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HomeMy WebLinkAbout072-550-009y .+ Off" ', ..,. ,,. 5- ...r., i.. ±w•'^rM 1 t . , xHOWARTH,' Da o t }Can Dr', - � (elec for,, _ F � _ 72550009 �0�'-1552• r HOWEkLj 1'J' AN� f 5 CANAL DRIVE, ORQVILLF 1 = Cont: IJNKNO:WN t✓ NEW SINGLE I'AMILY r k j M Y , t M 1 i t � n �Ioe, Lrm.� � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am 9xenjbt under Arti 3 o e Busres;fand Professias Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: . Carrier: Policy #: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro isions of Section 3700 of the Labor Code, I shall forthwith comply ith tho a provisions. Date: � . 3 .6 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO51552 Issued Date: 05/03/2006 APN: 072-550-009-000 Site Address: 266 CANAL DR ORO Map Index: Description: NSF (2518) COV (610) GAR (433) Owner: HOWARTH, DANIEL LAND JULIE K 2321 FOOTHILL BLVD OROVILLE, CA 95966 530-534-1783 Applicant: HOWARTH, DANIEL L AND JULIE K 2321 FOOTHILL BLVD OROVILLE, CA 95966 530-534-1783 Contractor: License #: Architect: Engineer: AUSMUS ENGINEERING otal Square Ft: 3561 S. F. Valuation: $183,822.00 Census Code: rhis permi ' he by i d under th pplicable provisions of the Butte County Code and/or Resolutio rk indi ated above r w 'ch fees have been paid L� PERMIT EXPIRES ON ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agept of the owner. I gree to comply with all county and state laws relating to building c nstruction. I acknowledge it is unlawful to alter the substance of any official form or do c ent of Butte Co ty. I hereby A P authorize repr tives of Butt County to ntelIr u 1pon the ab ve entioned property for inspection pur ses. -)A Print Name: I W Signature: Date: wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 TTECOUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS �? v 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530)!Q1'Z834 OFFICE #: (530) 538-7541 ��-- Ll� A FEE WILL BE REQUIRED AT TIME OFAPPLICATIONqi, Website: www.buttecounty.net/dds � l ,ff "PLEASE PRINT CLEARLY" It l �1 ARCHITECT/ENGINEER OWNER e i City ,r f . o Last Name 14e)First Qox Name' State �---hJ,r /1 Address Phone � _ Fax c•� / E- City Dief © Uj I Class Statec—A.Zip Phone � J Fax _ E-mail ARCHITECT/ENGINEER CONTRACTOR e i City ,r f . o Ades 0 Qox City F State �---hJ,r /1 Zip y7d oe Phone � _ Fax c•� / E- Fax 7 c� Class ARCHITECT/ENGINEER Name �� a ✓ OTC, U'SU Address O I f City ,r f . o Sttatt Zi a Phone Fax 13 0 oC -ma !? U del State Li %NJu r APPLI ANT NAME Name IDA� ,Ul. / o w Ar /I iC, Address . - ,l' vO CitgoStateCA O�/i If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Zi�� (o Phone� � Map Book Fax 7 c� E-mail Plan er APPLIC NT SIGN URE X For offi% We.ArIly- y 4dr, Cc.rK Zoning Flood Zone SRA No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name �� 2• Address v� Map Book Page Lot # Plan er IteA?,ovel, 515 PERMIT NO. S (Ss-�'- LOCATION (Al y 4dr, Cc.rK ����►►��yy Cros et( 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 v� OVER FOR SUBR41TTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 De cription or Scope f Work: Sq. Footage I Y ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked, and other de art nt costs are not refundable. 1 4 /A/ l �., /V J V l 1 dd by: I L? / Amount: / ? ' �v Bldg SRA #: Sheriff ( SMIP Dat l ( 5 1'5 Total REV 2-24-05 mon; L 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 of 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. r ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 utte County Department of Development Services JNNE CHRISTOPHER, DIRECTOR N 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile r� TO: ' FROM: LO SUBJECT: O DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherforda l7buttecountv.net Plans Transmittal For Review Per Contract 06/16/2005 Applicant: Howarth, Dan Permit No: 05-1552 Project Type: NSF 072-055-009 100% 70% Plan Check Fees $ 1,298.30 $ 908.81 $ 1,298.30 $ 908.81 WILLDAN Fee $ 908.81 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: O v ASSESSOR P��ARCEL NUMBER ✓ O� Proposed Building Use: Permit Technician: Date: ` UJ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t pply. 1. Site plans, 3 or4 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. r ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. o 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential` buildings ❑ 12. Hazardous Material Form `fj 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other fining 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 r oville, 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 ........................................... ❑ , . Erosion Control Plan Required........................................................................ p� -20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 0 1. City of Chico Plumbing permit......................................................................... ❑ 22. Site plan and business license approval from the Cit sof Biggs .............................. , • 23. California Department of Forestry Ian approval aid. Sent by: 24. Planning approval for (A) Use: �(B)Parking: (C) Parcel Check:..... Z aS c¢- ❑ 25. Contact Land Development about'- Improvements, _ Drainage .........::............. 26. NPDES Form............................................................................................. m.(�A 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Contractor's license information. (Number, Name Style, Classification) ................... O -29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (Given to owner, _Mailed to owner) ..................... O 31. Letter of Signature authorization.................................................................... jXW 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or expired permits....................:.................................... ❑ 34. Deed Restriction..........................................................::.............................. O 35. ❑ Legal description, O M.H. Title, title search, registration or MCO ......................... O 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. I have been ! fofined of the above items and requireAients for obtaining a building permit. Applicant t I C l Date: 1. Index pewita ication for1fie abD&itdms numbered:_ l Plan Check L tter 2. Additional items re Contractor, designe owner was advised of the above data by phone, ❑ mail, O counter, by Date: Contractor, designer, er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by. Date: Yellow: Building Division E.H. USE ONLY Piot Flan Anechod Floor Flan Anschad Sent to ®.D. A TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Cleara e Owner Location AP# Plan Approved for: Sewage DisposaVater Supply: ublic Private Well Clearance for dwelling. Other I/Vd�Y1-- Hold final for: Final clearance O.K. for: NOTE: n A Environmental Health Specialist 8/96 Z-6 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVII.LE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE lv 1 BUILDING PERMIT FEES .� Balance Due ....................... $ 1C\ l Additional Fees Due ................. $ A.P. 461;�\• DATE RECEIPT # DATE REC. Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES Ca��l IG �� qjq�0S� (paid at District Office) (Available after Plan Check) K•6 3.nsi RIFF FEES (paid at Building Division) ential ...................... x $360.00 = $ Units Comm cial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) . SRA FIRE INSPECTION`�A D -PLAN C CK -499-00 (paid at Building Divisiot��D�_C�� 8. WATER TENDER FEES attar $200.00 (paid at Building Division) 9. eft 10. OTHER At time of permit application, I was advised the ove fees are req d to be paid prior to issuance of the building permit. Th a fees may be changed d ' the plan checking proc 's. APPLICAN � DATE C 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 0,,aa�JRY `St fid' �+ d" ffi, Cj i•a L! n�IG q<i�, $ �.Oi I,—�:. u;ix_. ��-F�a+ >mv� Wiz,.. , Ga.n-tv... Rrn�x�;m?'.ras.rr_... •s�:.�'s's s .v.'�+z:�;1 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 f* 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 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 �r �'`d:".i.:is `.� ri'L.� `X Vii` 4.. '�,r ..: a^•{;' . 'W11�ER A s VIL a �1Z I A� � IA ETON 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 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. Mic el C. Vieiri C.B.O. Mailager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte County DepartmentofDevelop nentSerr�ces 7 County Center Drive00 °Urr Oroville, CA 95965 , = . `� ` , (530) 538.7601 Telephone ° ° (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: 9 I need to submit applications for septic and/or 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 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 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,t� APN: `% ' , ® I Building site address: Permit No.: GS, I SSS I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the a ve-referenc building permit application and my signature below: 'd NATURE OF APPLICANT DATE a A�L1C Department C o u n t J. Michael Crump, Director of Public o. f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN 1 ACRE1 9 Pro'Ject Description: Project Location andlor Parcel Number: (S 0 By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: . _--.u— 1 Ac=NPDES & Cwv7D r..ertifcation N AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 8 -Jul -2005 2005-0039796 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent.to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing; spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: .13 F, C i�7�ac�.e� Ce9u--L �e�ehi( �-lon Date P OPERTY O RS: State of California ) County ofbV-11tJ-L— On -7 ) 1 I D s before me, e/ personally appeared 6&4c 7l[�1. [.�� 1 4N&J-AAtiV personally known to me (or proved to me on the basis of satisfactory eviden e) to be the person(s) whose name(s) is/ re ubscribed to the within instrument and ackn wledged to me that he/she a xecuted the same in his/her/ ei authorized capacity(ies), and that by his/her/ ei signature(s) on the instrumen the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offs 1 seal. Signature Seal: *'KATHY J. HOLLAND; U COMM, * 1478765 Q NOTARY PUBLIC -CALIFORNIA® f "] BUTTE COUNTY 0 A.P. # % �' ��� ® COMM. EXP. APRIL 22.2008' Order No. 126212* SCHEDULE C The land referred to herein is du5crihed as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: The Southeast quarter of the South half of the Southeast: quarter of the Southwest quarte r'of'Section 20, Township 19 North, Range 5 East, M.D.B. & M. PARCEL TWO: Easement for road and public utility purposes, 60 feet in width lying 30 feet on each side of the following described centerline: BEGINNING at a point in the centerline of Canal Drive from which the most Northerly corner of Lot 174 bears North 700 27' East, 30.72 feet; thence Southerly parallel with and 30 feet measured at right angles to the, East line of said Lot 174 South 320 00' East 810.40 feet; thence South 79° 00' East, 87.29 feet; thence South 000 51' 35" East, 156.15 feet; thence South 790 22' 05" East, 392.82 feet; thence South 420 1V 36" East 31.3.31 feet to the East line of said Lot 174 from which the Southeast corner of said Lot 174 bears South 000 02' East 330.00 feet; trence Easterly 660 feet more or less to the Southeast coj_ncr. of the Northwest quarter of the South lit of the Southeast quarter of the Southwest quarter of Section 20, Township 19 North, Range 5 East, IMI.D<B. & M., and the end of said line including a 50 foot radius cul-de-sac at the end of said line. 1 1 END OF DC:C1.iAAP i'r A W I LLDAN Serving Public Agencies August 30, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1552 Assessor's Parcel No: 072-055-009 Description: Howarth/ NSF Willdan Project No: 14353-1728 # Plans: Two (2) copies, sheets 1 through 6 dated 4/7/05, sheets 2 and 7 revisions dated 08/10/05 Sheets S 1 through S4 dated 4/07/05 by Eric Ausmus, P.E. # Structural Calculations: Two (2) copies dated 3/22/05 by Eric Ausmus, P.E. �k Truss Calculations: Two (2) copies dated 3/28/05 by Mitek * Energy Calculations: Two (2) copies dated 3/24/05 by Barry Rubanoff * Miscellaneous: Two (2) copies EOR's Truss Concurrence Letter dated 1/19/04 [sic], by Eric Ausmus, P.E. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. 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 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 (CBC). 0 Part 6, known as.the California Energy Code, and Energy Commission Standards (CECS). W I LLDAN Serving Public Agencies CODE ANALYSIS .Our plan review, revealed the following information regarding the occupancy designation, type of ` construction, -and other pertinent features. This information is not consistent with that shown on the Permit Application*. Specific Use 'Type of Oicupancy. Typeof. Construction Stories 0 Floor Sq Ft , 2 nd Floor Sq Ft .Total Sq Ft �t "i�..'[.. r a,'-�Vj 4 S F .a+ J 1 rt ASS` r Y .5'. l•' +� )pCii riy S� -Pir t.�iw�",�f���s,.frw+a!-+A�.s�+r�','�A•+ini� �r•,.. <, t, ��'��%r-a�x��.�:r'�1.... �' +,..6�1•'i'r.".�a. ..res er..!-�..�r r�.F' �.::t 1. .ti...�"Z.-.4'�i+. dt; N,_ Dwelling ; ''R-3 w V -N 2 1783 735 2518 Garage U-1 V -N - 1 433 0 433 Covered Porches R-3 V -N 1 534 0 *610 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined 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. - 5. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms and hallways leading to ,bedrooms (may be -either battery operated or 110 volt with battery backup) as required when the valuation of any addition made to a Group R -occupancy, exceeds 1� L$1000 per CBC 310.9:1:2 th ough CBC 310:9.1.5 6. Gable -End Truss calculation submittal is deferred to Butte Co.'s review at their discretion. 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, OMT Plans Examiner Thank you Cc: Alice Mefford, amefford@buttecounty.net Eric Ausmus, P.E., PO Box 5115, Chico, CA 95927, ed4@ausmusengineering.com Page 2 of 2 Butte County 05-1552 Willdan 1.4.353-1728.PC2.F BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM TK A 041- OOq (One form per Building) School District Or VI I t E1 : Q Building Department No. P C e A.P. Number Jurisdiction: City County Property Owner. i owar [ h Property Location/Address 1111 IU 1 VI 1 V 1 ()V 1 1 Subdivision 4 Lot No. p........................................................................................ Residential Development 0 Q Q Q Sq. Footage rj No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # *(No foundation inspection) :........................................................................................ Commercial/Industrial 0 0 New Addition Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. .hyo v r 1 e 12y►-. School District certifies that Sq. Footage ' (Including Exterior Roofed Areas) q-1105 Date (Applicant) (Street Address) (Phone Number) 0L to t10 (City) (State) (Zip Code) has complied with the requirements of Resolution No. O 3�— representing square feet. B 2926 $ ULL MITIGATION $ L School District Paid by Check # Remarks: 0 — 0 o at Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees aro paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Guaiity Act (CEQA), this project maybe subject to additional school fees to fully mitigate Its Impar on the school district's schools. White (school district), Yellow (building department), Pink (applicant), feeform.xla (3105)drlwn BUTTE OUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Permit Number 6P 05 Is 52 Property Owner (s) Project Location /Address (.an a I Dr. OroV! I i (� Subdivision Name Assessable Sa. Ftee 9,c; 19, / Type of Residential Development (check one) V/ New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: q -19-D 5 Bu ldtng Department Representative Date ❑ FRRPD 0 CARD 0 PRPD ❑ DRPD certifies that: —I �43 'Applicant Nam e U� Phone Number c A Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: on and Park District KAFORMSMILDING FOR1\6park-rec standard form rev Ldoc per unit for a total of $ b� - per sq foot for a total of $ Receipt No: Date AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0039796 Recorded I Official Records I County of I Butte I CANDACE J. 6RUBBS I County Clerk-Recorderl I I 03:24PN 08 -Jul -2005 I REC FEE 10.00 CONFORMED COPY 1.60 KL Page I of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to ,accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ]on Date Date (� OPERTY O RS: 12 DA �J oo A V4 0.1-0 �IM27��Irc� �ti404 State of California ) County ofb,, ) ' �`,� Q Q On it t, 1,9 Jc� before me,/n�-/� ,, J , personally appeared b0,,U—' tJD A21h A %j(d M4--X4UV personally known to me (or proved to me on the basis of satisfactory eviden e) to be the person(s) whose name(s) is/ re ubscribed to the within instrument and ackn wledged to me that he/she a xecuted the same in his/her/ ei authorized capacity(ies), and that by his/her/4te on the instrumen the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my han and offs 1 seal. Signaturea"A'14LSeal:KATHY J. HOLLAND V COMM. # 1478765 Q - NOTARYPUBUC-CALIFORNUD f "] BUTTE COUNTY n A.P. # J- �� ��j ®� COMM. EXP. APRIL 22, 2008 i Order No. 126212* r I SCHEDULE C The land.referred to herein is 6t!6cri.hed as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: The Southeast quarter of the South half of the Southeast quarter of the Southwest quarter of Section 20, Township 19 North, Range 5 East, M.D.B. & M. PARCEL TWO: Easement for road and public utility purposes, 60 feet in width lying 30 feet on each side of the following described centerline: BEGINNING at a point in the centerline of Canal Drive from which the most Northerly corner of Lot 174 bears North 70° 27' East, 30.72 feet; thence Southerly parallel with and 30 feet measured at right angles to the East line of said Lot 174 South 32° 00' East 810.40 feet; thence South 790 00' East, 87.29 feet; thence South 000 51' 35" East, 156.15 feet; thence South 790 22' 05" East, 392.82 feet; thence South 420 17' 36" East 31.3.31 feet to the East line of said Lot 174 from which the Southeast corner of said Lot 174 bears South 000 02' East 330.00 feet; trend Easterly 660 feet more or less to the Southeast corner of the Northwest quarter of the South 1/2 of the Southeast quarter of the Southwest quarter of Section 20, Township 19 North, Range 5 East, :B.D.B. & M.., and the end of said line including a 50 foot radius cul-de-sac at the end of said line. END OF DOCI_►MPoIr USMUS t:tict5��xi�r, Civil Engineering and Design 3115 Johnny Lane, Chico, CA 95973 Ph: (530) 521-2648 FX: (530) 343-5320 eda@ausmusengineering.com R October 25, 2007 Dan Howarth 2321 Foothill Blvd Oroville, CA 95966 TRANSMITTAL RE: Engineered Plans for the Howarth Residence APN 72-55-09 It has come to my attention that the subject plans are missing a foundation stemwall and footing for the shearwall located between the master bedroom and master bathroom. Because the foundation has already been poured, please use the alternative solution: 1. Omit the shearwall located betwe&-the master bedroom and master bathroom 2. Increase the nailing froin 6/12 to 4/12 for the 8.'-. shearwall adjacent to the exterior door in the master bedroom." 3. Construct a perforated shearwall for the 4' shearwall located between the tub and the water closet. Please find the attached detail labeled exhibit A Please don't hesitate to call me should you have any questions or concerns. Eric D. Ausmus, P.E. Ausmus Engineering (530) 521-2648 QvvESS/( v O ;GLA �lC v)i No: 65286 09-30-2009 c�IV1��� ' of CAS\F� .BUTTE COUNTY GILDING DEPARTMENT A ID Page I of I ® VC D C:\Ausmus Engine@ring\2005_ Projects\Haworth\Transmittal.doc e� 2 Ped -JP Prl. r` I I C A O 1 A) A I I fi A A I C I PENETRATION IN SHEARWALL DAN HOWARTH APN 72-55-09 EXHIBIT A 10-25-07 U NTUDEALO.NSHARNL SCHEDULE OR PLAN 2.2X DOUBLE TOP PLATES 3. 2X PLAT BLOCKIN6 BEHIND STRAP 4. HEADER PER PLAN 5. S I MPSON 0516 COILED STRAP, U.O.N. 6. NOT USED 7. EDGE NAIL KIN& STUD(S) OR 4X FULL HEI &H PER PLAN 8. HOLDOWN PER PLAN, MERE OCCURS. 9. SILL PLATE TO, Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance oAP# Omer Location / C/ Plan Approved for: Sewage Disposal *Rater Supply Hold final for: ^anal clearance O.R. for: Clearance for �f— bedroom ome. Other NOTE Sanitarian Water Supply Water Supply if - Date of'([ I 1c r � rho ZtQc.R [ _� S0� v Butte Count 'Environment Date 'rgna use T == ELO/sg I 11 RETURN T0: Public Works 'Land Development Section CERTIFICATE OF COMPLIANCE Issued to: Catherine Vroonman 2935 Glenwood Lane Placerville, CA 95667 �FFICcA� 8JT7` CQU�i'1 PU9LowpR KS QLc 13 2 oo P ELEANOR M- F i CLERK - RECORc7ig.�. FEE This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte.County Code. 1. Property location: 1/2 mile easterly on Canal Drive from Feathervale Drive. Forbestown. 2. Assessor's Parcel Number: 72-22-14 Description: All that certain property located in -the County of Butte, State of California, more particularly described as follows: PARCEL 1: The Southeast quarter of the South half of the Southeast quarter of the.Southwest quarter of Section 20, Township 19.North, Range 5 East, M.D.B. &_M. PARCEL 2: An easement for road and public utilities purposes, on, over and under a strip of ground, 60 feet in width, lying 30 feet on each side of the following described centerline: BEGINNING at a point in the centerline of Canal Drive from which the most Northerly corner of Lot 174, Oroville.Wyandotte Fruit Lands #5, as filed'in" Book 8 of Maps, at pages 37A and 38A in the office of Butte County Recorder bears North 700 27' East, 30.72, feet; ihence Southerly parallel with and 30 feet measured at right angles to the. East line of said Lot 174 South 320 00' East, 810.40 feet; thence South 7$0 00' East, 87.29 feet;.thence South 000 51' 35" East, 156.15 feet; thence South 79 22' 05" East, 392.82.feet; thence South x+20 17' 36" East, 313.31 feet to the East line of said Lot 174, from which the Southeast corner of said Lot 174 bears South 000 02' East, 330.00'feet; thence Easterly 660 feet more or less, to the Southeast corner of the Northwest quarter of'the South half of the Southeast quarter of the Southwest quarter of -Se - c tion 20, Township 19 North, Range 5 East, M.D.B. & M., and the .end of (see following page ) Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 .'and Government Code, Section 66499.35'(b), to protect the public health and public safety: NONE LD 1400 County of Butte Subdivision Violation Committee CD 0 0 R neii CERTIFICATE OF COMPLIANCE AP 72-22-14 Catherine-Vroonman said line, including a 50 foot radius cul-de-sac at the end of said line.. Together with rights-of-way of record recorded in Book 2777 6f Butte County Official Records at page 68. eautaj` 4 a/.�Laa OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Dan Howarth ADDRESS: CITY & STATE: Urovi i i P, CA Y )Yhh IMPORTANT: DATE OF CLAIM: February 28, 1991 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to work. Permit #323-91E, AP#72-55-09, Receipt #83425, dated 2/6/91. Total Permit Fees Paid ----------------------------------- $57.50 'Rpt-.qin F.Iprt-rir;;l Permit Filing Fee ------------- Retain Pre -Inspection Fee----------------------- 15.00 Total Permit Fees Retained------------------------------- 25.00 TOTAL REFUND DUE ---------- -------------------------------- $32.50 TOTAL $32150 I, the undersigned, declare under penalty of perjury that the services or articles claims been, performed onelivered, d that this claim is true and correct ae stated. Dated thio ............... day of ......... et /Ce ifif.. .. .. ................,. Signature � ��a ..................... I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above ve been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval O (Check one) he e Dated this ?$ti?,,,,,,,,,,,,,,,,,,, day of FebruarX , 19 91 at Oroville Calif. ....... ...... ...................... .... .... p.................... .. ...... ........................ ' De ertment Head or Authorize uty DeptcFde ,,,,,440-002,,,,,,,,,,,,,•,•._ e42,10500,•,•„ onsT.Permits „„ ,,,,,,UND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. jet pb C-2 �L v COUNTY OF BUTTE - DLPAR=MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT No - 323 -91 A ASSESSOR PARCEL NUMBER 72-55--0 ZONING AR 2.'i BUILDING PERMIT OWNER Dan Howarth TELEPHONE 534-1783 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 5371 Crestrid e Dr_ Oroville 5966 CONTRACTOR'S NA ME Owner ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Canal Dr Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other well electric SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities a Installation❑ Other ❑ Describe work: well electric Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec: , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& DDNS.A CC. BLOGS.2/z¢sgft New , CONSTR.( MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9A 50 EX. OCCUp. OUTLETS RESID IFIXED APPLNS.KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Dre inS eCtion 15.00 Permit Fee $ 57.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, ind mnify and keep harmless the County of Butte against all liabilities, judgment , costs, and xpenses which may in an/w accrue a In s�(C ounty ' nsequence t granting of this permi . %� Date Signature of Applicant - Own e'14-1Dntractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 57.50 HAZ CUA PARK scHL FLD PA PD HD Iss This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRER OF PUBLIC By T P MIEXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date — - Receipt No. 83425 WNITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPART' 7 COUNTY CENTER DRIVE - PERMIT A f { Mi 1 *4f N1OF PUBLIC WORKS - BUILDING DIVISION _LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 LICATION DATA SHEET OWNER 72t Proposed Building Use �LE�_� Building Inspector_ Permit NO. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot -plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous' Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... r 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation = instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16:' Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (constr cti appro re uired rior to occupancy) 2'-20. Pre -Inspection for equired Pre-inspec. requestI�-- ' 'Building Inspector (Date) 21. Contractor's license information (Wo., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance ........... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) `� 24. Recorded copy of Agricultural Acknowledgment Statement .. �`.... . 25. Letter of signature authorization ......................... ...... '' 26. 27. When you issue the permit, process as follows:Mai o Mail to contractor. Teleph"one and hold for pickup at fice. Deliver w/inspector. Other Applidan .Date z- 6 Copy of.H,az Mat form sedt Health Dept. Fire Dept. Air Pollution Date Copy of-p)ans sent Health Dept. Fire Dept. Other- Da-te By. The/following data must be submitted prior to permit issuance: (Ci (mle new1itemcnot c, ed above). ' 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail a' counter by ".date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date M' Sets of plans on hold in File cabinet AP folder Copy—DPW 'RE -INSPECTION 1 OWNER: ��� uJ/�'/Z% DATE g LOCATION: - :........��_ . - CONTRACTOR:. % L(J/1/ C ZONING A / Z 0�7r < --------------------------------------------------------------------------------=------- ---------------------------------------------------------------------------------- PRE -INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: NONE Q AS FOLLOWS: TYPE OF OCCUPANCY. 6 FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED Q HAS ELECTRIC N_,A�S GAS 0 HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: 1-ku 6 ACTION RECOMMENDED: w ISSUE Q OTHER: HOLD FOR r DATE 14-pr'yz COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-7541 ` MiNER-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 mate ials for construction of the proposed property improvement (yes or no) 2 /�. I (have/have not) A -&c / -e --- signed an application for a building permit for the proposed word. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated.- Name ndicated:Name Address . Phone Type of Work Signed : Property Owner Social Securit u er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1 . - r, 1 �Dl ILL— C�NWOOD FIRED DEVICE MUST COMPLY cl AIR QUALITY MANAGEMENT DISTRICT 207RESIDENTIAL WOOD COMBUST/ON.MORE INFORMATION CFF' ATTArljwxnx— LAUNDRY i BIZ 0�Ci 1® MASTER SDRM ub oli�3VOL-PpING DIVIVON*110� 1 i ✓i V�0 i 1� p p .i. 1 `� 10 vp 161 Iv KIT UP N --_ _-_-va(- 4,P Ll "h"f'� h rw._..w•.__...r_._rr..Mrwrrr..___..__r......r_..w..}. UfYAW vGAQF, : lop ; 1_ �' v fid2 HEADERS @ EXT.W ! ! ' • _cls ALIS 4s12 @GARAGE 6o ;Z" i. i s _ iP 4x12 HEADERS @ INTERIOR BRG. WALLS ASTER- (MA1' i u I .:; DINING® 2 MIDT �� � � t� FIr .� 1 /�1 �x�•{{``!�. � �.r /� � •�•�� •� � ! •dal ' � . OF S. .N1, PORCH l _ r