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073-360-007
NOTES 7 RESIDENTIAL PERMIT NO. _._,073-360-007 _.. _ 04-0135 FEATHER RIVER PARK & REC 19090 NEW YORK FLAT RD, FORBESTOWN Cont: N/A CONCRETE BATHROOM SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Q ,. `JOB FINALED (Date) �. Signature ztG J=OK = Not OK - =Not Applicable . = Not Ready RESIDENTIAL Date UNDE OOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors o ' g -Setbacks -Easements -Flood -Slope Date tg., Main; Soils-Elec. Grnd.-/ , g. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fixture & Transformer Clearance -Ins. Protection 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 25. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Size Boxes & No. of Conductors Stapled 6a. Hold Downs and Special Anchors 27. 7 ab, Steel -Wrapped 53. 8. Pie -Fire lace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 10. UF, gas Pipe; Size Anchors -Yard Gas Piping; Size Test Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al ater Pipe; Test -Anchors -Regulator -Service Test 31. 12. Electric Underground Plywood on Roof Overhang -Attic Vents -Rafter Outrigge-s 13. Plenums & Ducts; Clearance -Material -Support -Ins. Service -Riser Conductors & Ground Main Disconnect 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 33. 15. Access & Ventilation Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 16. Insulation Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test (Single & Duplex) Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 52. 27. Romex Installed Close to Edge of Studs & C.J. 53. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Stairs; Width -Headroom -Rise -Run -Landing -Fire Protecion 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Plywood on Roof Overhang -Attic Vents -Rafter Outrigge-s 32. Service -Riser Conductors & Ground Main Disconnect Siding -Nailing Veneer 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 34. Clothes Closet Light -Shower Light -Spa Light Glazing Area -Glass Protection -Skylights -Plastic 35. Smoke Detector 60. Shear Walls; Nailing -Bolts Date Brace Interior/Exterior Wall Panels Card B-1 Date Card B-1 Date Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 36. A.C. Ducts Insulation & Support Date 37. Vent Fan, Exhaust above insulation Date 38. Condensate Drain & Overflow, Size & Grade 64. Ext. Steps -Door & Sidelight Protection -Landings 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 67. Card B-1 Date Card B-1 Date 68. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Elec. Trim & Subpanel, Breaker Sizes & Labels 41. Sills Proper Materials & Anchors Stairs & Rails 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Fireplace or Stove, Clearance -Hearth 43. Bearing Walls over Girders & Floor Nailing Elec. Outlets at Wood Panel, Int. & Ext. 44. Draft Stop in Walls (rat proof) r 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Elec. Outlets & Receptacles at Kit. Counter 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rt.-ig. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearanc 3 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protecion 56. Plywood on Roof Overhang -Attic Vents -Rafter Outrigge-s 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood-Eart i Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks ❑ Yes ❑ No/Planters O es ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to C^penings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK No . = NotReadyable 6. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Electric 1. Zoning Requirements -Setbacks -Easements Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 2. Soils; Special MH Support Sketch Siding; Nailing -Veneer -Stucco -Mesh 3. Sewer; Location -Test -Fall -C/O -Concrete Roof; Shthg-Roofing 4. Water; Location -Test -Easement Needed (Sketch) Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Braced Wall Panels 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date 2. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Pool Lighting; 15 Volts-GFI 2. Footings; Size -Spacing -Marriage Line Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Gas; MH Test -Demand -Valve -Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 5. Drain; MH Test -Fall -Flex Connector Health Department Approval 6. Water; MH Test -Regulator -Connector Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected -C/O to Grade -HD Approval Light Niche 8. Gas and Electricity Tagged Enclosure; Fencing -Alarms 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V'i�IiC;LLANEOUS Date P4KVtOVERS, CARPORTS, GARAGES (Plans) OK except #'s 0,,'ZgRKg Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96):�' APPLICATION AND PERMIT "A "- ASSESSOR PARCEL NUMBER? ZONING BUILDING PERMIT OWNER FEA11112 RIVER RMC & PARK IST 533_' TELiHONE SO, FT, OCC. BUILDING VALUATION °W"ms's itt "° J" SI S ST OROVILLE CA 95965 196 11,172.00S CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - Fireplace Total Valuation $ 7 ARCHITECT OR ENGINEER r LICENSE NO. Filing Fee $ 20.00 Permit Fee s 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 87.75 BUILDING Arg NEW YORK FIAT ROAD FORBESIMI CA �j�f� Ener Plan Checking Fee Energy g $ $ PERMIT FEE $ 242.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap I 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ (CONSTRUCT 12 X 12 OONGRETE BLJ= Describe Work: RFST'ROOM ON CONCRETE SLAB Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S 78.00 ELECTRICAL PERMIT Filing Fee 20.00 K In Service eo. �$Y OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law the following reason: Id I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason42. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BUDS. SO 3.50 FT_ No R.,oT. MULTI-OUITSTLET 97.50 22.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OurLEr oR FIXTUREs BAL@'.50 Ex. Occup. oPuTLEEDTSA RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 50 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 00", have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier -F-Af'yD05C- Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [II certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Z X _ Date 1 Q116_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Age Ar An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Feeco.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee s Energy Inspection Fee s occ COLT. TYPE TOTAL FEE $,363.25 _ ` HA D. FEES IMP _ FLOOD CD PARCEL CSL PD �/ HP ISSUE 4 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do cork indicated above for hich fees have been paid. , By �,y�.� / �tJti� _ Date/i.l� PERMIT EXPIRES ON 1 Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR / GOLDENROD -APPLICANT MASONRY.NALLS N E S W 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLS 0 cupancy, Area Propert Gypsum Board 1st Layer 2nd Layer Walls Ceilings W I COMMERCIAL 073-360-007 1 01-0392 FEATHER RIVER P,ARKSA REC. 19096 NEW YORK FLAT RD., FORBESTOWN jCONTR:NA 4 **COMMERCIAL CHAPEL** / 1 iry V=OK O = Not OK - = Not Applicable = Not Ready COMMERCIAL OK except N's _ Date FRAMING (Continued) ` tsements-Flood-Slope-Soil Report 46. Hangers -Post Caps -Anchors -Connectors �- i �., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Botts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5.Stemwalis, Main; Steel-Blockouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except q's 16' Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Hand icap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except q's 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34, Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. 1-0.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA"G Plans OK except tf's s, Proper Material & Anchors -Hold Downs Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 420'B ing Walls over Girders & Floor Nailing t Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases _ 45. Headers & Beam -Size & Bearing -Support Fix. oof Shthing-Nailing-Diap.Chord Splice 49.-AVie-Access; Size & Romex Protection -Draft Stop -Ins. Eaffles 50. Glu -Lam -cert. -Placement -Support 51. Steel Buildings-Purlin-Girders / 52. Property Line Firewall & O 53. Ext. Doors -Handicap Access ' 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Por. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. 1 n iltration-Wall s -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tr's 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 69. Stairs & Rails 70. Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Plb., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic 0 Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 77. Stucco; Brown -Finish 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occuoancv (NOTE: An entry must be made each time you visit the job site) t - NOTES RESIDENTIAL 073-360-007 '' 01-0839 FEATHER RIVER PARKS &;REC 19096 NEW YORK FLAT RD.,FORBESTN CONTR: OWNER COMM: FDN ONLY FOR CHAPEL w h yy k i II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i' r t' h, t JOB FINALED (Date) ! Signature CHEC(ED BY ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (S Date 46. derfloor (Plans) OK except #'s 47. zc ' g -Setbacks -Easements -Flood -Slope If �T 2 --fig., 3. 4. Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 69. Card B-1 Date Card B-1 Date 70. Card B-1 Date Card B-1 Date 71. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 83. Stucco Brown -Finish Date 84. Card B-1 Date Card B-1 Date 85. Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date 94. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-R'ng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearan;e 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protect.on 55. Plywood on Roof Overhang -Attic Vents -Rafter Outrigger, 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes J No/Walks J Yes J No/Planters J Ye; J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 1 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance 8 Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERhIIT NO. (Rev.12/96i APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-360-W7 ZONING U BUILDING PERMIT OWNER, FFAIMM RIM PARKS & REC"'` TELEPHONE 675-2855 SO�, OCC. BUILDING VALUATION BUILDING .OWNER'S ^M/AI�LIING ADDRESS 1200 .MYERc ' S1r� • LE95%5 CONTRACTOR'S NAME i�•,, TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS 1• - - - - Fireplace Total Valuation $.( ()o ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS - 190% M YORK IIAT RD. F Energy Plan Checking Fee $ l ' $ PERMIT FEE S }M,80 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 2C.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping = . 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �• a�'1"bt+o Describe Work: IFa=TION FOR C WEA. a CTRL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W "@20.00 PERMIT FEe $ ELECTRICAL PERMIT Filing Fe 20:00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. -' ❑ 1 am exempt under Sec. Business and Professions Code for this reason "1-- Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BLDS. so 3.5¢FT: =RESID •• MULTI.OUTLET @7,50 POWER APPARATus 6 SINGIE OUTLET CIR. Ex. Occup. ourLEr OR FIXTURES 2O°'.00 BA.50 Ex. Occup.CP"'uT,Et°�A PR=.°� 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 4 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 workers'�r compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i X 1 tci�h-... Date �' t �.�l�i��� ° �� Signal re of Applicant - ❑ Owner ❑ Contractor ❑ Age`nt! An OSHA permit is required for. excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ EX (/ D FEES IMP FLOOD ,,. cD PAR 0. �/ pDJ HD IssU This permit is hereby issued under of the Butte County. Code and/or indicated' ' ove'for wtiic�i fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ttT «G 'rov -T ' `''"Y Dale Receipt No Fle R fl?T ' WHITE-D.D.`S".'-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. . .,, ... ,,•y,-•n.w �.,-r.: - � ,. ... -sem .......- _.,. • 'bLL4 t r � 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT b / " 1950 ASgjffi:AR°Elr� NUM � ZONING BUILDING PERMIT OWN/Vy�/JwQT�"MM P & W ARK TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWN¢i IU t.NW �i�t'fl. LW. CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I9M 1!IE3�i Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: 4 EIZIMCAt QUILETS ADM TD INAREL IMM BP #01-M Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 ` LICENSED CONTRACTOR'S 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.8 License Class Lic. No. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION'DECLARATION I hereby affirm under penalty of perjury one of We following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rtfiwith comply with those provisions. X Idel Date` 1-- Signa of A plica t - 0�' Owner ❑ Contractor t1p Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in hei ext•---^— " t I r r �,- Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR so OR ADONS. ( a ACC. BIDS. 3.5¢FT: ppµpEOSIDT MULTI.OUTLET @7,50 R A OWELEPPARATUS PSINGOUTLET CR. Ex. Occu . OUTLET OR FonURES BAS @ .50 OWNER Ex. Occup.OFluxTitrs AES oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23•013 PERMIT FEE i • MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43•O HAZ. • D.4EES D. EES IMP FLOOD ++ CDF w PARCEL .+ PD .» HD w ' ` E This permit is hereby issued under of the Butte County Code and/or indiG ed abo for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date' 'I— / De le Receipt No. w �" WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK=INSPECTOR GOLDENROD -APPLICANT " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `a` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5387541 PEFMIT No. (Rev.12/96)$•- APPLICATIONANDPERMITa'f""r ' ASSESSOR PARCEL NUM6 ZONING;! BUILDING PERMIT OWNER F. i+"I�t1 T% PAW',, 9_ 'Orr TELEPHONE 572855 - -' St]. FT. OCC: v ' . ,BUILDING VALUATION" - .OWNERS MAILING ADDRESS t 1200 MEMS ST.. ORMLLLE ICA 9596.5. r 2288800NG 168 0 1.176.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER , LENDER'S MAIUNG ADDRESS F Fireplace Total Valuation-1 ( (� ARCHITECT OR ENGINEER LICENSE NO. —4 Filing Fee d $ 6.00 Permit Fee $ 241,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ISLOR BUILDINGADDRESS 190% MW YORK RAT RD. • FORMSTOW CAEnergy Plan Checking Fee - - $ $ Y PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP ;. - -PLUMBING PERM IT Fling Fee .20.00 USEOFSTRUCTURE' SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY ` Each Trap 7.00 Solar or heat pump water heater 23.00 'Water piping 15.00 - Each gas water heater or vent 15.00 TYPE OF WORK New 0\ Addition ❑ Remodel -0 Utilities ❑ installation ❑ Other ❑ Describe' Work: • C EL -Gas piping system 1 - 5 outlets 15.00 - Building sewer` 15.00 Mobile Home S' ,G W 920.00 PERMIT FEE i ' ELECTRICAL PERMIT Filing Fee 20 00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with h Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. = , License Class Lic. No. OWNER -BUILDER DECLARATION I I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: "I I Eh I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service Fz00A To 1o00A 46.00 NEW CONST. OWE% OCCUP. SO OR ADONS. rt /J s Acc sLDs. "�. - 3.5QFT. NS i MULTI -OUTLET NEW NON•RES10. (BRANCH CIRCVrIS"� Z @7.5015.0"3 r POWER APPARATUS 6 SINGLE OUTLET CIR. Q° E? CCU Op(lTIEfOR FORUREs BAL 1. 0 f,*'L.4PPLNS. OR EX. iOccu ,: ounETe RESID. EA 5.00 Tem ora(y,,Service` 23.00 Mobile Home*acilities 20.00 Mise' Wirin ' j✓ -1, 23.00 11 r s: PERMIT FEE : 3S•00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: a ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. t My workers' compensation insurance carrier and policy number are: Carrier - �" Policy Number (The above sections need not be completed 'rf the permit is for work of a valuation of one hundred dollars ($100) or less.) I ' 1;kI certify that in the performance of the work for which this permit is Issued, I shall I - not employ any person In any manner so=as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation • provisions of section 3700 ofathe Labor Code, I shall f fthwith comply With those provisions. - X Date a VI Signatd`r'e of Applicant - ❑ Owner ❑ Contractor KAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. .t MECHANICAL PERMIT Fling Fee 206:) Heating Cooling Hood 6.50 Ventilation r PERMIT FEL: $ - t Mobile Home Installation Fee $ Energy Inspection Fee $ OCIZ CONST. TYPE .� „ TOTAL FEE .$ 455.95 , HAZ.' O. FEES IMP XI FLOOD CDF ' PARCEL PD HD ISSUI" This permit is hereby Issued under of the Butte County wCode and/or Indicated above for which fees have By PERMIT EXPIRES ON _ the applicable provisionss Resolutions to do work been, paid. Date`�7 / p ate ReceiptNo. 314708,) $ 4.55.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -/1(1 _2 .� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0/ -/9 5CD ASSESSOR PARCEL NUMBER 073-360-007 ZONING U - BUILDING PERMIT OWNER FEATHER RIVER PARK & REC. TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 19096 NEW YORK FIAT RD. FORBESTOWN CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2).00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 19096 NEW YORK FILAT RD. BORR � Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 2C.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublitles O Installation ❑ Other ❑ Describe Work: 4 'r1.,ECTRICAL OLPTLETS ADDED TO CHAPEL. UNDER BE #01-0392 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service zooA OR LESS 23.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To ,000A 46.00 NG OCCUP. NEW CONST. DWELLIBLDS OR ADDNS. ( 8 ACC. . So 3.5¢FT. NON-REOSIU T. MULTI.OUTLEr @7.50 POWER APPARATUS a sINOL.E ounEr CIR. Ex. Occup. OUTLET OR FIXTURES Y° @ 1.00 BAL O .SO Ex. Occup.oflx�LEE°,sA RM OR)E" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby "affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the wor rs' compensation provisions of section 3700 of the Labor Code, I shall with comply wi those provisions. X r Date Signa_ of A plicant - Owner O Contractor �ti;JJ A Tit An OSHA permit is required for excavations over 5'0" deep a demolition or construction of structures over 3 stories in hei Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.PE TOTAL FEE $ 43.00 HAZ. _ D. IMP _ FL000 _ COF PARCEL PD HD IS This permit is hereby issued under the applicable provision% of the Butte County Code and/or Resolutions to do wort: indi ed abo for hich fees have been paid. �j / ✓x �% By L Dath PERMIT EXPIRES ON bahe ReceiptNo., 177 Ft4755"' WHITE-D.D.S.-B.D. CANAR -A ES OR P SPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' [Rev. 12/96) 7 County Center Drive 0 Oroville, California 95965 - Telephone (530) 538-7541 P RPAT N . APPLICATION AND PERMIT AeSESSORPARCFLNU [/ice BUILDING PERMIT - `„ " = C, TeLo►aNc SQ. F7 ORE OCC. BUILDING VALUATION ow � OOMRACT TELBNONE CONTRACTOR• MASJNO ADORES• CONSTRUCTION LENDER LENDER'S MMUNG ADORES! Fire lace AACNn'ECTOREMUNEER Total Valuation E uceNeE No. .......ca.l Vn v/WICL111 MAUND ADDRESS suIDNO ADOREss li it -- LOT NO. I susmalml W1ME USEOFSTRUCTURE SF O Duplex O Mobllehome O Other TYPE OF WORK New ❑ Addition ❑Reemel OUtilities tl � h Dation O OtherDescribe. Work: _ 'y *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER ZZL7(�( " TO BE PUT INTO COMPUTER rimig roe S Permit Fee S Plan Checking Fee S Energy Plan Checking Fee S E PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat Pump water heater Water piping Each as water heater or vent Gas I In stem t - 5 outlets Buildin sewer Mobile Home SIG W ' PERMIT FEE S ELECTRICAL PERMIT . Main Service 800V OR LESS 2ooA oR LESS Main Service 20" TO ILIO -A NEW C01fST. OR ADDNS. OWELLNO OCCUP. i ACC. OLDS. NON•RESID. MULTI.OVTLET POWER APPARATlfB i SW OUTLkT G0. I Ex. Occup. ounrr OR FixTURce EX. OCCU %1XED� OVTLM ESID. EA I i Temporary Service Mobile Home Facilities Misc. Wirina 20.00 2000 7.00 23.00 15.00 15.00 15.00 15.00 020.00 ng Fee 20.00 23.00 46.00 3.5tso @7.50 5.00 23.00 20.00 23.00 PERMIT FEE S �- MECHANICAL PERMIT Fling Fee 20.00 Heating -" 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee S Energy Inspection Fee S oco coNST. TYPE TOTAL FEE _ INAZ. 1 D. FEES IMP ROOD CDF PARCEL PO ND ssuE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT o4-401,35 ASS E`JSOR PARCEL NUMBER O 3 •3 �e0 • oo , ZONING BUILDING PERMIT OWNER E,A= RIVER REC & PARK 6IST 533- VEl1HoNr' SO. FT. OCC. BUILDING VALUATION OWNERS 120 DRESS YERS ST OROVILLE CA 95965 196 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 135.00 Plan Checking Fee $ 87.75 BUILDING ADDRESS 19090 NEW YORK FLAT ROAD FORBESTOWN CA Energy Plan Checking Fee $ $ PERMIT FEE $ 242.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 24.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 28,00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CONSTRUCT 12 X 12 CONCRETE BLOCK RF'STRIXIM ON CnN(R=, ST AR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 78.00 ELECTRICAL PERMIT Fling Fee 23.00 In $eNiCe eoov OR LESS zoOA OR LESS 23.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ff the following reason: 7f3' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. OR AODNS. ( 3 ACC. BIDS, SO 3.5QFr: NON -R SID MULTI -OUTLET BRAWN Q18CUITS 97.50 22,50 POWER APPARATUS 8 SINGLE OUrLET CIR. m Ex. Occup. CUTLET OR FD1RES BAL 0'; o Ex. Occup. ouTLEE°rAP, ='.DEA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier _ MECHANICAL PERMIT Fling Fee 20-00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) with those provisions. _ _ Date1� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen� ` An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT FEE $ 63. 5 HA D. FE IMP D CDF PARC PD HD ISSUE r "-� This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have l�k& PERMIT EXPIRES ON VVp the applicable provisicns Resolutions to do work been paid. atter 0 Da Receipt No. .3G%'Q'`�'Q 2 �5�}3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE,-OROVILLE, CA 95965 TELEPHONE (530)538-7541 22 2 SCHEDULE OF RECE$PT OF FEES ©� J - 3 GD �07 OWNER I:iCTl+lG12 AVEER REG¢ PA0eK -DI-51r. A.P.# P.ROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ -� Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District Office) (form available aft r Plan Check H r 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units I Commercial (sq. ftg.)..... 1 q (e X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. _ 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES / $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 71/o 4- 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking p cess. II APPLICANT DATE / D/o Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) .. ,.. , _ sus• COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville CA 95965 Phone (530)538-7541 Fax (530)538-2140 �,. PERMT1�PPLICATION DATA SHEET �QWNER: �ASSES`�OR'PARCEL NUMBER b 007 • ate; PWPsed Building Use: RESP r oor'� 1 Ted : Counter Technician: 1� �` Date: Ite s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order too 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. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ^'. "` ❑z's4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑_ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non' -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du licate. ❑ 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 thase must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form P 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ W ' 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 19. Soils Report and/or Engineered Foundation required ........................................... t0 Aro 'r 20. Erosion Control Plan Required..................................................................... 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ / 23. California Department of Forestry plan approval ❑ paid. Sent by: .r........ /-ZZ- Vsl ?j f� 24. Planning approval (A) Use: O K(B)Parking: (C) Parcel Check: fes/ 25. Contact Land Development about _ Improvements, _ Drainage ......................... L726. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... _ ❑ 28. Pre -Inspection for required....... _ ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... _ ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... _ ❑ 32. Letter of Signature authorization.................................................................... _ ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. _ ❑ • 34. Manufactured home utility clearance............................................................... _ ❑ 35. Existing violations and/or expired permits......................................................... _ ❑ 36. Deed Restriction......................................................................................... _ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: _ ❑ 39. Other: When issued Telephone 533 • and hold for pickup. I have been informed of the above it ms and requirements for obtaining a building permit. Applicant: Date: / op/CJ 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, w advised of the ab ve d a by phone, ❑mail, ❑count y Date: Plans reviewed by: Date: O Plans approved by: Date: Structural reviewed by: Date -'-'Structural approved by: Date: Z >� Note transfer by: Date: C Yellow: Building Division Y st !'' i 1 . -,P E.N. u8E iV Plot Plan Attached Floor Plan Attached t .Sent to S.D.'F0 dwtoy / r i" TO: Building Department FROM: Environmental Health �r _SUBJECT: Sanitation Clearance � 9a 20 Ria Ti29A-) '�7M4�9.J �.e,� . O 73- g4O Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: '1 Environmental Health 8196 list CP-` Date National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre"or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs I acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permita-gr other sanctions provided by law. Signed: Title: Date: January 20, 2004 FEATHER RIVER RECREATION & PARK DISTRICT OROVILLE, CALIFORNIA 95965 MUNICIPAL AUDITORIUM, 1200 MYERS STREET . PHONE: (916) 533-2011 LETTER OF INTENT FOR NON-RESIDENTIAL County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Re; Restrooms at Forbestown Park A.P. No. 073-360-007 Dear Building Official: Feather River Recreation and Park District is working in conjunction with the Forbestown Advisory Council to construct a two (2) unit restroom in Forbestown Park. The structure, manufactured by Romtec Inc., is composed of split -faced block and metal roof on a 14' x 14' concrete slab. The building also includes a small utility room for storage of paper products, cleaning supplies, and misc. tools. It is not the intent of FRRPD or the Forbestown Advisory Council to utilize these restrooms for anything other than the specified purpose, nor are the designed in such a manner to be utilzed for residential purposes. If you need further clarification, please feel free to contact me. Sincerely, Scott Wm. Lawrence District General Manager Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Non -Residential Buildings Energy Conservation Standards Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings Please print clear and legible! Owner's Name: ", - Ld04-,z?,0 s r- Date: Assessor Parcel Number: 7 3 3 b— 02 Building Permit Number: Occupancy of Building: I hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter any of the following: 1. The building envelope. 2. The insulation requirements of the heating, ventilation, and air conditioning systems. 3. The heating, ventilating, and air conditioning equipment. 4. The water heating system. 5. The lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Division. Signature of the Building Owner: .Lmz4�_ z Mailing Address: Telephone Number: �2 p - 3 _120 G 1 BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN W -36—o7 Address Nature of Contact Person o,%7- �'�- e��� Phone # 3 " 1. Do your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical .or chemical characteristics, poses a significant present or potential hazard to human health and.safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at star>dard temperature 4 pressure), or formulation containing hazardous material? NO ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. Is the business/facility/operation to scVol site? NO ❑ YES IF YES, name of school. be located within 1000 feet or the outer boundry of a school or 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fu�, vapors, or other volatile compounds? �'NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (91 -891-2882) for permit requirements. Owner or Authorized Company Representative �O O 1 (Signature) (Dare) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. _Yl 1_0 \ rq r7l". BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT t' HAZARDOUS MATERIAL S AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Narr Address Nature of —34 BUILDING PERMIT NUMBER APN 73 Contact Person Phone# qo 'e<your business or that of your tennants handle, store, or transport hazardous materials? OVNO 11 YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if -released into the the workplace or the environment. "Hazardous Materials" include,- but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handier or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 4 2. Do you or will your future tenants handle store, or transport 55 gallons,, 500 pounds, or 200 cubic feet (at sta_4dard temperature Y 41� , pressure), or formulation containing hazardous material? IVNO 0 YES ' . 1. If you answered YES to 1 or 2, coritict the Butte County E�vlronmemtal Health Department (916-538-7281) for a review of the project. (0 3. Is the business/facility/operation�'to, be located within,.1000 feet or the outer boundry of a school or schp,ol site? IVNO DYES IF YES, name of school. 4. Does the business/facility/operation have ther otential to em'ifany air pollutants; e.g., dust, soot, odors, f Vu ,,sr, vapors, or other volatile compound s?" NO DYES �r% I F YES, contact the Butte County Air Pollutiorr-C onProl District -891-2882) for perm it req uirements. Owner or Authorized Company Representative 4Z.2AAh,0ZAe1�A 420 /Ov (Si3inture) 'Irl A (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety C(5de and':t he requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE -Building Dept 0 YELLOW- Env. Health 0 PINK-APCD 0 GOLDENROD- Fire Dept. PAW • ^ ! `Qr1YliI�!Fl ••1,� tyµ• i C bJ �i ��t � < - � � ` 'yp, i.(*v, -;/ at tai' 1 u•r ♦. './� aM ,✓atteh- ' r'c;r� 4 {{a...4 �'F ?� i.J.i+.l'�:r ll�. � ,i,r - 611. 0: s • 3 i� BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT t' f HAZARDOUS MATERIALS AND.EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN Firm Name Fp,4+kPt- P,t J e r Qtyrr,00,�, 06,a `i'`- PAP -le Address Nature of Contact F 1. Do s`your business or that of your tennants handle, store, or transport hazardous materials? 9NO 0 YES NOTE: Hazardous materials are defined as any material that, because of its quantity; concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 't 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at sta •dard temperature 4.'pressure), or formulation containing hazardous material? i NO ❑ YES X'_ <, If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. ; 3. Is the business/facility/operation to be located within; 1000 feet or the outer boundry of a school or s - of site? " NO ❑ YES IF YES, name of school. `> 4. Does the business/facility/operation have the 'potential to emit any air pollutants; e.g., dust, soot, odors, furry�s, vapors, or other volatile compounds? * ` NO 11 YES IF YES, contact the Butte County Air Pollution Control District (91*6-891-2882) for permit requirements. Owner or Authorized Company Representative0 (Sijriature) 'e ,,.,._ J (Date) BCEHD BCAPCD ' The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El a a BCEHD Signature _ BCAPCD Signature The Above Regulations Do Not Apply To This Facility. Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD - Fire Dept. OW �ir sT * � y .. 'Yh?Y•" f.. r?i �+�f , i.,, '�„ , t �. .'.µ . ��� �r:ti,w.`'+�.!e ,..�t��+y l��'+++e�'�'y� �^--~ 1 - 4 BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT ,t7 HAZARDOUS MATERIALS AWEMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) FR BUILDING PERMIT NUMBER APN 72 " Ao- o 17 14 Firm Name f P A4 kPf' .� ' 4' �� t +l" .c pc ,: e) J 4- IN R r .) f .ts"i & i t vl- Address 1206 u*ors 5.+ OoE c titi-e CA Natr of Business Lj ( 1'40L 44AI =� 'k' A(,Q'�OvC-`!� Contact Person Phone # 1. Do s`your business or that of your tennants handle, store, or transport hazardous materials? INO 11 YES NOTE: Hazardous materials are defined as any material that, because of its quantity; concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature'4 pressure), or formulation containing hazardous material? s ® NO 0 YES k +Pf If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. ?3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or sch7of site? O O YES IF YES, name of school. - 4. Does the business/facility/operation have the"potential to emit any air pollutants; e.g., dust, soot, odors, f�unjes, vapors, or other volatile compounds? U'NO 11 YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative i _ - � �?0Jo (Signature) (Date) BCEHD BCAPCDM ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit { from the Butte County Air Pollution Control District. ' The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. January 20, 2004 FEATHER RIVER RECREATION & PARK DISTRICT OROVILLE, CALIFORNIA 95965 MUNICIPAL AUDITORIUM, 1200 MYERS STREET PHONE: (530) 533-2011 • FAX: (530) 533-2724 Mike Vierra County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Re: Restrooms at Forbestown Park A.P. No. 073-360-007 Dear Mike: As you know, Feather River Recreation and Park District is working in conjunction with the Forbestown Advisory Council to construct a two (2) unit restroom in Forbestown Park. The structure, manufactured by Romtec Inc., is composed of split -faced block and metal roof on a 14' x 14' concrete slab. The District is currently in the process of obtaining a building permit for the restrooms and is diligently trying to comply with all the requirements. Your staff has been very courteous and helpful and I appreciate all that you have done so far to assist us in this process. Attached, are four (4) sets of engineered plans and two (2) sets of structural calcs as well as the other required documents. We are in the process of obtaining Sanitation and Site Plan Approval from. Environmental Health. Also included is a check for $458.13 to cover the permit fees. The District is operating on a tight time -line for this project and would greatly appreciate anything you can do to expedite this process. Once again, thanks for all your help and if there is any other information I can provide, please don't hesitate to give me a call. Sincerely, Scott Wm. Lawrence District General Manager OWNER -BUILDER VERIL'ICATIiON 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. I personally plan to provide t;,7-jor labor and materials for construction of the proposed property imp vement :YES NO ❑ 0 I HAVEHAVE NOT ❑ signed an application for a building permit for thero osed work. P P I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 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: PHONE: CONTRACT'OR'S LICENSE NO. 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: PROPERTyOWNER: DATE:_ 5/ 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 OVER OB. -1 I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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 yourseLy 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments 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 insuran0e costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. M _ er, Building Inspection NOTE: Thu Owner -Builder Information it required by Section 19830 of the California Health and Safety Code OVER FEATHER RIVER RECREATION & PARK DISTRICT OROVILLE, CALIFORNIA 95965 MUNICIPAL AUDITORIUM, 1200 MYERS STREET PHONE: (530) 533-2011 • FAX: (530) 533-2724 To: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965, From: Scott Lawrence, District General Manager Date: February 4, 2004 Re: Restrooms at Forbestown Park A.P. No. 073-360-007 Permit No. 04-0135 I am enclosing the signed Certification of Compliance - School District Development Impact Fees - from the Marysville Joint Unified School District. This should complete the application process. The Forbestown Community anxiously awaits the issuance of the building permit as they have community volunteers ready to begin work as soon as.weather and soil conditions permit. Thanks for all your assistance and please let me know if there is anything else we can do to expedite the process. :. ' �'r �•.>... -. t''.3s.•:'� ��?' ..�� v..,r.-,.-..-�n ..in-.',Sb�. �,.:..7� moi.-.�.tti-Z.��-..`-_. - .. .i+:.v 4 7 i Marysville Joint Unified School District Exhibit 361C #1 ;� r CERTIFICATION OF -COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be Completed by applicant and taken to: Marysville Joint Unified School District 1919 B Street, Marysville, CA'95901 Part I 4 (530) 749-6114, Room 106 - Pro rt Owner's Name: D/i 1 Owner's Address: Project Address: I Parcel No:0-73 - RoQ-oo-� Lot No: City or County: LJU� 1c Exdil Building Dept: Permit No: -�•` ...�:� . �OF TYPE CONSTRUCTION: 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: .THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE 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 FGR REVOCATION OF CERTWICATION OF COMPLIANCE. ACCORDING TO GOVERNMENT CODE SECTION 66020 (d) (1), 1 HAVE BEEN NOTIFIED THAT WITH THE IMPOSITION OF THIS FEE, THE 90 DAY APPROVAL PERIOD IN WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. Applicant's Name: . SSCAH A a J ir-P A zf � ---Date: / �. 2 � //l � Applicant's Signature: \ 44;T� n .tM ©'r Part 11 TO BE COMPLETED BY WELDING DEPARTMENT Total Number of Habitable Square Feet City of Marysville`\ • :L Countyo Yuba '-Signatu Cou tyof Butte r r NL Part III S , Certification of Compliance No. (Receipt No.): Fees Coll cted: No. of Square Feet ' , x's $.34 for Commercial = $ Exempt from Fees: No. of Square Feet Reason: x's $2.14 for Residential= $ AS TIE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY -THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED wrrH BY THE ABOVE SIGNED APPLICANT. Signature 66r: � ; 111.4n Maureen`Fitzgerald, Assistant S4erintendent oJBusiness Services Date White: - School Dlstrlct Yellow: - Appticmt Pink - Building Dept SD:co 6/10/02 NOTES RESIDENTIAL PERMIT NO.� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALE D (Date) Signature44'&�.�/%kf J=OK = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR.(Plans) OK except #'s 1. Zonig etbacks-Easements-Flood-Slope 2. ., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ_ / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35 Smoke Detect D to Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors L42. Walls Studs -Nailing Spacing & Braces -Plates -Sound �- 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outrigger` 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - in Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. EI . Trim & Subpanel, Breaker Sizes & Labels 7 Stairs & Rails 1. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. R eptacles in Garage (F F.I.)-Romex Protection oqac 0. In ation-Foam-Looked in Attic uard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following lnstldJDrive 0 Yes O No/Walks 0 Yes O No/Planters O Yes 7 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: d s 7 . 4=OK 0 = Not OK = Nat Applicable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C/0`Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking - 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 PERMIT NO. BP041450 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/20/2004 APN'' 073-360-007-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 19096 NEW YORK FLAT RD FRT Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: one time to final chapel 01-0392, 01-0839 Contractors' State License Law for the following reason (Sec. 7031.5 01-1950 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 Owner: FEATHER RIVER RECREATION & PARK signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section DISTRICT 7000) of Division 3 of the Business and Professions Code) or that he or 1200 MYERS ST she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 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).): ° 95965 af/ 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, Applicant: FEATHER RIVER RECREATION &PARK provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one DISTRICT 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 Exempt Article Mf the Business and Professions Code Contractor: under Date: LCBL Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer. Carrier: Polic #: certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, 1 shall nct employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ =ZO Date: - O Applicant-�2yd 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 Ch�� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ 4s) CONSTRUCTION LENDING AGENCY This permit is he eby issued under the applicable provisions of the Bntte County Code anrVor affirm I hereby arm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolution to wo indicate bove for which fees have been paid. �� Name: By: Date: ✓ 3 Address: PERMIT EXPIRES 00 Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner r the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substan of ny official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu oses. Print Name: L7rleyly/ ��� Signature: Date: 0 Owner 0 ContractorA0� gent for Owner 0 Agent for Contractor O.B.-1 OWNER-BUELDER VERMICA ION 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. .01 _I...personally plan to_provide..th5 jor-labor- and -materials -for- construction- of -the -proposed -- property im ovement :YESNO 13I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 13. I have contracted with the following person (firm) to provide the proposed construction: NAME: PHONE: CONTRACTOR'S 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- CONTRACTOR'S ork CONTRACTOR'S LICENSE NO. 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: PROPERTYOWNER: DATE: A S NOTE: This Owner -Builder Yerykation is required by Section 19831 and 19532 of the California Health and Safety Code. This verification must be completed and returned to our office before we are perinitted to issue the permit. OWNER BUILDER INFORMATION Dear Property Owner An VPffcatiOu improvements specified. r a building permit has been submitted in your name listing yourself as the builder of property For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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. S'tare_of.California -and-to-have a business license from a city of COumimlj : They are also required by law to put their license number on all parmits 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: d Ifyou employ or otherwise engage any persons other than your immediate famfly, and time work ('mchrding materials and other costs) is $300 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 Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insm-mce, disability msmmce costs6 and unemployment compensation contributions. There may be financial risks for you if you do not cagy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract time Internal RBvenue Service (and, ifyou 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 pennik noerroneously �b* dw the property owner is providing his of mer own labor and material personally. Building permits are required to be signed by property owners unless ' are performing their_o_wn work. emso – – - --- -- - ---7aformation-abollt licensed- - -- — P �Y contractors may be obtained by contra the Contractors State License Board in your commmmity or at 1020 ld Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building Permit will not be issued until the.verification is returned. ly. Ivfi 1 C. Vi ira, ca. 0. , Building Inspection NOTE: This Owner-Brcilder LVoM=10n is required by Section 18830 oftime Caftfornia Health amd Safely Code- OVER ode OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DMM is 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 g1 G"I (Rev.12/96) APPLICATION AND PERMIT 0/, ASSESSOR PARCEL NUMBER ZONING UILDING PERMIT 073-360-007 U S ELECTRICAL PERMIT OWNER TELEPHONE 675-2855 SO. FT. O C. BUILDING VALUATION 385 21,888.00 Main Service 200A TO 1000A . OWNERS MAIUNG ADDRESS 1200 MEYERS ST, OROVITI.E. CA 95965 NEW CONST. OR ADONS. 168 0 1,176.00 3 5QS0. FT. CONTRACTOR'S NAME TELEPHONE 2 97.50 L 5. CLO CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire Iace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2C.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ lr,7 BUILDING ADDRESS 19096 NEW YORK FLAT RD. FORBESTOWN CA Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 2000 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other C0MMERCIAL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other O Describe Work: CHAPEL, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 19 G W1 920.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, J( will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f with comply V11th those provisions. XU Date Signa re of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and d r molition or construction of structures over 3 stories in height. —,J Receipt No. 314708/ $ 455.95 `WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT EX. OCCU . OUTLET OR FD=RES PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20 00 Main Service OOOVOR LE p A OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. OR ADONS. DWELLING OCCUR & ACC. BLDS. 3 5QS0. FT. NEW CONST. RESID. mo w0",,T.�, ) 2 97.50 L 5. CLO EX. OCCU . OUTLET OR FD=RES IS ';S0 Ex. Occup. DURtDTB PUM °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 35.00 MECHANICAL PERMIT Fling Fee 0 6.50 Mobile Home Installation Fee $ Energy Inspection Fee $ cc` cD`� ' TAL FEE 1, 455.95 ✓ D. FEGIC I IMP I FLOOD If(1CDFQJ PARCEL I PO H CSUE This permit is hereby issued under the applicable provisieLs of the Butte County ode and/or Resolutions to do work Indic i bov for i ti fees have been paid. If By t�1, D... 5 1 Z Dr PERMIT EXPIRES ON S h Voles •�.ii^ n.,.•a ;F •� w + ,,r. ' 3 a-: Y:clfY.:itaoC�.r ..t. .Jkr'¢ :x_ "�_—_�,,,� �.v..:.:.1r sr �,a"r`u• a. !L'L. tt•iM' i Way h y��-li. _ ,e "COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :t+u►r CX 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 J ` PERMIT APPLICATION DATA SHEET OWNER: ZASSESSOR PARCEL NUMBER: Proposed Buiding Use: Building Inspector: Date: Z - Z7 —0 ! At time of permit application, I was Advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑jf All Aems have been submitted -------------------------------- -==--------------------------- ------------------------ lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. nergy Design Compliance and supporting documentation. ---------------------------------------------------- OON 7. Statement of Intent for Non -Heated and A/C Buildings. �-------------------------------------------------- , 0/8Material Form. ------------------------------------------------------------------------------------------ k ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------= ❑ 0. Fees of $ ------------------------------------------------------------------------------------- 1. Impact fees as shown on the attached schedule. ----------------------------------------- ------ -- ---------- California Department of Forestry plan approval/fees. , ------------ Eli 3. Flood elevation certificate. -------------- -- -- - ------------------------ - -------------------------------- Sanitation and plot plan approva lth Department. -Q-1-�------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license appy al from e City of Biggs. --------------------------------------- Planning approval for (A) Use: (B) Parking: `�-------------------------• ontact Land Development about El Improvements, C1Drainage, 11Legal Parcel. ----------------------- 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26 Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ----------------------------------------------------r---------------------- 028. Existing violations and/or expired permits.---------------------------------------------------------------------- i (Date) ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- :;Ko3`p Other: - ^igen you issu th gni c s a ows ❑Mail to owner, ❑ a for elephone and hold for pickup at v ❑ Deliver with inspector. LUG i 99 v , %Applicant: UM�Kl Copy of Haz-Mat form sent ❑Health eperi4� Fire ep" >;rtinent, ❑ Air Pollution Date: By: Copy of plans sent o Health Department, ❑ Fire Department, ❑ ther: I I Pate: By: 1. Index permit application for the above items numbered- ❑ Plan Check List, 2. Additional items required: Xj Ir Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building Division counter,by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑%*Iddi�ngDivision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 11i s' cdunter, by Date:Plans reviewed by: Date: Plans approved b �(�i Date: ' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ; TO: FROM: Building Department Environmental Health SUBJECT: Sanitation Clearance lr E.H. USE ONLif Piot Plan Attached Floor Plan A Chad Sent to S. V Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Clearance for ng. - Other -c-A", P, n 0 l" I X R V' Hold final for: Final cl NOTE: Private Well Environm 8/96 Specialist Date 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. Noo building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[V] NO[ ]. 2. I HAVE[X ] 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 1propo.sed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followipg-Pelson to provide the work indicated: -" NAME ADDRESS PHONE TYPE OF VORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY, NUMBER: DATE:_ ,li�'] 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. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments 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. 0 There may be financial risks for you if you do not carry out these obligations, "and .these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract 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 "ownerbuilder" 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 oain work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i e ly, Mic el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OWNER COUNTY - OF BUTTE DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1'. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES �►�VI V �� (paid at District Office) c A.P..# �" fO"'IIQ� DATE (9 i RECEIPT # DATE REC 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Un14t g, �� Commercial (sq.ft.)... x $0.03 = $ t Sa � Ile, Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : _ $ #Units Amt._ Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) �7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required,to be paid prior to issuance of the building permit. These fees may be anged during the plan checking process. APPLICANT W� IM late DATE] Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) tOUNVY rOF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 1 `` ISCHEDULE OF FEES DUE OWNER �LI IOQ �CtJTUr,t SSDC• A. P. r PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ N -- Revised Plan Checking Fee ....... $ e'---2. SCHOOL DISTRICT FEES Q li V 1 (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ......... x $360.00 = $ Unit Commercial (sq. ft.). 38 x $0.03 = $ • Sa Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x ' . _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION. DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion it ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) DATE OZ RECEIPT # DATE REC ow le) 10. OTR At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be anged during the plan checking process. APPLICANT DATE ` F4V Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projector from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner / (Rev. 2/97) -a I,EIVED 1 4 2001 Yuba Feather Historical Association DUILDIN,- ,rriIbN Record of Discussion - March 30" 2001 Butte County Building Department Participants; Mike Vieira, Loren Olsen, Pete Hammontre Subject: YFHA Chapel Building Permit Mike Vieira, Butte County Building Department, presented to the YFHA board members, the results of the examination of the plans submitted by YFHA for the purposes of obtaining a building permit for a chapel to be located within Gold Trader Flats, an exhibit, that is part of the facility known as the Forbestown Museum. Mike outlined several items that he characterized as minor. (1) A dimension that needs to be added to the plot plan detailing the distance between the fence and the chapel. (2) A request for details on the barriers located at the doors. (3) Technical references from table 7-B of the UBC regarding the fire wall details. (4) . construction details of the handicap ramp located at the rear door. (5) Rise and Run for the front steps. [ he deleted the requirement for the spacing notation with the respect to the hand rails stating that those present were acceptable.] (6) Details showing method of connection from the front porch to the building. Mike then outlined items that he characterized as major. These details are contained within a letter dated 7/2/99 from Linhart Petersen Powers & Associates to the County of Butte. The essence of the letter is that several of the calculation contained within our application, as preformed by H.G. Pratt, utilized incorrect assumptions and initial data. These calculations and, if appropriate, resulting modifications to our design will have to be addressed. Mr. Vieira that made several very helpful suggestions to the YFHA board members. He suggested to us that if our original goal of utilizing the chapel for such events as weddings or similar functions still remained our desire, then this could be accomplished by the following: (1) We could modify our handicap access in the following way; remove the rear door, remove the rear ramp, eliminate all pedestrian barriers, modify the main entrance door so that it consisted of a 36" and a 20" door that appears to be symmetrical but, in fact, meet the requirement that at least one door be 36 Install an appropriate handicap ramp that will give access to the front porch. This is to be located on the west side of the porch. It will be acceptable to disguise the Handicap ramp with appropriate vegetation. (2) Submit approprj a foundation plans and a request for a separate permit covering just the grading and foundation. This set of plans will have to contain the items necessary for the a California. Non Profit Organuat ion 19096 New York Flat Road • P.O. Bog 113, Forbestown, CA 9591 • 530 675-1025 http://wwwythmuse=.org Yuba Feather Historical Association incldMh of the newly proposed handicap ram to be located on the west side of the front porch. This will allow YFHA to proceed with the initial phase of the project while the other structural items are being addressed. Mr. Vieira stated that there exist, possible potential future problems with this approach. Should the items identified as `major' result in additional foundation requirements, it would be YFHA's responsibility to resolve them in a manner acceptable to the Butte County Building Department. Mr. Vieira stated that there would be no additional cost for. this special permit. Mr. Vieira further stated that, should YFHA comply with all of the above stated requirements, this would constitute all remaining and necessary items that are needed by Butte County for the issuance of the desired permit for the chapel. Respectfully submitted; March 30`x, 2001 Loren Olsen & Pete Hammontre' YFHA Executive Board Members cc: Mr. Michael Vieira CBO County of Butte 7 County Center Dr. Oroville, CA 95965-3397 a California Non -Profit Organization 19096 New York Flat Road • P.O. Box 113, Forbestown, CA 95941 • 530 675-1021.5 http://www.yfhmuseum.org '!YU6i'F-'ea-th'er' Historical Association' 'P.O. Box 54 Brownsville, CA 95919 EN Mr. Michael Vieira CBO County of Butte 7 County Center Dr. Oroville, CA 96965-3397 T 1 NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings A&Upod- owner ofthe building to be constructed as a (please print) =L under at go } oew yav- pe-4r- (bldg.permit no.) (location) , hereby certify that I do not intend to heat or cool this building in'such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter (1) the building envelope, (2) the insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning.equipment, (4) the service water heating, and (5) the lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. ' Signature of Building Owner A1C U., Mailing Address t'��• �Z �S OtJ I-�4. _ STT Telephone No. S3J� %7�j 2z 77)� /�7e-C"� BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN ®-7-:3- t' o V—f (0�'— Firm Name 7 V4SA 'Fzi�r2r� NtS�AQ�� �5�• Address 190% osow g021G .C4A1-T- OPAV Nature of Business Contact Person eLQ1 Phone #� ♦� ' �8 t� 1. Does your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, x physical or chemical characteristics, poses a significant present or,potential hazard to human health and. safety or to the evironment if released into the the workplace or the environmert. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous wast3, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? KNO ❑ YES 891-2727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-5KRk1) for a review of the project. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? 10 NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? K NO ❑ YES IF YES, contact the Butte County Air Pollution Co I District (916-891-2882) for permit requirements. Owner or Authorized Company Representative ( azure) (Date) BCEHD BCAPCD The applicant has. met or is meeting the applicable requirements of Section 25505, ❑ El25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. ElEl The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. ,.y+►. Ifs � ..�� `I' ,�,F ."rw Tp. r � �.1."�l�Ty��Yry .��+ •��t i• �..,i.� l . � -r ir�', f`-�C`•}. r h BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN Firm Name V06.4 015'tO2kEA-l., Address 0 9% Uaw q0<,e-iG Nature of Business M U5 =LJ f -d Contact Person �fu- d''�p�e-� Phone 1. Does your business or that of your tennants handle, store, or transport hazardous materials? I NO , ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, x physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environmert. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous wastD, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to thie health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? { .�`- NO ❑ YES 891-2727. If you answered YES to.1 or 2, contact the Butte County Environmemtal Health Department (916-5Sft1) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? N NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? W NO ❑ YES IF YES, contact the Butte County Air Pollution Con I District (916-891-2882) for permit requirements. Owner or Authorized Company Representative P Y P /S azure/ (Date) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, El25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date - : BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. c-/.'r-�`'�i��.."�.+>.-�"r""`^•"*Sr.1'r�r� a+}u�•� T1�.`��j ', r:a`�'�r�-'�{_Y"�r.i.`."^^/• ' r.-. �,.•%(„u- .... -. ..s.--.. »kir>r Y•,.w`•Y.>.wntl ,aa r.� BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE" (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT•NUMBER APN 1$o—I (vo�- Firm Name ��V�A-Ci-� set Lt�S to�21C,G�t, f�Ss� Address% Nature of Business y r Contact Person 9t LL Phone 1. Does your business or that of your tennants handle, store, or transport hazardous materials? X NO ❑ YES • - NOTE: Hazardous -materials are defined as any material that, because of its quantity, concentration, x physical or chemical characteristics, poses a significant present or potential hazard to humF-n health and safety or to the, evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, l paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at ' standard temperature 4 pressure), or formulation containing hazardous material? 0NO ❑ YES - 891--2' 27 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-5, g3R-,8A1) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? ® NO ❑ YES IF YES, name of school. . 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? V NO ❑ YES IF YES, contact the Butte County Air Pollution Con sol Disjtric�t (916-891-2882) for permit requirements. Owner or Authorized Company Representative 0,%f (S azure) (Date) BCEHD BCAPCD ❑ ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. a+P^41®ice+�.��`� Rp •rte i BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN Firm Name �jut�, �i-� ^+f� f-,sc�.i�":at. t`;50- Address Nature of Business �1 _ Contact Person{ Phone 1. Does your business or that of your tennants handle, store, or transport hazardous materials? /Ed NO 1:1 YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which .- a handler or the administering agency has a reasonable basis for believing to be injurious to We health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (et standard temperature 4 pressure), or formulation containing hazardous material? D'NO ❑ YES r 891--2727 if you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-53,§,V 8,1) fo• a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? 19 NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? V NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative (Slgrra tura) (Da te) 1 BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. ,a YY� y a+P^41®ice+�.��`� Rp •rte i BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN Firm Name �jut�, �i-� ^+f� f-,sc�.i�":at. t`;50- Address Nature of Business �1 _ Contact Person{ Phone 1. Does your business or that of your tennants handle, store, or transport hazardous materials? /Ed NO 1:1 YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which .- a handler or the administering agency has a reasonable basis for believing to be injurious to We health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (et standard temperature 4 pressure), or formulation containing hazardous material? D'NO ❑ YES r 891--2727 if you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-53,§,V 8,1) fo• a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? 19 NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? V NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative (Slgrra tura) (Da te) 1 BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. ' F � � M . � � ' ,ri�. , d."�'tM9ni�JM4• ._ �.. .�*. ii'+y 1.j -yl•• �-- f':,i:1 P1 ♦ i N ~Y ..wv.++- :-;�(.t �r � Jti�l.•.:� .�'�i� Y 4 � �t�l ��.�I �RS.1� '�-. +��V...' r Marysville Joint Unified School District Exhibit 3610 #1 , t ; CERTIFICATION bF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken1b; Marysville Joint Unified School District 1919 B Street, Marysville Part I Property Owner's 1` Ownees Address: j_ �2 ~ IJGi. Project Address: � cl n SA K),eu) (b r L Parcel No: tJ i 3 —1 0 ""' /) Lot No: Building Dept: ya., ceui - I Permit No: r -Dr6es-6L,jr-) es r be4v-)",. t9 5, q - City or County: TYPE OF CONSTRUCTION:- Residential ONSTRUCTION:_Residential Construction ;' Single Family Dwelling; Residential Reconstruction Multiple Family Dwelling Commercial Construction No. of Units Commercial Reconstruction f Mobile Home Total,Numlier of Habitable Square Feet: ; THIS CERTIFICATIONCOVERSONLY THE AMOUNT OF SQUARE FOOTAGE nVDLCATED ABOVE. ANY ADDITIONS OR ',CORRECTIONS TO THE SQUARE FOOTAGE FOR TBE 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) (11). I HAVE BEENNOTIFIED THAT WITH THE IMPOSITION OF THIS FEE, TBE '90 -DAY APPROVAL PERIOD RV WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. M�..'•rt,,.n Applicant's Name: l /""ra / s ,�. rA✓ Date l i�d ? Applicant's•Signature: Part II TO BE COMPLETED B BUILDING DEPARTMENT i Total Number o itable Square Feet City of Marysville County of Yuba Signatures �-/J) County of Butte'' Part III TO r. Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet BY SCHOOL DISTRICT _. ,.x's $.28 for Commercial = $ No. of Square Feet x's $1.72 for Residential = $ Exempt from Fees: Reason: 01 AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL. I HEREBY CERTIFY THAT THE REQUIREMENTS OF t GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature' - -^�-- " t -x- Sandra Davini, Director o Business services Date u, I , Whit e: - school District Yellow: - Applicant SD:co Pink - Building Dept 12/6/36 `,I U C A c6? -)A) -S_ 0 e 1 CAL, , ASSIQ . APN: Q7 2 18 Q- 16?_ BUILDING PERMIT SITE PLAN CHECKLIST Building Permit No.: 99 - O22 %o Propoged Use: SFD O MHO Res. AccessoryO Ag. Bldg. O Commercial O Industrial O Other: --CIA A P G� Zone District: The Proposed Use Is: Permitted: Not Permitted: Requires a Minor Use Permit: Accessory Bldg. Use: General Plan: 14i2 Requires a Use'Permit: �C Requires an Administrative Permit: Parcel Created By Map? No: Yes: Book/Page Map Conditions? No: Yes: , See reverse side Use Permit: Variance: Dev. Agreement: Applicable Setback Zoning Code Streets & Hwy. Fire Prevention Subdivision Map Front '2-0 fL Side 3 Side, street Rear � Height IV//A Parcel in Land Conservation Agreement? No: Yes: ,Check Use Parcel in North Chico Specific Plan? No: X Yes: , Check NCSP Zoning Parcel in Floodplain? No: � Yes: , Zone: Panel No.: ©(OD 1 i - 08 so Parcel in Enterprise Zone? No: '�>< Yes: -, Check Use Commercial/Industrial Uses Parking Requirements: OK as shown Other: _ Landscaping Requirements: OK as shown Other C&y1 12 CS A 'W-S�� Comments: - Reviewed By: LX2 Date: CHECK SPECIAL CONDMONS WHICH APPLY TO PARCEL. ALL FEES TO BE PAID TO TRE Bmmg DIVI4ION UNLESS OTH 1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced by planting replacement trees of equal number and not less than _ gallon size. _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be retained as part of the project, shall be fully protected through the use of root protection zones (RPZ). During construction, RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the trunk to the dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed. "The RPZs shall be maintained after the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed. _3. Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at least 16" above the ground and the upper strand shall be no higher than 48" above the ground. – _4. Pay the required CSA 87 Traffic and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambed the following entitilements must be obtained. a California Fish and Game 1604 Streambed Alteration permit and an Army Corps 404 permit or exemption certificate. _6. Pay the current West Chico Fire Station Fee of $75. —7. Pay water tender fees in the amount of $200 to Battalion Number of the Butte County Fire Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. —9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —10. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $750 as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 11. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. 12. _ 13 14 K:\BLDGCF14.FR.\t 2 u ite, Coun y LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7601 FAX: (916) 538.7785 February 17, 1999 Yuba Feather Historical Association 19096 New York Flat Rd. Forbestown, CA 95941 re: Building Permit Application #99-0276 APN: 073-180-162 Dear Association, The building permit application you recently submitted on February 11, 1999, has been reviewed by the Planning Division. The application was checked for completeness and compliance with current zoning and development standards including any special conditions unique to the parcel being improved. The items listed below need to be completed or submitted before the Building Division can begin plan checking. Please be advised that additional information or items may be needed to complete the plan check process. In that case, another letter will be sent detailing any additional submittal requirements. 1. Apply for a Use Permit to allow an expansion to the existing use to allow a chapel. If you have questions regarding any of the above items, please contact this Department at (530) 538- 7601 between the hours of 8 am and 4 pm, Monday through Friday. Sincerely, Larry Painte Planning Technician O.B.- I n OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until tlns verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES X NO ❑ I HAVE 0 HAVE NOT ❑ signed an application for a building permit for the proposed.wo6-.. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S 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: PHONE: CITY: 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 NIGNED: PROPERTYOWNER: -j4n,4 ccQ(, — 42wa Vaa.oc SOCIAL SECURITY NUMBER: • \� DATE: 6 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. OVER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C/S L FORNIA 95965 - TELEPHONE (916) 538-7541 VU � � DERWTAAPPLICA TION DATA SHEET OWNER: r ASSESSOR PARCEL ER: O 73 - /So , Proposed Building Use: 21. X/'1) Building Inspector: 904WIn Date: - i - 9 z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted .------------------------=------------------------------------------------------------ 0,2-rlot plans,4�ets, signed by the preparer of plans.------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. -7 -------------------------------------------------- ngineered plans, 3C�Ats, with wet signature on plans. All engineering must be shown on plans. -------- _ 61--? ST 115. Engineered truss details and layout in duplicate (required prior to plan revi w) No faxes!----y-�------------ nergy Design Compliance and supporting documentation.-yy----�4--`-5---- --� '�`� Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- C1 W(Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9 anufactured Home data and installation instructions including Tie Down Specifications .------------------ MI0. Fees of $ j19 ------------------------------------------------- ----------------------------------- I 0'941' -lImpact fees as shown on the attached schedule.`- - -- - ---------------------------- N 2. California Department of Forestry plan approvaU ees. - -- --- -- GP_.9:99 -------------- ❑ 13. Flood elevation certificate. -------------------I--------------------------------------------------------------------- t. Sanitation and plot plan approval 0Qdi� � - Health Department. qp�f� 5. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- 1) C 17. Planning approval for (A) Use: (B) Parking: -• Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 9r, 9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. ------------------------------- 025. ----------------------------❑25. Recorded copy of Agricultural Acknowledgment Statement. - E126. Letter of intent on building use. ---------------------------------- 1127. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: vell �— (Date) you issue the permit, process as follows•, ❑ Mail to owner, OMaail tot ntractor. Telephone � 5- 13aZ I wand hold for pickup at Omup t office. ❑ N'iver with inspector. j- ['o'�S-o2� �5 ACX L.- . j (—Z--4 nn Applicant: Date. � J Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: In, 1 2. _ 14�_ S , I�1 2. _ 1 q�_ S _0 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 13Plan Cabinet, ❑ A.P. folder. Note transfer by: ' Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO. di.. o (Rev. 12/96) APPLICATION AND PERMIT 9;19 ASSESSOR PARCEL NUMBER 073-360-007 ZONING U BUILDING PERMIT OWNER FEATHER RIVER PARKS & REQ TELEPHONE 675-2855 SO. FT. OCC. BUILDING VALUATION EST 5 000.00 . OWNERS MAILING ADDRESS 1200. WMS ST. OROVILLE, CA 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 5.000.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46-190 BUILDINGADDRESS 19096 NEW YORK FIAT RD- FORRESMUN, CA Energy Plan Checking Fee $ $ PERMIT FEE $ 1 138 so LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COMMERCIAL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other It Describe Work: FOUNDATION FOR CHAPEL COMMERCIAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 020.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service z�o.OR mss 23.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO tOooA 46.00 WEL200A NEW CONST. DWEWNG OCC UP. OR ( 3,5Qso. FT. MUL^CCOBLDLDS�r NOKRESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu . OunETORFIXTURES 20°'.00 BAL @ .w Ex. Occup.oUr rs .=.) EOR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' mpensation laws of California, and agree that if should become subject to the w kers' compensation provisions of section 3700 of the Labor Code, I shall f dlhwith compl with those provisions. AA X i Date NL _ Signa re of App icant - 13Owner ❑ Contractor E3enAgt An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee Is Energy Inspection Fee Is acc CONST. TYPE TOTAL FEE $ EXEMP „A D. FEES IMP I FLOOD 7 p HD ISSU This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indiWov ic12 fees have been paid. ByDate PERMIT EXPIRES ON ate ReceiptNoIrrz IaXFMPT WHITE-D.0.ft3.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 materials for construction of the proposed property improvement: YES NO[ ]. 2. 1 HAVEV] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide, the 'proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work,* but I have hired the following persoh` to, coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the followipg.perisons to provide the work indicated: NAME ADDRESS PHONE TYPEOFIW-'Ogk-'* SIGNED: PROPERTY OWNER: SOCIAL SECURITY. NUMBER: DATE: H NfA(- (Q I NOTE: This [owner -Builder Verification is required by Section 19831 and 19832 of the California Heilth'and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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.- 0 rotection:0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. V 0 If you are an employer, you must register with the State and Federal Governments 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. 0 There may be financial risks'for-you if you do not carry out these obligations,'and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract 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 "ownerbuilder" 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 ow'n' work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned i ly, Mic el C' Vi ira, C.B.O. ger, Building Inspection . NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. .Feather River Recreation & park District OROVILLE, CALIFORNIA 95965 MUNICIPAL_ AUDITORIUM, I200MYER�STREET BUSINESS OFFICE: PF.. 916/5:4-8535 PROGRAM OFFICE: Ph. 916/533-2011 Board of Supervisors County of Butte 25 County Center Drive Oroville, CA 95965 March 12, 1982 Subject: Request for Waiver of Building Permit Dear Board Members: The Feather River Recreation & Park District owns a building in Forbestown that is operated and maintained by the Yuba - 'Feather Historical Association (a non-profit corporation) as a historical museum. The Association submitted a proposal to our Board of Directors to expand the building, which was subsequently approved. The residents in the Forbestown area have banded together to raise several thousand dollars for this project, and are do- nating considerable voluntary labor toward completing it. In fact, all of the engineering work and plans have been donated. In support of this outstanding community effort, the Recreation Dis"t;rict has matched the Association's dollar contribution toward the construction of this expansion. 710 con.tinue: to keep the, cost to. the taxpayers as low as .pos- sible, the `District is requesting that the building permit fee be waived,°for the expansion to this public facility. we believe this request is in the best interests of the public, and would correspond to the tremendous involvement and support already`p'rovided by the citizens in the Forbestown, area. As a courtesy to Mr. Al Saraceni.,-whose district Forbestown :is in, a separate copy of this letter is being forwarded to him. Thank you for your attention to this request. Sincerely, ; fly IVY Hal H-i,ggi.ns DJ.str'i ct: Administrator HH:ek cc: Clay Castleberry -{ ,3. lt;,o Qui & C c File No. i I El a i BUTTE COUNTY (For Ac on 1, 2,3) Public Works Dept. (For A/c J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps its } OWNER: / PERMIT'�� MH UT IL . CL C DATE % �2 INSPECTO ELECTRIC GAS Support Struc. Compaction Test Rte . Service -Other Pipe YESI NO YES NO Size Load Type Size Len th n 33o J4 All Materials Workmanship Shall 89 NOTE';—All nized Good Practices and Accordance with Specified use in the Of a qual'rh► prescribed for the �9ding, Plumb n9 ►�lachanica� Codes and Uniform+ Electricalode. the N it will be required for the on of the mobilehome. ' ccs IN®flit. PAD onnections sh II be within PAY -eel,, A P This set of plans and specificofi nsIvl3fl5"f be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Departi lent of Public 4� Works, County of Butte. 3.©C r�Grs A setbockl property nes and a setback of 5Qftin shall be clear of conterl i Ment except `00 structures or equip A ti_� -for e 2 . Utility c 4 ft. of the rnobilehoi ne, either ele�tv.cat� F6„besfew, ind or wi hin the rear directly beh half of the roadside eft) of t Mobilehome. Is , ix_ p. t lby b ed-Cx0 Ai H ALLn 0Lcr 8LU ; . t1 R� ?,3q7 - BUTTE 10UNTY BUILDING ��ARTIV9ENT 'COMMERCIAL MASONRY WALLS N f E S W 1st Lift 2nd Lift 3rd Lift , 4th Lift s' 5th Lift 6th Lift FIRE WALLS 0 cupancy, Area Propert Gypsum Board 1st Layer 2nd Layer Walls Ceilings ..4 073-180-162 PERMIT#96-0620 FEATHER RIVER REC & PARK 19096 New York Flat Rd., Forbestown j Front & Walk Add/Museum i 2_-j� _ r{ 14 JOB FINALED (Date) Signature CERTIFIC O OCCUPANCY ISSUED (Date) Signature. J=OK O = Not OK ° = Not Applicable Not Ready COMMERCIAL = Date UND115AFLOOR Plans OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope -Soil Report 2. Fig., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap '2Q_Handica4/C-Bapkingy 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation _ 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. k.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers ,Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING Plans OK except #'s 40. ils, Proper Material & Anchors -Hold Downs 1. Yldrls Studs -Nailing, Spacing & Bracing -Plates -Sound _ j,4f Bearing Walls over Girders & Floor Nailing 43. Draf oop in Walls (rat proof) 44 ire Stops; Furred Ceilings -Stairs -Chases \-*4-5. Headers & Beam -Size & Bearinq-SUDDort Fix. Date.' FRAMI ntinued) 46. Hange - ost CapssAnchors-Co ctors 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Firewall-Doors-Area-Occp.-Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Glu -Lam cert. -Placement -Support 51. Steel Buildings-Purlin-Girders 52. Property Line Firewall & Openings 53. Ext. Doors -Handicap Access 54. Stair • Width -Headroom -Rise -Run -Landing -Fire Protection . plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 511 Glazing Area -Glass Protection -Skylights -Plastic -Fire Fort. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing (NOTE: An entry must be made each time you visit the job site) Date -r Card B-1 Date Card B-1 Date Card B-1 -=uate Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mach. 68. Elec. Trim & Subpanel; Breaker Sizes& Labels 69. Stairs & Rails 70. Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.k Above Floor-Mech. Protection 73. Plb., Elec. & Mach. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic 0 Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door -Drainage & Wood-Eartl- Clearance Looked under Floor ❑ Yes 77. Stucco; Brown -Finish 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86., Water & Sewer Connected -C/O to Grade -HD Approval 87.E Energy Compliance Certificate -Other Certificates 88: Roofing Certificate -Fire Rating i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occuoancv (NOTE: An entry must be made each time you visit the job site) v/ COUNTY OF BUTTE -DEPARTMENT OF O€VEL• OPMENT SERVICES -BUILDING DIVISION y - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT �4�-n� ASSESSOR PARCEL NUMBER 073-189-162 U ZONING BUILDING PERMIT OWNER FEATHER RIVER REC &PARKS TELELEPMHON2011 3 SO. FT. OCC. BUILDING VALUAT'ON 7,000.00 OWNERS MAIUNG ADDRESS 1200 MEYERS OROVILLE, CA CONTRACTOR'S NAME OWNERTELEPHONE CONTRACTORS MAILING ADDRESS 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 90 CK ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 19090 NEW YORK FLAT RD PERMITFEE $ 1AR Sr 1/4 MILE SOUTH OF FORBESTOW14 RD) PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00, LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00- 3.00Water USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MUSEUM SPECIFY Waterpiping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FRONT Lx WALK ADDITION — Mobile Home I S I G W @20.00 PERMITTEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service / a OR LESS 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `� I, as owner of the property, or my employees with wages as their sole compensation, (- will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SC. 3.50 FI NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.5C ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BAL 2 p I.0 .S5C Ex. Occup. FIXED APPLNS. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker ' compensation in urance carr'er and policy numb are: Carrier t&J MECHANICAL PERMIT Filing 9 Fee- 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy NumberMobile (The above sections need n 61 be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'1 compensation laws of California, and agree that if I should become subject to ther— workers' compensation provisions of section 3700 of the Labor Code, I shall Drth ith comply wi those provisions. _ Date S /d/y_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent/ r7 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 168 ,.50 I HAZ. I D. FEES I IMP FLOOD I CDF PARCEL J.= -QA HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY -:114 PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date / (Date Receipt No. 194790 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -. – ..c '^, f,, r; l ,..A -w w•' •rte-• ,.i'--.- r,rt.�n V1.. . .. / COU.NTYOF BUTTE - DEPARTMENTOFOBVIEtO'MENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 - TELEPHONE(916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER C 64'i l�L Proposed Building Use %!/I (l%L DATE RECEIVED BY All items have been_ ��/ -S A . No. o73 Date -• f � `-�� 5 V S 5M- o.v7- ,;gyp, Building Inspector Hazardous Material Form. ............................................ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or iss-lance: DATE RECEIVED BY All items have been_ 1. submitted . ....................................... . 2. to ,pans, 4 sets, signed by preparer of plans. . 3. pans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered.plans and calcs, 3/4 sets, with wet signature on plans . ............. 5 R``6. Hazardous Material Form. ............................................ Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................... ,. 14. Sanitation and plot plan approval Health Department . ............ y 16. City of Chico plumbing permit. ................................ ......... . Plot plan and business license approval from City Gridley. . 17. Planning approval for (A) Use: Parking: /S 5�ggc) . ....... ( —�` 18. Contact Land Development.about (A) Improveme ) Drainage. ........... 19. Driveway permit (construction approval required.prior to occupancy). . . 20. Pre -inspection for !dg nd� required. to e!ypeo— (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. O_ Certificate of Workmans Compensation Insurance ........................... Owner Verification , -Builder (Given to owner , Mail to owner _). .......... . 24Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copytof recorded deed of parcel creation and 60 right of way to a public road. .... . -27. Letter of>intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... 1 .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed ... and (B) Parcel meets zoning area and frontage requirements. ...�. ............... 31. Existing violations/expired permits. ..... s-- ............................. . Ian ctieck list. s!'� ............................... . i ! �4 7 inn .. 34 - When you issue the permit, proc ss as follows: Mail to o ne Mail to contractor. Telephone 3 3 - and hold for pickup at �- offs Deliver with inspector. Other o . Parcel Creation Acreage Applica Date Copy of Haz-Mat form sent ` Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health. Dept. Fire Dept. Other Date By The following data must be submitted pr' t�c 1. Index permit for above items No. r �� 2. Additional items required: new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner as advised of above required data by _ phone _ mail Cou ter by _ Dated Plans checked by Date �S`g Plans approved by `ir Date �=L=1 Sets of.plans on hold in File cabinet AP folder Copy - Department of Public Works I O.B.- I 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. v'>� I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES NO[ ]. 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: CITY: PHONE: CONTRACTOR'S 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: 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 SOCIAL SECURITY NUMBER: A DATE: IS 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. OVER O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments 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. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract 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 "ownerbuilder" 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 contracting the Contractors State License Board in vour community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincbrel Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Narr Address Nature of BUILDING PERMIT NUMBER (96 ` 00� APN 07 _� 200-/&Z Contact Person S�?��'e�l�� Phone # _3 1. Does your business or that of your tennants handle, store, or transport hazardous materials? `11 NO ❑ YES NOTE: Hazardous materials are defined as any material that, because.of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material whicb a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet_ (at standard temperature 4 pressure), or formulation containing hazardous material? NO ❑, YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. - 3. Is the business/facility/operation to be located within 1000 feet or the outer. boundry of a school or school site? NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, u s, vapors, or other volatile compounds? NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative — (Date) BCEHD BCAPCD / r The applicant has met or is meeting the applicable requirements of Section 255[5, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date • WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. .....�.. .�—' a�.s.r-^- �-.,�..�y,riM�.w �.fiq.�..-ma....W-v..�F.�. � eec.•�rr-.4r.,,.�srr.r+.�s.. �..--.....-�.... r,,:^.F -'•-�...r�.ti4.+'+n+rrvF.r ^�1 �" .r •, *# + .Forbestown Museum MNew York Flat Rd, 3/10 mi S of c` Forbestown '�.d;�Forbestown Permit .2-473 81E (61e ser ch) museum , COUNTY OF BUTTE -'DEP'ARTM'ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NU BER —,"�7• ZONING BUILDING PERMIT 0vukiw t TELEPHONE Y .. SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAMf TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation Is CONSTRUCTION LENDER UNKNOWN Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERS ' E NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADD SS .1—� J (/ _ i PLUMBING PERMIT Fili Fee 10.00 n9 �, rr T � � M �� `� Each Trap 2.00 Repair drainage or vent piping 5.00 rn Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex F-1 Mobilehome❑ Others S. ei1 t W "SPECT FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 4Jtilities ❑ Installation ❑ Other Describe work:. p��z; T"" Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service eOOV OR LESS 100 AMP OR LESS .00 D Main service EA. ADD•L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.Nj OR ADDNS. ACG. BLDGS. I 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): E-1NON-RESID. 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 NEWCONSTR I. u TLT 2,50 ea NON .RESID. BRANCH CIRC ITS NEW CONSTR IPOWER APPARATUS N1 ISINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BALQ; IXED AP LNS. OR Ex. Occup.(0UTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, -costs, and expenses which may in any way accrue againsV'�id County {n cohsequence of the granting of this permit. X Date -+�" Signature of Applicant — Owner ❑ Contractor ❑ Agent u `. L.T. K 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 $ TOTAL PERMIT FEE $ occUP. GROUP I TYPE OF CONST. I PARCEL I PD I HD I IISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which tRE OR OF PUBLIC i'� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPAR ENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 OCIJ�� / APPLICATION -AND PERMIT lJ / ASSESSOR PARC L NU BER .- — �. 0 •� ZONIN r ' BUILDING PERMIT O W,,E Yb_ T L PHONE s ;--,SQ. FT. OCC. BUILDING VALUATIDN O NER'S MAILI ADDRESS _ s CONTRACTOR' NAM ^ %V\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Al I77�Filing UNKNOWN Total Valuation Is Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ' BUILDIN ADD SS PLUMBING PERMIT Filing Filin Fee 10.00 Fee h Each Trap 2.00 'Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTU SF ❑ Duplex❑ Mobilehome❑ Other:MC_ QiJ L V �SPECI FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ tilities ❑ Installation Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 611V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. ( DWELLING OCCUP.m) OR ADDNS. l ACC. BLDGS. 20 sq - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID. 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 CONSTR -OUTLET 2.50 ea NON -REBID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS S\ SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a �@ IXED APP LNS. OR EX. Occup.(OUTLETS(RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee - $ Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate dof Consent to Self -Insure. l 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. Heating Cooling 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, indemnify and keep harmless the County of Butte against all liabilities, judgments/,Costs, and expenses which may in any way accrueF agains s id County�(n c equence of the granting of this permit. Date %-`�"81/ Signature of Applicant — Owner ❑ Contractor ❑ Agent Ee �1 , 1na:4 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 $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. I PARCEL PD I HD I SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which q IRE OR OF PUBLIC BY PERMIT EXPIRES Date --a X the applicable provi- resolutions to do fees have been paid. WORKS Date - Ra/ r Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT l 2392-81P,E P IT NO. PERMIT EXPIRES G 1361 ^/O OWNER F.R.R.P.D.. CONTR. owner ASSESSOR PARCEL 73-18-60 . LOCATION E/S New York Flat Rd.,app.3/10 mi.S of Forbestown Rd., Forbestown Temp. Power Pole Called PG&E Temp. Elec. Service 4 Called PG& TejCalled ice &EJO (Date) Signature hfi Q i - J = OK 0 = Not bK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEE UTILITIES ( ns) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's on' g Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sew, Location—Test—Fall-C/0—Concrete ,ppater 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—RFils ocation—Test—Easement Needed (Sketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—B-acing ectricity; Location—Clearances—Grnd.— / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—EnclOseres t—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors .J, OMility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Ca -BIDate —� 7—d—Bl Date Card -BI Date Card -BI Date Date M LEHOME INSTALLATION (Plans) OK except N's 1• Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lgstg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -81 Date Card -BI Date i (NOTE: Anentrymust be made each time youvisit jobsite) r J = OK O = NotAK_ . . - _ Wotyable RESIDENTIAL (Single and Duplex) ' � = Not Ready Read _. Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - _ 15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper .20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 21. Elec. Receptacles Spacing -Lights &Switches at Doors In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulationin Attic [-] Yes Foam -Looked 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. ) Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked Floor ❑ _ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 75. under Yes Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Insulated Neutral ❑Yes ❑No Planters Oyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except q's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - --- Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Proper Material & Anchors 37. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ 44. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 � APPLICATION AND PERMIT I �Q y ASSESSOR AR71_ NUMBC r ZONI . BUILDING PERMIT OWNER T L PHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MALI G ADDRESS 1.` CONTRACTOR'S N ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ %®r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD I G ADESSr_k S PLUMBING PERMIT Filin 9Fee 10.00 SEach a CL Trap 2.00 Repair drainage or vent piping 5.00 rb Water piping D LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0 O her SPECIFY Building sewer 0 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑emodel ❑ tilitieesLs �l tallation❑ Other ❑ Describe work: `, ����7CiI�PY Y I/1 -Nu VS Ina Permit Fee $ 0, Contractor ELECTRICAL PERMIT Filing Fee 10.00 100 service 1OR LESS OR 100 AMP OR LESS 5.00 d� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCC 11P.S) OR ADONS. 1 ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El 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. icense No. Classification el,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 CONSTR I.OUTLET 2,50 ea NON.RESID. BRANCH CIRC TS NEW .CONSTR POWER APPARATUS IN NONR ESID. SINGLE OUTLET CIR. 50@28C Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. OCCU FIXED APPLNS. OR P•(oUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �L Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I 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. dI 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation ++ Permit Fee S 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 'gut hori ze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all 14ebilities, judgmen costs, and expenses which may in any way accrue aga ns said /CourLty in nsequence of the granting of this permit. Date Signature of Applicant — Owner ❑ Contractor ❑ 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 $ TOTAL PERMIT FEE $ X . OCCUP. GROUP I TYPE OF CONST, I PARC PD ND 590 to/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PT EXPIRES Date the applicable provi- �v resolution3 to do fees have bee -1 paid. WORKS Date L — - V -7 Receipt No. �i��f%% er WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT s ,Jr COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: YUBA FEATHER HISTORICAL ASSOC. ADDRESS: PO BOX 120 CITY & STATE.: BROWNSVILLE, CA 95919-0120 DATE OF CLAIM: 06/28/99 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT OWNER DECIDED NOT TO BUILD. (A.P. #073-180-162, BP #99-0276, RECEIPT #258181, DATED 2/11/99, OWNER: YUBA FEATHER HISTORICAL ASSOC. Total amount paid $526.77 Retain refund processing fee.......................................$25.00 Retain building permit filing fee....................................$20.00 Retain electrical permit filing fee..................................$20.00 Retain plan checking fee.............................................$146.25 Retain SRA plan checking fee......................................$43.00 Total amount to be retained...........................................$254.25 TOTAL $272, L52 I, the undersigned, declare under penalty of PefJrY u (qa . stated. Dated this _7 day of 19-(, at Calif. < < rn nl ed and that this claim is true and coned as Siolture of Claimant Budget Appropriation [ I or Specific Board Approval [ ) (Check one) for the sam I, the undersigned, hereby certify that, to the best of my knowledge, the services 2zz=;: Dated this 28th day of June 1999 , at Oroville Calif. d or delivered and that there is a �uty Dept. Code 440-002 Ei p. Code 4210500 for $261.00 PAYABLE1 ROM CONSTRUCTION PERMITS FUND Dept. Code _1800 Exp. Code 1011811 for $11.52 PAYABLE FROM—Sheriff Development FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 June 28, 1999 Yuba -Feather Historical Museum & Gold Trader Flat RE: Request for Refund PO Box .120 (A.P. #073-180-162) Brownsville, CA 95919-0120 Dear Sir: Your request for a refund was received by our office on 06/22/99. Please find attached a general claim form ready for signature. Our records indicate the receipt was made out to Margeri Moore. She must sign the claim form. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, Mighael C. Nfieira Mahager, Building Inspection MCV:aam X1�` n LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 June 28, 1999 Yuba -Feather Historical Museum & Gold Trader Flat RE: Request for Refund PO Box .120 (A.P. #073-180-162) Brownsville, CA 95919-0120 Dear Sir: Your request for a refund was received by our office on 06/22/99. Please find attached a general claim form ready for signature. Our records indicate the receipt was made out to Margeri Moore. She must sign the claim form. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, Mighael C. Nfieira Mahager, Building Inspection MCV:aam X1�` n FOR BUILDING DIVISION USE: Receipt Information: Number: a �o Date: Issued To: Q r1' Oc'>>"� Amount: ` I Fees Retained: Processing Fee: $ Bldg Filing Fee: $ n Plbg Filing Fee: $ Elec Filing Fee: Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: Inspection Fee: $ SRA Fee: $ Total Amount Retained $ TOTAL REFUND DUE $ a�O�• S Il Y A ,. 1 REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS 16:. ASSESSOR PARCEL #: 0� -3 — RECEIPT NUMBER(S) a I Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. r SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. Yuba -Feather Historical Museum & Gold Trader Flat P.O. Box 120, Brownsville, CA 95919 mbrook®cwia.com 530 675-1321 phone/fax June 22, 1999 Thomas Parilo, Director Butte County Building Division 7 County Center Drive Oroville, CA 95965-3397 -64-- r We are writing to let you know that we have cancelled plans to build a replica of a chapel at the Yuba Feather Museum. We hereby withdraw our application for a Building Permit and request a refund of any unused portion of the Building Permit Fee and Septic Tank approval fee.. " 19 e r/ -/z/ / Samuel F. Middlebrook Project Coordinator cc: Martha Whitney. R.J. Beeler Stephen Betts Scott Lawrence ---� Michael Vieira RECEIVED JUN 2 4 1999 BUTTE COUNTY BUILDING DIVISION 1) ; 9 PERMIT NO. 1257-82B,P,E PERMIT EXPIRES' [am OWNER Yuba Feather Historical Assoc. CONTR. owner ASSESSOR PARCEL 73-18-60 LOCATION Fly New York Flat Rd.,3/1¢ mi.S.of Forbestown Rd., Forbestown I ' 9 d Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Sei Cal led PG JOB FINALE[ Signature O = Ks . of Applicable Not Ready - 1 RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK except #'s Date FRAMING (Continued) oni requirements -Setbacks -Easements 4 roperty Line Firewall & Openings g., Main; Soils-Steel-Elec. Grnd.- // tg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3_-F*vr-9eragLr'Soils-Steel- / /" Ftg. Depth 5 airs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 lywoodon Roof Overhang -Attic Vents -Rafter Outrigger: alts, Main; Steel-Blockouts-Wrapped- 5 t ing-Nailing-Veneer 6. Stemwalls, Garage; Steel -Block -Wrapped-Slab57esh-Drip Screed-Fdn. Vents-Underflr. Access 5 Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test hear Walls; Nailing -Bolts Pipe; Size -Anchors ,kjo. 'Water Pipe; Test -Anchors -Regulator -Service Test 44---E4ee4"c; Underground T27-P4eown6 & Ducts; Clearance -Material -Support -Ins. 13--f4sdere-Sills-Anchor Bolts-J6ists-Vents-Cripples C -BI ate Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -B /}� Dat -,a rd -BI Date Date FINAL ( s) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s . Steps -Door & Sidelight Protection -Landings 5?,►Smoke-Detector Tient-Access.- ombustion Air 58. Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection ater Pipe; Test & Anc rs-Nail Protection V.; Test-Fttng Anchors Nail Protection 59. Bedroom Exiting 7. Show an; Test, irst Floor -Tub Access 60. g, F.I. & Bath Fixtures & Tub Access EIe . Trim & panel; Breaker Size�s7LrWM 18. Test Sb & Shower-2i;4_Floor-Tub Access 19. Gas Pit; Size & Anchors airsJC 63. Fir ace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. qprd'B-1 Date / and -BI Date 65. Kit. Fixt. & Appliance; Grnd -Air Gap -Cooking ClearancF Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL P t OK except #'s 68. A.C. Duct in Garage -Damper 2 ixtu e & Transformer Clearance -Ins. Protection 2 . Receptacles Spacing -Lights & Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 2�Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes irc its in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ _ 26. Subfeed Wire Size / ' / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive C] Yes E)No; Walks ❑res E]No; Planters ❑Yes ❑No A!�quip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 30. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance tc Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing. Exterior Elec. Trim; G.F.I. Receptacle -Underground d B -I Date ASO- Card -BI Date Card B-1 Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Ins & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan: EKhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate rain & Overflow; Size & Grade 34.Furnace-Ven Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & latform if Furnace in Attic Card -BI C§0`131 Date ; Card -BI Date Date Card -BI Date Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Ply OK except #'s Comments at Final: Sills; Proper Material & Anchors _ 3"Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 39rBearing Walls over Girders & Floor Nailing _ 3,9w'Draft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub -_ 4'F!176ader & Beam -Size & Bearing 4 angers -Post Caps -Anchors -Connectors 41�-.0 Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. _ 4* --Fireplace Ties or Type A Flue -Fireplace Throat 4_r,, ie-frccess; Size & Romex Protection -Draft Stop -Ins. Baffles - 4B'�8df indows or Exiting Doors -Sill Hgl. & Dimensions 4 ;,� karage, Fire Protection Framing (NOTE: An entry must be made each time you visit job site) 1 ' � J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Reao'y MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat: or/ /"L "ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date r Card -BI Date Card -BI - Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch -) 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date ---• _, -�-.. � .. ---r'�c, .c' =;cam: COUNTS=OF B2JTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 1257-82 for the following: Use Classification Museum Address or Location _ E/S New York Flat Rd, 3/10 mi S of Forbestow,n R orbestown Group B'2 occupancy; Type construction. It is hereby certified for the occupancy described above and may be occupied. Date Director of Public W s 4/7/83 By / POST IN A CONSPvI OUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. i 4 OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. -7 County Center Drive - Oroville, Caiifornia* 95965 - Telephone 916/534- 41 APPLICATION AND PERMIT LL A SSOR FARCE NUMBER ZONI G r e� BUILDING PERMIT NETELEPHG.NEQ, tf �� FT. OCC, BUILDING VA ATION ER' "AILING ADDRESS c 4 ONTRAC R NAME "TE C A9 9- r- PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER tyn e- UNKNOWN Total Valuation Is Filing Fee ,$ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AR HITECT O ENGINEER CHITECT LICENSE NO. Plan Checking Fee $ A' Penalty $ OR ENGINEER'S MAILING JDDReV - � - , Permit fee $ UILD64 DORE �• —311b ( PLUMBING PERMIT Filing Fee 10.00 - S Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping , LOT NO. 'SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTU E SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition emodel❑ Utilities -0 Installation❑ Other ❑ De cribe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.,00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.ej OR ADDNS. ACC. BLDGS. _ I 2¢sq ft � CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR (POWER APPARATUS 91 NON.RESID. SINGLE OUTLET CIR. i EX. OCCUp OUTLETS OR FIXTURES 21 BAL and IxED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I 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 shal I be deemed revoked. MECHANICAL PERM Filing Fee 10.00 Heating Cooling 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li ilities, judgme costs, and expenses which may in any way accrue agai t said County, i nsequence of the granting of this permit. X4�� ��� Date ('g nature of Applicant 657 Owner ❑ Contractor ❑ Agent >r 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 $ TOTAL PERMIT FEE OCCUP. GROUP �..`�, I T PE of CONST. '�,.� PARC L PD ✓ HD ISSD� V/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT0,A OF PUBLIC By PE XPfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��J �� L Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATIOI, STArIDARDS Statement of Intent for Non -Heated and/or.Non-Air Conditioned Buildings. � r' of the building to, be constructed as a (please/print) e ' -'Ye' under / V �� at S �// O YY,j�j�/' T . (bldg.permit.no.) (location) hereby certify that I do not intend to heat or cool this building.in such.a manner as to be subject to. other than the mandatory.sections of the State.Energy Requirements. I understand that if I do. heat or cool this building in the future, that I .will be subject.to the energy requirements in effect at -that time. I understand that.if I change.the use or occupancy of this building in .the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements.in the future, it may be necessary .to redesign and/or alter.(1) the building envelope, (2) the insulation requirements of -the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning -equipment, (4) the. service water heating, and (5) the .lighting of the building to comply with the regulations. I understand that any of the above changes will require me to -obtain the necessary permits, inspections., and approvals from the Butte County Building Department. ki Signature of Building.Owner Mailing Address Telephone No.�- ���� April 12.,,1982 Feather River Recreation & Park District 1200 Myers'St. Orovil e,CA Dear Mr. Higgins In regards to the use of the proposed two"story iddition to-the. Musoun, at Forbestoydn, the upper floor will be used f.or storage and filinbr articles and suppliesi. The-lower or basement floor will be ,used to setup a print shop for Printing of our bookso Sincere , im Lague Museum Curator Yuba Feather Historical Assoc. FEATHER RIVER RECREATION & PARK DISTICT 1200 MYERS STREET, OROVILLE, CA 95965 533-2011 LEASE AGREEMENT BETWEEN YUBA FEATHER HISTORICAL ASSOCIATION AND FEATHER RIVER RECREATION AND PARK DISTRICT FOR THE PURPOSE OF OPERATING A MUSEUM AND HISTORICAL EXHIBITS IN FORBESTOWN PARK THIS AGREEMENT made and entered into this 26th day of March, 2001 by and between the Feather River Recreation and Park District, a political entity, hereinafter referred to as FRRPD and Yuba Feather Historical Association, a non profit corporation, hereinafter referred to as YFHA. All exhibits referred to below are incorporated into this agreement by reference. WITNESSETH FOR AND IN CONSIDERATION of mutual terms, covenants and conditions herein, FRRPD hereby grants to YFHA the privilege and right to operate a historical museum in those demised premises as set forth in Exhibit A attached. Section 1. FRRPD: For the sole purpose of the above stated operation, FRRPD hereby leases to YFHA those certain premises situated in Forbestown Park, New York Flat Road, Forbestown, Butte County, California, and described, as follows: The building and grounds commonly known as YFHA as outlined in a green broken line on Exhibit A attached. A more detailed diagram of the premises may be found on the Museum Site Plan. (Exhibit B) Section 2. Term: It is agreed by both parties that the term of this agreement shall commence on February 1, 2001 and shall continue in full force and effect up to and including December 31, 2006. Thereafter it shall automatically be renewed from year to year unless, no later than one hundred and twenty (120) days prior to the annual expiration date, or any renewal thereof, either party gives written notice to the other party of its intent to terminate the agreement. The agreement may be amended at any time by written mutual consent of the parties. Section 3. Independent Contractor: Under no circumstance shall YFHA be considered an agent or employee of FRRPD. Section 4. eration: a. YFHA shall operate the museum in a manner compatible for public use. At a minimum, YFHA agrees to open the museum and adjacent grounds for public use from Memorial Day through Labor Day. Any reduction from the minimum operation shall require written notification and approval by FRRPD. b. YFHA, at its expense, shall furnish and install all supplies, equipment and improvements necessary to provide acceptable operation and services of said Museum. C. YFHA agrees at its expense, to furnish, recondition and maintain all exhibits in good and attractive condition, and shall display and arrange said exhibits in a dignified manner. d. YFHA shall comply with all statues, rules and regulations of all State Federal, County and other local agencies, and procure at its expense, all necessary licenses and permits necessary for the purpose of operating said museum. YFHA will take all reasonable steps to assure access to exhibit areas by all individuals including those with disabilities. YFHA shall publish information in all YFHA promotional literature, a method for requesting special accommodations by disabled individuals. e. Said museum and exhibits shall be under the supervision of competent and experienced persons at all times. YFHA shall assure that their conduct or that of any individuals of YFHA be courteous and polite at all times to both children and adult patrons. Section 5. Inspection: YFHA agrees to permit FRRPD, its agent, or assigns, to enter upon the leased premises or any part thereof, at all reasonable hours, for purposes of examining the same or making such repairs or alterations as may be necessary for the safety or preservations thereof, and no claim or action for damages or set off of rent by reason or on account of such entry, repair or alterations shall be made, had or allowed. YFHA shall not interfere with or impede FRRPD when entering the demised premises to view or make repairs, alterations or improvements. Section 6. Records .and Reports: YFHA shall keep and maintain complete and accurate records of all financial transactions, and attendance records, and shall submit to FRRPD by December 15 of each year complete attendance and financial reports of YFHA annual operation. The FRRPD General Manager or authorized FRRPD representative shall have the right at all times to examine or audit said records and accounts. Section 7. YFHA agrees to maintain at its cost, the buildings, grounds and exhibits and all other fixtures within the premises, in safe and sanitary order, and in good condition and repair, with the exception of those items listed in section 9 below. a. YFHA shall furnish all materials, supplies, labor and equipment necessary to accomplish said maintenance at no expense to FRRPD. b. YFHA agrees, at its expense, to keep clean of trash and refuse the premises used for the operation of the museum and shall place trash containers in conspicuous locations for disposal of debris by the public to prevent its being scattered throughout the area. YFHA agrees to pay for all gas, heat, light, power, telephone and all other services, with exception of water, supplied to the said premises. Section 8. Performance of Service: Upon YFHA's failure or neglect to properly accomplish any of the maintenance requirements as described in Section 4 above, YFHA shall allow FRRPD after a ten day written notice, to complete what YFHA has not completed. Should FRRPD perform such services, YFHA shall reimburse FRRPD for costs incurred. Section 9. FRRPD Agrees to Maintain: the roof and exterior walls of the permanent museum building, including replacement of windows, and further agrees to pay for water service to the premises. Said maintenance shall be at the written request of YFHA and is subject to approval by the FRRPD Board of Directors. Section 10. Damage and Destruction of Premises: In the event of total destruction or damage of the demised premises by fire, earthquake, storm or other casualty beyond the control of YFHA, this contract and any and all rights of the parties thereunder shall terminate in the event FRRPD so elects. If FRRPD and YFHA agree to rebuild the structures on the premises, this contract shall continue in full force and effect. Section 11. Alterations Additions and Improvements: YFHA agrees that any alterations, additional, facilities, structures and permanent improvements installed or erected on said premises shall become property of FRRPD unless otherwise specified by agreement between the said two parties. Maintenance of said property shall be agreed upon prior to the installation or erection of such alterations or additions. YFHA agrees that proposals of such alterations, additional equipment, structures and permanent improvements shall be submitted in writing to FRRPD General Manager for written approval prior to any said item being installed or erected, and that plans and specifications and work for said permanent improvements shall pass County and FRRPD inspections. For purposes of this agreement, YFHA shall retain ownership of all museum artifacts, exhibits, and out buildings including, but not limited to those items listed on Exhibit C attached. Section 12. Indemnity and Insurance: a. Indemnity: YFHA, in consideration of the granting of this contract shall save, keep, hold harmless and defend FRRPD and all its officers and agents, from all damages, cost or expenses that may at any time arise because of damage to property or death or in jury to persons received or suffered by reason of the operation of the agreement thereunder, or which may be occasioned by any negligence on the part of YFHA or any of its agents or employees, which result in a dangerous or defective condition of property. b. Insurance: YFHA agrees it will at all times during the term of this Agreement maintain in force an insurance policy or policies insuring FRRPD against liability of injury to persons or property occurring in or about the leased premises. 1. Workers Compensation: In the event that YFHA should hire any employee, they will provide the District with a certified copy of worker's compensation insurance policy prior to the hiring of any employee 2. Liability: YFHA further agrees to file with FRRPD a certified copy of combined single limit public liability in the sum of not less than $500,000 each occurrence of 1 million aggregate for injury or death. FRRPD shall be named as additional insured. YFHA shall provide FRRPD with an Additional Insured Endorsement confirming said coverage. 3. Property Damage: FRRPD agrees to add the museum building to its property insurance policy for FRRPD facilities and YFHA agrees to pay the premium for said insurance at the going rate. FRRPD Insurance does not cover museum artifacts, exhibits, or adjacent out buildings. Section 13. Assignment or Subletting: YFHA shall not, without written consent of FRRPD assign, mortgage or grant control of any portion of the premises. Any such attempted assignment, mortgaging or granting control without consent of FRRPD shall, at the discretion of FRRPD and without notice, render this contract null and void and of no further force or effect. YFHA shall have the right to use the premises to hold its own social or money raising functions. Section 14. Conditions of Default: FRRPD may cancel this contract upon dissolution of YFHA or for "Good Cause". "Good Cause" shall consist of: a. The failure of YFHA to maintain the quality and number of services in operation of the Yuba Feather Historical Museum, and the opening schedule of said museum as stated in section 4.a of this agreement. b. The failure of YFHA to keep, perform and observe any and all promises, covenants and conditions set forth in this contract on YFHA's part to be so kept, performed or observed within thirty (30) days after written notice of default from the General Manager, provided however that where fulfillment of such obligation requires activity over a period of time and YFHA shall have commenced to perform whatever may be required to cure the particular default within 30 days after such notice and continues such performance diligently, said time limit may be waived in the manner and to the extent allowed by the District General Manager. C. The filing of a voluntary petition in bankruptcy by YFHA, the adjudication of YFHA as a bankrupt, the appointment of any receiver of YFHA's assets, the making of a general assignment for the benefit of creditors, a petition or answer seeking an arrangement for the reorganization of YFHA under the Federal Reorganization Act, the occurrence of any act which operates to deprive YFHA permanently of the rights, powers, and privileges necessary herein, the levy of any attachment or execution which substantially interferes with YFHA's operations under this contract and which attachment or execution is not vacated, dismissed stayed or set aside within a period of thirty (30 days. d . The abandonment, vacation, or discontinuance of YFHA operations on the demised premises without the written consent of the General Manager. e. Upon the occurrence of any one or more of the "Events of Default", FRRPD shall have the right to terminate this contract. Upon such termination, YFHA's right to possession of YFHA's demised premises shall terminate and YFHA shall peacefully surrender possession thereof within 60 days of the termination. f. In the event that a violation of any condition herein is waived by consent, expressed or implied, of the FRRPD such waiver of the violation does not constitute waiver of the condition in the future, nor any other condition herein described. IN WITNESS WHEREOF, the parties hereto have set their hands the day of the year first above written. YUBA FEATHER HISTORICAL ASSOCIATION /A.,.�., 2ma AM 1�1 r ..� � ilz a FEATHER RIVER RECREATION & PARK DISTRICT (3 CHAIRMAN, OF DIRECTORS LLon ECRETARY DISTRICT GENERAL MANAGER "Exhibit A" Naster Location Plan I 144 vh*,- IN, J A' tp An r M U Ago-::: 0 19,14.3 3 "Exhibit A" Naster Location Plan I 144 vh*,- IN, J A' tp An r M U Ago-::: 0 19,14.3 i "Exhibit -B" __Museum Site Plan 40 c--- --- z 0 o� C Q . cu cu L ' _... F� �(D i m 3... , n i � ae� 1lEIVIne (1 C. i blackSmtlh ,. _. Z. Z ; f;;shopr i W l p�poWdl LU 0 L Garden _ :E �i M ' a_j1 a11 �......— Wac }dr U. G1 m a �z z o tt � Cl) r mo _._.� Parking � � 1 Entrance - JE.... Flat Road -- — - New - — 1..._ - . .— . ..... ..................._..... EXHIBIT C List of Out Buildings For purposes of this agreement, YFHA shall retain ownership of all museum artifacts, exhibits and out buildings, including but not limited to: School House Mercantile Mine Saloon Homestead Millinery Shop Miner's Cabin Leather Shop Jail House Blacksmith Forge Barber Shop Post Office Wells Fargo Native American Outhouse s N 11 Bill Moore P.O. Boz 177 Challenge CA 95925 20 October 2000 Mr. Michael Viera 51JIDING DIV1510N Department of Development Services 7 County Center Drive Oroville CA 95965 RE: YU13A FEATHER 1-115TORICAL MU5EUM Dear Mr. Viera: RECEIVED OCT 2 3 2000 BUTTE COUNTY BUILDING DIVISION Enclosed are two copies of the Site Plan for our museum portions of the Feather River Recreation and Park District parcel #073-1.8.0-162.; This plan was prepared at your request that you made during our "walk -around" visit of the various exhibits with 5upervioor R.J.Seeler. The plan Shows the survey points from which the actual locations were determined. The drawing scale io 1" = 30.0'. All the structures are identified, and these labels should tie into the photographs that you took during your visit. We trust that this information will prove of help to you in evaluating our proposal. Should you have any questions or desire any further information, .please call me at 530.675.2655. Many thanks for your cooperation. erely, . �! r`aI'U' � Bill Moore On behalf of YFH MU5EUM ..-~.' � . - 1 � ' IJ , Vi A, 4 r I it i 'tltp= LY•5 ' t3LAC GMIT Ott ems. of 1�..:...-. 'n!S 1_'����1.7►V��t�1�;1+.• �// fiw.alW+w.. '�9i�,�v �Y: �'41�Le. ✓ .ya � �• ;�;tA; s'f'f '°i,;�;e�- �. � ��w ,'fir, USE PERMIT BUTTE COUNTY PLANNING COMMISSION MAY 14 1999 DATE: (Certified Mail Rec.) UP 99-18 PERMIT NO. 073-180-162 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: The Yuba Feather Historical Association is hereby granted a Use Permit in accordance with application filed:. Use Permit to allow a 384 sq. ft. replica of a Gothic revival chapel at the` Forbestown Park and Museum. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this Use Permit, all conditions must be completed prior to, or concurrently with, the establishment of the granted use. The use granted by this permit must be established within 24 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within two years of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 5. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. CONDITIONS OF APPROVAL 1. All outside lights installed for the chapel use shall be fully shielded to prevent glare on adjacent parcels. 2. Applicant must also comply with all'other applicable State and local statutes, ordinances and regulations. 3. Prior to building permit issuance the applicant shall pay all applicable development fees at the rate in effect at the time of acceptance of the application. Such fees may include, but not be limited to: School Fee, Drainage Fee, Permit and Plan Checking Fees, Water and Sewer Service Fees, and Fire Protection Fees. Public Works 4. Prior to issuance of building permits obtain an encroachment permit for the existing driveway approach at the museum. Construct the driveway approach to County standards, as specified in County Improvement Standards. 5. Construction, installation or development of structures or facilities on the parcel shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State and County codes, ordinances and regulations in effect at the time of application for improvement permits. 6. Building identification and/or addresses shall be installed in conformance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. 7. Restroom facilities shall be provided for weddings or special functions held in the chapel. If the restroom facilities in the museum are not available, portable chemical toilets shall be provided at a ratio of one toilet for each 50 people. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide filly by said conditions. Dated: 'I9c�9 FzX-y\ ,a +,r mat NOTE: Issuance of this Use Permit does not waive Department permits before starting construct' or County CC: Land Development Division Building Division Environmental Health"Division Butte County Fire Department/CDF Applicant uirement of taining Building and Health s i wave o r quirements. ming Commission Chairman C v O m m M .o C q < 70 rm- n z 00 z D �M c) v D �� ZO AO LU CD LU D ` M z M _< N M I M I i MuseUO X .. zc?. #y, N b 0) . F -I ' Existing school exhibit bldg. Proposed new exhibit bldg. 383' Yuba Feather Museum 19096 New York Flat Road Forbestown, California APN: 073-180-162 Site Plan scale: 1" = 50' Sd' C -.W. Aeon -u ono uuoouu000- ' - I 4'-7• x K-0' Dt 4•_7* rd a -an -s I sdr6-s I I RO 4'-0• RO J'-3' 2x6 G.bk Fnd W.R. Allen j 7d' Sd' S Fm Fir El -100'-0 7/4' 3b• TRO DF floorin& on x6 da. wb E W 1/7.Oypwm W.fl. oMud. wa 11 crrfun '.6 highW.in,oaecngd®'pboW // i/ NORTH F,q-.d Beams R 2.6 d ting 2.4 gide W n. 6'6' SHEET NOTES: Fixed seating for 24 persons Dimensions to face of framing UON 24•-0' _ — Frame dimensions calculated for rough lumber Adjust dimensions as needed if dressed lumber is used 3, r Structural lumberto be graded by certified lumber grader I'4 1/1- TYP WindowI —._ RO 1'•i 1• �4— 1-7/3.1 TYP -4-- • , � _ � �� _ rd• eae App . 7-0- 16'-0" m Floor Plan Forbestown Museum. Chapel y • f• 3'6' RO ` 1•_11' i-7 RO 4•.11' 1'-9'Clnr 4.a/gd r=y LAI I 1 d j i i I i i°I I Y-7• x g'-0• Duct i o I I I I 4 I 1 S•7' I A Dock: y 4x4 Pose I a c o o n o u C5' _ _-1n �a n a o u o 0 2x2 Baulsters 2x6 Decking & Reil IP • , � _ � �� _ rd• eae App . 7-0- 16'-0" m Floor Plan Forbestown Museum. Chapel y • f• t0f-VV SSiaM b .A-, l = J17/1 1 o1vaS +J O ^ CD 1 N N CD y 80 .t/C 0-.001 •013 AOOIA Old .8/1 0-601 w13 a-3 -!-W 1-601 ^"13 —3 43;6d 11•S 11 ^O d .WI 0-{ZI •Ofd 4^0 .1/f I 1 SL 1 -W3 4-6 .81G 6-.111 AM3 "S B61CL/01 uonaiul�ooO +Od 8681/6 NOOoO 861009 r ---o • )BCI SUOISIA22j 80 .t/C 0-.001 •013 AOOIA Old .8/1 0-601 w13 a-3 -!-W 1-601 ^"13 —3 43;6d 11•S 11 ^O d .WI 0-{ZI •Ofd 4^0 .1/f I 1 SL 1 -W3 4-6 .81G 6-.111 AM3 "S 3 G 4 y — b $ a ------------------------------------ ------------------------------------ -------------------------------- M ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ West Elevation Q9zV Forbestown Museum. H Chapel v May 14, 1999 Yuba Feather Historical Association P.O. Box 120 Brownsville, CA 95915 Re: Use Permit, AP 073-180-162 Dear Gentlemen: Suite Count L A N D OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • O.ROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 www.buttecounty.net Enclosed is your validated Use Permit No. UP 99-18 to allow Use Permit to allow a 384 sq. ft. replica of a Gothic revival chapel at the Yuba Feather Museum. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Thomas A. Parilo Director of Development Services Teri Bridenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry j:\temp\up7 .�. u coun til Mr. Scott Lawrence District Manager Feather River Recreation & Park District 1200 Myers Street Oroville, CA 95965 LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 www.buttecounty.net Subject: Yuba Feather Historical Association facility at Forbstown UP99-18 Dear Mr. Lawrence: This letter is in response to your request for a determination as to the adequacy of automobile parking at the Forbstown facility. We visited the site on Friday evening of 28 October 2001 to walk the property and evaluate the capacity of the graveled parking area. After measuring the area set aside for parking, it is clear that at least 20 to 25 parking spaces could be accommodated. This is possible with the 40% rule for compact stalls allowed by the Parking Ordinance (24-240 c). This is far more than what was shown as part of the Use Permit site plan for the Gothic Revival Chapel replica. The addition of the children's swing set area, therefore, has no effect on the parking required for the facility. In addition, the swing set area is located in what would be the corner of the parking lot area,. the most inefficient area of a parking lot. I hope this clarifies the issue for you. Good luck to you, the District, and the Community, in the effort to improve and maintain such a valuable facility. Sincerely, Carl L. Durling r .10� &5 skwo ' itl�#'tgFi ASV® �IPMEAPT !(�ICdl1DtNC�1 d (S 'SHALL BE CLEAR OF ALL EASEMENTS. a - �Qi Up FT. FROM THE SIDE AND - I- _ = �n -'J� p,. PRAM THE REAR PROPERTY LINES AND s pro pftoM THE ROAD CENTERLINt SHALL BE , ®F STRUCTURES AND EQUIPMENT EXCEPT 4 FR A! IF% SAVE OVERMNG. . I Hydrant #15 s i I#26 Gr. _._ wei s, gate Jail to o I- I MUSEUM 412 #13 ---- I BUILDING I I ramp up r' a� (D: !1 _16 �r ----.43/65 --- CD 10000' o { Walk A o� •� : 7. -1 I #6 fVf f.48 11 J f #�_ saddle • � I ,� :m 3 I I� I _ t%/VAfl'ilQiY CD o� 43i64 Ol --D83 9 a u �c� Vft of 1* aW 2w19kMMT a PPP off�r�tes rani! if isurttau� >kA O V Enoan teme i YUBA FEATHER HISTORICAL MUSEUM 19096 New York Flat Road Forbestown, Califomia APN: 978-189182- 073- 3*0 -007 Site Plan scale: 1"= 30' North I Won from fhG Do r ,�# a1 iii. CC ;dcco►•dance wi? a (:> c�w:Ei-ed Good i'c� '�e . s yyp=`' M Revisions of a qualiry rescriaed fori7a e.rec.ifi_= tj3e in j -11a Uniform ac:i.ding, Plum-bing We Kgfiono! i I' #20 oFRc� coPY '/: 13' i✓ gfAdd 9 P-5" r -------------- I1 1 i2" 1 I I I I 1 I I i I 1 I I I I I 1 1 I I I I 2 I I S-2 I I „ I I I I I I I I S E W NORTH E grade 984 3/8" ----------------------------� I I L_ I I LC12"—X 8" Pilaster I I I 1 I I G-0" I I I I I 1 2' x 2'x 8" Conc Pier I I I I 1 I PT Pad I I I I I I I I i I I I Int Grade 79'-7 1/2" max I I 6" Conc walll I I I I TOC 99'-1 " 6'-0"Footing I I F-0" I I I I I I I I I I I I I P 24'-0" I I ❑ I I I 1 I I I I I I I I I I I TOC 99'-1 1/2" 1 I I I I I I I 6-0" I I I i I I I I I I I I I I 1 I I 1 I I 1 I I I I I I I ❑ T-0- 1 W_9" -0"10'-9" I I I I I I I I I I 2'-0 I I I I 1 I I I I 1 I I TOC 97'-8 3/4" I I I I TOC 97'-2 3/4" TOC 98'-1 1/2" I I 1 L— ----------- — ------ --------j I I 5'-5" 5'-4" Y-3" 16'-0" E grade 97'-2 3/4" E grade 97'-73/4" PLAN See I S -Z V o Slope N grade away from bldg 1-6" • _ � v \ � • • • 4 • v • v v v v • n • � • v r • a • \v vv v • ♦ v ♦v v ►, o •� ♦ \ elev 96-7 1/4uv, • v v v i v P a v ♦ v i v v v. • v i• v w • • v v ►� \v E grade TYP N int grade elev 97'-7 1/2" max WEST ELEVATION Notch Girder for Top Plate 4" x 4" Post below Sub Floorelev 100'-0" v d • n .n v� �v v v 14 v- -• v v v 1 v Tv - - ; - -Sv elev 96'-1 1/2" b v a v v� v ♦ v v v q ♦ v elev 95'-2 3/4'„ C \ NORTH ELEVATION 4 Double Top Plate Use PT where bears against conc TYP 2x6 studs 16" OC TYP 2x8 Rim Joist TYP N ♦ ' elev 95'-11" , ' v elev 96'-7 1/2" „ EAST ELEVATION \ PT Mud Sill 1 x Diaconal Sub Floor 18" x 24" min Cralwspace access LU v ♦v v v � v yr elev 3/ vi V v V v` v v 'N vl , V v y p v i v V v d , • b v v I. - v v v v v v v v v v♦ v Pilaster Beyond N int grade elev 97-7 1/2" max l•�.,�y�� —� ,,� ';� \'O. ? 330-7 ` EXP 3;at-6} ,1 Foundation SOUTH ELEV BUTTE Cou"'M 1 P'"�; FAD G';'s V, '1; EXP 3 9 0x Ei ��''qr; L IYIL Revisions Date General 9/13/98 For Construction 10-25-98 Ed O U �T0 f+l ._0 O w Date 5-7-98 Scale 1/4" = F-0" Drawn R Weiss Sheet S-1 i 16'-5" 3'-0" 9 1/2" 5'-1" L 4'-11" tVP Cavi end walls 5'-1 Note: Dimensions based on rough cut framing lumber Adjust as nesessary if dressed lumber is used for framing 2" TYP id. side walls 5'-1 T-10" 6J� 1 Dimensions to Hold Down Bolts Scale 1/4" = 1'-0" 5 1/2" 3'-9 1/2" 16'-5" RJEIN 9 1/2" 1x6 Diagonal Sub Floor S,pl►ce.Shear pagel Ao R►a, To►st , 2WR Rim &.,inist 3/B Pay S�iear panel a// 6LA900i lye'' en all eJ.Y S B d dp 6 „ 2x6 Pressure Treated Sill 6" min — Exterior Grade — — — — S Fir elev 100'-0" V-6" min crawlspace Max interior grade elev 9T-9" — . — — — — Interior or Exterior grade #4 Rebar Continuous „ • 1'-0" min Top & Bottom •L . q 6" 9 1 2 Foundation & Underpinning X -Sec Scale 3/4 = 1'-0" Double Stud or Post � TYP 1 / I f �xTe►rd al� Db� 3>u�S 5/8"AnchorBolt ii 12" Embed Ox' Pose f'o sr �l �� I Conc Foundation CO a 11 .5h -car, ca a �5 L mak- Date 5/16-98 Footing Scale Revisions Date For Construction 1 inI98 various Drawn R Weiss NO. 138071 Sheet 1/2" Anchor Bolt 4'-0" 9" mr�n ememb�d 9" max fin end of sill S-2 � TYP 1 / I f �xTe►rd al� Db� 3>u�S 5/8"AnchorBolt ii 12" Embed Ox' Pose f'o sr �l �� I Conc Foundation CO a 11 .5h -car, ca a �5 L mak- Date 5/16-98 Footing Scale Revisions Date For Construction 1 inI98 �1 Cd _+w% Q 0 ..r BUTTE CfiT .: ; 3 Detail at Hold Down &Anchor Bolt M t.Dl#� DEPARTMEMM — Scale 1/2" = 1'-0" Q PovPr) y oma p various Drawn R Weiss NO. 138071 Sheet EXP 331-01 S-2 CA CCs U O �1 Cd _+w% Q 0 ..r BUTTE CfiT .: ; 3 Detail at Hold Down &Anchor Bolt M t.Dl#� DEPARTMEMM — Scale 1/2" = 1'-0" Q PovPr) y oma p various Drawn R Weiss NO. 138071 Sheet EXP 331-01 S-2 .11 U Fire # 4 North Hydmnt$ #26 -415 Yuba County -7- Wellsi; gate Area Map jail MUSEUM #12 413' - BUILDING 419 ramp up CD cl #2/16 ---- ------ ----------- CD 10000, - - - - - - - - - - - - - - - - - - - - - - - - - --------- - - - - f T ---- ----------- �V3 93/65 0k W20 #6 7 918. 0 # s 99 94 + #10 :OR -qj 10 (::Y3/64 '4125 417 411 YUBA FEATHER HISTORICAL MUSEUM 19096 New York Flat Road J Forbestown. Califomia O z . I .I I , I 00 4k I I I I I . I I � , I I I I `r I M O o I I , I Q • I � ON00 cli • i' �� i SDI I .I �j �I• '�,, b ' I 'Staim c+ glublacksrnkh ------------------- - - - - -- Q-- --•-. en - e ho --------- {--------- - "' I of � I +'i chapel Lij � L—i� 06 E jGarden j I . 0111. I rn •I • I P rkinn� a } I ' I Gardemcli Fla York