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078-270-001
078-270-001 06-0181 OROVILLE HMONG AL. CHURCH, V-6 RD, OROVILLE Cont: OWNER NEW SINGLE FAMI YC t jv- f a x I{ + �}y }�fl4 1 3'-M'if ftt Ttit 1� i t .t� 7.1 � a Gjk ASL it t fitirl:r,', K�Sle 4k}t��F 1t1>.jr s>St t'�1� r' �f i� +S tt S' 4 1. ti In -rt rty .}ai �±z Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds ADMINISTRATION * BUILDING * PLANNING October 19, 2006 Oroville Hmong Alliance Church PO Box 579 Oroville, CA 95965 Re: Permit Number: 06-0181 APN: 078-270-001 Owner: same Upon review of the above -referenced permit file by the County Building Official, it has been determined that a refund cannot be processed for the following reason(s): ❑ Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. ❑ The request is over two years from the date of the fee payments on this non -issued permit. ❑ The request is over two years from the date of permit issuance and construction work has been done. X Filing fees and plan check fees for work plans checked are not refundable. The above determinations have been made in accordance with Butte County Code 3-41(t). You may view Butte County Code online at http://municipalcodes.lexisnexis.com/codes/butteco/. ❑ Other reason: Should you have further questions about this matter, please contact this office between 8:00 am and 4:00 pm, Monday through Friday. Sincerely, Gwyn Benedict Office Specialist, Senior Administrative Division APPROVAL Date Reviewed Bill Barron Supervisor Building Inspection 10/20/2006 DIFFERENCE: $0.00 (Should be blank) REFUND CALCULATION SHEET CLAIMANT: ADDRESS: CITY a STATE: DATE OF CLAIM: Oroville Hmong Alliance Church PO BOX 579 Oroville, CA 95966 10/20/06 APN: 078-270-001 RECEIPT NUMBER: RECEIPT DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED RECEIPT INFORMATION 443619 01/25/2006 Oroville Hmong Alliance Churc 1354 $1,056.96 06-0181 Yes No Yes No Yes No X F X REFUND BREAKDOWN Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 THRM DRNG 1800 rHRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHER DEV FE 1800 (SHR) 280 1011811 DETAIL PAID RETAIN REFUND BLDG Time 109.98 1056.96 :::::::::: ............................... :.....:.::•:•: ............................... :::::::::::::::::::::::::: ..... ::::::::::::::::::::::....:::::....::... ............................... •:::::::::•::::::::::::: .......... ::::::! .......... ............................... .......... ............................... .......... ::::::::::::::::::::::::::::::::::::::::::..:::::::: :::::::::: ........ *: .......... .......... :::::::::::::::::: .......... .......... .......... ..................... .......... ::::::::: •:•:•:: >:•:•::•: .......... .......... .......... .......... .......... : .......... Filin from Plan Check 0.00 0.00 0.00 Plan Check/Filing0.25 27.50 1056.96 1056.96 0.00 0.00 Inspection 0.00 0.00 1 0.001 0.00 BLDG FEES OTHER BLDG REFUND PROCESS FEE 54.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 BUILDING TOTAL 1056.96 1056.96 0.00 0.00 THERM DRNG 0.00 o.00 SMIP 0.00 0.00 ::,%:.::::: SHR 0.00 0.00 SRA 0.00 APPROVAL Date Reviewed Bill Barron Supervisor Building Inspection 10/20/2006 DIFFERENCE: $0.00 (Should be blank) Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530).538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon -written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees lbaid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees.)11iikwill b ame generated for any fees to be refunded and sent to the address below for signature (by the person w is e receipt) and return to Develo ment Services for a me Drocessinq. CLAIMANT'S NAME: ..;9 qo°z:. ;.l.p. MAILING ADDRESS: PHONE: —7 ASSESSOR'S PARCEL NO.: [Please use one claim form per permit.] BLDG PERMIT NO. Receipt No. 1 Receipt No. 2 Receipt.No .3 .. 15: .F:i ` ' -tit": v�i�ii`_-n�:,�f5y� _ i �:,' �•�:: '::_-. ��:H �_c .-. i:::.. _.P,u..�v:,!+ :'h v:�. .� • o_3CFic�•�4e i`5 �.� �'_- - i:l.0 L �4i -�i'F,.-r�J n. �vii �:t.l.::e ! v � ts: F.. .. RECEIPT NO.. -." �_.=.—..y,a.:�:� �: —.�:_— — - . may: ,:�«'' ... -' RECEIPT DATE: _:... _.. — —.- — - —' — RECEIPT AMOUNT: OS6...... _,......... -:. REASON FOR REFUND REQUEST: -f-r ✓t ✓%�L-1 / 7:i�"��1 �jV ! i1 '`_ .'�i:` V.1L i-�' those fees which wish to have considered for refund: Check you =Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature K:/Forms/Refund Application 0 203 Date e) Wednesday, October 18, 2006 Development Services BUILDING DIVISION Counter Kourtni Person Payment Date Permit Number Receipt Number Check Number or Cas Parcel Number Applicant Received From 01/25/2006 1060181 443619 1354 ' 078-270-001 ' OROVILLE HMONG ALLIANCE I CHURCH SAME Total Received $1,056.96 Total Fees To Collect $1,056.96 Ver. 1.0 Fund 10 (Bldg Permits) $1,056.96 SRA Fees (Fire) -$0.00 I SHR Fees (Sheriff) _ $0.00 $0.00 I SMIP Copies/Document Sales $0.00 I CUA (Chico Urban Area) $0.00 $0.00 TUA (Therm. Urban Area) Water Tender Btln #= $0.00 West Chico Fire Station $0.00 Witness Fees $0.00 Recorders Fees (N.O.C) =0.00 Thermalito Drainage $0.00 Oroville Area Traffic r $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 NCSP Storm Drainage $0.00 , NCSP Fire Station $0.00 NCSP Parks Type ��-$0.00 Value $0.00 s ,a 579 The Sum of, T -It- A-Ij AJ/s— For Received: Received By CASH Title /i�� CHECK PJr' -,-- — .:5 ,7 By DAVCO BUSINESS FORMS - (5530) tu-abj I Form 84702 COUNTY OF BUTTE FFICIAL RECEJI % 443618 OFFICE OR DEPARTMENT- ISS'U1'NG R.'gCEIPT •zo ,rj Received from 'N. ,The. Sum of Yor7:— Received: Received By CASH Title " IJ HECK By DAVCO BUSINESS FORMS - (530) 743-8511 Form 84702 ti COUNTY OF BUTTE .4 OFFICIAL RECEIPT -443619 V4 OFFICE OR _FPARTMIENT ISSUING RECEIPT — I - _9 20 1 f 'Received from -on 4 " W e.Sum,of i tl q `5� Received: j Received By A/ F- r Inn CASHTitle A CHECK Nd, f-,jJ By -'e, WnvGcl BUSINESS FORMS • (530) 743-8511 Form 84702 COUNTY OF BUTTE OFFICIAL RECEIPT 443620 UK DEPARTMENT ISSUING RECEIPT 20 0' Aeillieived from _We SUM of 7 r? 7 Y Wor' - Received: Received By CASH , . Title I/ CHECK By DAVCO BUSINES.S.FORMS i (530) 743-8.511 Form V2fn$7.'0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE I-VILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY"' 412.3Q SIaP APPLICANT INFORMATION OWNER INFORMATION Last Name First Na `(. Address nO �O S Cityt' (CjJ 1 Sl e Zip _ Phone State Fax E-mail Fax APPLICANT INFORMATION CONTRACTOR Name O V-0— Address St to City. r State zip. Phone Fax Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name O V-0— Address St to City r State Zip Phone Fax Fax E-mail Planner State License Number APPLICANT INFORMATION Name b Address O V-0— city St to Z r Occ. Type Const. Phon 5_� 0 S �— J Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address - Flood Zone I 5Z__FS_RA WORKER'S COMPENSATION Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 576 ► BIN # f1 PROJECT LOCATION AP#D7 ,D-70-00 I Property Address - City ) I Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address �esgription or Scope of Work: Sq FT- Living x(07 Garage 532. Open Cov 15G ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no constriction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg �+ SRA Receipt #: �4361"1 Sheriff SMIP [Datel- 25-c* Q Other I O I Total •. I SUBMITTAL & PERMIT REQUIREMENTS . The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ' No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or.4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3'. Engineered truss details and layouts in duplicate (if. required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,- all lans;all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8: Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has, been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 �., ,....,-r,.y..r �n.. •"''tay.,: _...•-..w Icy _ _"_ ti, .. �y.•�.. .,' ��,.• y.:r++.,. .: ...i, .... : ...^+.rtc'�^-....:. �--.�... v � ,.-....�. ..r-. «.- ..-u. .. �. R _... �_ .. ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Vr OVI I le N>'1 OM AIII(r byirhASSESSOR PARCEL NUMBER -0 1 2'70 - 00 I Progosed Building Use: NST , w01In(\ Permit Technician: K.G. Date: �_Ttj required in order to apply for a permit) All boxes MUST be checked OR marked NA in order to apply. 1. Site plan�3;or 4 sets, signed by the preparer of the plans. 2. Complete plan Jor 4 sets, signed by the preparer of the plans. ❑/ 3. Engineered plansl3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. __111& 4. Engineered truss details and layouts in'duplicate. No faxesl ❑ 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 AIC for Non -Residential Buildings. r ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, ail in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Reaining items needed to issue the permit. (May require additional plan rEview upon receipt of the following items.) 15. Sanitation and site plan approval from.the.EevirenmentakHeatth'Depaitmenrin ErChico-©•Oroville-as.applicable. IJA RID ❑ 16. Fire Sprinklers............................................................................................ O 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ i 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 023. California Department of Forestry plan approval ❑ paid. Sent by: ............ %o � 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ heck:............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................... 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ti�❑29. Worker's Compensation Carrier and Policy Number .......................................... N 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑oe 31. Letter of Signature authorization..........................................:......................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone(530� 532- 147q (ximpP and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. / Applicant. Date: 1. Index permit application for the above itee numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date. Structural approved by: Date Note transfer by: Date: Yellow: Building Division BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecou6ty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner ORO. HMONG ALLIANCE CHURCH APN No: 078-270-001 Application Date 1/25/2006 Permit No: BP 060181 Permit Type: NSF DWELLING 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $2,642.39 $1,056.96 $1,585.43 Balance of Building Permit Fee 0 0 _ $204.98 $1,056.96 FEES DUE AND PAYABLE AT,TIME OF PERMIT APPLICATION 1tY$1!056 96 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $5,794.69 $1,585.43 $12.39 RECEIPT DATE Tech/Asst ay361 1/25/06 Kourtni 4 5 6 7 7a 8 Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMPACT FEES - RESIDENTIAL* Applications After 2/14/05 RECEIPT $4,196.87 JPer Dwelling I SFD a er I 6360.08 7236.49 County 1 4096.87 Chico Urban Area 5372.09 EI Medio Fire District 3128.31 North Chico Specific Plan A SR -1, SR -3, SR-1/PD R-1 7938.53 8031.53 0 R-2 R-3 7541.53 1 6780.53 Processing Fee is automatically added to impact fee total 9 I WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# Per U 3071.141 3117.43 3995.451 4889.56 2297.77 2326.36 6757.08 7633.49 RECEIPT $4,196.87 DATE Tech/Asst Kourtni 6850.08 7726.49 6360.08 7236.49 5599.08 6475.49 1 $100.00 $200.00 10 10a 11 11a DRAINAGE FEES* RECEIPT DATE Tech/Asst CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERM AUTO DRAINAGE AREA $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling T $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville Elementary 091 12a RECREATION DISTRICT FEES* I Oroville At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: �Gt.t/t Date: — �� — (r,7 2 Pursuant to Government code Sec 66020, you are here notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the por)ect or from the impostio of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 . . V Butte County Departmei2t ofDevelopi72er2t S'el-=ACCs °$`'T rf ° ° 7. County Center Drive ' ° ° Oroville, CA 95965 °° "� a (530) 538-7601 Telephone 1 (530) 538-7785 Facsimile coUN BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: X need to submit applications for septic and/or well to Butte County Environmental Health immediately. ® I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained X am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange forVisposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other.. entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: 0 7 &-- 2-20 Building site address: V _ �--1 ©� o 9 �o Permit No.: 6 6 C5 (C I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below:_ -- -- • T)ATF OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. J, 1. I personally plan to provide the ma or labor and material for construction of this proposed property improvement: YES [ VJ NO [ ]. 2. I HAVE [ v>f HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: /J PROPERTY OWNER: l� DATE: ( _ — D e"', NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County .Department of .Development Services �11TT� ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive`o 1 Oroville, CA 95965 0 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: f An application for a building permit has'been submitted in your naive listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit- Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. i �^ of Public Works { J - .Department* o f i 1 t o UND DEVELOPMENT DIVISION j. Michael Crump, Director- Storm Water Management 4rooram 7 County � Center Drive 4 \ ® ,1, Orovilie,CA95965 U;jt (530)538-7266 p�UC WoF�S (FAX) 538-7171 National Poll utant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN ACRE Project Description: �►tib Project LocationandlorParcelNumber. O By signing below, I,e the Project owner/owner's agent, certify that this project VYILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a CdonsP do SoJ� whatr contain frori the State of California Regional Mater Quality Control Boar P multiple site build -outs of less than one acre but when combined with w subsequent b Pgr�t from the Stathases total e, than one acre of disturbed soil ' will require a Construction California Regional Water Quality Control Board - am aware that submitting false and/or inaccurate information. or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: hT� — Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION' BUILDING " PLANNING March 6, 2006 Oroville Hmong Alliance Church P.O. Box 579 Oroville, CA 95966 Subject: Building Permit 06-0181 (APN 078-270-022); New -Single Family Dear Applicant/Representative: The Butte County Department of Development ' Services, Planning Division, has reviewed, the submitted permit application, and requires the following revisions to your site plan, or information in order to continue the review (this may be for notification purposes, please see below)- ® Creation Deed ❑ Site Plan Resubmit — Follow Requirements ❑ Erosion Control Plan ❑ Setback Conformance ❑ Watershed Protection Zone ❑ Front Yard ❑.Cohasset Specific Plan ❑ Side Yard ❑ Subdivision Map Note ❑ Rear Yard ❑ Off -Street Parking; Development Standards ❑ Special Setback or Parcel Limitation ❑ Parking for Specified Use ❑ Federal Aid Road/Arterial ❑ Lot & Landscaping Requirements . ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* ❑North Chico Specific Plan — Erosion Control ❑ Fire Sprinklers* ❑ Notification Only — No Action Required ❑ Other: * Fire sprinklers, and the SRA setback, are not requirements for the Planning Division approval, and this notification is for informational purposes, however it may be required for the issuance of a building permit. The requested information, or notification, is described on the included hand-outs. You will also be given some brief direction, on the following page, of how the information should be submitted or returned to the County. Should you have further questions please contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603, or the appropriate Department/Division identified in the hand-out. Sin rely, Chris Tolley Associate Planner a qf•X 6 Parcel Creation Deed A creation deed is the deed that created a piece of land, into it's current configuration. This process is commonly called a subdivision. Prior to March 4th of 1972, a parcel of land could be divided by a grant deed, and gift deeds were recognized until February 9th of 1993. Note: documents that create real property are not limited to grant and gift deeds. Staff is required to review each division to ensure that it was created in compliance with the State Subdivision Map Act, and Butte County Code. A creation deed is required to determine that the legal description matches the current configuration, the parcel meets applicable zoning requirements, and that the parcel has the appropriate access to a publicly maintained road. The exact date of creation and type of deed will also be verified. Please locate the documents and submit it to the Planning Division at: Department of Development Services Planning Division 7 County Center Drive Oroville, CA 95965 Note: You can obtain this document at the Office of the Recorder (25 County Center Drive, Oroville), or work with a title company to locate the appropriate deed. k` SITE PLAN REVIEW APPLICATION Date: 6 0001-1/ AP# —� ' 2 �D ' &AF0.4 - Permit Number (if applicable) G0. 0/8(/ Bin Number "" 2 APPLICANT INFORMATION Parcel Size: Owners Name: ��I�GCC� (fOrllr- �G�ZIG�' Gc�f Owners Address: Telephone No.: /� Site Address:. V- G 462 - /jAy,12-6E Proposed Use: Zone: kie Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form 0 GP: L0tZ Brief Explanation/Issue: rS!E: 10-16101//a� —� DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved 0-0 Date *Resolve Problems Prior to Approval ❑ Resolved ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: X • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: 4 a General Plan: (�02 Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 *41 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 7 Side Side Street Rear S" Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 *41 Parcel Created By: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: 3 Page: