the Department of Development Services where
mail is collected for mailing with the United States Postal Services on the same
day.
X In the United States Postal Service Mail in Oroville, California.
Ernest John and Joyce Webb
2256 W. Rivers Edge Ln.
St. George, UT. 84770
I declare under penalty of perjury under the laws.of the State of California that the foregoing is true
and correct and that this declaration was executed on December 10, 2004 Oroville, California.
Myles J. Strand
4iA-
�,.,
444 i4 art.-.
Assessor Inquiry Slain
Asrnt: 071-160-059-000 Fee
parcel: 0 ' 71-160-059-000
Owner: WEBB TRUST AGREEMENT SEPT 16TH 1983
Situs Address
400 CANFIELD DR FEATHER FALLS
M-mgm
TAXROLL ICURRENT JAPR
NameAddFess
WEBB TRUST AGREEMENT SEPT 16TH
StUCtUFe
46,720 146,720 102/09/20(
1983
I - I
Growing
WEBB ERNEST JOHN &JOYCE
Total LSI
68,075 168,075 1
THATCHER TRUSTEE
MH FP
2256W. RIVERS EDGE LANE
PP
ST. GEORGE LIT 84770
411
Status Date
ACTIVE
RIC #
Taxability Code I DeSCF
000.. INORMAL
TRA I Base Date
109-000 112/31/2003
DesCFiPti01 ENROLLED is BASE YEAR
Creating Doc# Date—_-
198483009188 I
—1
Current Doc# I Date
101 /01 /1900
Terminating Doc# I Date
Neighborhood Co... I Sup[ Cnt
071.,
Asmt Description
400 CANFIELD DR
Land Use 1 Land2
FIS
_Use
Zoning 1 Dwell 1' T
FR10 I, -
Acres SqFt
9 10
SSN1 SSN2
'.12 Parcel Desc:
Section TownShip Range
Description
......... .. . ...... . ..... ... .
. .....
TIPZ Ag Pres I Etal Bonds
0 1] 1 El [__1
�f�
Main I Notes I Ownership Detail I Ownership History I Exemptions Mfg Homes,
, I A
(tributes I Value History I Situs I Sales
M-mgm
TAXROLL ICURRENT JAPR
Land
21,355 .1 21,355 102/09/20(
StUCtUFe
46,720 146,720 102/09/20(
FiXtUFes
I - I
Growing
1. 01 /01 /19C
Total LSI
68,075 168,075 1
FiXtUFe RP
MH FP
PP
Exemption
et
68,075 168,075 1
RIC #
TR/Date
............
Status
DesCFiPti01 ENROLLED is BASE YEAR
4!
4V
(tributes I Value History I Situs I Sales
SKFTr-w/,&P1=A'TAQ1 G' 'AnnC:K1n1 Inn ;
Parcel No 071-160-059
Property Address . 400 Canfield Dr
City
W 't State. _ Zip -
m Owner
Client
' Appraiser Name Brown
4,11
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.: • 24'0'
—�
- 20.0'
24..0' , •
Y 2nd Floor Addition
4
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' 0 13TrF0 Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR - www.buttecounty.net/dds
_ 7 County Center Drive
Oroville, CA 95965 ~ R
cCo t4 (530) 538-7601 Telephone
[ A (530) 538.7785 Facsimile ,
- ADMINISTRATION * BUILDING : GIS * PLANNING
June 9, 2004
Ernest John and Joyce'-Webb '
2256 W. Rivers Edge Ln. Ago el tQAfLT�
St. George, UT 84770
. RE: Building Code Violation v
Location: 400 Cantfield Dr., Feather-Falls
AP# : 071-160-059
Dear: Ernest John and Joyce Webb
-This is a courtesy notice to notify you that you are in violation'of the Butte County Code, at the
above-referenced location', as follows: '
. ' Failure to obtain the required permits, inspections and approvals from this office for the
construction of additional living space above existing carport. '
Since permits and inspections are required for the above work, please submit three (3) complete '
'• sets of plans, apply for the required permits, and -pay the. appropriate fees. All work must stop
' until these permits are. issued and you are authorized by our; field inspector to proceed. The field '
' authorization cannot be made until the existing work is inspected and approved. r.
- r
It is the County's goal to obtain, voluntary compliance with the Butte County Code. However,
you should be advised that Btte County has an-'active Code Enforcement Program which.,
` provides an • effective means of enforcement if voluntary compliance is not .obtained.
Enforcement may be pursued through the issuance of, citations, fines and the recording of a �•
Notice'of Violation including a description of the action necessary to abate the violation.
You have thirty (30J days, to voluntarily comply with the above directions or to present an
acceptable plan for abatement or.corrective actions to be taken by you:. Should you have any
questions concerning this matter, please contact Bill Barron in this office-at the address .or
telephone number listed above.
Sincerely;
Supervisor Building Inspector f
BB: ms
cc: Assessor
06/22/2004 23:48 4082519089 MCKEE DENTAL XRAY PAGE 01
McKee Dental X -Ray
2344 McKee ,Road #30
San lose, CA 95116
Phone (408) 251-5112
Fax (408) 251-9089
Send to:
From:
Attention//// rlU�
Date:
Office location:
Office location:
Fax number.o
00 ��Q �
Ph num er:
L� Urgent J2,119ply ASAP E] Please comment 1-1 Please reviewj for your Information
Total pages. including cover: Z
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4;
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MtCKEE DENTAL XRAY PAGE 02
435 634 8009 P.At
Bulk County Department of Development Services
rvo" coarma. oNect�ort www cut g�
T County canter go$
Mn)0MVM9, CA 9$N5
M7401 Telephone
(690) 338.7763 Pecdmlle
ADMIMT)ilATION • atrI.GDING • GIS • PLANNING
hate !J, 2004
F117lest Jnlul 311(1. Joyce Webb
2256 W Rivers Edge n.
RE: Building Cade Violation
l.•ocation: 400 (.*allli;.ekt Dr., }-;eather falls
All* : 071-160.4)59
Dear; Ernest Jlthtt and Joyce wetth
This is a courtesy location, as follows: tesy notice to notify you
above -referenced that you are in violation of the Butte County Code, at the
Failure to obtain the required penuiis, ins+aections and approvals -num this office fol• the
cwstructitm o{'additional llvllig simce above,1xistlllg carpol-t.
Since permits and inspections are required for the above work, please submit three (3) complete
sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop
until these permits are issued and you aro authorized by our field inspector to proceed. The field
authorization cannot be made until the existing work is inspected and approved.
It is the County's goal to ob:ain voluntary compliance a-ith the Butte County Cade, However,
You should be advised that Butte County has an active Code Enforeenxnt Program which
Provides en effective means of enforcement if voluntary compliance is not obtained.
-•Enforeemcrrt•may•be pursued th-ough-the issuance of aitetierrs,-frnes and the tace:ding of e.
Notice of Violation including a description of the action nocessary to abate the violation.
You have thirty (M days to voluntarily oomply with the above directions or to present an
acceptable plan for abatement or corrective actions to he taken by you. Should you have any
questions conceming this mutter, pease contact Bill Barron in this office at the address or
telephone number listed above,
Sincerely,
01e19*a10,rr*0rP&--
Supervisor Building Inspector
BH: me.
cc: Aaeasaor
BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
This information is not available to the public!!!!!!!
DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!!
The following information is required for Housing Complaints and the
Complainant MUST BE .the person living at the complaint address!
Complainant:
Address:
Phone Number:
The above information is not available to the public!!!!!!!
(2)
. � • � fir- "t� � f"'. � r -5+;`'''' �F7''±� sit"`w.rYr+k'h': �F>.�1
0717160-059' PERMIT#94=3290
- WEBB TRUST
400 CANTFIELD DR.', OROVILLE'
k CONT:;TODD HEMSTALK
- REROOF W/COMP & HOT/SF a--'13;7
i
lot—
f
.I
"`"'.-^"' 177�yeqp"Kna c - "'•T" !R'aR71lAF•1Rs�lR� �'[.•,:.-yR..r a-rlv(^' - -'r -v�F.: q� '
- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Calif9rmia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER O
oynTya 07 —160-059 —
ZONING
FR10
BUILDING PERMIT
OWNER
WEBB TRUST
TELEPHONE
-,SQ. FT, OCC. BUILDING VALUATION
OWNER'SMAILING ADDRESS
165 G��EROKEE PORTOLA
12 907— 720.
5MW
CONTRACTOR'S NAME
TODD HEMSTALK
TELEPHONE
589-1689
CONTRACTOR'S MAILING ADDRESS
7 SHELTERWOOD LN OROVILLE CA 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 1370.
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 400 CANIFIELD DR., 1110ROMMU
PERMIT FEE $
53.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF �Q Duplex ❑ Mobilehome EIOther
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CI ±Q Other
X3
Describe Work: W/COMP & HOT
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( '2"Ofl LESS )
2OOA OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( a ACC. BLDS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
I decl under penalty of perjury (check one)
am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C g�nd my license is in full force and,e�fact.
License No. Classification
j
❑ 1, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RES10. ( BflAERAPPARATNCH S )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup. FIXED APPWS.0R
p' (OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare u penalty of perjury (check one):
❑ Tbigpermit is for S 100.00 (valuation) or less.
have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ IshallnotemployanypersoninanymannersoastobecomesubjecttotheWorker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
eater-uf7tfrfth"S abowe.ct,entioned property for inspection purposes.
I also agree to save, )n nify and keep harmless the County of Butte against all
liabilities, judgments, costs, apd expenses which may in any way accrue against said
County in cons.e=*-ef-t n€ing-ef-this,permit.
X 1 DateThis
Signature of Applicant - Owner >3jl Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
coNsr. TYPE
TOTAL FEE $ 53.00
HAZ.
I D. FEES
I IMP
I FIOOD
I CDF
PARCEL I PD
I HD
ISSUE
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.
By i'��M��� J1 /" Date
U /
PERMIT EXPIRES ON
!Date/
Receipt No. 170922
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califorma-y5965�- Telephone (916) 538-7541 PERMIT NO. I
APPLICADOWAND PERMIT 94- ��� r) /
ASSESSOR PARCEL NUMBER '
numm 071-160-059
ZONING
FR10
--71.,/
BUILDING PERMIT
OWNER
WEBB TRUST
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
165 CHEROKEE PORTOLA
((00��
12 x%60 720
5 @130 650.
CONTRACTOR'S NAME
TODD HEMSTALK
TELEPHONE
589-1689
MEMIDG ADDRESS
LH. OROVILLE CA 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1370.
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
33.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 400 CANTETEFT,T) DR. ORGIROVILTE
PERMIT FEE $
53.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF J] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)l
Describe Work: REROOF* W/COMP & HOT
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 800V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
3.50 FTBO.-
CONTRACTORS LICENSE LAW
1 decl under penalty of perjury (check one)
Cl"am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C nd my license is in full force and fect.
License No. � � Classification
❑ I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
0
200 1.050
RAL
Ex. Occu FIXEDAPPLNS.OR
p' (OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare u r penalty of perjury (check one):
❑ TW permit is for $100.00 (valuation) or less.
D-fhave placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
property for inspection purposes.
e Dsave,in
1 also agreey and keep harmless the County of Butte against all
abilities, judexpenses which may in any way accrue against said
city in co ermit.X Date
Signature ofer Contractor ❑Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEES 53.00
HAZ.
D. FEES
IMP
F100D
CDF
PARCEL PD
HD
ISSUC
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY �
PERMIT EXPIRES ON
(Dat )
provisions
to do work
paid.
?
/
Receipt No. 170922
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.� .. . fY• r .. -'�.,(... �}, r-- (: ... �. h" .%.w...(�`1�yif+'XW .., rr. �.7.f:'-s +ti+�r' w..��L+'tin,'>�.^-... ^ ........-'•t,.� .......:-'tr'H ' r.. • �-••, �....Yr..•t....�-�...- ..•.., r ,
C_ OUNTYOFBUTTE-DEPARTMENTOFDE ELO,PMfNTSERVICES-BUILDING DIVISION
7 COU NTY CE NTER DRIVE - OROVILLr,CALIFORNIA95965 - TELEPHONE (916) 538-7541 `
PERMITAPPLICATION DATA SHEET
OWNER
Proposed Building Use
N
o.
Building Inspector . Date
At time of p rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
.26.
27.
28.
29.
30.
31.
32.
33.
34.
..................,;m.......
Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ... .
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Fees of$ . ..... �1,..................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . ............
City of Chico plumbing permit . .........................................
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development.about (A) Improvements (B) Drainage. .......... .
Drivewa permit (construction approval required prior to occupancy)
V
y Fr 4;spedion reque5F
Pre -inspection for required. .. to Building inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ...... .
Recorded copy of Agricultural Acknowledgement Statement . ............ . .... .
Letter of signature authorization . ....................................... .
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ..................... :...................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . .......................................
Plancheck list . ............................................ :.........
When you issue the permit, process as follows: M�to.wn_et�! Mail to contractor.
Telephone and hold for pickup ato - Deliver with inspector.
Other,'
Parcel Creation
Acreage r° ^ Applica Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works -
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