Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
078-310-075
02 2 n ALLARD, STEVE 2567 OAK KNOLL WAl', OROVILLE SHED'&CARPORT /DIYglpL� , 036 -H)3 -0i$ 03-2929 ALARD, STEVE 2567 OAK KNOLL WY., OROVILLE n Cont: OWNER 4' RE-SIDING/DRY ROT REPAI 11-3 0 H36 t93-B+s3 04-1766 T ALLARD, STEVE 2567 OAK KNOLL WAY, OROVILLE Cont: OWNER ADD DININGROOM/SF 63�t03Df8 03AG144 ALLARD, STEVE {' 7 2567 OAK KNOLL WAY, OROVILLE }, AG. BLDG (40'X 50') i it, • i c f r 1 z I f� s�._� :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.nehdds PERMIT NO. BP041766 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: 0$/26/2004 APN: 036-103-0.18-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2567 OAK KNOLL WAY ORO Date: Contractor. Map Index: Description: ADD(52) COV(160) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ALLARD STEVEN W &SHERRIE H permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2567 OAK KNOLL WAY the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ALLARD STEVEN W &SHERRIE H owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of t e Business and Professions Code [yc �� Date:6 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 License #• workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 212 S. F. Policy#: I certify that in the performance of the work for which this permit is Valuation: $5,940.00 issued, 1 shall not employ any person in any manner so as to ISacome subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: $ /02 d l y Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor _ �3� �i�iip 4, code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' hereby issued under the applicable provisions of the Biifte County Coda anrVor I hereby affirm that there is a construction lending agency for the Res olu 'ons do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)''� t- Z 6 • Off{" Name: (� By: Date:e' 8 .2 �- b S Address: PE IT PIRES ON: 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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized 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 substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to anter upon the above mentioned property for inspection purpose Print Name: S' nco-c_ " `e�4' Signature: _ Date: /iZ 6 16 Y 0 Owner ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor 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 WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE\ X For office use only: OWNER Name Last Name /Z4fj-Z�irst (f ,s Name52� � /c Address /� t1M-ACj170 / State City RDV� r State A Fax Zi Phone b - Lic. # Fax E -mail A)c-7 2/ 7. do M . APPLICANT SIGNATURE\ X For office use only: CONTRACTOR Name \ ,s SRA City \ State Zip r \ Fax E-mail Date Approved: Lic. # Class APPLICANT SIGNATURE\ X For office use only: ARCHITECT/ENGINEER Name \ Address SRA City \ State Zip Phone \ Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE\ X For office use only: APPLICANT NAME Name \ Address SRA City Occ. State Zip Phone Page Fax \ E-mail Date Approved: APPLICANT SIGNATURE\ X For office use only: Zoning PropertyAddres /h,I /�'/ Flood Zone Cross Street SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO B LOCATION AN PropertyAddres /h,I /�'/ Ci VWM4. 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 ion or bcc 1. Sq. Footage ❑ Proposed Change of Occupancy . (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: O ?-Bldg t J - SRA Receipt #: Sheriff r SMIP Date: Other l� Total Kt V 0- i O -U4 u SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer.-,NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature onplans AND 2 sets of stamped'and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). , ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) 0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. 1 Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: c ❑ 1. 3 Site Plans, signed by the NO GRAPHPAPER! preparer. ❑ 2. 2 Data sheets and installation instruction manual. r �' ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans..'; �. v ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑• - 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 53877541-. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET '> OWNER: "� ASSESSOR PARCEL NUMBER6& ''O/ a Proposed Building Use: (� ®Y • (il.0 G/�-� Counter Technician: (/C Date: / (items required in order to apply for a permit. All boxes MUST be checked OR marked NA i order to apply. ip1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. 'No faxes! 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. �j 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 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. 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 I� 15. Sanitation and site plan approval from the Environmental Health Department in &] OST]ro e, as applicable. C 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ / 17. Fire Sprinklers............................................................................................ � 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 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 For s, jry plan approval paid. Sent by: DF �� •�4- 24. Planning approval (A) Use: � K- (B)Parking: (C) Parcel Check: S o ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. 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 ` and hold for pickup. I have been informed of the"above items and requirements for obtaining .a building permit. Applicant: .- Date: OK 7�6 S_ 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designe , owner, was advised of the above data by phone, ❑ mail, ❑ counter, b4WA0,L, Date: Contractor, designer, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: flans approved by: ,Date Structural reviewed by' Dater Structural approved by: Date: Note transfer by: AX Date: Yellow: Building Division COUNTY OF BUTTE l DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 ; S EPULE OF RECEIPT OF FEES OWNER _ , A.P. # o��/�✓ �� PROPROSED BUILDING USE [ (J n DATE 6�117M4- RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES 0� (paid at School District Office) (form available after. Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential.........:.. X $36,0.00 =$ Units Commercial (sq. ftg.)..... X Sq.Ftg.. - 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ t Sq. Ftg. Amt. , 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) f 6. THERMALITO DRAINAGE DISTRICT FEES ; $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHE FEE 889;ff0 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) r. 'n Residential Zone X Zone # Units Amt. Commercial (sq. ft X = $ Sq. Ftg. I Amt. �j • 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 dur' Mle plan checking process. APPLICAN DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 0 School District A.P. Number Property Owner f ` Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. (One form per Building) i" (0.Ut + �� d -e v • 1 Building Department No. Jurisdiction: ©City County C�! A r r Lot No. .................. »'.................... ........... ................. iW Residential Development L—i Q Q No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # i *(No foundation inspection) ......................................................... Commercial/I nd ustria I 0 New Representative 1 I Sq. Footage I (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. („ Q z School District certifies that (Street Address) Sq. Footage (Including Exterior Roofed Areas) D'�q' Date � t st4_Q e- A_k� I (Applicant) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0 3 0`�--�Li by payment of $ C, representing.,_ square feet.MFU;;N $ $ School Mistrict ReDresenSative Date Paid by Check # ! V I �� Remarks: 0 Nodw : You nay protest tit Imposition of the fees IdentlNed above by submitting a written protist to the DlstdcL in compliance with Government Code Section 66020(m), within 90 days from the dab fees are paid. Failure to submit a timely written protest wlll'prohiblt \ you from elalleaging the Imposition of the fees In any court action. M, subsequent to the School District Representative signing this Butte county Schools Impact Fee Certification Form, the School District Is rrotilNd by the #40' bei Local Planning Agency that this project Is being reviewed under the California Environments! thuallty Ad (CECAh this project may be subject to additional school fees to fully mltigate.lta Impact on the school dbtridti schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/03)dmm r SITE PLAN REVIEW APPLICATION• Date: �0 AP# Permit Number (if applicable) a APPLICANT INFORMATION Parcel Size: Owners Name: , Owners Address: a- '(94.U'1%C.6& Telephone No.: 53 3- j 9 7 Situs Address: Proposed Use: - r Residential - - ` ❑ New,Single Family Residential ❑ Single Family Addition ❑ Single Family. Remodel ' ❑ Mobile Home + Residential Accessory r C Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family - Non-residential ❑ New Commercial ❑ Commercial Addition, ❑ Commercial Remodel New Industrial " ❑ Industrial Addition ❑ Industrial Remodel • r Other. ❑ Septic i< Well + ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): - DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Pnor to. Approval Site Plan Stannped Approved By . Date -Page l of 5 k ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • 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 (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:14. _k - Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front i Side Side Street Rear r Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 ❑ Parcel Deemed to .be legal • VerifyLe al Parcel ,Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance Obtain aMerger = ❑ Obtain a Lot Line Adjustment ❑ Comply'with Old, Subdivision Lot Ordinance (Mapsxe' corded prior to Book 17 of Maps Page 23). ❑ Construct road to: ' ❑ Meet Parcel size required by zone ❑ Meet current EnVirorimental Health Department requirements ---------------------------- Page 3 of 5 ' Applicable Development Fees:` t r_ r ► Standard Fees 'Amount :Formula , ❑ Fire . ;, J : • ,. '❑ School* ❑ Parks/Recreation ❑ Roads ' ❑ Sheriff u ❑ Drainage. ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road . , ° ti S t : h+ • s ❑ Thermalito Impact ' ❑ Other ----------------------------------------------------------------------------' Subdivision'Map Special Fees --------=-------------------- ---- ------=- -- 0 Water Tender .' - ❑ Road Improvement ;., ❑ North Oroville Area El Other (per map) ; * Check with school district to verify actual fee if pre=applicationreview. A final determination will be made at the time of the building permit. w M F Parcel Created By ❑ Date of Creation: Legal Access Provided:❑ No' El Yes . Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: • Complies with C ty Standards for Deed Creatio :❑ No ❑ Yes Co ents:ai q� .. ❑ Parcel Deemed to .be legal • VerifyLe al Parcel ,Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance Obtain aMerger = ❑ Obtain a Lot Line Adjustment ❑ Comply'with Old, Subdivision Lot Ordinance (Mapsxe' corded prior to Book 17 of Maps Page 23). ❑ Construct road to: ' ❑ Meet Parcel size required by zone ❑ Meet current EnVirorimental Health Department requirements ---------------------------- Page 3 of 5 9 Subdivision Map/Parcel �Ma Map Date of Recording: lq,2—. Lot: Book: Page: ❑ Use Pen-nit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for 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 the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all.driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 0 Paae 4 of 5 + «. M r f El f , Summary of Specific Requirements: , _ _• r This information provided in this summary is`based on the application information and on the best available data at the time of review. , CALarryslBuilding Permit Site Plan Reviewl.doc 1 Page 5 -of 5 OWNER-BUII;DER �RITICATION - Attention?ro Owner: An "owner-buildee' building permit has been applied for in your name and bearing pour signature. Please complete and return this information at your earliest opportunity 'to .avoid unnecessary delay in processing. and issuing your building permit. No building pemmit will be issued -.until this verification is received. I personally plan to provide the mlorcIbor amaterials y for construction of the proposed , property improvement : YE&k NO O , 2. I HAVE O ' HAVE 1VOT`@ signed an application for a building permit for the proposed work, I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: z 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: i ADDRESS• CTTy: 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 ATi)nRFCC -'PTTr%XTV�.�.--- NOTA: This OwneP-Brcilder Verification is required by Section 19831 and 19832 ofthe California Health and Safety Code. This ver fcation must be completed and -returnedto our office before we are permitted to issue the permit OVER , . OWNER BUILDER INFORMATION Dear Property Owner. OB._I 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-bmlde>" 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 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 wod; with time exception of various trades that you plan to subcontract, you should be aware of the foIIowing information for your benefit and protection: d If you employ or othmw se engage any Persons other than your immediate family, and the work (including materials and other costs) is $300 or more for time entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, You mast register with time State and Federal Govemmeats as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, wo&= compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you ifyou do not cavy out these obligations, and these risks are especially serious with respect to worm's compensates fimmm ,eE•, ♦ For more specific information about your obligations under Federal Law, cm act time Internal lievmne Service (and, State Wish, contact nttime DU.S. SmaU specific Business Admmistrat:on). For more infiannation about your obligations under epartment of Benefit payments and the Division of industrial Accidents. Ifthe structure's 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 peen oneousiy impiyiag that the property owner is providing his or her own labor and. material personally. Building P � � signed by Property owners unless they are Pefmning their own work penonaliy. contractors may be obtained by contracting the Contmac = State License Board in your community or at 1020 N Street; Sammnentao, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of @tis form so that We can confirm that you are aware of these maiteas. The building p w� not be issued until time verification is retmmed. NOTA ?Fiir Owner-Bur7derinformwdon lsrequired by Seciion -11830 of Elie Cafrfornfa Health and Safety Codes • " O�QP¢TME►vT O.t * ..� �UTTF Department of Public.W.orks �° 0 o County 0.1 B.'utte ( ° ° / J. Mi \� chael Crump, Director LAND \p p DEVELOPMENT DIVISION Storm Water Management Program A MUNI e / 7 County Center Drive �QCIC WORD Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination` System (NPD* ES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: T.c� , Project Location and/or Parcel Number: e-JrnoMlc_. 1' ^S'G6 By signing below, I, the project owner/owner's agent, certify that thisproject WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional .Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more _ .than one 'acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or. failure to apply for a Construction Storm Water. Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law: Signed: Title:, �,��1• Date: 7 Less than l Acre NPDES & SWPPP Compliance Certification e Butte County Storm Water Management Program + - Revised 5/24/04 ' t SOV 2 2 2004 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 WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE\ X For office use only: OWNER Name Last Name / (f first Name�� V Address /, LIM—A-11j17 Q // \ City PLO V1 I State CA \ z �' Phone CJ \ Fax Class E-mail ��� AJC �Z/- F�•�, APPLICANT SIGNATURE\ X For office use only: CONTRACTOR Name \ Add r ss �\ City \ State Zip Phone \ Fax Y E-mail \ Lic. # Class APPLICANT SIGNATURE\ X For office use only: \ ARCHITECT/ENGINEER Name \ Address �\ City \ State Zip Phone \ Fax E-mail \ State License Number APPLICANT SIGNATURE\ X For office use only: APPLICANT NAME Name \ Address No City Type Const. State\ Zip Phone Lot # Fax \ E-mail \ APPLICANT SIGNATURE\ X For office use only: Zoning L Flood Zone SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT f,NO B BIN # LOCATION AP# Property Address7�/ _((Q 7 W"1701QV/M�j �� 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 Descri 'ort or Scope of Work: o Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which.a. permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon `written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L K WORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount O ?-Bldg SRA Receipt #: _Z Sheriff Other Dater �-� ✓ "Notal REV 6-16-04 Butte County Department ofDevelopment Services w T rF ' YVONNE CHRISTOPHER, DIRECTOR o 0 0 0 0 0 7 County CenterVive o Oroville, CA 95965 o (530) 538-7601 Telephone (530) 538-7785 Facsimile - ADMINISTRATION * BUILDING * GIS * PLANNING a - ' August .19, 2003 Sherrie Allard 2567 Oak Knoll Way Oroville, CA 95966 T CERTIFIED MAIL Re: Minor Use Permit, MUP 03-05, APN 036-103-018 w " Dear Ms. Allard: _ Enclosed is your validated Minor Use Permit for a large Day.Care-facility for up to 14 children in the A -R Zone on a 2.0 -acre parcel; # MUP 03-05. ' 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. t Sincerely, 1 Roni Thornton OAII' Enc. 5 cc: Land Development Division (g) Building Division (y) Environmental Health Department of Forestry (gld) Larry Painter t MINOR USE PERMIT BUTTE COUNTY PLANNING COMMISSION AUG 19 2M DATE: (Certified Mail Rec.) •MUP 03-05 PERMIT NO. 036-103-018 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Sherrie Allard is hereby granted a Minor Use Permit in accordance with application filed: Minor Use Permit for a large family day care,allowing up to 12 children. 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. 24-41. 2. Unless otherwise provided for in a special condition to this Minor 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 12 months of the delivery of the countersigned permit to the Permittee. 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. 4. If any use for which a Minor Use Permit has been granted is not established within one year .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. 5. 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. Conditions of Approval: The. facility is a single family residence that shall be the principal residence of the provider and the large day care facility shall be clearly incidental and secondary to the use of the property for residential purposes. 2. Minimum off-street parking shall be provided pursuant to the following standards: (a) . Two. (2) off-street parking spaces for the residents of the dwelling. (b) One (1) off-street parking space for each employee/volunteer. The two (2) required residential spaces may not be used for employees/volunteers. (c) One (1) off-street parking space/loading area. 3. 'One sign, not to exceed 3 square feet, is allowed. This sign shall not be placed in the front yard building setback. 4. The large family day care home shall be licerised by the California Department of Social Services, Community Care Licensing. 5. The day care structure shall meet all California Building Code regulations pertaining to large family day care facilities, including, but not limited to, the installation of smoke detectors, a device for sounding alarm, fire extinguishers, and exit doors operable from the inside without the use of a key or any special knowledge or effort. 6. Prior to use of the large day care, the facility shall be inspected by the Butte County Fire Department/CDF and the State Fire Marshal and shall meet the requirements of CCR Title 19. 7. Prior to issuance of the Minor.Use Permit, applicant shall obtain any necessary building, permits required by code. 8. The capacity of the Large Family Day Care facility may be increased to 14 children when the Butte County Code is amended to conform to the State statute. 9. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. 10. The outside area of the day care facility shall be completely enclosed with a five (5) foot chain link fence and access gates. The gates shall be able to be secured during day care operating hours. 11. Prior to issuance of the minor use permit, the applicant shall provide a letter of intent regarding the use of the large travel trailer located on the subject property. Fire Protection 12. Construction, installation or development of structures or facilities on the parcel/lot shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State County codes,"ordinances and regulations in effect at the time of application for improvement permits. 1 13. Building identification and/or addresses shall be installed in conformance with Public 2 Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. NOTE: Issuance of this Minor Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. B to County Planning Commission Chairman CC: Land Development Division Building Division Health Department Department of Forestry 3 orf0>�=103-018 "0� X22 iAbARD STEVG..a >:s... 256 7-0,A'K- RE�STDINGIDRY RO7 i4LL?'��T!. b a Y } 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 nz-g9?4 ASSESSOR PARCEL NUMBER 036-103-018 ZONING AR BUILDING PERMIT OWNER ALLARD 9=- TELEPHONE 523-1971 SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2567 OAK KNOLL WY. OROVILLE 95966 /�(�/� �fi 19000.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 19 . ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2567 OAK KNOLL WY. ORMLLE Energy Plan Checking Fee $ PERMIT FEE $ 45.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP • PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 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 ❑ Utilities ❑ Installation ❑ Other 0" Describe Work: RF-CTr1F F'I rWr OV t. M4V ANSA DRY RMT RFPATR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 20.A 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0,-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 46.00 CCUOOOA NEW CONST. DWELLING OCCUP. SO WE OR ADDNS. ( 8 ACC. BLOB. 3.5¢FT. NON-REOSDT MULTI.OUTLET 97,50 APPARATUS h SINGLE OVILEf CIR. EX. OCCUOUTLET OR FIXTURES 20 @ 1.00 B4L @ .50 FIX1 Ex. Occup.OUTLETS RE�SID.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ©�I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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.) q_ 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 forthwith comply with those prov'sions. X Date � d Signature of Applicant - 13Owner 11Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 45.00 HAZ. -- D. FEES --- IMP __ FLOOD CDF PARCEL -- _ _ PD HD _ Issl�E / This permit is hereby issued under the applicable provisions the Butte County Code and/Resolutions to do work in ' indicatVd7ab.4ve for which fees haa ve been paid. G By Datezz PERMIT XPIRES ON(_. ReceiptNo. WHITE-D.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTDate COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN- SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND"PERMIT 03-2929 ASSESSOR PARCEL NUMBER 036-103-018 ZONING AR BUILDING PERMIT OWNER AU -ARD, STEVE TELEPHONE - 971 So. FT. OCC. BUILDING VALUATION est 1 000.00 . OWNERS MAILING ADDRESS 2567 OAK KNOLL WY. OROVILLE 95966 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTORS MAILING ADDRESS a CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1, 000.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Permit Fee $ 25.00 Plan Checking Fee $ BUILDING ADDRESS 2567 OAK KN(DLL WY. ORO L Energy Plan Checking Fee $ $ PERMIT FEE $ A5.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP N PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF Y] Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other fR Describe Work: SIDE OF mho=.�—ER9I� �(1� Mobile Home S G W @20.00 ANSn DRY R(Y7 L,EPAIR PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 0OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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.P License Class Lic. No. OWNER -BUILDER DECLARATION Main Service ZDOA TO ,000A 46.00 NEW CONST. OWEI NG OCCUP. ( 3.5QF°: hereby NEW CONST. MUL�TICO�tS. NON-RESID. 97.50 OWER APPARATUS 8 SINGLE OUTLET CR. R Ex. Occup.OUTLET OR FIXTURES 20 O 1'00 BAL 9 ,50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License FIXEDA Ex. Occup. °. RSI°.°R 5.00 Law for the following reason: Temporary Service 23.00 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ 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 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 Heating 1 hereby affirm under penalty of perjury one of the following declarations: 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. Cooling Hood 6.50 Ventilation ❑ 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: PERMIT FEE $ Carrier Mobile Home Installation Fee $ 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.) ELA 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 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 45.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall -- --- --- ---- -- ------ – This permit is hereby issued under the applicable provisions of the Butte un Code and/or Resolutions to do work indicat ab a for which fees have been paid. f r with comply with those provisions. = X ��._ Date D, �gnature of Ap`plicent - 13 Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. By PERMIT CPIRES 0 � .,,G Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) O.B.- I OWNER-BDER 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 infoirnation 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. r , I personally plan to 'provide the ` jor labor and materials for construction of the proposed property improvement: YES NO O 0 I HAVE ❑ HAVE NOT ©s ed an licatio , app n for a building permit for the proposed work; I have contracted with the following person (firm) to provide the proposed construction: AME. DRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 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 (lured) the following persons to provide the'work indicated: NAME ADDRESS, - . PHONE TYPE OF WORK NOT': This Owner -Builder Veriftwation is required by Section 19831 and 19832 of the 'California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER IlVFORMATION 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 worm with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is -$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 insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cavy 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. �.IY. C.Vi ira, C.B.O. Building Inspection NOTE: Trus Owner -Builder Information is required by Seddon 19830 of the Calffornia Health and Safety Code OVER Inter -Departmental Memorandum To: Building Department Planning Department From: Ted Crawford, Fire Department Subject: Community Care Licensing Request; STD 850_ for Sherrie Allard Family Child Care Home, 2567 Oak Knoll Way, Oroville Date: August 30, .2000 The attached Std 850 form from Community Care Licensing has been received for our approval. Prior to the Butte County Fire Department making a fire clearance inspection it is requested that your department check for compliance with Butte County ordinances -(use permit and zoning) and building requirements and occupancy based on the requested category.. Please forward your requirements to this office and we will forward them to the applicant: Planning requirements: Building Department Occupancy classification 4_3 Building Requirements: "W� /e�n :Av-a .,wb A—W - . mow o -c._. Other: lt'4 8 i .AFETY INSPECTION REQUEST r 6W REV. 10-94) x VC-, See Instructions on reverse. U LUOQ BUTTE COUNTY AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM CDSS/COMMUNITY CARE LICENSING 530 895-5033 7/17/00 EVALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE 0105 — WATTERS 045402637 1—A RESPONSE_ REQUIRED CODES NAMEAND 7 COUNTY CENTER DRIVE 1. ORIGINAL A. FIRE CLEARANCE LICENSING 2. RENEWAL B. LIFE SAFETY AGENCY COMMUNITY CARE LICENSING L NAME AND 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHIC 0, CA 95926 S. ADDRESS CHANGE L 6. NAME CHANGE INSPECTOR'S NAME (Typed or Printed) 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 14 0 0 0 0 0 14 FACILITY NAME LICENSE CATEGORY ALLARD, SHERRIE FAMILY CHILD CARE HOME s 810 — FCCH STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 2567 OAK KNOLL WAY 1 CITY RESTRAINT OROVILLE, CA 95966 NONE FACILITY CONTACT PERSON'S NAME HOURS ALLARD, SHERRIE H. PHONE #(530) 533-1971 DAYS. SPECIAL CONDITIONS -.LNEsiy�ECS:-..,ji. �..S¢; h :. o x � ... aY Fk< ¢ iiw zk °,.o ate" -i ks P 2rc F5.G.,•. , '2^rp�. :. ha."`,y`i.b''� a`3>".yv�^y3s 3 y'��w..' �%OLIN � COMPL&ED,6XJkSPEC/TINGaAUTHORITY : �aO„ � 4 ;<. �)� t s... t. w>.-»'lai..:^..N �>.13-;:_rT '2'»•ti?r:'>:...' >ixY'>,..:.n .).�. ir>a,..y<>. RT...,<>.:4s'..::6.`rN'i:.'.?'��.'12.o`"%sfi.�s?E��3eY^.r3». 3L�S�K:.':9e»>5.�,�'��z:�'!Y'a�oTw�<F�'X4., )r(',t`r��'��ws..r2�Si: CLEARANCE /DENIAL CODE CODES 1. FIRE CLEARANCE GRANTED FIRE BUTTE COUNTY BUILD. DEPT. AUTHORITY NAMEAND 7 COUNTY CENTER DRIVE 2. FIRE CLEARANCE DENIED ADDRESS OROVILLE, CA 95965 A. EXITS L B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS INSPECTOR'S NAME (Typed or Printed) TELEPHONE NUMBER CRRS NUMBER OCCUPANCY CLASS E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER INSPECTION DATE INSPECTOR'S SIGNATURE (Typed or Printed) EXPLAIN DENIAL OR UST SPECIAL CONDITIONS I BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ,PERMI.T NO. L44 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. I D �/ ZONING 9 OWNER / //\ (/lam J (' Y J PHONE.k.— OWNER'S ADDRESS LOCATION OF BUILDING USE OF BUILDING r o c� o ✓. — SIZE OF STRUCTURE 'XaSO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL D(. CONCRETE OTHER (Specify) TYPE OF SIDING ROOy FLOOR TYPE f CorrC��T� ESTIMATED COST OF CONSTRUCTION $ 26, cr a cs AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 50 �v FRONT SIDES AR • AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy., Permit Fee - $60.00 Receipt No. n'- `510 WW White — W, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant The above described AG Building is exem C®UNTY CP BUTTE , kdEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the lob site. � No. — 036-103-018 02-2676 vner _ ALLARD, STEVE ,ntractc 2567 OAK KNOLL WAY, OROVILLE SHED & CARPORT rmit Nc PERMITTEE DUST CALL FOR INSPECTIONS INSPECTION DATE INSPECT00 =ootin s 4-111-OFL tiers Jnderground Conduit lnderfloor Plumbing lnderfloor Electrical lnderfloor Mechanical lnderfloor Framing ;lab tough Electrical tough Mechanical 'raining shower Pan >S < <�.� isulation ireplace Throat Ido N�1 CaIIaeete Forte ff6y4e :>` ;::;::.; ....... 0.: tsou Sg9::.....::.:.:... . •tucco Lath cratch and Brown 1::>::::>>:<:::»::::::::>::>:[9;.gt::.ov.:er�SI:::E6�N.@:>S7 stied:::»:::»::>:::>::::»:::<:>::::»::>::::<::>;::: .. ......... ...._... ewer Service later Service ool Final lumbing Final lectrical. Final lechanical Final o uildina or M.H. Final D® NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED kND THE BUILDING OR MOBILE -HOME IS APPROVED FOR OCCUPANCY Addresses .. In.-renatis�n%... Z4 r Iris a roville - 7 County Center Drive 538-7541°— —5384636, hico - 411 Main Street 891-2751 891-2834 ed. 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDPG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT' -� ASSESSOR PARCEL NUMBER 036-103-018 ZONING AD BUILDING PERMIT OWNER ALI-A VE HONE 533 iWi SO. FT. OCC. BUILDING VALUATION .OWNERS MAIL, ADDRESS 2567 QAK KNOTT GA qwr-r�� CONTRACTOR'S NAMEWAYGROViLLE9 TELEPHONE 1 628 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $ 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 88,0 BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE S 243,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New )k Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SHED & CARPORT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LES Main Service 200A 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.POWER 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 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' 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 with those provisions. d9te IS L6 � gnature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or co truction of structures over 3 stories in height. ReceiptNo.' '� i WHITE-D.D.S.-B.D. CANAR -AS S R PINK-INSP OR GOLDENROD -APPLICANT Main Service 200A To 46.00 OCU000A NEW CONST. DWEWNG OCS. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. 7 mak/ p�I.T MULTI.OUTLEr,RCUr 97.50 SINGLE APPARATUS a OII'. CTR. Ex. Occup. OUTLET OR FIXTURES.50 Bn0 p 1.00 Ex. Occup. OUTEEDTS AEES D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTE FEE $ 27Y 901 HAZ. I D. FEES 1:"(lFLOO C PARC PD D ISS E 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. y Date 6 U PERMIT EXPIRES O a3 Q t a1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `r 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. iev.12/96) APPLICATION AND PERMIT 1,12 0 ASSESSOR PARCEL N MBEIR BUILDING PERMIT NOWNER n n /1 n ' NE SO. FT. OCC. BUILDING VALUATION 721l . , owNr�s 5 (0 -7 se �C PERMIT /i t (/ ^ V J G�i CONTRACTORS NAME PERMIT Filing Fee 20.00 TELEPHONE 12Z ;0.60 Permit Fee S ' COMRACTOR'$ A1.4 Al, Plan Checkin Fee $ CONSTRUCTION LEMER Energy Plan Checking Fee E LENDERS NNUNG ADORESS NON•AESIO. NEW gum ' S ARCHITECT OR ENOINEER PERMIT FEE _ LICENSE NO. ARCHITECT OR ENGINEERS LULLING ADDRESS Fling Feel 20.00 SULDINGADORESS 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISIONS HALE 15.00 Each gas water heater or vent PARCEL MAP 15.00 USEOFSTRUCTURE , 15.00 Building sewer SF ❑ Duplex ❑ Mobilehome ❑ Other 0120.00 ePEesY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uliftes ❑ installation ❑ Other Describe Work: i Cc, n -F - PERMIT FEE PAID $ SRA $ SHERIFF $, OTHER $ AMOUNT - RECEIVED $ RECEIPT-# : .7 Fireplace I I I t " -- Total Valuation s PERMIT Filing Fee 20.00 Filing Fee S ;0.60 Permit Fee S - 0 Plan Checkin Fee $ 3.52F°, Energy Plan Checking Fee E NON•AESIO. NEW gum ' S 07.50 PERMIT FEE _ PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 0120.00 * PERMIT FEE t EX. OCCU . OUTLET OR FIXTURES ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooA OORR M: 23.00 _ .0( Main Service 200A TO 1000A 46.00 NEW CONST. DWELL -/G OCCUP. 3.52F°, OR ADONs. a ACC. erns. NON•AESIO. NEW gum ' m.LI..L� T 1 07.50 * i S OUTLET q0. EX. OCCU . OUTLET OR FIXTURES SAL 0 0 1.00 .00 PDD APPLNS. OR Ex. Occup. ovTLE'S Esso. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 j 6 1 PERMIT FEE 1 s MECHANICAL PERMIT I Fling 8.50 Ventilation 20.00 ' PERMIT FEI: S Mobde Home Installation Fee $ Energy Inspection Fee. s FThispewrmit co T. TYPE TO L FEE $ / D.FrFa cor ro ssuE 1 / is hereby issued nder the applicable provisions utte County Code and/or Resolutions to do work Indicated above for which fees have been paid. tam By Date PERMIT EXPIRES ON .... � �. , .. ... i� a• , y � Q ,4 - � ,` ¢ _ s < � 9 ' � ,. 1 A � � , 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 �y ASSESSOR PARCEL NUYaER N'%i 3 - / �Iq BUILDING PERMIT +' `k°'""E" (2 0a��QT3Q FT OCC.BUILDING VALUATION ( _ s� -7 r%tCOMRACTOR'S NAAE COHrN1CTOR7 MAUNO AOr LENOW3 MAJ%NQ ADDRESS w Fireplace Total Valuation b 20.00 1: -fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 1 5.00 tj20.00 PERMIT FEE $ UCENSE NO. Filing Fee S ARCHITECT OR ENONEERS MAUNO ADORESS Main Service If Permit Fee ti au<ONG ADOREss % Main Service Plan Checking Fee S S G ✓jC7Energy NEW CONST. OR AOONs. Plan Checking Fee S 3.5¢F°. NOWAESIO. 5idTYULTFOUTLET i LOT NO. SUDONSKMS NAPE Fling Fee 20.00 PARCEL MAP PERMIT FEE S ' Hoolin Hood PLUMBING PERMIT USEOFSTRUCTURE 7 Each Trap SF ❑ Duplex ❑ Mobilehome ❑ Others Solar or hent pump water heater Water piping TYPE OF WORK sPEcsr Each gas water heater or vent New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other '� Gas piping stem t - 5 outlets Describe Work: �_ �� / �j 1jd IC 'I 1/ (� Building sewer Mobile Home S G W 20.00 1: -fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 1 5.00 tj20.00 PERMIT FEE PAID SRA SHERIFF PERMIT FEE $ Ex. Occup. OUTLET OR RxTUREi ELECTRICAL PERMIT Flin g Fee 20.00 Main Service If MW OR mss zooA oR LEss 23.00 Jr2 3 .0L Main Service sou To i000A 48.00 NEW CONST. OR AOONs. pa ACC. RDSUP. 3.5¢F°. NOWAESIO. 5idTYULTFOUTLET S c @7.50 PERMIT FEE PAID SRA SHERIFF / r � � $ T L $ Ex. Occup. OUTLET OR RxTUREi aAL m 0 I•oo !0 FOfEO APPLNS. OR Ex. Occup.ovTLtTs ESID. EA 5.00 � Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S c MECHANICAL PERMIT Fling Fee 20.00 Heating ' Hoolin Hood 8.50 i Ventilation OTHER $ AMOUNT, RECEIVED $ •.4 r'.. RECEIPT- # 6 .. ._7 /J PERMIT FEE ! Mobile Home Installation Fee S Energy Inspection Fee. i occ coNST. nPs TOTAL FEE $ �Z• D. mss W► CDf P --PO 10 =7AX 1 This permit is hereby Issued4nder the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER -/ 0 Proposed Building Use: kv ol(2-,t-Counter Technician:C� Date: Z Z0---j- Items required in order to ply for a permit. All boxes MUST be checked OR marked NA in order to apply. . P.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. `'2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. - 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Fo m. ;filled out by the,owner..................................... ❑ 12. Hazardous Material Form .............. .................................................... ❑ 13. Other e aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... lomw 15. Statement of Intent for Non -heated and A/C Buildings ............................................. JW 16. Sanitation and plot plan approval from the Environm ntal Health De artme t in (/L_ ❑ 17. City of Chico Plumbing permit ........................ .. 18. California Department of Forestry plan approval paid. Sent ❑ 19. Planning approval for (A) Use: (3`�(B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner;; ❑ Mailed)tdgo vner)..................... ❑ 26. Letter of Signature authorization .............. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits ... \..................................................... ❑ 30. ❑ Grant Deed, ❑ M -H. Title/STatement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: _ ,- C When issued Telephone 5 3 3 - / 9 / 7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. �ip licant: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re Contractor, designe own as advised cf the above data byhone, ❑ mail, ❑ counter, by - Date: Contractor, designer, ow er, w vised of the above da�a(by ❑ phone, ❑ mail, ❑ t y Date: Plans reviewed by: - Date: "1 , Q7�Plans approved by: Date: Structural reviewed by:Date: Structural approved by: Date: Note transfer by: Date: Yellnw Ruildino Nvicinn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. 16CX�-Lt%l A.P. # -2� 4> _10 P SED BUILDING USE 9417 ae,DATE RECE119 # DAIE REC. • BUILDING, PERMIT FEES /� n ��, � • --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ Z� --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ..........................:...... v 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510"00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 3 $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 changed during the plan checking process. APPLICANT �—' ' DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements.for a protest are specified in Government Code Section 66020(a). A Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 1 ONVNER-BUILDER VERIFICATION Aaencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sipapte+e, Please complete and return this information at your earliest opportunity to avoid tm--- ty e:aary4 in processing and issuing your building permit. No building permit will be issued until its verification is received. 1. I personally plan to provide the major labor and materials for construction of the. -proposed property improvement : YES O NO O' I HAVEAC HAVE NOT C3 signed an application for a building permit for the proposed vxde ;. I have contracted with the following person (firm) to provide the proposed eonstruetie�: NAME: ADDRESS:_ Com: f PHONE: CON'TRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person tocoordinate, supervise, and provide the marl r work: N:INIE: ADDRESS:. CITY: / PHONT: CONLTRA GWS LICENSE NO. 5. I will provide'some of the work but I have contracte Gnred the following persons to provide the work indicated: NAME ADDRESS PHO NE TYPE OF WOItIC i SIGNED: PROPER SOCIAL SECURITY NUiMF DA X0 TE: ' This Owner -Builder Verification is required by Section 19831 and 19832 OW California Health and Safety Code. This verification must be eomplAW std returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORNIATIOi cep - 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 often onsuch a permit. Building permits are not required to be signed by property owners unless they are personally perfocmi 16eir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by. law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subconaactors, then you may be an employer.. ♦ [ f 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. ♦ 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 mere specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ii You wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, ccncact the Department of Benefit Payments and the Division of industrial Accidents. l; rhe structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or throu&h 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. IIMrely. el C. Vi Ira, C.B.O. ger, Building Inspection NOTE: Titer Owner -Builder Information is required by Seaton 19810 of the California Health and Safety Cods OVER SITE PLAN y E RW. ;....... ............. ............. ...;... ..................... ............ ... .. .. . :......:...........................:......i...........;......:.....:......;......: ................:.............' .. .. .. {•• ............. .. .. ............. .. .. .. .. ;.. .i... .. .. ;... .............;... .. .. ...j. .. ;.. ....... ...... :............. :............. :...... j.....I .....i......�......c .. .. ............ .. ............ .. .. .. .. .. .. .. .. ... ............ _..... ............. ..... —............ ......_.._........_................-_....._...... ....... ............ ....... ...... _ _ .. .. .. .. .. .. .. .. _ ..... ...... ...... ...... ...... ..........._...............:..... .. .. .. ...;... .. .. .. .. ............. .. .. s.... .......... .r......• ...v..... •� . !• .. .. _ .. ..................... .... .}. V: .. G : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ .. _ .. .. .. .. ............. .. .. ............ .. .. .. .. .. .. _ .. _ ......._ ............ .. _ .. ........... ............ .. .......... •�' .. ..;. .. •. • .. •. .• .• .......•• •• .. .• •. .. .. .. ........ ..... O .. • • . • .4 •y.: •• •• _ .• •• .. _ •.. :4 Y •. •• • •. .I......t •....:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : - - - . .. .. .. .. .. .. ............ .. .. .. .. j... .. '1 �. �. .. .. .. .. .. .. .. .. .. .. .............. .. .. j... ............. ............ .. .. ............ .. . .. .. .;. .. •. .• • .{.... .{. •. .t. ...:. .. .{. ....:. .. .. .{. .. .}. ...J. '• •{. .. .:. .. .. .t. .. .. .. .. .. .. ........ .;.... .;.... .i..... .. .. ..{......{.....}.....i......i: }. w ;.l.:j......}.....{...`�j......i.. ...:..... .. .. .. ... ............ .......... ............ ............ .. .. .. .. .. _ .. .. .. .. .. ..................... t - .. .. ......_................................_ .. .. .. .....:. ......: ...... ........ L, .. .. .. .. .. .. .. .. .. .. .... .. .. .. .. �.............. .. .. .......... .. .. ............ .. .. .. `'• _ DIVISION - B ILDINGFLAN AP�R _ ..... _..... ...... _............. .. ........................... .. . . . . . . . . . . . (.....}.. {....}... .... {...... }..... {... .. :Y Usti: _y� _ Da te:�i {. .s• .j. .:.. .. .. .. .. .. .. .. .. .. .. .. I..... {.. }.. .{......{......: ...{......;.....}.... .. .. Pa&ng:: landscaping: ................................ ............ �i .................. .. •f. at1e .. _ .. .. .. .. _ .. ............ .. .. .. .. .. .. .. .. .. .. igrzaturw . . . . .. . . . j: j. .. .. .. .. .. ...:... .. ...:. ...}... .. ............. ...}......... ...... }............. .. .. .. .. .. .. .. �;. Assessor's Parcel Number. _10 0 — 0 Q 0 — Q Di .® Scale: T' = 30. Owner Name C'T�� += X4X_- rZ Address/ Phone No. ,?S'C 7����/�,�� Site Location Contact: Name Phone oma► z,• 2= , .. .. .. .. .. .. .. VAL ....? ....:......:......y......... ;...... i.....:...... j....... .. .. i.eae. a _ .. .. .. .. .. .. .. .. .. .. .. FOR OFFICE USE.ONLY Zoning: General Plan Desig: Size, Acres L a.00° ti PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN{: USES: i - •-.rte ��_ , \ . n n 1. ` � .- •_! . .r ... � �,; APPROVED Development Plan DATE DEC i 2 . USE PERMIT _ VARIANCE MINOR U.P. ✓AQM.PERMIT PLANNING COMMIS§: J DIRECTOR OF. DEVELOPMENT•SERVICFS t CDF FIRE SAFE REQUIREMENTS 3 � p-3 -(2) t_ �5 J4 AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space I rovided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 04 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte:zant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. `_4 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�C]r 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical -curves in roadways exclusive of gutters,_ ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. .r'1V,(_] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1' 3 .1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3•-. t 3 AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway'. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [1' 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. LN provides Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible. Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including !" chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_ial inspection -of a building permit. Page 2 of 3 E -ro � - 4, r) & Au_� 9 AP # PERMIT # NAME Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed lot of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials c, 41- Y-Nfi � krxtr "rf i5ite C�l v r L! Ili 7TriV_ A I UTTE CALip. D EPT. EPT. apo�F- Oved a!o UbMittOd , elt'N Cc-;Id.,,tio s A% ALL STRUCTURES AND EQUpM OVERliAN(3,SSH,,fILLSF-CLEAfiol= C -NT INC66DINO A SF-, rACI( op Zj; ALL EPISFVM�ENTS. 3v f=i�, F-Rci,A, 77,E SIDE TH�5 PEAR PROP EAND Rly V, l F FROI'LINES AND A 2 -A " UR6S AND Qt pa p4,EWZX E VE ov Iva e. r r I c- or tsUTTE COU IN I I BUILDING DEPARTMENT F/Z tERROVED, r a i .� y 4__ • e v i