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073-280-005
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR MSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 11136 BREEZY BLVD Owner: Permit NO: B07-0383 APN: 073-280-005 COLLINS, RAND ETAL Issued Date: 04/18/2007 By KEJ Permit type: MISCELLANEOUS PO BOX 1476 Subtype: Private Garage/Shop EL GRANADA, CA 94018 Expiration Date: 04/17/2008 Description: DETACHED GARAGE 364 SQ FT (650) 868-2003 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: COLLINS, RAND ETAL Building Garage Remdl/Addn PO BOX 1476 364 EL GRANADA, CA 94018 Other Porch/Patio Total (650)868-2003 364 FEE INFORMATION DBEH Building Review Fee $75.70 DBF GARAGE -Wood Frame Plan Che $219.96 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Garage Wood Frame $329.94 DBOMSCF Fire Safe Standards Re $109.98 Total Charged: $940.98 Fees Paid: $940.98 Balance Due: $0.00 Receipt No: B2638 ` = LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 04/18/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section nee not a competed if the permit is or one hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: [VI 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' ompensation laws of California, and agree that if I should become subject to the workers'X NV 04/18/2007 compensation provisions of Se tion 3709 of the Labor Code, I shall forthwith comply with those provisions. Owner`s Signa re Date X 04/18/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, , its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to Hier thea ve menf ed property for inspection purposes. I hereby certify that I am the prop r a lhori to act on the property owner's ehalf. CONSTRUCTION LENDING AGENCY 4/18/2007 N e of P r e SI N] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Ownergent for Owner Agent for Contractor ❑ Contractor OR 'A FILE COPY Lender's Address City State Zip Butte County. Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 .0 0 0 O �`i S C1Q �� National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0383 Location: 11136 BREEZY BLVD Parcel Number: 073-280-005 Owner Name: COLLINS, RAND ETAL Description: DETACHED GARAGE 364 SQ FT Date: 02/28/2007 By: GLB Sub Type: Private Garage/Shop Phone: (650) 868-2003 By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: X0&.z=— Title FILE Date: 02/28/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0383 Date: 02/28/2007 Location: 11136 BREEZY BLVD By: GLB Parcel Number: 073-280-005 Sub Type: Private Garaze/Shop Owner Name: COLLINS, RAND ETAL Phone: 50) 868-2003 Description: DETACHED GARAGE 364 SO FT The above permit application has the following Clearances requirZpenit issu ce. Please contact each department indicated below regarding specific requirements pertaining to your on. Yes No DRAINAGE DISTR ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Orovi0) 533-0740LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 5City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) ❑ ❑ Chico Area Recreation District, 545 Vallombrosa hico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 M' ay, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park Distri , 1200 Myers Street, Oroville CA 95966 -(530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 S ay, Paradise CA 95969 - (530) 872-6393 ❑ ❑ ❑ ❑ ❑ ❑ SCHOOL DISTRICTS Biggs Unified School District, 30 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School D' trict, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School D' trict, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Element y School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union igh, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise U ' ied School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Record copy of Agricultural Acknowledgment Statement- See Attached Instructions City Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Q Signature of Property Owner: Date: 02/28/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Enviromnental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0383 Location: 11136 BREEZY BLVD Parcel Number: 073-280-005 Owner Name: COLLINS, RAND ETAL Description: DETACHED GARAGE 364 SQ FT Date: 02/28/2007 Phone: (650) 868-2003 Signature of Property Owner: ���`� Date: 02/28/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° 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 thier own employees, without a license 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's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PJOC)O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMP VEMENT.(YE R NO) 2. I /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. D 3. I 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 ADDRESS PHONE TYPE OF WORK Description: DETACHED GARAGE 364 SQ FT Reference Number: B07-0383 Applicant Name: COLLINS, RAND ETAL Owner's Name: COLLINS, RA,XD IET�AL, AP # :O73-280/-005 Signature of Property Owner: �%�" Date: : � O BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0383 Job Address: 11136 BREEZY BLVD Contractor: Printed: 02/28/2007 12:17 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 02/28/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 02/28/2007 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $109.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 02/28/2007 $102.70 DBMSC Garage Wood Frame 0010-440001-4210500-1010 $329.94 DBF GARAGE -Wood Frame Plan Che 0010-440001-4210500-1010 $219.96 02/28/2007 $219.96 Printed By: Gwyn Benedict 940.98 $501.06 Balance Due: $439.92 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. c Signature: Date: 02/28/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last N e first Nam _ Mai' City �� State C(0 P o $ 0 Fax E-mail U APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: Uc. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X Z�Z- ` For office use only: AP# b —73 _ :L-1jo _ 0o 5 Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# b —73 _ :L-1jo _ 0o 5 Property Address�, ' I'/ 1 11-36 en--z-V.."l Ci Cross Street I 7 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: -+�" 3 6 C( Sq FT- Living kQarae Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount:/y Bldg 9 1 ) SRA Receipt #: Sheriff SMIP j� ' v -6ther Date: i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 11136 BREEZY BLVD Owner: Permit NO: 06-2149 APN: 073-280-005 LESLIE COLLINS Issued Date: 04/18/2007 By KEJ Permit type: RESIDENTIAL 11136 BREEZY BLVD r Subtype: SFD-Custom/Model CLIPPER MILLS, CA Expiration Date: 04/17/2008 Description: NSF DWELLING(1555), GAR(364), ( (650) 868-2003 Occupancy: R-3 Zoning: Contractor Applicant: Square Footage: OWNER LESLIE COLLINS Building Garage Remdl/Addn 11136 BREEZY BLVD 1,555 364 CLIPPER MILLS, CA Other Porch/Patio Total (650) 868-2003 288 2,207 FEE INFORMATION CWIF SF $2,411.06 SRA Fees $95.00 CWIF SF $1,838.05 CWIFAUD Impact Processing Audi $50.00 CWIFDDS Impact Processing Fee $50.00 DB R3 Dwelling -Custom, Model $1,542.97 DBEH Building Review Fee $75.70 DBSMIP Residential $11.44 Total Charged: $7,212.85 Fees Paid: $79212.85 Fund 10 BLDG $1,138.63 Balance Due: $0.00 Receipt No: B2637 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 License Law [Chapter 9 (commencing with Section 7000) 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, 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 X 04/18/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's Signature Date 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 XOFFERED WORKERS' COMPENSATION DECLARATION FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be competed if the permit is or once uncTredTr dollars ($100) or ess. ❑ I AM EXEMPT under Se ion B. & P.C. for this reason: 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'X 04/18/2007 compensation provisions of Secti n 3700 o the Labor Code, I shall forthwith comply with those O er's Sig att)r Date provisions. X ,r 04/18/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building --�--.�_ Signaw Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter thea ve men ' ned property for inspection purposes. I hereby certify that I am the property r or a thor' to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY ^L 04/18/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for O er t e [ ] I Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. XAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE M (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name o .L.. rs1 Noe _ Malll , ddreSS / o&rW-4-jade-- c hi Stott z1)L P n :X—q7 ax IZ E-mail t Qom, ARCHITECTIENGINEER CONTRACTOR Name no Address ` 0, Address C" #07-*- City z� State Zip Phone st ,Viod m b5 Fax Email - d- C'v»asr-.eJ Lic. # Class ARCHITECTIENGINEER Name Name Address ` 0, Add C" #07-*- smt� z� e 7--Z3t(5-3z)'691 Fax —%9 it ,,ne✓teJ e� st ,Viod m b5 APPLICANT SIGNATURE X z For office use only. APPLICANT INFORMATION Name La LZ r Add 7& City-- - (lnie Lot # Stat fU I a 1 __ F, -7!2— -7al Name - d- C'v»asr-.eJ APPLICANT SIGNATURE X z For office use only. Zoning — Flood Zone >< I SRA I Y No Ooc. R.Type Const. IN. Subdivision Name Nlap Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT � �2 BIN # A - PROJECT LOCATION AP# 07 3 - 28S4) - 00-5 Property Address Ce -f- ✓ nr. Cross S Mt � ^l 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 Sco of Work - (SSG 3G4 Sq FT- Living Garage Open Gov 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 department costs are not refundable. Received by --e% Amount: �U�� �PS Bldg �C) `� SRA Receipt tk. ' / 2,3 2 Sheriff SMTP Other Date: (/ J� &`3Total K:IFORMS\BUILDING F0RMS181dgApp1SubRgmts.doc Page 1 of 2 REV 8-11-06 V.Y. _� .. ,.��^:.. • r.. •� �y.. • v .. F� � •.Y �..w-ti..v. �. r .. � .. � ..�.+.. r 4.. ... ....y (11.x,. �� •.. ; rr r . 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('C" VI ASSESSOR PARCEL NUMBER O `Z Proposed Building Use: /VPermit TechniciaJ-P Date: ,Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.f S�Q j' 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. .Vt 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form JEED 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining 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 I11-Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................. 0 1 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required ...................... * .................. :............................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. O 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approvalI❑Tpaid. Sent by: -...i/ 24. Planning approval for (A) Use:©N (B)Parking: (C) Parcel Check:........ !p ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 404 26. NPDES Form.............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept.....................28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier�nd Policy Number .......................................... fl 30. Owner -Builder Verification (/_/Given to owner, _Mailed to owner). wner)..................... 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ....................... :......... 33. Existing violations and/or expired permits......................................................... O34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: _ When issued Telephone b,50-' t 2-C%75 -'n/.cJV12 r and hold for pickup. I have been informed ofthe above iteemms� and requirements for obtaining a building permit. Applicant: 1j6fta_,L � Date:% /Z -_0o 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required 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: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner COLLINS, RAND/LESLIE APN No: 073-280-005 Permit Type: - Subtype: _41 App Date: 9/7/2006 Permit No: BP 06-2149 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,571.62 Plan Check portion of Permit Fee $1,028.65 $1,542.97 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00$204.98 (State Responsibility Area) Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $1,123.65 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,233.63 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $59903.52 $1,542.97 $11.44-101 RECEIPT DATE Tech/Asst 461232 9/7/06 Tammie 4 5 6 7 7a 8 9 10 Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMPACT FEES - RESIDENTIAL* 8897.09 7491.04 8390.091 6984.04 7604.091 6198.04 jPer Dwelling I Per Dwelling DRAINAGE FEES* Per Dwelling Applications After 04/15/06 ac SFD u MFD 1771 Comanche Creek MH County 1 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 Norm unlco specltic clan A SR -1, SR -3, SR-1/PD �Oc R-1 ° R-2 1 R-3 1 8897.09 7491.04 8390.091 6984.04 7604.091 6198.04 Processing Fee is automatically added to impact fee total 1 NATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 'HICO STORM DRAINAGE MASTER PLAN RECEIPT 770 Butte Creek $100.00 1771 Comanche Creek construction, vacant on 1 acre or less - r 1 or less acre value 8582.40 8075.40 7289.40 RECEIPT DATE Tech/Asst $100.00 $4,349.11 $200.00 997 2 Little Chico Creek $9,088 3 Big Chico Creek $6,776 4 Lindo Channel $8,267 5 SUDAD Ditch $7,211 6 Mud -Sycamore Creek $6,275 7 PV Ditch $8,893 RECEIPT DATE Tech/Asst 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES' Marysville Joint Unified 064 \ w ��� �� `1y� 12a RECREATION DISTRICT FEES* Oroville S L- At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: t c Date: '! OL Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA '95965 2007-0009849 Recorded I REC FEE Official Records I County te f CONFOR)�EO COPY 1.00 CAI W I GRUBBS I County Clerk-Recorderl I I SA 011:2W 28-feb-2007 I Page 1 of 1 7.00 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: c, t-� S" b i. vr1 s Co.S--J LA,tj ►-r PC) 4 v3 H-I.CA{- i-/kP W A -S R Le-& _p -nom �� �_ ®,-� aa 01= �3�.ti Sir or- C.A2at F-J2N! A Date 1-= 7- i . -yam o �_ PROPERTY O E S: � L 10 A - Co Lam, State of California County of 54N On Tebrua!:�, Z/, 16ol before me, Cn r' r leri r G-. . No f.Nc, Q✓6 b r o Ce>"L.1-1� personally appeared R.,,A' Co //;Ns F C es /; e Aa,, Co //, --r personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and qfficial sea CARLOS GARCIA Commission # 1601026 Notary Public - California Signature Seal: @my San Mateo County A Comm. Expires Sep 8, 2009 A.P.# ?3 2�o co G7 e D UWE, coufay MAR 16 2007 DEVELOPMENT . SERVICES Ll BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) D �?j . ��� Building Permit Number 0 Property Owner (s Project Location /Address Subdivision Name Assessable Sq. Ftge I S S S Type of Residential Development (check one) New DevelopmentySingle 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: ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: Name Phone ra 0 D-?<� I qj Com( gq qa 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: per unit fora total of $ 11 o(Q . W per sq foot for a total of $ Receipt No: C-206 -I awn Cltll? ,r Marysville Joint Unified School District Exhibit 3610 #1 a CERTIFICATION OF COMPLIANCE SCHOOL,DISTRICT DEVELOPMENT IMPACT FEES )i To be completed by applicant and taken to. *Marysville Joint Uri fled -School Distnct' . Street, M-1 yille, CA -95901 yam. j Part I~ r ;' (530)"749-6114, Room 106 ' Property Owner's Name: Owner's Address: I� 1—y"i� Ll Project Address: I V (7-\f ('� 1 yr nA q `j Parcel No: �J� '� �[� -- 7 Lot No: City or County: u4 -fie C.0 Lk_ '� t Building Dept:, Permit No: 4r - TYPE OF CONSTRUCTION: f Residential Construction Single Family Dwelling Residential Reconstruction Multiple Family Dwelling Commercial Construction No. of Units Commercial Reconstruction Mobile Home Total Number of Habitable Square Feet: 5'7 S L4 4 THIS. CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE A INDICATED ABOVE. ANY ADDITIONS OR ' CORRECTIONS -TO THE SQUARE FOOTAGE FOR THE PROJECT -WILL REQUIRE AN AMENDMENT TO THE CERTIFY , . CATION'OF COMPLIANCE: FALSIFICATION OF SQUARE ,F DOTAGE SAND/OR TYPE OF CONSTRUCTION IS CAUSE, FOR REVOCATION -Of -.CERT1F1CATI0N- OF COMPLMNCEr :ACCORDING TO GOVERNMENT CODE SECTI6N'66020 (d);(I), I HAVE BEEN NOTIFIED THAT WITH THE LWOSITION .u. ' OF THIS FEE, THE:90-DAY APPROVAL PERIOD W"WHICH I HAVE TO PROTEST 'THE,FEE HAS BEGUN..., r' Applicant's Name: ���' ' e. S Date:y" 3 - G 7 Applicant's Signature: Vf Part II TO BE COMPLETED BY BUILDING DEPARTMENT Total Number of Habitable Square Feet �5G `� -� City of Marysville �+Cou_n._ty_ of Yuba ' Signatures � } f _r .a.. County of Butte Part III 0 U TO BE COMPLETED BY SCHOOL DISTRICT {� Certification of Compliance No. (Receipt No.): C' K 0 77 -•-6 3 O C( Fees Collected: No. of Square Feet x's $.42 for Commercial = $ No of .Square Feef. l JrSS x's $4.31 for Residential = $ to '"� 657 ExernpffromFees,•, Rea'son ` Iry n. _., r - c •.. .� r.. r' .. - i +i Y`t .. n ..•, '. •. .,: i, ;•. AS THE_ AUTHORIZED,SCHOOL DISTRICT OFYFICIAL,I-'IIEREBYCERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65995 HAVE BEEN COMET IED WITH BY THE ABOVE SIGNED APPLICANT. Signature Date l `Q White: - School District Yellow: - Applicant Pink: - Building Dept. SD:co 5112106 Marysville Joint Unified School District Exhibit 3610 #1 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken to: Marysville Joint Unified School District ' z '17E€1 •1919,BrSti•eet; Marysville, CA 95901 { Part I "(530) 749-6114, Room 106 ' ` Property Owner's Name: Owner's Address: � '� L k a rl 44.01 U Project Address: l ` AO 7) y T %w Parcel No: �J 1 ?) ',� `'("D ' (Yc', Lot No: City or County: t-)0( -Iff, CO e) t/ Building Dept: Permit No: �✓ i ��1J t TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Single Family Dwelling Multiple Family Dwelling No. of Units 1 Commercial Reconstruction Mobile Home Total Number of Habitable Square Feet: `7 THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOO�TA E INDICATED ABOVE. ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT,WILL REQUIRE AN AMENDMENT TO THE CERTIFI-, ` •CATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE'AND/OR TYPE OF CONSTRUCTION IS CAUSE'FOR ` REVOCATION OF CERTIFICATION OF COMPLIANCE. +, , ACCORDING TO GOVERNMENT CODE SECTION 66020 (d) (1), l• HAVE BEEN NOTIFIED THAT WITH,.THE IMPOSITION (` OF THIS FEE, THE 90 -DAY APPROVAL PERIOD W WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. Applicant's Name:�E � Date: y- J ? -6 Applicant's Signature: d Part II TO BE COMPLETED BY BUILDING DEPARTMENT Total Number of Habitable Square Feet �'����c -� City of Marysville (._ .. __ , County of.Yuba, 7. Signature wrC A,I f County of Butte Part III u TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): C K 0 -7 — 0 r 3 O `1 Fees Collected: No. of Square Feet x's $.42 for Commercial = $ No. of Square Feet `s x's $4.31 for Residential.= $ (G '% () 6 5— EX61- t from Fees. Reason:0'- i AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL;~I HEREBY CERTIFY THAT THE REQUIREMENTS OFI ' GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. F l,� ti ti � - 13 --•a y Signature Date White: - School District Yellow: - Applicant Pink: - Building Dept. SD:co 5112106 vr ks o�vTrF40 t7epartment ®f P �1�C ®r C o u n t y o f B u t t e 0 0 7 County Center Drive Oroville, CA 95965 y 0 J. Michael Crump, Director (530)538-7681 OU N-( a(FAX) 538-7171 U61 -1c woFC7 Shawn H. O'Brien, Assistant Director Assessors Parcel Number:/ -EX� 5- Building permit # Owners Name:_��� S Owners Mailing Address: Property Address: ENCROACHMENT PERWr ACCEPTED: - ENCROAC- -H \ANT PERMIT' EXEMPTION: _ _ Reason for exemption: Not a.County maintained road [] Existing driveway conforms to County S-31 standard Other Approved by Printed Name Title 4�—�� �G Date -� CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds PLAN CHANGE ❑ RECHECK Owners Name: i AP#: fj Zj 0-0 r— BP#: �' c� �i Received By: Date: Contact Person & Phone Number: Time: PURPOSE OF PLAN CHANGE OR RECHECK esponse to. Inspector's Correction Notice – Inspector's Name: – Name: ❑Response to Plan Check Letter Plans Examiners N *Submit two (2) drawings reflecting the plan change or recheck for plan review. If engineering is involved, the engineer or architect must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. L' Call ❑ Deliver with Next Inspection ( for 8 1/2X 11 only) and hold for pick-up. Minimum plan change fee to be collected at time of submission, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $109.98 paid. ❑ Additional Fee Amount: Receipt #: Revised 12/06 1A 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) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING October 3, 2006 Leslie Collins P.O. Box 1476 El Granada, Ca. 94018 Assessor Parcel Number: 073-280-005 Building Permit Number: 06-2149 (Single Family Residence) Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. COMMENTS- ay--'- OMMS TS:ay--'-Correct the detail call outs to the correct detail sheet numbers. The details on the plans refer to detail sheets SDI & SD2. �larify the location of the built up column for (4) 2 x 6 D.F #1 as specified on the structural calculations, page 16. Cannot find on the plans. .,'_/_Y rovide a note on tie plans that calls out what the size or the diameter of the logs used for the xterior walls. I/i� The plans have been reviewed by the California Department of Forestry (C.D.F.). I suggest that you contact Darren Read @ C.D.F. (530-538-7111) for the requirements for the Practical Effects for Buildings less than 30 feet from the property lines. The site plan shows a setback of 15% 0" at the garage area. See the attached copy of the requirements for the required exterior siding. 5. Please submit 2 new sets of plans that are wet stamp and signed by the engineer. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Jim Peterson Plans Examiner Cc; Edward J. Moran, Engineer PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this forrn with your re -submittal. I this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a vaE( response to every item requested in our plan correction letter. "By others'' is not considered a valid response. Please indicate yow response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FfOR14 TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REYESED AND ORI fsINAL PLANS. NAME DATE ASSESSORS PARCEL NUMBER PERMIT NUMBER RESPONSE FOR PLAN CHECK LETTER DATED: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANSICALCS: COMMENTS: - PLAN CHECK TTE:M # RESPONSE BY: LOCATION ON PLANMALCS: ?LAN CHECK ?LAN CHEM LOCATION ON PLAN REVIEW RESPONSE FORD La order to expedite the review of your plans, please complete the following information and retain this form with your re -submittal I this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valic response to every item requested in our plan correction letter. `By others'' is not considered a valid response. Please indicate yow response to each item and the location where the information can be found on the pLMVcalcs. RE ATTACH THIS FORM TO A COPY OF YOUR PLAN VIEW LEITER AND RETURN WITIi REVISED AND OPUGiNAL PLANS, OWNERS NAME DATE: ASSESSORS PARCEL NUMBER - CHECK LETTER DATED: PLAN CHECK ITEM aRESPONSE BY: COMMENTS: a BY: RESPONSE BY: ON P KLI Edward I Moran P.E. Consulting Engineer P.O..Box 796, 9738 Yuba Ranch Way, Oregon House, CA 95962. Tel.: (530) 692-2319, Fax: (530) 687-9094, email: ed@morenco.com FAX TO: Building Department FROM Edward Moran ATTN. DATE January 2, 2007 FAX No.: No. of Pages 1 JOB: Collins Residence STATUS: Normal () Urgent Confd. ( ) Re: 06-2149 To Whom It May Concern: In response to the plan check comments of 10/3/2006. 1. See revised sheet numbers. 2. Calculation removed. 3. See note sheet 4. 4. See revised setback dimensions. 5. See plans. pj'g�eY2 Sincerely, QROF ESSIONq� �y EDWARD J. Ci 3 . MORAN e- No. C0506 25 exp. 6/30/08 iclVA `Q' Edward Moran PE 6uTTF O \ c l O O O 0 0 c�U Rl- pGetrc wov, S 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 (53D) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN ACRE1 Project Description: Proect Location and/or Parcel Number: / 2�> OU dos ' � By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre .of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Butte County Depa.rimerztof-Development Scrwces °�`'TrF° 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERNUT 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 submit applications for septic and/or .well to Butte County Environmental Health immediately. I -aln required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible. for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans i. 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: n / , Applicant Name: _ �� (� (C L (� S APN: 0 73 — A,$o w Building site address: Permit No.: , I have read, understood and accept the terms an Iditibf�Fas expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE OWNER -BUILDER VERIFICATION 11 . Attention Property Owner: �v 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 material for construction of this proposed ro ement: YES NO Pert im w property P� [ ] [ 2. 1 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. 1t Rev'd 11/4/2004 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) 538-7785 Facsimile www.buffecounty.net/dds 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 $500 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"lbuilding 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's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. 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, Scott Rutherford Manager, Building Divi ion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. n M r