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072-100-027
b 1 2-10-2 / H. DEAN SMITH SIS Wakefield Dr, app 500' W of Feathervale Dr, lot #2, Oroville r Contr: Sweems AC, Oroville - ,,Permit #4497-77E,M(ser ch & cr for AC) SF /11�/� A 78 _ 072-100-027 02-1782 SMITH, HAROLD & SHERYN t 67 WAKEFIELD'DR., ORO ---ILLS CONT: BEN SPARKS CONST. s, DECK & RETAINING WALL 072-100-027 05-2578 SMITH, HAROLD 67 WAKEFIELD DR., OROVILLE CONT: OWNER ADD -B & BTHRM 11 r i (i _-A � ff. 1 s/v/mss Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds ADMINISTRATION * BUILDING * PLANNING 5/4/2006 Harold and Sheryn Smith 9 Perita Drive Daly City, CA 94015 RE: Permit No. 05-2578 APN#072-100-027 Owner: same On 9/23/2005, and on 10/21/2005, deposits were made in the amount of $1,278.32, of which $483.91 was retained. Please sign, date, and return the enclosed claim form to this -- - - - --office-Once-we-Teceive-the-claim-form, we-wil-l-then-process-your-refund-in-the-amount--- - of $794.41. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Clerk, Senior Administrative Division enclosure 05-2578.1tr , f County of Butte Oroville, Califomia GENERAL CLAIM C- AIMANT: Harold D. and Shervn Smith ADDRESS: 9 Perita Drive CITY & STATE: Daly City, CA 94015 DATE OF CLAIM- 05/04/06 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 072-100-027 Permit No.: 05-2578 PAID RETAINED REFUND Development Services $ 1,182.29 $ 483.91 $ 698.38 THERM DRNG $ - $ - $ - SMIP $ 1.03 $ - $ 1.03 SHR $ - $ - $ - SRA $ 95.00 $ - $ 95.00 TOTAL $ 1,278.32 $ 483.91 $ 794.41 ........ XHREt�1�DlOWN : : iiUbOET: :AGCIIiEiNT AMOUNT:: ----------- 101001 DVLPMNT SVC 440-001 4210500 $ 698.38 1011822 THERM DRNG 1800 280 $ - 1011430 SNIP 1001 280 $ 1.03 1011811 SHR 1800 280 101001 SRA 0100 4617240 $ 95.00 TOTAL $ 794.41 $ =794.41 I, the undersigned, declare under penalty of pequry that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2006, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Speck Board Approval (Check one) for the same. Dated this day of 2006, at Oroville Calif. Department Head or Authorized Deputy Dept SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROD I SUB. OBJ I CLAIM NO. I INV NO. I INV. DATE ENCUMB. GROSS AMT. APPROVAL Date Reviewed Bill Barron Chief Building Inspector 5/4/2006 DIFFERENCE: $0.00 (Should be blank) REFUND CALCULATION SHEET CLAIMANT: Harold D. and Sheryn Smith ADDRESS: 9 Perita Drive CITY & STATE: I Daly City, CA 94015 DATE OF CLAIM: 05/04/06 APN: 072-100-027 RECEIPT INFORMATION RECEIPT NUMBER: 439753 440260 440261 RECEIPT DATE: 9/23/2005 10/21/2005 10/21/2005 ISSUED TO: Harold/Sheryn Smith Harold/Sheryn Smith Harold/Sheryn Smith CHECK #: 14738 14773 cash AMOUNT: $633.90 $643.39 $1.03 PERMIT #: 05-2578 05-2578 05-2578 Yes No Yes No Yes No PRIOR REFUNDS: X X X FEES VERIFIED X X X REFUND BREAKDOWN Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 THRM DRNG 1800 THRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHERDEVFEE 1800 (SHR), .280 1011811 DETAIL PAID RETAIN REFUND BLDG Time 109.98 1072.31 ::::::::::::::: >: »> :: >:: >::: > :::::::::::::::::::: »>:::::: Filing from Plan Check 0.00 0.00 0.00 Plan Check/Filing0.25 27.50 428.92 428.921 0.00 0.00:: Inspection 0.00 643.39 1 643.39 643.39 BLDG FEES OTHER BLDG Building Insp for SRA 109.98 109.98 109.98' 0.00 REFUND PROCESS FEE 54.99 0.00 54.99 -54.99 -54.99:: ::::: »>:: .......... :::::::::::::::::::::::::::::::::::::::::::::::::::.:: >::: »»::::: >::::: ::•:•:•: .......... .................... .......... »»:: »»: .......... : >::: >::: .......... BUILDING TOTAL 1182.29 483.91 698.38 698.38 THERM DRNG 0.00 0.00.:::::::::? SMTP 1.03 1.03 SHR 0.001 0.00 SRA 95.00 1 95.00 APPROVAL Date Reviewed Bill Barron Chief Building Inspector 5/4/2006 DIFFERENCE: $0.00 (Should be blank) APPROVAL Date Reviewed Bill Barron Chief Building Inspector CHECK: $794.41 04/24/2006 DIFFERENCE: $0.00 (Should be blank) REFUND CALCULATION SHEET CLAIMANT: Harold D. and Shery n Smith ADDRESS: 9 Perita Drive CITY & STATE: ! Daly City, CA 94015 ©' ol--100- ©a? DATE OF CLAIM: 04/24/06 AP�,1.00-027 RECEIPT INFORMATION RECEIPTNUMBER: 439753 440260 440261 RECEIPT DATE: 09/23/2005 10/21/2005 10/21/2005 ISSUED TO: Harold/Sheryn Smith Harold/Sheryn Smith Harold/Sheryn Smith CHECK #: 14738 14773 cash AMOUNT: $633.90 $643.39 $1.03 PERMIT #: 05-2578 05-2578 05-2578 Yes No Yes No Yes No PRIOR REFUNDS: X X X FEES VERIFIED X X X REFUND BREAKDOWN Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 - THRM DRNG 1800 THRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHER DEV FE 1800 (SHR). 280 1011811 DETAIL PAID RETAIN REFUND BLDG: Time 109.98 1072.31 :::::::: : : »: »:::: > ....................... :.:::::::::::: >:»:::::: ............................... » :::::::::::::: >:: > : »>::::::: :::::::: ::: : »»»>: :::: :.:.::::::.:.: Filing from Plan Check 0.00 0.001 0.00 Plan Check.Filin 0.25 27.50 428.92 428.92 0.00 0.00 Inspection 1 0.00 643.39 1 643.391 643.39 BLDG FEES `i OTHER ELDG ' Building Insp for SRA 109.98 109.98 .109.98 0.00 0.00 REFUND PROCESS FEE 54.99 54.99 -54.99 -54.99>::: :: »»::::::::::•:•:•:• :::::::::: ::::::::: .......... BUILDING TOTAL 1182.29 483.91 698.38 698.38 THERM DRNG'. o.00 SMIP 1.03 1.03 1.03 :':':':'»»» SHR t ;o.00 ' 0.00 SRA.c, > ..r; _ 95.00 ` X95:00 APPROVAL Date Reviewed Bill Barron Chief Building Inspector CHECK: $794.41 04/24/2006 DIFFERENCE: $0.00 (Should be blank) r, L County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Harold D. and Sheryn Smith ADDRESS: 9 Perita Drive CITY & STATE: Daly City, CA 94015 DATF nF Cl AIM- 04/24/06 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 027-100-027 Permit No.: 05-2578 PAID RETAINED REFUND Development Services $ 1,182.29 $ 483.91 $ 698.38 THERM DRNG $ - $ - $ - SMIP $ 1.03 $ - $ F0 -�r' SHR $ - $ - $ - SRA $ 95.00 $ - TOTAL $ 1,278.32 $ 483.91 $ 6 '7��.� ..... . IfREAL i)OV1!1V::::::::: »$TJI2GjrT<.:ACCO. 'I` :-'A *EOUN:T: 101001 DVLPMNT SVC 440-001 4210500 $ ' 698.38 1011822 THERM DRNG 1800 280 $ 1011430 SMIP 1001 280 $ 1.03 1011811 SHR 1800280 $ - 101001 SRA 0100 4617240 $ 95.00 TOTAL $ 794.41 $ 794.41 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2006, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2006, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. BUTTE �C COUNTY • °�13TrF° Butte County Department of Development ServicefEB 17 2006 o o Building Division DEVELOPMENT 7 County Center Drive c0Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY -Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the'receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: RA, �� 'i-��� p S A F-rH - `{ E�� �� '�, q 40( � MAILING ADDRESS: r15�3- - L4 - PHONE: ASSESSOR'S PARCEL NO.: ✓�® `� �-- © o [Please use one claim form per permit] BLDG PERMIT NO.: D _ 2 5— 7 8 Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.: L4 `1 5 3 L� c) a-6 o Ll- (0) q �'3 ° t �- 0 5 �l' O a I O RECEIPT DATE: it RECEIPT AMOUNT: to ct U,3, 3a '� ' 073, REASON FOR REFUND RE*J.EQS 9 © '-!:'r2�Q0-:k l o e.� Llb Check those fees which you wish to have considered for refund: Building Permit Fees OSheriff Fees OSRA Fees (CDF Fire Planning) DOther (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. ���iK�'• /1 �-L E C ' Signature K:/Forms/Refund Application 082203 COUNTY OF BUTTE 3 9 7 5 3 ` OFFtALRTEIFTlNi OFFICE OR DEPART ENT ISSUING RECEIPT 20" r , r- Received from The Sum of �t i'tii�-1a'ltlUt�ift k L')1 In For --it �' . ." 'r7 `' f " m rt " 0 ` tr Received. Received By— 1-� ; CASH ❑ Title ( • CHECK @ 'A -7 By kV CC E°'J3^uE FORMS • (5= 743-8511 Font 847M COUNTY OF BUTTE g 7 5 C. OFFICIAL RECEIPT L; %1C cam, D N/ , '6 OFFICE R DEPART T ISSUING RECEIPT Received from _;\ i✓11 Received I ✓ '°•—''l✓ ►f. r The Sum of For Received: t �' CASH ❑ CHECK MCC BUSINESS FORMS • (5w) 743.8511 Form 84702 r Received By_! Title By COUNTY OF BUTTE 439755 OFFICIAL RECEJPT )) QFFICF�• R DEPARTMENT ISSUING RECEIPT( ---I d (2 CL Received from S ' 1... The Sum of ' $ �,f . For Received: CASH ❑ CHECK C'�. •,� BUSINESS FOR1d9 • (53o) 743.851 Received By = I Il �• �f[ `'�f�l� Title By COUNTY OF BUTTE 439756 OFFICIAL PECEIP"T OFFICE OR Dep RTMENT ISSUING RECEIPT 20 Received from '" ti. -,��` %f 2 The Surn of ,~. , r., f� s{� ,, For Received I Received from (The Sum of ! COUNTY OF BUTTE _442FFICIAL RECEIPT OFFICE R DEPARTMENT ISSUING RECEIPT For --LZ.(, -'�l - C6 3 Received-, fw E t t CASH CHECK ❑ EIA CO �.S-NESS FORMS - (St 743.8511 Foam 84702 440257 $ 13 � 100 Received By. �& ,L• yY- . . a Title By COUNTY OF BUTTE 44025 OFFICIAL REC LFT t �' OFFICE OR DEPA TMEN ISSUING RECEIPT 10- �i ( 20th Received from t �' • F' �'' The Sum of For Received:l� •� ��'� Received By a CASH ❑ Title ()JI ` CHECKS; By DAVCO e'Ji,hESS FORMS - IS=) 7i1HS11 r— A17M COUNTY OF BU A 440250 1 wt- 6 ,IY6OS'E- �'1 OFFICE OR DEPARTMENT ISSUING RECEIPT /t/ -2120 Received from ,IAI(I,q r The Sum ofs ,� _7_13 Received: —,T.,� ..._� Received By-- CASH ❑ Title CHECK 1q 3 9 / By S i NESS 1`01` S - Iklffi 7!•a.nt t t c,...- &A11 COUNTY OF BUTTE OFFICIAL RECEIPT 07 OFFICE 08 DEPARTMENT ISSUING RECEIPT Received from11 1f, //Z-- 1��/, The Sum of / 1< For 2 Recerygd:. /hrrl, Of? l�QG�12 79, /-?72- 4.0260 /0---// 20,0 $ %7L-% }.��= i !lt•f" .,%rd from of COUNTY OF BUTTE { Y' OFFICE OR,EPARTMfNT ISSUING RECEIPT Illi` .11th j /'�� �" L/ 0 7 � � �' 0"72 0 , d Received By — CASH Tide fes - A r,4 CHECK "` By mFCR`_"S • ! ` 3 743•Mli F M 64702 4026 f, 206 s I V,;, _ -- COUNTY OF BUTTE OFFICIAL RECEIPT 440232 OFFICE OR)DEPARITMENT ISSUING RECEIPT } 4 2U,) A from � ! � � I � Ut f -- 111c Sum of i '4 �+ ` rj 111iI I ti - N n 11 C t V� �� ^ $ �- � 1, Received By CASH Title - CHECK "- B .. _- FCRVS - (530)743 -Ml I t 00. 04 MZ 11cri-Med from COUNTY OF BUTTE 440263 N6FICICEi t/ OFFICE OR DEPARTMENT ISSUING RECEIPT f`" j 20 �^ Gvr�G //WS . 12r_)6e11- „t Ih{• Sum of le-,t, J•..i%jG�t U tq Received By CA$i4 Ka Title 14 CHECK 0-1 1 ' BY c 3 t;)F= . = 743415it Form b4702 COUNTY OF BUTTE 4402 OFFICIAL RECEIPT t OFFICE OR DEPARTMENT ISSUING RECEIPT f i'_{ 200' lit,-rrrrd from hit. Sumo f _ L ;7/ $ ` i r t, 1• n;. L ,., f ,...- - r —, a .._. J Revised 7/1/2005 DATE 9/26/2005 BAG # 328 DEPOSIT # 59 RANGE OF RECEIPTS: 439726-439768 MONEY COLLECTED: 09/23/2005 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 3 10 -0100 -1001 -10 -10 -10 -10 -10 -10 -1800 BUILDING PERMITS FIRE - SRA SMTP FEE REMOVE NOTICE OF VIOLATION RETURN CHECK FEE AVA COURT RESTITUTION COPIES PUBLIC SALES WITNESS FEES RECORDERS FEES STREET IMPROVEMENT PERMIT# RECEIPT# 4210500 101001 4617240 101001 280 1011298 4350903 101001 4610105 101001 4617252 101001 4711910 101001 4712523 101001 4613701 101001 280 1011815 040180 439726 $ 109.98 052299 439744 $ 180.00 $ 0.56 052234 439745 $ 428.92 $ 3.36 052233 439746 $ 329.94 $ 2.30 052572 439747 $ 110.00 052573 439748 $ 104.00 052574 439748 $ 60.00 052575 439749 $ 137.50 052576 439750 $ 55.00 052195 439751 $ 428.92 $ 2.46 052196 439751 $ 1,542.97 $ 10.71 052577 439752 $ 340.94 052578 439753 $ 538.90 $ 95.00 REFUND 052526 439754 $ 214.47 052579 439755 $ 110.00 033753 439756 $ 109.98 $ 25.00 052580 439757 $ 247.50 051667 439758 $ 1,908.27 $ 18.40 051129 439759 $ 1,995.82 $ 35.46 050331 439760 $ 511.41 $ 3.34 050590 439762 $ 952.11 $ 8.06 052583 439763 $ 2,271.28 052378 439764 $ 329.94 $ 9.83 052584 439765 $ 55.00 052585 439766 $ 1,277.70 $ 95.00 $ 19.86 050726 439767 $ 1,934.39 051550 439768 $ 54.99 $ 16,339.93 $ 190.00 $ 114.34 $ - $ 25.00 $ - $ - $ - $ - $ - Page 1 of 3 Revised 7/1/2005 DATE 10/24/2005 BAG # 316 DEPOSIT # 77 RANGE OF RECEIPTS: 440253-440277 MONEY COLLECTED: 10/21/2005 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 3 10 -0100 -1001 -10 -10 -10 -10 -10 -10 -1800 BUILDING PERMITS FIRE - SRA SMIP FEE REMOVE NOTICE OF VIOLATION RETURN CHECK FEE AVA COURT RESTITUTION COPIES PUBLIC SALES WITNESS FEES RECORDERS FEES STREET IMPROVEMENT PERMIT# RECEIPT# 4210500 4617240 280 4350903 4610105 4617252 4711910 4712523 4613701 280 101001 101001 1011298 101001 101001 101001 101001 101001 101001 1011815 052851 440253 $ 329.94 052904 440254 $ 55.00 052902 440255 $ 587.92 052903 440255 $ 285.95 052905 440256 $ 384.93 VO4-0623 440257 $ 137.00 052906 440258 $ 60.00 052429 440259 $ 329.94 $ 0.77 052578 440260 $ 643.39 REFUND 052578 440261: $ 1.03 REFUND 052571 440262 $ 329.94 $ 2.07 052454 440263 $ 329.94 $ 4.73 051387 440265 $ 54.99 052907 440266 $ 219.96 052908 440267 $ 55.00 052816 440268 $ 329.94 $ 9.82 . 052909 440269 $ 1,277.70 $ 95.00 052811 440270 $ 54.99 052910 440271 $ 263.95 $ 95.00 050419 440273 $ 54.99 052546 440274 $ 329.94 $ 9.13 052669 440275 $ 329.94 $ 6.67 052184 440277 $ 1,986.62 $ 20.35 $ 8,294.97 $ 190.00 $ 54.57 $ - $ - $ 137.00 $ - $ - $ Page 1 of 3 Butte County Department of Development Services • e0urrfe aaEA NOTES 7 County Center Drive, Oroville, CA 95965 (530) 538.7601 www.buttecounty.netjdds oeoU"tye c: RESIDENTIAL APN: Permit No. 072-100-027 05-2578 Owner: ! SMITH, HAROLD Site Address: 67 WAKEFIELD DR., OROVILLE —I CONT: OWNER Contractor: ! ADD-BDRM & BTHRM Type of Permit:— — — — --- - — - - SPECIAL CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: .=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE I LiPERMANENT FOUNDATION SOFT -SET DATE ID E C K S -C O V E R S -C A R P 0 R T S *G A R A G E S 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPD Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers 1 Zoning -Setbacks -Easements 2 Ftgs; Sol IsSz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg Frmg-Brcng . 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 1 Setbacks -Easements 2 Soils; Compaction Structure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining. 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes -En clsrs-pnIboards -1nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Oa 0`•c` O,�a4 0``c Pool Drawing ``c m 1 Zoning -Setbacks -Easements 2 Ftgs; Sol IsSz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg Frmg-Brcng . 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 1 Setbacks -Easements 2 Soils; Compaction Structure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining. 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes -En clsrs-pnIboards -1nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Oa 0`•c` O,�a4 0``c Pool Drawing - =OK 0 = Not OK RESIDENTIAL (Single. & Duplex)' DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-C,fnbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Fig Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel -Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test Oa s` a s 0` to 0` 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs -Rgltr-Seryice Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vets-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o' o`4 DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Wails Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-Truss-Shthg 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws ELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑ AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral QYes ED No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 0 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct In Garage -Damper 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler Z BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION # (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52578 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/21/2005 APN: 072-100-027-000 1. the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 67 WAKEFIELD DR ORO Date: Contractor: Map Index: Description: ADDITION SF(540) 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: SMITH HAROLD D &SHERYN D 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 twat he or she is licensed pursuant to the provisions of 9 PERITA DRIVE 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 DALY CITY, CA she is exempt therefrom and the basis for the alleged exemption. Any 94015 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 Applicant: SMITH HAROLD D &SHERYN D 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 g PERITA DRIVE sale. If hcwever, the building or improvements are sold within one year of c*mpletion, the owner -builder will have the burden of DALY CITY, CA proving that he or she did not build or improve for the purpose of 94015 sale.). I, as ow-ier of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ lapt der Article 3 of th B ess and Professio Code Date: caner: N RKERS' COMPENSATION ECLARA ON I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-insurefor License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the wa-k for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: �J Policy #: l Total Square Ft: 540 S. F. certif/ that in the performance of the work for which this permit is /,issued, Valuation: $10,260.00 I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply w h those provisions. Date: f Applicant: v` WARNINZ: 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, int3rest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby issued un e a c fi provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to do work ndic d abov for w h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: PERMIT PERMIT EXPIR S ON: Address: ❑ 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. O 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 gree to comply with all CoL.nty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offs ial for or document of Butte Co ty. I hereby autho•ize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date! 7t� Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE [VILL BE REOUIRED AT TWE OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Nam' ��� l"C'hl First Name Tzz_ lt"" Address City t Stat&a Zip(14o ( 5 Phgae50 - rl!3�5 State E-mail !)EAt-4'a*A t'Ti-k d0 ve'l Name Address City Phone E-mail r r.ET&Loow#RI; �us�ng Dt� �erc�e� Lac APPLICANT NAME ARCHITECT/ENGINEER! Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE x v For office use only: Zoning I AE, 21/ Flood Zone Cross Street— V—t=— k-kE>Z�iAL� SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. s2s7s BIN # LOCATION AP# 0`72- eco _027 Property Address 1011 City Cross Street— V—t=— k-kE>Z�iAL� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: O N Z CZp 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: 'Fj Amount: `n2'� • (CI� 2 Bldg Alli . "I SRA Receipt #: L{ Sheriff I Date: 1-2?j-o cj OVER FOR SUBMITTAL REQUIREMENTS L` SMIP , 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor. Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ _9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy -of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 .'t r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIOM 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �m 1 ASSESSOR PARCEL NUMBER 077 2" 100 OLef' Proposed Building; Use: �(�('' - 2$} 1 b* 40 SV Permit Technician: (..� Date: Q'-ti� Itej s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. `EJ 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. ,pl$( 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. v� 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings, 0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan; (D) Tie down or Ind 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 fog non-residential` buildings. ❑ / 12: Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Re arcing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico [koroville, as applicable _ 2 9je* p(ltnS C41W 16. Fire Sprinklers............................................................................................ 2 0( Ptttjnl ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... o/ 19. Erosion Control Plan Required........................................................................ e20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of, Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the Ci!�of i� Biggs ............... � ........... 23. California Department of Forestry plan approval�p�paid. Sent by: *!-Ll: Ihaj`Q � D x--24. Planning approval for (A) Use: _.__(1)Parking: --(C) Parcel Check:: -n- ❑ / 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form ................................................ O 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑� 29. Worker's Compensation Carrier and Policy Number .......................................... © 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits ........ ............................................. ....... ❑ 34. Deed Restriction..........................................................::.............................. ❑ 35. 0 Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone f^nSCl-'-1 tri-1�11 '* (Vl1nelP and hold for pickup. oR - C1-QQnsmi+h@ rcn ar) Owner's emnd I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: ` _-3 1. Index permit application for the ab ve items numb ed: Plan Check Letter 2. Additional items required D, Contractor, designer, owner, wa adv sed of the 664 hfta by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date:e--Mans approved by: Th Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Piot Pian Attached Roos Plan Attached �` • ' Sent to G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location APS# Plan Approved for: Sewage Disposal Tater Supply: 1 Pi�bli Clearance for dwelling. Other -2- 12)Q NA z.)-) m P Hold final for: Final clearance O.K. for: NOTE: Private Well Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER � � A.P. #0'7 9—ippn l /t) 090 PROP SED BUILDING USE Ada +o S� 62-6m. I bat1 .DATE q-23 - () E) D RECEIPT � DATE REC. 1. BUILDING PERMIT FEES� --Balance Due ...................... --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. W 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) C1 7. WATER TENDER-F.EES BATTALION # $200.00"(paid at Buildin�Division) 8. 'SMIP v 9. DRAINAGE-FEE—� 1 10. OTHER I L OTHER At tims of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may br changed during the plan checking process. APPLICANT u DATE 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. 7/05) BUTTE. COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number 160 s Jurisdiction: City County Property Owner 7-/.// //,1 "zo Property Location/Address 2S 7of Subdivision Lot No. ...................................................................................... 5 0 'Sq. Footage_ Residential Development I En 2f 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 eve Addition (Including Exterior y 4k Roofed Areas) Building Department Representative Date District Identification No. 3 V-3 School District certifies that (Applicant) 11 (Street Address) U (Phone Number) (City) (State) (Zip Code) O has complied with the r'equirements of Resolution NO. by payment of $ representing square feet. B 2926 $ MITIGATIONULL $ e) h School District Paid byCheck # Remarks: Date Nodes: You may protest the Imposition of the fen Identified above by submhdng a written protest to the District, In compliance with Govemrnenl Code Section 66020(a), within 90 days from the date fan are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this . Butte County Schools Impact Fee Certification Form, the School District Is notified Lry the applicable Local Planning Agency that this project Is being reviewed under the California Environmental County Act (CERA). this project may be subject to additional school fees to fully mitigate Its InVW on the school distr1cfs'schools. White (school district)' Yellow (building department), Pink (applicant) WbrMAIS (310SWmn From: Sheryn Smith [mailto:deansmith@rcn.com] Sent: Tuesday, October 11, 2005 9:01 AM To: Graham, Kourtni Subject: Re: Permit Application - AP #072-1001-027 Hi Kourtni, Now that we dropped off our-sanitation,clearance_whats-next and how long should it take? We now have a contractor "Don Berger,7 License # 397316" , Thanks, Y --- -- — – Sheryn ii 10/12/2005 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to.avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major 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: U3 N. > 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 SIGNED: PROPERTY OWNER: 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. 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 OWNER -BUILDER INFORMATION 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 of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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. Sincerely, C—� Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. .. ? ': ire artment of Public Vlorks . f B u t t e C o u n t y o ,:��a o '•' �• = � ® Director LAND DEVELOPMENT DIVISION J. Michael Crump Storm Water Management Program \•}� ® 7 County Center Drive CQU" (� / Oroville, CA 95965 a 5 (530) 538-7266 LIC W (FAX) 538-7171 A. National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement TLESS THAN 9 ACRE) Project Description: DP��h� Project Location and/or Parcel Number: ©`� �--1®O -- By signing below, L 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. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Date: q --GS Hutte CountyDepartment of -Development SertviCCS ok).T?�Fo 7 County Center Drive 4 ` Oroville, CA 95965 �G o- a o `d' ^,a o (530) 538-7601 Telephone Cn...sl'1 (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit 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' subntit applications for septic andlor well to Butte County Environmental Health imrnediately. 0 I ant required to bring the approved Environmental Health site plait and approved sanitation clearance to the Building Division: as soon as clearance is obtained ® Tam 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 require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: -�,, �-�� -c �, APN: 0`12-IOO ' O2'7 Building site address: Permit No.: OS9-51 S 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: crc:NA"n TRR OTZ APPLICANT DATE CDF FIRE SAFE REQUIREMENTS AP# 072-100-027 PERMIT # 05-2578 NAME: Smith Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Drivewav Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. r Driveway Radius [X] No roadway shall have. a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. C D F R E Q U I R E M E N T S Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [X] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X} Disposal of Vegetation and Fuels: . Disposal, including chipping, . burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials 10/04/2005 Darren Read Date Signature C D F F I R E Q U I J CDF FIRE SAFE REQUIREMENTS AP# 072-100-027 PERMIT # 05-2578 NAME: Smith Under authority of Public Resources Code. Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Drivewav Standards pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates {X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. C 1-11 IS E Q U Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [X] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. { ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet .= ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials 10/04/2005 Darren Read Date Signature C D F F I IN N R E Q U I R E M E N T X ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS N 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 aff:01, (Rev.12/96) APPLICATION AND PERMIT'001 ASSESSO6PI-NITEO - 0 2 7 Ir 2. 5 BUfICDINGPERMIT OWNER SMITH, HAROLD & SHERYN �W215384 SO. FT. OCC. BUILDING VALUATION 748 open 5;236 OWNERsf"T"'G._gQUHFIELD DR., OROVILLE, CA 95966 124 retai iing 1,340 Co "TW "§PARKS CONST. U �Fff!!`l 7 8 4 cONTR 9'6` M(III ffff s HILL, OROVILLE, CA 95966 CONSTRUCTION LE�NIID�ER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 6,576 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 90 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 59 BUILDINGffE'WAKEFIELD DR., OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 1 rcq 00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK & RETAINING WALL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 NOV LE Main Service zo.A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions 0 hapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof Ions Code, and my license is in full force and effect. �� �� / License Class Lic. NO. .. J r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the fperformance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insura ce carrier and policy number are: Carrier Policy Number n7_ — ice'-- (The above sections need n t be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with #jpse provi ;ns. X Date— SitffhaUodf of Applican - ❑ Owner Vontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mein Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( a Acc. BInS. 3.5QFT; NNoMi OgIpT' MULTI -OUTLET @7.50 POWER APPARATus a swGLE 0. cIR. OUTLET OR FIXTURES 20 @ +'00 . Ex. Occup.BAL. o .50 Ex. Occup. FIX. R6 D.J E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $169.00 Ill O. FEES IMP FLOOD CDF PARCEL Po6 IjD ISS}JE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON/late the applicable provisions Resolutions to do work been paid. /,02 7 7Receipt Q3 Det No. 360424 $169.00 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 3ev.12/96) t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT . APPLICATION AND PERMIT e�?" ASSESSOR PARCEL NUMBER BUILDING PERMIT —(p -OZ OZ.S OWNER (� SO. FT. OCC. BUILDING VALUATION vo _ {iAO 8 ES Ir. ro.�l 66 CONTRACT ✓` ' T NEO �, coNTRAcr s No ADD s CONSTRUCTION LENCER LENDER'S MNUNG.ADDRESS Fireplace Total ValuationS ARCHITECT OR ENGINEER LICENSE NO. Flinn Fee Sr 2 Q, QQ ARCHITECT OR ENONEERS MAILING ADDRESS Permit Fee Plan Checkina Fee gUAOwG ADDRESS l2 _ Energy Plan Checking Fee&.00, S PERMIT FEE _ LOT NO. SU11W1SIONSNAME PARCEL MAP ZPmQ — 3 rj PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE L Each Trap 11 .00 Solar or heatpump water heater 23.00 SF O Duplex O MobilehomeOther ��C Water piping15.00 111111 SPECIFYEachas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New?k::�7Additicn O Remodel ❑ (Utilities ❑ Mstaktion ❑ Other ❑ Building sewer 15,00 Describe Wor `/C'G 1C-- s� ��� �i`(� Mobile Home I S I G I W I Q20.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Fee 20.00 Main Service s�oolvi o0R Ass 23.00 R, Main Service 200^ 'TO I000A I 46.00 NEW CONST: DWELLING OCCUP. sO OR ADDNS. A ACC. KDS. 3.50FT. Srb: MULTF01lRET @7.50 .+ NONd1E510. I POWE31 APPAMTU9 � SlKiLE OUTLEr G0. EX. Occup. OUTLET OR FIXTURES eti o �.5 Ex. OCCU oFOXED APPLNS. oR I 5.00 vrwrs ESLD. EA / ^ Temporary Service 23.00 Mobile Home Facilities 20.00 ih1}� Misc. Wiring 23:00 Sik A PERMIT FEE _ � � I MECHANICAL PERMIT Fling Fee 20.00 Heating O 44 -my- Cooling Hood j 1 6.501 Ventilation PERMIT FEt S _ Mobile Home Installation Fee $ Energy Inspection Fee E Mill 9 - / «c CO16T TYPE TO AL FEE $ KAZ 1 D. FEES FL000 I cop PWEL I NO 65:K e1��Q This permit is hereby Issued under the applicable provisions of the Butte County Code and/or 'Resolutions to do work NkYh indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON , 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 o 7 2 _' 0 V — OZ -7 Proposed Building Use: C, /�' Counter Technician: 9 Date: ( 0 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. (Plot plans, 3 or 4 sets, signed by the preparer of the plans. f5 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 2 1 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! t& 5. Energy compliance design and supporting documentation in duplicate. JCP 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. M7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14/.Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ K Statement of Intent for Non -heated and A/C Buildings .................................. O bu 16. Sanitation and plot plan approval from the Environmental Health Department in I -0 ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑paid. Sent by: ❑ 19. Planning approval for (A) Use: O IG (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter,of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance................................................................ ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other:r When issued Telephone 6 and hold for pickup. I have beeninf� of the above items d requirements for obtaining a building permit. Applicant. '�� Date: 1. Index permit application for the above items numbered:?G� ?� y Plan Check Letter 2 items required Coatesigner, owner, was advised of the above data by Contractor, designer, owner, was advised_ of the above data by Plans reviewed by: Date: - Structural reviewed by: Date: Note transfer by: Date: ❑■ ❑ mail, 'D - counter, by .Date: •kms phone, ❑ mail, ❑ counter, b Date: Plans approved by: Date: DZ _Structural approved by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 I SCHEDULE OF FEES DUE OWNER. ✓ "tl �� PROPOSED BUILDING USES 4—.1. BUILDING PERMIT FEES --Balance $ I Due ........................................................ I -Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4.� URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A.P. # 2-1 / o Z)2:–? DATE .7'45'02 RECEIPT # DATE REC. -360qJZ, -?.,57.0-2-- 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd•Copy - Applicant 3rd Copy - Owner (Rev. 6/00) q �t E.N. USE otay Pot Plan Attached Flout Man Attached Sant to a.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r Yh Owner Location AP# Plan Approved for: Sewage Disposa Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ' Environmen 8/96 Health Specialist Date COUNTY OF BUTTE `— DEPARTMENT OF PUBLIC WORKS -� 7 County Center Drive — UroviIle, California 959W Telephone: 534-4541 APPLICATION AND PERMIT ' BUILDING , Owner` ; } �, 1 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty r Telephone No.z Permit Fee t t • r i " Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r r' f Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �r A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 *1 + U ►� ;� s I , 600V OR LESS Main service 100 AMP OR LESS 5.00 J f Main service EA. ADD -L 100 AMP 2.50 r Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. t SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: r Ex. Occup(OUTLETS OR FIXTURES), BA@2j Ex. Occup.(FIXED APPLN9 OR ) OUTLETS (RES(D.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification f r_ Misc. Wiring 6.25 E]I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ;. ' /_ r MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 0 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 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 Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating , Cooling Ventilation Hood 2.00 Permit Fee $ ' $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ aumarize representatives or ine uounty or butte to enter upon ine above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ygb 1-7- 7 7 J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS Q7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �A ��7-77 /V1 Z-� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XZcA 2� Datev Signature ofPPer tee -or Agent Receipt No. /K9�93 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. DIRECTOR F UBLIC WORKS By Date �—72 ui"ing permit expires Date 1-31--7 BUILDING Owner i SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ��,g , / y- ( Total Valuation J Mai I i ng Address 3 6® GLh I �{� Permit Fee PI an Checking Fee &/or Penal ty 1� r. p Y o V Q Tephone No d . � Permit Fee $ BuildingAddress �� f �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 gf� hdZ FIR- ep ate Each Trap 1.50 etl-1 t C) v V t ( / / 11•�� F Repair drainage or vent piping 1.50 Water piping 1.50 ZO Each gas water heater or vent 1.50 ` f� A. P. No. / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes .C. 'Seltp4a4iorr FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration arcel a p 60' R/W Im r p ovements Lawn sprinkler system 2.00 r-Rec d— Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ;. p-® 1 x�^^' ^ pay V ] l ` S i „� _ 7 rc� `" 600v OR LESS Main service 100 AMP OR LESS 5•00 r V Main service EA. ADD'L 100 AMP 2.50 z..i:� Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING O OR AODNST ( ACCLBLDGS.CCUP. &) 20.sgft NEWCONSTR. MULTI -OUTLET NON -RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: J �e�� C�� Ex. Occup(OUTLETs OR FIXTURES) / BAL@1 •� EX. Occup ( FIXED APPLNS. OR \ 2.00 OUTLETS (RESID) EAI Temporary service 10.00 Mobile Home Facilities 15.00 �1—�Z p- /� License No. 90 Classificatiorf-�� eY,3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 4 TI 7 - MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3. Heating �c 10 Cooling Ventilation Hood 2.00 Permit Fee $ 77. Q Q $ m I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XZcA 2� Datev Signature ofPPer tee -or Agent Receipt No. /K9�93 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. DIRECTOR F UBLIC WORKS By Date �—72 ui"ing permit expires Date 1-31--7 __P T USIDING BLOCK FOR TOWEL BARS WINDOW AND, SLIDING GLASS DOOR_ OPENINGS ARE PER 'CALL -OUT. DOOR OPENINGS ARE CALL -OUT PLUS 2". SHOWER AND TUB/SHOWER COMBINATIONS SHALL BE PROVIDED 'WITH INDIVIDUAL CONTROL VALVES OF THE PRESSURE BALANCE OR THE THERMOSTATIC MIXING VALVE TYPE AS PER CPC SECTION 420.0. TYPE L_ BRACED* WALL PANEL KEY ALENGTH --------------------------------------------------------- BP MINIMUM 3/8" APA RATED PLYWOOD APPLIED OVER 2X FRAMING AT 16" O.C. WITH 8d (0.113 X 2 3/8") NAILS AT 6" ON CENTER EDGE NAILED, 12" ON CENTER FIELD NAILED, COVERING 3 STUD SPACES. FLOOR PLATE NAILED WITH 16d NAILS AT 12" ON CENTER. BP -2 5d2COO ERUORWWALBOARD LB ARDS NAIBSOTK7- ON CENTER FRAMING WITH CENTER MAXIMUM �CfRIC& PLAN NOT�5 1.. PERMANET WIRE ALL SMOKE DETECTORS ON A DETECTED CIRCUIT 2. THE FOLLOWING GUIDE LINES MUST BE MET ON WALL PLUGS f;.. -ANY WALL OVER 2'-0" IN LENGTH SHALL HAVE A RECEPTACLE PLUGS SHALL BE A MAXIMUM OF '12'-0" APART L" PLUGS SHALL BE 6'-0" OF END OF WALL OR OPENING I ' ALL PLUGS AT KITCHEN, BATHROOMS, OUTSIDE, AND AT THE GARAGE SHALL BE G.F.I. PROTECTED -:-FIELD VERIFY LOCATION OF SERVICE PANEL AND METER WITH LOCAL BUILDING DEPARTMENT,.AND..THE POWER COMPANY =THE LOCATION OF PHONE AND T.V. JACKS TO BE OWNER APPROVED PRIOR TO INSTALLATION RROVIDE ELECTRICAL FOR HEAT AND AIR UNIT TO BE LOCATED AT THE SITE VERIFY WITH OWNER PRIOR TO CONSTRUCTION P^R6VIDE..20. AMP BRANCH CIRCUITS AT BATHROOMS BATHROOM RECEPTACLES SHALL BE SUPPLIED BY A SEPARATE 20 AMP CIRCUIT 'A, '"ALL NOT HAVE EXHAUST FAN, LIGHTING OR OTHER OUTLETS ON IT AS `PER 01' CEC ARTICLE 210-52(d). :PROVIDE ARC -FAULT CIRCUIT -INTERRUPTER PROTECTION FOR ALL RECEPTACLES ,,.-LOCATED IN-BEDR06MS-AS-PER CEC ARTICLE` -21-0=1 .---- _�-=-- =-- -- = • • - _--_-•-- PROVIDE A CLEAR PATH FROM THE ACCESS OPENING TO THE ATTIC;, -FURNACE UNIT TO ACCOMMODATE THE LARGEST PIECE OF EQUIPMENT BUT`NOT SMALLER THAN 22"X30". THE'�PASSAGEWAY FROM ACCESS OPENING TO THE UNIT SHALL NOT -EXCEED;; 2 0 7. 80' TREE Z 1 SEPTIC. I r co � r � 21- . /-96. ------------------------------- I I I ... _ . _. .......- _ .......... _ _._._.. ................. ..... AT LIVING BED BE /— 21' POOL KITCHEN PROPOSED ADDITION I PORCH I DECK � I � I I I Butte ED Environma unty I 2 0 X 2 0 ntaul Neat GARAGE ZG to I Eiynat e I I � I I --------------FENS-E------------------------ 438,15/ ---------------------� 438 15' \CQ, quo 1� (o50 - r155 j7dk ©q p o r IGjn}eu �e�Tiawuainu3 I4unoo oUn3 a3Ao8ddd L I aft ara1; IM OX-) -coo 393.30 to 10 1,U. AC. I 4'b U t. . , VI" OA q3y, IT