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HomeMy WebLinkAbout078-360-0390 E Ido 1]..; K December 21, 2006 Endeavor Homes 655 Cal Oak Road Oroville, CA 95965 RE: Trusses supporting A.C. Loads i MiTek Industries, lm. 7777 GREENBACK LANE SUITE 109 CITRUS HEIGHTS CA 95610. USA FAX (916) 676 1909 TELEPHONE (916) 676 1900 MIT& Industries, Inc. truss designs are adequate to support up to an additional 15,0 pounds per truss due to mechanical loads. If this load falls at a panel point, no revision to the engineering is necessary. If it falls in between panel points, a 2x6 scab of minimum or equal size and grade as the bottom cord is required for the full panel length carrying the load. Attached with 10d nails at 12" o.c. These rules only apply to residential 2'o.c. truss applications with greater than 3/12 pitch and bottom chord panel length is less than or equal to 9'- 0". If you have al questions, please call me at ],-800-7 1 72 . 5351. Sincerely, NO. 0049919 EXP. 9-30-08 CIM SOF M Redong Yu, P.E/S.E. Regional Vice President Western Engineering Operations P.S. Panel point is where the webs intersect with the chords. n -,rte ,tic InIf qp Status: JLSSUED f APN: , 078360.039_•000_ _ L. Bin #:A-1 I update Ext sack Site Address: 3561 ORO BANGOR HWY ORO R * -,^, = I Map index: Owner (Title): ARMITAGE, RICHARD AND DE, Project Title: I Construction Information Contractor: i Applicant ARMITAGE_,RICHARD ANDJ1 Permit Category: BLDG-RES Contr Phone: I Architect 1' Construction Type: VN� rj Contr. Lic. # I Engineer. FLT f Total Valuation: $165,266.00 Description: FN-SFF (2266J,_GAR(525, COV(336T A Total Square Feet: 3,125 1 ' Permit Type: NEW 1 Fee Summary i Required to Issue Construction Permit Fee: 1v�_, $3,049.87] F_J; Planning•.. Contractor's Lic.: NPDES: Misc. Permit Fees:.F---$p 00 Fire,, Workers Comp: Water: Strong Motion:. $16.53 PW-Land Dvlmt Owner/Builder: Health: ri Investigation Fees: F--$ 00-00 PW Encroach .Wl Sign Authorization: Sewer: -'I ' Other Agency/Impact: -$0.00 Ag buffer. Erosion Control Plan: School Fee: r Other Fees: ,_,__$0.00 Ag Statement: Chico Plumb: Deed Restriction: TOTAL FEES:$_3,066.40 Pre-Inspi Recreation Dist: P Plan Check:.( - Fees Paid:$0.00 Soils Rpt/Eng. Found: Fire Sprinkler: J AQMD: 1� Balance Due::0.00• - Other TRA: ` Key Dates High School Gstrict: JORO HI 1' MH Docs: Applied: 05/25/2006 J Elem School Cistrict: IFALERMO Grant Deed r� Approved: _/_/_� BP Renewal: _/ '_J Later: I I MH Title/Statement Issued: Q7/200U Expired: I/_? ,� Sewer: Ltr legal owner Finaled: Voided: /_'( Re. Dist: _ - - f HCD check $$ Census Data Census Class Code: IntiBli2ed: 05/25/2006 KGRAHAM j BP061257 APNp078-360-039 OWNER: ARMITAGE TOTAL PERMIT COSTS $7,620.49 $7,620.49 Building Permit Fees $3,159.85 SMIP $16.53 Res Dev Impact $4,349.11 SRA Review $95.00 LIBRARY LIBRARY LIBRARY ROADS SHERIFF SHERIFF FIRE FIRE processing processing ' $7,620.49 SRA FACILITIES MATERIALS VEH 8 EDP BRIDGES FAC VEH &EDP FACILITIES VEHSEOP auditor dev ser Fund 10 F10 F-1001 F1800 F1808 F1810 F1821 F1825 F1825CWIF F1825CWIF F1831 F1840 F1840 F1851 F1851 F050 F10 Receipt 0450699 Dated 5125/06 $1,424.93 $1,329.93 $95.00 $1,424.93 Receipt 0455827 Dated 6119/06 $6,195.56 $1,829.92 $16.53 $288.00 $618.75 $285.37 $0.00 $224.20 $150.82 $4.50 $1,244.88 $291.31 $142.14 $340.97 $658.17 $50.00 $50.00 $6,195.56 $7,620.49 $3,159.85 keV opme t S Ice Wednesda Se tember 20 2006 a r 1.0° t Counter KOURTNI I Person Fund 10 (Bldg Permits) $1,329.93 r I SRA Fees (Fire) $95. 2-11' Payment Date I SHR Fees (Sheriff) - , $0.00 5/25/2006 Permit Number Q661257 I SMIP $0.00 , Receipt Number 450699 I Copies/Document Sales $0.00 ' Check Number or Cash5253 ( CUA (Chico Urban Area) $0.00 Parcel Number 078-360-039 I TUA (Therm. Urban Area) $0.00 Applicant RICHARD S ARMITAGE I Water Tender Btln #= $0.00 West Chico Fire Station h $0.00 ` " '• • - Received From SAME AVA Restitution Payment $0.00 • Total Received ._._I Recorders Fees (N.O.C) $0.00 . Q 1 ,424.93 _ �P Thermalito Drainage $0.00 ( i� ` Total Fees To Collectf - $1,42 4.93 I Oroville Area •Traffic ` $0.00 , Notes: NSF (Non Sufficient Funds) . $0.00 "Notice of Violation $0.00 w NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 • , NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 r . NCSP Parks Type $0.00 ' _ Value $0.00 , REQUEST FOR AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT DEPARTMENT: DEVELOPMENT SERVICES - BUILDING DIVISION DATE: 5/26/2006 BAG NUMBER: 330 RANGE OF RECEIPTS: 450618-450699 MONEY COLLECTED: 5/25/2006 FUND FUND DEPT ACCT CASH DESCRIPTION TITLE CODE CODE CODE CODE AMOUNT BLDG PERMITS REMOVE NOTICE OF VIOLATION CHRG ON RET CHECK AVA COURT ORD RESTIT REIM COPIES WITNESS FEES RECORDERS FEES DEVELOPMENT SERVICES - CWIF PROC FEE AUDITORS - CWIF PROC FEE FIRE COMMCL PLNG REV FEES FIRE PLNG APPL FEE (SRA) SMIP FEES SHERIFF DEVELOPMENT (SHR) CHICO URBAN STREET IMPROVEMENT OROVILLE AREA TRAFFIC CHICO VECINO DRAINAGE TRUST THERMALITO DRAINAGE DRAINAGE DEPOSIT TRUST SUB -DIVISION DRAINAGE TRUST NCSP - TRAILS SYSTEM NCSP - ROADS & BRIDGES NCSP -STORM DRAINAGE NCSP - FIRE STATION NCSP-PARKS CWIF - GENERAL GOVT. FACILITIES CWIF - GENERAL GOVT. EQUIPMENT CSD #770 - BUTTE CREEK CSD #771 - COMANCHE CREEK CSD #772 - LITTLE CHICO CREEK CSD #773 - BIG CHICO CREEK CSD #774 - LINDO CHANNEL CSD #775 - S.U.D.A.D. DITCH CSD #776 - MUDD-SYCAMORE CREEK CSD #777 - P.V. DITCH CWIF - LIBRARY - FACILITIES CWIF - LIBRARY - MATERIALS CWIF - LIBRARY - VEHICLE & EQUIPMENT CWIF - ROADS & BRIDGES (NCSP/CUA) CWIF - SHERIFF - FACILITIES CWIF - SHERIFF - VEHICLE & EQUIPMENT CWIF - FIRE - FACILITIES CWIF - FIRE - VEHICLE & EQUIPMENT WATER TENDER FEE BLDG INSPCTN GENERAL FUND BLDG INSPCTN AVA CRT ORD COPY SALES BLDGINSPCTN GENERALFUND DEV SRVCS - CWIF PROC FEE AUD - CWIF PROC FEE FIRE PROTECTN FIRE PROTECTN SMIP FEES SHER DEVIL FEE CHICO URBAN AREA OROVILLE TRAFFIC CHICO VECINO THERM. DRAINAGE DRAINAGE DEP. TRUST SUB -DIV. DRAINAGE TRUST NCSP -TRAILS SYSTEM NCSP - ROADS & BRIDGES NCSP - STORM DRAINAGE NCSP - FIRE STATION NCSP-PARKS CWIF-GEN. GOVT. FACILITIES CWIF-GEN. GOVT. EQUIP CSD #770 BUTTE CREEK CSD #771 COMANCHE CREEK CSD #772 LITTLE CHICO CREEK CSD #773 BIG CHICO CREEK CSD #774 LINDO CHANNEL CSD #775 S.U.D.A.D. DITCH CSD #776 MUDD-SYCAMORE CREEK CSD #777 P.V. DITCH CWIF-LIBR - FACILITIES CWIF-LIBR - MATERIALS CWIF-LIBR - VEH & EQUIP CWIF-ROADS & BRIDGES CWIF-SHR - FACILITIES CWIF-SHR - VEH & EQUIP CWIF-FIRE - FACILITIES CWIF-FIRE - VEH & EQUIP BATTALION #7 0010 440001 4210500" 101001 $ 15,561.94 , -10010" 440001 4350903 101001-$ 0010 440001 4610105 101001 $ 0010 440001 4617252 101001 $ 0010 440001 4711910 101001 $ 0010 440001 4712523 101001 $ 0010 470001 4613701 101001 $ 0010 440001 4617999 101001 $ 50.00 0010 050 4617998 101001 $ 50.00 0100 4617237 101001 $ r0100 _______4q17240_1011001 -— -- $ � 285:00 1001 280 1011298 $ 184.79 1800 280 1011811 $ 682.00 1800 280 1011815 $ - 1800 280 1011817 $ 1800 280 1011821 $ 1800 280 1011822 $ 1800 280 1011823 $ 1800 280 1011824 $ 1800 280 1011888 $ 1800 280 1011889 $ 1800 280 1011890 $ 1800 280 1011891 $ 1800 280 1011892 $ 1808 280 101001 $ 7,641.02 1810 280 101001 $ 3,541.88 1821 280 1011970 $ 1821 280 1011971 $ 1821 280 1011972 $ 1,464.18 1821 280 1011973 $ - 1821 280 1011974 $ 1821 .280 1011975 $ 1821 280 1011976 $ 1821 280 1011977 $ 1825 280 1011826 $ 217.34 1825 280 1011827 $ 146.20 1825 280 1011828 $ 4.36 1831 280 1011001 $ 28,478.61 1840 280 1011841 $ 906.76 1840 280 1011842 $ 1,349.80 1851 280 1011852 $ 4,285.46 1851 280 1011853 $ 8,315.22 1851 280 1011867 $ TOTAL $ 73,164.56 Revised 11/22/2005 PREPARED BY: Gwyn Benedict ext 7604 Revised 11/28/2005 DATE 5/26/2006 BAG # 330 RANGE OF RECEIPTS: 450618450699 MONEY COLLECTED: 5/25/2006 -10 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 4 10 -0100 -1001 -10 -10 -10 -10 -10 -10 -0100 BUILDING PERMITS FIRE - SRA SMTP FEE COPIES PUBLIC SALES REMOVE NOTICE OF VIOLATION RETURN CHECK FEE AVA COURT RESTITUTION WITNESS FEES RECORDERS FEES FIRE - COMMCL PLNG REV FEES PERMIT# RECEIPT# 4210500 101001 4617240 101001 280 1011298 4711910 101001 4350903 101001 4610105 101001 4617252 101001 4712523 101001 4613701 101001 4617237 101001 060962 450618 $ 1,415.59 $ 9.47 052602 450683 $ 54.99 061249 450684 $ 467.43 043450 450685 $ 109.98 061250 450687 $ 150.00 $ 0.43 060206 450688 $ 5,149.13 $ 146.57 061251 450689 $ 1,735.83 061252 450690 $ 60.00 052545 450691 $ 2,066.51 $ 25.11 051722 450692 $ 329.94 $ 1.84 061253 450693 $ 494.91 060972 450694 $ 329.94 $ 1.37 061254 450695 $ 395.93 $ 95.00 061255 450696 $ 1,251.86 $ 95.00 061256 450697 $ 109.98 061258 450698_ $ 110.00 - 061257 450699- .r _$ 1,329.93 $ 95.00 7 $ 15,561.94 $ 285.00 $ 184.79 $ - $ - $ - $ - $ - $ $ - Page 1 of 4 Revised 11/28/2005 DATE 5/26/2006 BAG # 330 RANGE OF RECEIPTS: 450618-450699 MONEY COLLECTED: 5/25/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 2 of 4 MMMZWTQTT=�� DRAINAGETIRST DEPOSIT TRUST Page 2 of 4 Revised 11/28/2005 DATE 5/26/2006 BAG # 330 RANGE OF RECEIPTS: 450618-450699 MONEY COLLECTED: 5/25/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 3 of 4 FACILITIES ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ Page 3 of 4 Revised 11/28/2005 DATE 5/26/2006 BAG # 330 RANGE OF RECEIPTS: 450618-450699 MONEY COLLECTED: 5/25/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION GRAND TOTAL TO BE DEPOSITED $ 73,164.56 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 5/26/2006 WATERTENDERSHERIFF EH & EQUIP ------------ ------------ ------------ ------------ GRAND TOTAL TO BE DEPOSITED $ 73,164.56 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 5/26/2006 Development .s SefY1G P w��►,A ,^ w U F..:�} Soptomber 30 2040 t _BUILDING _ . ,DIVISION �. Ver. .1.0 Counter Kourtni I Person Fund 10 (Bldg Permits) $1,829.92j SRA Fees (Fire) Payment Date 7/6/2006 ( SHR Fees (Sheriff) $0.00 , ' Permit Number 061257 I SMIP $4,365.64 Receipt Number 456097= I Copies/Document Sales $0.00 Check Number or Cash 5269 I CUA (Chico Urban Area) $0.00 '. Parcel Number 078-360-039 TUA (Therm. Urban Area) $0.00 Applicant RICHARD ARMITAGE I Water Tender Btln #F= $0.00 --- West Chico Fire Station $0.00 Received From • ' SAME AVA Restitution Payment $0.00 • - Total Received Recorders Fees (N.O.C) $0.00 � � f � $6 - - - _ I ,195.56 Thermalito Drainage $0.00 ' Total Fees To Collect $6,195.56 S I Oroville Area Traffic $0.00 Notes: 'NSF (Non Sufficient Funds) $0.00j _ ! Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 •{.. + �. r NCSP Storm Drainage $0.00 r NCSP Fire Station $0.00 NCSP Parks TYPe $0.00 Value. $0.00 REQUEST FOR AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT DEPARTMENT: DEVELOPMENT SERVICES - BUILDING DIVISION DATE: 7/7/2006 BAG NUMBER: 330 RANGE OF RECEIPTS: 456034-456098 MONEY COLLECTED: 7/6/2006 DESCRIPTION FUND TITLE FUND CODE DEPT CODE ACCT CODE CASH CODE AMOUNT BLDG PERMITS BLDG INSPCTN 0010 440001 4210500 101001 $ 12,527.25 REMOVE NOTICE OF VIOLATION GENERAL FUND 0010 440001 4350903 101001 $ CHRG ON RET CHECK BLDG INSPCTN 0010 440001 4610105 101001 $ AVA COURT ORD RESTIT REIM AVA CRT ORD 0010 440001 4617252 101001 $ COPIES COPY SALES 0010 440001 4711910 101001 $ WITNESS FEES BLDG INSPCTN 0010 440001 4712523 101001 $ RECORDERS FEES GENERAL FUND 0010 470001 4613701 101001 $ DEVELOPMENT SERVICES - CWIF PROC FEE DEV SRVCS - CWIF PROC FEE 0010 440001 4617999 101001 $ 100.00 AUDITORS - CWIF PROC FEE AUD - CWIF PROC FEE 0010 050 4617998 101001 $ 100.00 FIRE COMMCL PLNG REV FEES FIRE PROTECTN 0100 4617237 101001 $ FIRE PLNG APPL FEE (SRA) FIRE PROTECTN 0100 4617240 101001 $ 285.00 SMIP FEES SMIP FEES 1001 280 1011298 $ 72.74 SHERIFF DEVELOPMENT (SHR) SHER DEVL FEE 1800 280 1011811 $ 545.00 CHICO URBAN STREET IMPROVEMENT CHICO URBAN AREA 1800 280 1011815 $ OROVILLE AREA TRAFFIC OROVILLE TRAFFIC 1800 280 1011817 $ CHICO VECINO DRAINAGE TRUST CHICO VECINO 1800 280 1011821 $ THERMALITO DRAINAGE THERM. DRAINAGE 1800 280 1011822 $ DRAINAGE DEPOSIT TRUST DRAINAGE DEP. TRUST 1800 280 1011823 $ SUB -DIVISION DRAINAGE TRUST SUB -DIV. DRAINAGE TRUST 1800 280 1011824 $ NCSP -TRAILS SYSTEM NCSP -TRAILS SYSTEM 1800 280 1011888 $ NCSP - ROADS & BRIDGES NCSP - ROADS & BRIDGES 1800 280 1011889 $ NCSP - STORM DRAINAGE NCSP - STORM DRAINAGE 1800 280 1011890 $ NCSP - FIRE STATION NCSP - FIRE STATION 1800 280 1011891 $ NCSP-PARKS NCSP-PARKS 1800 280 1011892 $ - CWIF - GENERAL GOVT. FACILITIES CWIF-GEN. GOVT. FACILITIES 1808 280 101001 $ 1,218.56 CWIF - GENERAL GOVT. EQUIPMENT CWIF-GEN. GOVT. EQUIP 1810 280 101001 $ 562.01 CSD #770 - BUTTE CREEK CSD #770 BUTTE CREEK 1821 280 1011970 $ CSD #771 - COMANCHE CREEK CSD #771 COMANCHE CREEK 1821 280 1011971 $ CSD #772 - LITTLE CHICO CREEK CSD #772 LITTLE CHICO CREEK 1821 280 1011972 $ CSD #773 - BIG CHICO CREEK CSD #773 BIG CHICO CREEK 1821 280 1011973 $ CSD #774 - LINDO CHANNEL CSD #774 LINDO CHANNEL 1821 280 1011974 $ CSD #775 - S.U.D.A.D. DITCH CSD #775 S.U.D.A.D. DITCH 1821 280 1011975 $ CSD #776 - MUDD-SYCAMORE CREEK CSD #776 MUDD-SYCAMORE CREEK 1821 280 1011976 $ CSD #777 - P.V. DITCH CSD #777 P.V. DITCH 1821 280 1011977 $ CWIF - LIBRARY - FACILITIES CWIF-LIBR - FACILITIES 1825 280 1011826 $ 441.54 CWIF - LIBRARY - MATERIALS CWIF-LIBR - MATERIALS 1825 280 1011827 $ 297.02 CWIF - LIBRARY -VEHICLE & EQUIPMENT CWIF-LIBR - VEH & EQUIP 1825 280 1011828 $ 8.86 CWIF - ROADS & BRIDGES (NCSP/CUA) CWIF-ROADS & BRIDGES 1831 280 1011001 $ 2,451.66 CWIF - SHERIFF - FACILITIES CWIF-SHR - FACILITIES 1840 280 1011841 $ 573.70 CWIF - SHERIFF - VEHICLE & EQUIPMENT CWIF-SHR - VEH & EQUIP 1840 280 1011842 $ 279.93 CWIF - FIRE - FACILITIES CWIF-FIRE - FACILITIES 1851 280 1011852 $ 671.50 CWIF - FIRE - VEHICLE & EQUIPMENT CWIF-FIRE - VEH & EQUIP 1851 280 1011853 $ 1,296.20 WATER TENDER FEE BATTALION #7 1851 280 1011867 $ .TOTAL $ 21,430.97 Revised 11/22/2005 PREPARED BY: Gwyn Benedict ext 7604 Revised 11/28/2005 DATE 7/7/2006 BAG # 330 RANGE OF RECEIPTS: 456034-456098 MONEY COLLECTED: 7/6/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 4 10 -0100 -1001 -10 -10 -10 -10 -10 -10 -0100 BUILDING PERMITS FIRE - SRA SMTP FEE COPIES PUBLIC SALES REMOVE NOTICE OF VIOLATION RETURN CHECK FEE AVA COURT RESTITUTION WITNESS FEES RECORDERS FEES FIRE - COMMCL PLNG REV FEES PERMIT# RECEIPT# 4210500 4617240 280 4711910 4350903 4610105 4617252 4712523 4613701 4617237 101001 101001 1011298 101001 101001 101001 101001 101001 101001 101001 060612 456034 $ 1,585.43 $ 12.54 061616 456077 $ 395.93 $ 95.00 061618 456078 $ 165.00 061365 456079 $ 90.00 $ 0.53 061040 456080 $ 329.94 $ 8.13 040361 456081 $ 109.98 060870 456082 $ 1,187.78 $ 14.98 061619 456083 $ 165.00 061617 456084 $ 340.94 061620 456085 $ 1,845.81 $ 95.00 061621 456086 $ 329.94 $ 95.00 061622 456087 $ 340.94 052006 456088 $ 90.00 $ 0.24 061623 456089 $ 110.00 061624 456090 $ 165.00 060835 456091 $ 1,542.97 $ 12.04 061625 456092 $ 461.92 060652 456094 $ 643.39 $ 3.82 061626 456096 $ 153.97- --061257— —456097— "" 1,829.92' 4-16.53- $ 16.53-0 061390 1390 — -456098— $ 643.39 — $ — 3.93" — —"— $ 12,527.25 $ 285.00 $ 72.74 $ $ - $ - $ - $ - $ - $ - Page 1 of 4 Revised 11/28/2005 DATE 47/6/2006 BAG # RANGE OF RECEIPTS: 4 MONEY COLLECTED: DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET -'BUILDING DIVISION Page 2 of 4 ' - w A Revised 11/28/2005 DATE 7/7/2006 BAG # 330 RANGE OF RECEIPTS: 456034456098 MONEY COLLECTED: 7/6/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 3 of 4 DRAIN ARIEA 9771 ------------ ------------ ®oo®o©oo©moo® Page 3 of 4 Revised 11/28/2005 DATE 7/7/2006 BAG # 330 RANGE OF RECEIPTS: 456034-456098 MONEY COLLECTED: 7/6/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION GRAND TOTAL TO BE DEPOSITED $ 21,430.97 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 7/7/2006 SHERIFF FACILITIES ------------ ------------ GRAND TOTAL TO BE DEPOSITED $ 21,430.97 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 7/7/2006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061257. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN: 078-360-039-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 3561 ORO BANGOR HWY ORO Date: Contractor: Map Index: Description: NSF 2266 Descri p ( ), GAR(529), COV(330) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ARMITAGE, RICHARD AND DEANNA 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 107 RIVERVI EW DR 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).): 530-589-1101 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: ARMITAGE, RICHARD AND DEANNA 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 107 RIVERVIEW DR year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or Improve for the purpose of sale.). 95966 530-589-1101 ❑ 1, 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: ❑ lam Exempt under Articl h B�ssdfessions Code Dale:` b Owner: WORKERS' COMPENSATION D CLAR TION I hereby affirm under penalty of perjury one of ft folldving declarations: ❑ I have and will maintain a certificate of co ent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: FLT Insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 3125 S.F. 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 Valuation: $165,266.00 become 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. w L 1 _� Date: Applicant:-L�OID is WARNING: Failure to secureworker compensation coverage unlawful, and shall subject an a to criminal penalties and one �( •J hundred thousand dollars ($100,000), In addition to the cost of +r y J I 56a compensation, damages as provided for in Section 3706 of the Labor fees. (; r%- G- OG code, interest, and attorney's CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the RR sol 11 s to do work in is ted above for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) By Date: ,�� Name: _ 017 PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner�th ul thori 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 oo ' i I o r document of Butte County. I hereby authorize representatives of Bul a County to enter upon the above mentioned property for Inspection purpos Print Name: Signature: -7 Date: k"Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttec_ounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner App Date: ARMITAGE r,/,:)t;rnnna APN No: 078-360-039 Permit Type: BUIICiin Subtype: Rest{ag Permit No: BP 06-1257 Permit Desc: . New 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 $3,049.87 ` $1,219.95 $1,829.92 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $1,314.95 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,424.93 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $6,195.56 4 Balance of Building Permit Fees (from No. 1 above) DRAINAGE FEES* 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 8486.40 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 7 Other*: 7491.04 8582.40 7a Other*: 8390.09 6984.04 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling 7289.40 RECEIPT Applications After 64/15106 ,> SFD ,cF MFD $4,349.11 A County 1 4249.11 3183.54 3238. Chico Urban Area 6146.23 4538.82 5648. EI Medio Fire District 3249.97 2385.76 2422. RECEIPT DATE Tech/Asst q go 69q 5/25/06 Kourtni $1,829.92 $16.53 North Chico Specific Plan WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value R-1 8897.09 7491.04 8582.40 776 Mud -Sycamore Creek $6,275 do R-2 8390.09 6984.04 8075.40 R-3 7604.091 6198.041 7289.40 RECEIPT Processing Fee is automatically added to impact fee total 1 $100.00 $4,349.11 A 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Undo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW DATE Tech/Asst 7 -Q -M IF RECEIPT DATE Tech/Asst 11 THERMALITO DRAINAGE AREA I $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* : Oroville Union High School 092 I ,, iYlui�d a1t))1er �{VI 12a RECREATION DISTRICT FEES* Oroville �L �a �fq��es}3,�b. 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. D. Applicant: Date: Pursuant to Governmen code Section are reby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or fro the imp stion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a . K:/Building/Forms/Schedule of Receipt Fees Residential 041506 es PERMIT NO.: 55-06 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 (530) 533-2000 DISTRICT APPROVAL AND VERIFICATION OF BUILDING SEWERS INSPECTION This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval of a Building or an Occupancy Permit by Butte County, a copy of this verification form, signed off.by Lake Oroville Area Public Utility District, must be submitted to Butte County. Dater July 6, 2006 ti Richard Armitage Applicant: 107 Riverview Dr. Oroville CA 95966 Applicant Address: 828-1952 cell Deanna Applicant Phone No.: Property Locations(s): 3561 Oroville Bangor Hwy Oroville CA 95966 Villa Verona Wall map #12 a portion of lot 11 blk 27 A. P. No.(s): 078-360-039 Fees due: Estimated fees paid as of 7/6/06 Application for service approved Inspection(s) made and successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit: Date:' By: - In Service 0 -Locked Out ,r. ru%nti DISTRICT Date: White - Customer Green - Office Final' Yellow - CustomerFinal Pink -FOS Final Gold -FOS REQUEST FOR CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT hereinafter referred to as "Applicant", being the property owner or owner's agent desiring sew,ervice, hereby requests Lake Oroville Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service_. ��� l Location of property: y c A.P.#:g - p -'ted Q Property Annexed ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: Residential ®—Residence of Owner ❑ Rental (single family) ❑ Rental (duplex) ❑ Apartment El Industrial El Commercial -�- ot#: _ Block#:� No. of E.D.U.'s this permit: 1` Multiplication Factor: 1 "Monthly Charges: o Capacity Charge: NOT Connection Fee: 2 Total Amount Payable This Permit: I�G nA ❑ Site plan reviewed ❑ Jobsite reviewed Remarks: The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances, rules, regulations andclicies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abide by ddnn fully perform. Applicant agrees to pay for such service at rates and charges as are s a hecRiv D trot f om time to time. Signaturefoo A plicant . Name of Owner if not Applicant o �t 9 Mailing Address plicant Mailing Address of Owner Phone # of Applicant: IRantmc- - Phone # of Owner: 533 -9 415-R,d,a, d - W o-tk CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 1. In accepting this application, District does not hold itself liable to Applicant for failure to perform any of the obligations imposed upon it or assumed by it under this application if such failure be caused by accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's lines to handle the sewage or nay other cause beyond reasonable control of District. . . 2. Installation of the, sewer service line pertinent to this application shall conform in all respects to District's specifications.. 3. All structures, fencing, spoil materials. engineered rill and retaining walls shall be placed on the Property so their gravity /oadin_g is outside of the sanitary sewer easement. 4. Applicant shall secure permit(s) as necessary from the County of Butte prior to doing any work, including encroachment.permits when work is within county right of way. 5. Installation of the subject sewer line shall be at the sole cost and expense of Applicant. 6. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. ---- - - ___ ._.� ,. 7. All work shall be inspected and approved by District.`'`':' 8. Subject to the above conditions aDistrict Approval and Verification form may be issued as the District's permit. 9. This permit is valid for one (1) year. If work is not completed within said year, permit renewal will be required, together with payment of any increase in capacity fee, connection fee and/or SC -OR Facility Charge. Payment of Fees/Charges required prior to final LAKE OROVILLE AREA P. . inspection Pa ment received by: / Date: (o Receipt # :3(D � By: ❑ CASH [CHECK # SZDate: b $ Permit #: s 0 *Monthly charge payable at the current rate at time of connection. C., LOAPUD Dry Weather Estimate 7/6/2006 PROJECT LOCATION: 3561 Oro Bangor Hwy INSTALLATION DATE: A.P. NUMBER: 078-360-039 (retired 036-460-083) CONNECTION DATE: OWNER: Richard Armitage 533-9475 wk Deanna cell 828-1952 ADDRESS: 3561 Oro Bangor Hwy Oroville Ca 95966 Qty. Unit Orenco part # Unit Price Extension 1 ea. Septic Tank includes freight $1,367.30 $1,367.30 ea. Riser, 21"x 12" $26.60 ea. Access Riser Perma Loc 24 X 12 OPR24 12 $48.26 1 ea. Access Riser Perma Loc 24 X 18 OPR24 18 $69.71 $69.71 ea. Access Riser Perma Loc 24 X 24 OPR24 24 $105.22 ea. 21" Fiberglass Lid w/gasket OFL21G $67.78 1 ea. 24" Fiberglass Lid w/gasket OFL244B $52.97 $52.97 160 If. 1-1/2" PVC Pipe sch 40 $0.75 $120.00 If. 1-1/4" PVC Pipe $0.63 10 If. 4" ABS Pipe $1.70 $17.00 1 ea. 4" ABS 2 -way C.O. $27.00 $27.00 1 ea. 4" ABS Plug Sq. Hd. $2.99 $2.99 1 ea. 4" ABS Adpt. SFGXF $5.71 $5.71 1 ea. 4" ABS Cplg. HxH $4.24 $4.24 1 ea. 4" Femco Coupling $8.91 $8.91 2 ea. 1" Gromet $3.45 $6.90 1 ea. Conc. Meter Box, 13 x 24 $27.00 $27.00 3 ea. Conc. Meter Box Ext., 13 x 24 $12.67 $38.01 1 ea. Steel Cover $102.42 $102.42 1 ea. 3"x 1-1/2" PVC Sch.40 Saddle $10.73 $10.73 1 ea. 1 1/2" Ball Valve 2339-015 Spear $16.09 $16.09 1 ea. 1 1/2" Check Valve 2239-015 Spear $49.34 $49.34 ea. 1-1/2" x 1-1/4" PVC Tee $1.50 1 ea. Splice Box W/4 cord grips OSB4 $35.75 $35.75 1 ea. Simplex Biotube Pump Vault OPVU-57-18-19 $260.25 $260.25 1 ea. High Head Effluent Pump, Y2HP OP100611 $447.23 $447.23 1 ea. Hose & Valve Assembly SP-OHV100 $55.25 $55.25 ea. Sgl Float Assembly OMF1T $26.27 1 ea. Stem Pump Vault Float Assy OMF3AYGRW27V $78.72 $78.72' ea. Float Assembly OMF4AYPBRW27V $104.89 1 ea. Simplex Panel W/RO, ETM & CT OSIROETMCT $457.10 $457.10 ea. 12" biotube filter w/slide rail SP -OFT 1254-36R $511.04 ea. 12" biotube filter SP -OFT 1248-36LO $449.00 180 If. Tracing Wire $0.16 $28.80 1 ea. Epoxy ADHQ10 $24.29 $24.29 ea. 4" ABS 1/4 bend $3.60 ea. Valve box and lid $9.00 1 ea. 8' 6x6 treated post $27.54 $27.54 ea. 3" Coupling $4.00 Total Plumbing Parts $3,341.25 $3,341.25 18 hr. 410E John Deere $55.00 $990.00 ea. Septic Tank Pumping $115.00 5 hr. Dump Truck $52.00 $260.00 hr. Case Trencher $19.50 hr. Truck & Trailer. $62.00 TOTAL -Equipment $1,250.00 $1,250:00 3 hr. Superintendent $48.00 $144.00 18 hr. Foreman $40.00 $720.00 16 hr. Operator $37.00 $592.00 16 hr. Utilityman $31.00 $496.00 hr. Clerical $36.00 hr. Manager $55.00 6 hr. Engineer/Surveyor $150.00 $900.00 2 hr. Engineer's clerical $60.00 $120.00 TOTAL - Labor $2,972.00 $2,972.00 21 Ton 1/4" Screen Sand (Washed) $9.25 $194.25 24 Ton 1/4" Pea Gravel $10.00 $240.00 Ton 3/8" Pea Gravel $11.25 1 Ton 3/4" Aggregate Base $10.35 $10.35 1 Ton 1/2" Asphalt Concrete $56.00 $56.00 Sub -Total -Aggregate $500.60 Sales Tax - - - -- $36.29 $536.89 1 ea. Electrical Facilities $4,000.00 $4,000.00 $4,000.00 ea. SC -OR R.F.C. $1,318.00 1 ea. LOAPUD Connection Fee $700.00 $700.00 ac. LOAPUD Annexation Fee $700.00 1 ea LOAPUD Capacity Charge $1,860.00 $1,860.00 TOTAL - Fees & Charges $2,560.00 $2,560.00 ea. Encroachment Permit $66.00 $0.00 $0:00 TOTAL Misc. TOTAL PROJECT COST $14,660.14 $14,660.14 Estimate Only Any increase will be billed to the customer and any decrease will be refunded. AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 7 State of California.,� County of B�� personally appeared KLCA-i *r -D S. )4F -r1 PuY kuaw*4&ine (or proved to me on the basis of satisfactory evidence) to be the person(4 whose nameVis/aye-subscribed to the within instrument and acknowledged to me that he/shehimy'executed the same in his/her4heir authorized capacity(), and that by his/her4 eir signaturea'f on the instrument, the person(b'j or the entity upon behalf of which the personx acted, executed the instrument. WITNESS m0an official seal. JUDITH M. WILLIAMS Signature Seal: 0 COMM. #1660459 3 i NOTARY PUBLIC • CALIFORNIA n BUTTE COUNTY + Comm. Exp. APRIL 25, 2010 A.P 2006-0034595 AND WHEN RECORDED MAIL TO: Recorded I RE.-; tEL 10. NU Official Records 1 BUTTE COUNTY BUILDING DIVISION County of I COPIES 2„,J Butte i 7 COUNTY CENTER DRIVE CANMACE J. 6R13BB5 'I OROVILLE, CA 95965 County Clerk-Reeorderl jj L &�'tG.fCl S, AYLti/u I I KL a .,z Dwivia 2:03PM 06 -Jul -M6 I Gage i of 2 . 16� PIVZ1(VI.ZW ort►y I) Nf, 1 Inc , AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 7 State of California.,� County of B�� personally appeared KLCA-i *r -D S. )4F -r1 PuY kuaw*4&ine (or proved to me on the basis of satisfactory evidence) to be the person(4 whose nameVis/aye-subscribed to the within instrument and acknowledged to me that he/shehimy'executed the same in his/her4heir authorized capacity(), and that by his/her4 eir signaturea'f on the instrument, the person(b'j or the entity upon behalf of which the personx acted, executed the instrument. WITNESS m0an official seal. JUDITH M. WILLIAMS Signature Seal: 0 COMM. #1660459 3 i NOTARY PUBLIC • CALIFORNIA n BUTTE COUNTY + Comm. Exp. APRIL 25, 2010 A.P Me Order No. 00226712-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 28, 2001, IN BOOK 152 OF MAPS, AT PAGES 2 AND 3. RESERVING THEREFROM THAT PORTION OF THE 60'X 60' COMMON DRIVEWAY EASEMENT LYING WITHIN THE ABOVE DESCRIBED PARCEL OF LAND, AS SHOWN ON SAID PARCEL MAP. SAID EASEMENT 1S FOR THE BENEFIT OF AND APPURTENANT TO PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 28, 2001, IN BOOK 152 OF MAPS, AT PAGES 2 AND 3. AP NO. 036-460-083 PARCEL B: TOGETHER WITH AN EASEMENT FOR COMMON DRIVEWAY PURPOSES OVER THAT CERTAIN 60'X 60' COMMON DRIVEWAY EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 28, 2001, IN BOOK 152 OF MAPS, AT PAGES 2 AND 3. EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE ABOVE MENTIONED PARCEL A. p�P ENT -OA-0 °�vTTFo l�e�artment ®f Public Works ° �° C o u n t y o. f B u t t e o p ° 7 County Center Drive 0 0 Oroville, CA 95965 C y J. Michael Crump, Director (530)538-7681 p O V N-� 5 (FAX) 538-7171 �Lrc WOR Shawn H. O'Brien, Assistant Director Assessors Parcel Numbena 7 _Building permit # Owners Name: Owners Mailing Address: Property Address: S ei ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: ❑ Not a County maintained road Existing driveway conforms to County S-31 standard ❑ Other Approved by Printed Name /20 la 1 s Titley / elf- 4 Date Mn CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District OV j' R( Building Departm t No. nr419 EU A.P. Number 0.21 (fnn- 0',�q Jurisdiction: 0 City County Property Owner 1 Property Location/Addressi�(� 1 Subdivision Lot No. ........................................................................................ Residential Development Q Q Q Sq. Footage 9 rnG .,No of Living. _Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Pejmit # '• *(No foundation inspection) ........................... ........................................ 1 Deed Restricted Sq. Footage ? (Attach?6 signed copy of DeedResyriction and Notice of Limited,,Use-Facilitytdocument) Commercial/Industrial Q 0 Sq. Footage New Addition (Including Exterior Roofed Areas) District Identification No. V . i lX VI YIN oyY . In School District certifies that (Street Address) (City) (State) has complied with the requirements of Resolution No. 1z:>S-- representing W square feet. h h School District Paid by Check # \ Remarks: Date -ryn ��- (Applicant) (Phone Number) (Zip Code) by payment of $ 5'95- B 2926 ; $ ULL MITIGATION- + :1�a Db Date fllotlee : You may protest the Imposition of the fees Identified above by submitting a written protest to the DlsWct, in compoanee with Government Code Section 66020(a), within 90 days from the date fees are paid. Fallura `io submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. ' If. subsequent to Bre School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project 1s being reviewed under the California Environmental Quality Act (CEGA). this project may be subject to additional school fees to fully mitigate Its WOW on the school dilsirWs schools. White (school district), Yellow (building department), Pink (applicant). feulormids (3(05)dfim BUTTE YOUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �Building Pen -nit Number C812P1 Property Owner (s) Project Location /� Subdivision Name Assessable Sq. Ftge ' ' Q) 6 Type o1 Residential Development (check one) New Development Single Family -Detached - Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile -home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Department Repres&4Abve , Date ❑ FRRPD 0 CARD ❑ PRPD 0 DR.PD certifies that: Applic tN Phone Number mut t Q�01 10-7 Kt rl v Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: 6a,90 Paid by Cash: and Park District Representative per unit for a total of $ / IOb - 00 per sq foot for a total of $ 11 Receipt No: l % 5 LO NOT�',S t r• ldl,-otO i �-� Cs +-r CHIrvIAvE(/-To-/Zoo F OK 7-0 4do v • { 078;360-039-s,=; +06-1257• �T „PM„ ARMITAG_E,-FtICHARr),t, ��} , w 3561 ORO BANGOR HWY; :iUVILLE `- NSF/GAR/DECK(COV) l- a Y•^t ,-ter. r� c`.7'rum IV `1 1 A L APN: Permit No. _ Owner. _ Site Address: Address'"$' Contractor. � • Type of Permit: �— GASt--'Date Meter�'By• ELECTRIC � ;.tea By Date Meter T- �i i t< 078;360-039-s,=; +06-1257• �T „PM„ ARMITAG_E,-FtICHARr),t, ��} , w 3561 ORO BANGOR HWY; :iUVILLE `- NSF/GAR/DECK(COV) l- a Y•^t ,-ter. r� c`.7'rum IV `1 1 A L APN: Permit No. _ Owner. _ Site Address: Address'"$' Contractor. � • Type of Permit: �— GASt--'Date SPECIAL CONDITIONS CHECKED BY RA s ] FLOOD CERTIFICATE EQUIRED ] FIRE SPRINKLERS REQUIRED ] SPECIAL INSPECTION ITEMS ] VERIFY �]:Us PERMIT CONDITIONS ),SUB -STANDARD HOUSING LETTER ] ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE YG_ 057- z DATE JOB FINALED: SIGNATURE: C�� Q, M ' OFFICE�COPY _ Address'"$' __ , • - , • .f � • �— GASt--'Date Meter�'By• ELECTRIC � ;.tea By Date Meter T- SPECIAL CONDITIONS CHECKED BY RA s ] FLOOD CERTIFICATE EQUIRED ] FIRE SPRINKLERS REQUIRED ] SPECIAL INSPECTION ITEMS ] VERIFY �]:Us PERMIT CONDITIONS ),SUB -STANDARD HOUSING LETTER ] ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE YG_ 057- z DATE JOB FINALED: SIGNATURE: C�� Q, M =OK 0 = Not OK MANUFACTURED HOMES 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Gmd 'Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers a.3 �s' a•3 �s' , F I MISCELLANEOUS-. --DATE DECKS'COVERS•CARPORTS'GARAGES 1 Zoning -Setbacks -Easements s 2 Ftgs; SoilsSz-DpthSpacing-DnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4 trs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSpiice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds4Utrs Trusses .9 Siding; Nailing -Veneer -Stucco Lath 10 Roof; Shthg-Rooflng 11 Ext; Steps -Doors -landings 12 Braced Wall pnls . # DATE JPOOLS - 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 voles-GFI 6 Elec.Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-p nlboardsansultn to Main Conduit 9 Health Dept Appivl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or. Slide -=OK 0 - Not OK RESIDENTIAL Single & Duple I DATE JUNp,ERFL00R .017Z ingSetbacks-Easements-Flo Slo e tz _Joain; Soils-Elec Grnd VPZ j� Ftp Dgth tg Garage; SoilsSteel-Elec Gmd Ftg Dpth d Ftg Porches/Decks; Soils -Steel Ftg Dpth 5S walls Main; Steel-Blockouts Wrapped S mwalis Garage; Steel-Blockouts-Wrapped Downs and Special Anchrs Slab, Steel Wrapped X,"t; r3-Frplc Ftg-Steel V; Fail-FitUng-Test-2-way CIO -Sewer Test Gas Pipe; Sz Anchrs-Sz Test Pipe; Test-Anchrs-RgWServlce Test ASAcc&NMD drgmd s & Ducts; Clmc-MaterialSupportansultn Sills-Anchr BoltsJoists Vnts-Cripples 16 Insulation -0 sa. ZS- � -- i.�'r DATE IFR ING 11 Proper Materials & Anchrs 1 Is Studs -Nailing Spacing & Braces -Plates -Sound 1 VagAng Walls over Girders 8 fir Nailing 0,2 rgftFT Stop In Walls (rat proof) Stops, Furred CeilingsStairs-Chasers-Tubs 2ZHqders & Beams-Sz & Bearing 2 angers -Post Caps-Anchrs-Cnnctns WT]e' 'ig Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg or Type A Flue-Frplc Throat Clmc Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles Wndws or Exiting DoorsSiilimensions /-f- 7 - 8 g0age Fire Prtctn Framing-RC.Efiann �Pr rty Line Firewall & Opngs oors-One X -Check Garage 3rd Story, 2 Exits tairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn so -0-0('C' O• -b C• 3rPlyw Roof Ovrhng-Attic Vnts-Rftr Outrgrs 3 ng -Nailing Veneer Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Ace 38'G zing Area -Glass PrtctnSkyLts-Plastic . io./J-Oc�COco�C, "-1hear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 36-ts ultra -Walls -Ceilings 39 Infiltration -Walls -W s DATE JELEC RICAL 40 Trnsfrmr Clrnc-Ins Prtctn 41 ec Rcptcls Spacing-Lts & Switches at Doors 4 SyBoxes & No Of Cndctrs Stapled 43 omex Installed Close to Edge of Studs & CJ 4t'F�q Grnd made up w/Mech Fstnrs 48�mdng Electrode Bond Gas & Wtr Appinc Cires in Ktchn & ndctr Sz GFI 7 Subfeed Wire Sz � ❑ CU or 9E'Wire Szw accou orA8 Range Circ Q y� or DAL Oven Circ 0 CU or QAL Insulated Neutral E] Yes [:1 No 49 ervice-Riser Cndctrs & Grnd Main Dscnnct Eqp Clrncs pnls-Motors ch Eqp LClothes Closet LtShr_91 a Lt moke Detector oma — 0`1 90 Vent Acc-Cmbstn Alr Baffle St'W pe est & Anchr-Nail PrtcW est Fittings & Anchr Wail Prtctn i10 ,9'i j7 - Shwr Pan; Test, First fir -Tub Ace 57 Jest Tuii & Shwr, 2nd fir - Tub Ace Gas Pi e; Sz & Anchrs ��rinklery Test z.�2A,o 71z,T• Yard Gas Pi ng up►�t40- IMFrCHANICAL /1C Ducts Insultn & Support " ent Fan, Exhaust abv Insultn 63ondensate Drain & Ovrf w, Sz & Grade Furnace --Vent cc -Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & tfrin if Furnace in attic 66 xt Steps -Door & SideLt Prtctn-Landings 61✓moke Detector G8-Famace Vnts-Clmc-Comb, Air-Cnnctr "rage; abv-flr-Ducts-Mach Prtctn Broom Exiting 16 G th Fxtrs & Tub Ace -Spa Fault c Trim & Subpnl, Breaker Szs & Labels i�uard/Handralls >F4-�rpic or Stove, Cimc-Hearth Outlets at Wood Pnl, Int & Ext Mm4an. Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc I utlets & Rcptcls at Ktchn Counter 3EParage Fire Door; Swing -Landing -Closure D-AC-06et in Garage -Damper 8 tr Htr, Vnts.CImc-Com Air Cnnctr-PRV; abv fir e rtctrr LPG Appince Undr House 3" drain t I &Mech Eqp Listed for Loctn ptcls in Garage (GFI) Romex Prtctn stn -Foam -Looked in Attic ua Rails & Deck Cnstrctn-Post Caps 85 do Vnts & Crawl Hole Door Drn e & Wood -Earth 86 qjP_K:8Yn-ge Planters Yes Q No BfCDscnnct, Elec-Plmb rats abv Roof, Plmb-Appinc-Frpic-CImc to Opngs 90'WF Well, Dscnnct, Elec, Plmb $$1 Ex�lec Trim, GFI Rcptcl-Undrgrnd 9jnUtn thru House 99 -Corr ns from previous Irispctns esteters Tagged, Gas-Elec ter Cnnctd-C/O to grade -HD Apprvi mpinc Cert -Other Certs Address Posted 99 Fire Sprinkler COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA e (530) 538-7541 CORRECTION NOTICE 6 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining !p4his matter, or need additional explanation, please contact the Building Inspector as indic ed below. I Inspector Date Q _Q REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. �A '-a c A k —1-S, - I e ( 0 C J A . / , At -/I' 1� F _1�/ �'3 '/_\ C r kj C_ 5'! p FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 A., Date 2 ? Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive e Oroville, CA * (530) 538-7541 CORRECTION NOTICE 0( V-2 OWNER PERMIT NO. �C% A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, o ditional explanation, please contact the Building Inspector as indicated below. �Jry----n 4-o 4. Date Inspector REV 4/05 Phone# FOR,.R&INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE' -BUILDING DIVISION DEPARTMENT q -F DEVELOPMENT SERVICES 7 County Center Drive Ciroville, CA (530) 538-7541 CORRECTION NOTICE 66 - OWNER PERMIT NO. A routine inspection indicates that the following violations *of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional xplanation, please contact the Building Inspector as indicated below. 0 r c) 4AC LC _6 -1rik-S G v\ (tvY kro v,,c(e i td. " /�o . J, -n U5-- [S ce., LD V L-.- .5 -d -&,k IL e- e ou, All 5 bj, f F4 U e 6j Vtx C__ f z-_ ea,< le - AV, a Z9 -ro r Of q. S -f /OA 1- 14' dco Jr f)— V dg LAJ (,,L I,,- ko- C, g�4- D' Inspect ate REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 . . ................ COUNTY OF BUTTE BUILD17NG DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive 9 Oroville,�QA 9 (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. A /A,/ f 4/ A -71 -a -l", 41 oz/,/ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Z) P/fi zc j CA 7 417 all 'f "1'1<1(_f /;k/// If I CII -1111-16Z 13eae1z11_11_ Z &-W 7 /A,/ f 4/ A -71 -a -l", 41 oz/,/ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 INSTALLATION CERTIFICATE (Part 1 of, 13) CF -6R SITE ADDRESS Dra ��n o� �� PERMIT NUMBER 634C- 6 -p -00 An installation certificate is required to bV posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip. Type (pkg. heat pump) CEC Certified Mfr Name and Model Number g w,411Systems # of Identical Efficiency (AFUE, etc.)' [a -CF -1R value] Duct Location (attic, etc.) Duct or Piping R -value Heating Load (Bru/hr) Heating Capacity (Btu/hr) r'"Ilkc SO 9,310 `7 E 4R 01 <R0 5/o -. �1�c G(� L 2/moi/0 ?u, Coo PcacE, I V0% Cooling Equipment Equip. Type (pkg. heat pump) CEC Certified Mfr Name and Model Number R"jj # of Identical Systems Efficiency (AFUE, etc.)' [1?CF-1R value] Duct Location (attic, etc.) Duct R -value Cooling Load (Bru/hr) Cooling Capacity (Btu/hr) I. f3 4s 030 415 1 1 13 See -A, 41, C 44, Z 22. Ft -cj 31j oov rLRNA-�363n�Kob6 Z 23 °760 30 o00 1. z reads greater than or equal to. I, the undersigned verity that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential building, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. f G l tp Signature, Date Installaing Subcontractor (Co. NamJ) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Heater Type CEC Certified Mfr Name & Model Number Distribution Type (Std, Point -of -Use) If Recirculation, Control Type # of Identical Systems Rated 2 Input (kW or Btu/hr) Tank Volume (gallons) Efficiency' (EF, RE) Standby 2 Loss (%) External Insulation R-value3 2 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3 R-12 external insulation.is mandatory for storage water heaters with an energy factor of less than 0.58. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111. I; the undersigned, verity that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that speci- fied in the certificate of compliance (Form CF -IR) submitted for compliance vrith the Energy Efficiency Standards for residential buildings; and 3) equip ment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occvupancy GRAPHICS (NEW 12-03) -11 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R - _ A P j Address Builder Name Builder Contact --,-: 7 H A H RS Rater Cerfifying Signature �y Firm: Street Address kO j�- Telepbone _ , n Plan Number Telephone - Sample Group Number 0 "1 Date Sample House Number HERS Provider: City/State/Zip: 01 co � _ / f0 Copies to: Builder, HERS Provider and Building Department HERS RATER COMP CE STATEMENT The house was: ✓ ested ✓ ❑ Approved as pari sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on.this form complies • • with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF4R until a properly completed and signed CF -6R has been received for the sample andel tested buildings. [;Y he installer has provided a copy of CF -6R (Installation Certificate). 17' New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ucts). KY New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ O MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values I Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ ooling ✓ ❑ Heating) or ✓ ❑ Measured _0 Enter Total Fan Flow in CFM: ®fes v/ ✓ 3 Pass if Leakage Percentage < 6% [ 1`00 x [ .i(Line # 1) / 1.20QLine # 2)]] �'� p �s ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out.^ 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chane-Out. Enter Reduction in Leakage for Altered Duct System 6 [ (Line # 4) Minus .(Line # 5)] - (Only if Applicable) 7 Enter Tested Leakage FIow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage _< 6% 100 x Line # 5 / Line # 2 ❑Pass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ V, Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage:- 15% [100 x [_(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage 5 10% [100 x (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >_ 60% [ 100 x [= _(Line # 6) / (Line # 4)11 11 and Verification b Smoke Test and Visual Inspection ' ❑Pass ❑Fail 12 Pass if Sealingof all Accessible Leaks and Verification b Smoke Test and Visual Inspection '�„ 13 Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass 11 Pass 13 Fail Residential Compliance Forms March 2005 I CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page Sof 8), CF -4R Project Address I Builder Name Builder Contact Telephone Plan Number HERS Rater11PPh AF o Sample Group Number v/ Com pliance Metflod (Prescriptive) 0 No Climate Zone Cern i �ature -,Date Sample House Number Firm W. 9. instillkil ey *Oific equipment MI'b d. HE F R[ovi er Street Addres L C, /S te/zip: Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT�r.,.- The house was: %1" UTfs-ted OT Approy d_� �. U* p ofislample testing,but was not tested As the HERS rater providing• diagnostic testing ai!%! verification-OV66rtify that the house identified on this form complies with the diagnostic tested compliance requirements as c51 k6d- ec ww is, ✓ The installer has provided aC !6f CF -6R (Install4tiffikCi ertificate). ME 1 '50 �LVE (,T HE W Procedures for field ver ification fflihMe-, 62y6ti qx,WhsiJonAid%eq' WA CAUM. Appendix Ri. P g V 11 REFRIGERANT CHARGE Verification for Reouired Refrigerant JRms without Thermostatic ExnanSion Valve'.q Outdoor Unit Serial # R V, V/ Access isl`6roVid dl inspection.'The' be 4re* hall consist of 5 v/ M-Ye—s 0 No vigiWwd-tifidAti h.1, the TXV is installed �m system;and R19VOI the d Outdoor Unit Maker, W W. 9. instillkil ey *Oific equipment MI'b d. V AD &Js a pass Pass Fail V 11 REFRIGERANT CHARGE Verification for Reouired Refrigerant JRms without Thermostatic ExnanSion Valve'.q Outdoor Unit Serial # R Location Outdoor Unit Maker, W V AD Outdoor Unit Model Cooling Capacity --Btu/hr Date of Verification Date of Q Ga4ge Calibration' do'hi f 1& Date Aermoc6uple ali i Khe&ed Y `Q Standard ChdF4PP suremen A- r air div-bulb-55=°Fandlbo Note: The system should be installed and charged in accordanc:q' ith the in cturer's specifications and i nstal I ei. verification shall be documented on CF -6R before starting this procedure. if outdoor air dry bulb is below 55 F rater shall use the Alternative Charge Measure'Procedure INSULATION CERTMCATE Job Number: 9242 SHANE ARNIITAGE 3561 ORO BANGOR HWY, _OROVILLE CA Contractor/Owner Name Job Address (street, cite, state) BUTTE County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: Thickness (inches): 1_ j Brand Name: Thermal Resistance (R -Value): Batt or Blanket Type: Brand Name: Thickness (inches): Thermal Resistance (R Value): Loose Fill Type: Fiberglass Brand Name: Knauf Minimum Installed Weight/ft .56.9 lb Minimum Thickness: 13 inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): 38 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: Brand Name: Thickness (inches): .. Thermal Resistance (R -Value): B. Exterior Foam Sheathing Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 4. RAISED FLOOR Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 5. SLAB FLOOR/PERIMETER Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): Perimeter Insulation Depth Inches: 6. FOUNDATION WALL Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency b'tandards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. 2 _�. Chico..Insulation& Fireplaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner • y INSULATION CERTIFICATE Job Number: 9242 , SHANE ARNHTAGE 3561 ORO BANGOR HWY, OROVILLE CA Contractor/Owner Name Job Address (street, city, state)'' BUTTE County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION ' 1. ROOF Material: Brand Name: Thickness (inches): I Thermal•Resistance (R -Value): { 2. CEILING Batt or Blanket Type: ' . ' ' Brand Name: Thickness (inches): II .. `' Thermal Resistance (R -Value): I I Loose Fill Type: f Fiberglass ! � -%'— �f_- `"`- ` Brand Name: I Knauf j Minimum Installed Weight/ft I .569 1 lb Minimum Thickness: I 13 I inches - Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): I 38 I ,. 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: I Brand Name: Thickness (inches): I { Thermal Resistance (R -Value): f I B. Exterior Foam Sheathing Material: �� Brand Name: Thickness (inches):1, 1 Thermal Resistance (R -Value): I 1. 4. 'RAISED FLOOR Material: I Brand Name: Thickness (inches): I I Thermal Resistance (R -Value): 5. SLAB FLOOR/PERIMETER Material: , Brand Name: Thickness (inches): I I Thermal Resistance (R -Value): I I r Perimeter Insulation Depth Inches: I _ • 6. FOUNDATION WALL Material: M Brand Name: Thickness (inches): I I Thermal Resistance (R -Value): I I DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current' ' Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. , 2 ��.I ��il/IiJYVy! U7— Chico Insulation & Fireplaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or'Owner ,p " BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061257 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, ORIF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 07/06/2006 APN: 078-360-039-000 the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Site Address: 3561 ORO BANGOR HWY ORO Dale: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): qt I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ 1, 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.). ❑ 1 .aim Exempt under Articles h Busi ss d Professions Code DateOwner. WORKERS' COMPENSATION D CLAR TION I hereby affirm under penalty of perjury one of t toll ing declarations: ❑ I have and will maintain a certificate of co ent 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 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy ff: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Appllcant: _ y WARNING; Failure to secure worker compensation coverage is unlawful, and shall subject an a to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. Description: NSF (2266), GAR(529), COV(330) Owner: ARMITAGE, RICHARD AND DEANNA 107 RIVERVIEW DR OROVILLE, CA 95966 530-589-1101 Applicant: ARMITAGE, RICHARD AND DEANNA 107 RIVERVIEW DR OROVILLE, CA 95966 530-589-1101 Contractor: License #: Architect: Engineer: FLT Total Square Ft: - 3125 S.F. Valuation: $165,266.00 Census Code: 5-25-0 �4Ig5.5� IsUA 7 7- G -0G CONSTRUCTION LENDING AGENCY This permit Is hereby -is I hereby affirm that there Is a construction lending agency for the R sol ti s to do work performance of the work for which this permit Is issued (Sec 3097 Civ.) By. Name: EXPIRES the applicable provisions of"the Butte"County-Code'an )ove for which fees have been paid. m,ti Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of,this project. Cl 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 owner that I am the bwner th ul lhorl 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 o ' i 1 o r document of Butte County. I hereby authorize representatives of Butle County to enter upon the above mentioned property for Inspection purpos s. • r Print Name: e`• Signature: y� Date: a Owner ❑ Contractoril 13 Agent for Owner ❑ Agent for Contractor n r Auildlnn Permil 01.16-04 oo 1 t SITE PLAN REVIEW APPLICATION Date: AP# 078'%0 �D3 GI Permit Number (if applicable) A5 - Bin Number ' APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: /U ���✓��P-W �' Telephone No.: yr 1 Situs Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Horne ❑ 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: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE ❑ Commercial Remodel ' " ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form [J Approved LJ Conditionally Approved LJ Resolve Problems Prior to Approval KI Site Plan Stamped Approved By i 0J Date O(c C�/ p (101 C, ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Verify residence can be built per contract Watershed Protection Overlay Zone (See attached standards and requirements) 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) Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: Applicable Building Setbacks: General Plan L- K ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: - 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 20 Side 5 Side Street Rear 5 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: - 2 Parcel Created By F ] Deeds: 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 J, Subdivision Map/Parcel Map: Map Date of Recording: a g ao� Lot: 2— Book: 15 2 Page: 2- 3 - 3 P pSTMFNT oo �U T T� o� IoG==:< o y/0 Department of Public Works J. Michael Crump, Director do -Ift�.+/��9 . LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE] Project Description: J Project Location and/or Parcel Number: 0-7 � - 3 k,0 - 09 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases. total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: MW U1LK Date: -S -aS-06 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program . Revised 5/24/04 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. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES .[ \/] NO [ ]. 2. I HAVE [ \/] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work- NAME: ork NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER- DATE: WNER DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. Butte County .department of Development Services ADMINISTRATION `BUILDING t GIS ° PLANNING o , o o �� u o o 7 County Center Drive 00 - - Oroville, CA 95965 0-='�`'��� o (530) 536-7541 Telephone C'OU N.t`� (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified- . For your protection you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work_ If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do'your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $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 ram 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 r.<. C-1;— 1021n nftha roufnrn;% TToalt)% and CafPty rndP AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 �Ut.NVIf� �. • �YtM� �.¢� 107 Druvlllt I 2006-0034595 Recorded I REC FEE 10,00 Official Records I County of I COPIES 2,50 Butte I CANXICE J. GRUBBS I County Clerk-Recorderl I I KL 03:03PN 06 -Jul -2006 I Page 1 of 2 I l i l 111111 l 1111 1 1 1 1 111111111111111 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ��- Date 7— 1 State of California County of Bat - On 4 d',[�t".v,� 20 0 (p before Zt.-D l TW F(,. LU 1 1 1 i8 -yq S. LJ -1B &- 0 - personally appeared Ktc#1-*l'-D S. 141W1 ay Imew 4e -me (or proved to me on the basis of satisfactory evidence) to be the person(j whose nameWis/aye-subscribed to the within instrument and acknowledged to me that he/she/therexecuted the same in his/her4their authorized capacity(", and that by his/hfff eir signature on the instrument, the person ] or the entity upon behalf of which the personacted, executed the instrument. WITNESS n official seal. ' JUDITH. M. WILLIAMS SignatureSeal COMM. #1660459 C7 NOTARY PUBLIC • ( FORNIA BUTTE COUNTY Comm. Exp. APRIL 25, 2010 A.P. # 3 4 Order No. 00226712-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 28, 2001, IN BOOK 152 OF MAPS, AT PAGES 2 AND 3. RESERVING THEREFROM THAT PORTION OF THE 60'X 60' COMMON DRIVEWAY EASEMENT LYING WITHIN THE ABOVE DESCRIBED PARCEL OF LAND, AS SHOWN ON SAID PARCEL MAP. SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 28, 2001, IN BOOK 152 OF MAPS, AT PAGES 2 AND 3. AP NO. 036-460-083 PARCEL B: TOGETHER WITH AN EASEMENT FOR COMMON DRIVEWAY PURPOSES OVER THAT CERTAIN 60'X 60' COMMON DRIVEWAY EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 28, 2001, IN BOOK 152 OF MAPS, AT PAGES 2 AND 3. EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE ABOVE MENTIONED PARCEL A. 4 0aq W7 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 Website: www.buffecounty.net/dds SMT P "PLEASE PRINT CLEARLY" For office use only: Zoning - OWNER INFORMATION Last Name ALT EK 4 1 W.e,Crt k/ irst Name t <.ULli I r �j Address to -7 Gt✓Gt� l S k, City I ( State/ _ l.G. Zip Phone 5 -` Lo I Fax E-mail Class For office use only: Zoning - CONTRACTOR Name ALT EK 4 1 W.e,Crt Address 5? Q D C [ v l�o City Gt✓Gt� l S k, State Zip Phone b a 5 Fax E-mail E-mail Lic. # Class For office use only: Zoning - ARCHITECT/ENGINEER Name ALT EK 4 1 W.e,Crt Address 5? Q D C [ v l�o City Gt✓Gt� l S k, State Citi l• Zip Phone b a 5 Fax E-mail E-mail State License Number For office use only: Zoning - APPLICANT INFORMATION Name n Y t V S I tt Type Const. Address WORKER'S COMPENSATION City 6V1 State Zip S� Phone S (� Fax E-mail For office use only: Zoning - Flood Zone I SRA I Yes No Occ. C''t Type Const. Subdivision Name WORKER'S COMPENSATION Map Book I52 Page 2 Lot # 2_ Planner �A 1 LENDING AGENCY Date Apprpve¢I 0� OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPO � 2,;r) BIN # PROJECT LOCATION AP# 0'1$-&00 -03 Prope y d re s:,� C''t =.Cro Stff ee�_t � t�lJ�l1Cy \K 4AIL (Note previous use): 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 nnDescription or Scope of Work: 1� �\ I wt, fig I., _ l IA yrs Q�<< Sq FT- Living rage5o. Open Cov 330 ❑ Structu Built * out Permits ❑ Propose ange of Occupancy (Note previous use): Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �b . Amount: Bldg L� r,� �1 LOQ .917 SRA Receipt #: 10111 Iq Sheriff 6"4- SMIP Other Date: 5,Q5, Q % Ig 2� � Total REV 8-12-05 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 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 CQUNTY 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: APM-1 Aont ASSESSOR PARCEL NUMBER��r]� iv Proposed Building Use: S N ` ! (� Permit Technician: Date: Itygmns required in order to apply for a permit All boxed MUST be checked OR marked NA in order to apply. V1 ZEN 1. Site plans,, 3 br 4 sets, signed by the preparer of the plans. O 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 'W— 3. Engineered plans,(: or 4 sets, with wet signature on plans AND &ts of stamped and signed calculations - IV -TN- 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. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal Bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without iequired clearances. ❑ 13. Other iF;n needed to issue the permit (May require additional plan review upon receipt of the following items.) itation and site plan approval-immlbe.E-Wrenmentai-Wealth-BeprattnTenti f5-6hleo4@-GrevRie; as -applicable Sprinklers ............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Sols Report and/or Engineered Foundation required ........................................... ❑ Erosion Control Plan Required........................................................................ &Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit....................................................................:... ❑ Site plan and business license approval from the A of Biggs......... California Department of Forestry plan approvalvb paid. Sent by: (.. . t� 23. Planning approval for (A) Use: (B) Parking: (C) Parcel ea :............ i n J w o�l To(, ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 0 25. Fire Marshall Review (commercial projects only). Sent by: ...................... NPDESForm............................................................................................. 2 Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑� 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑/ Letter of Signature authorization.................................................................... \Q4W ' 2. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ Legal description, ❑ M.H. Title, title search,egistration or MCO ......................... 3 Other. o er.;- When issued Telephone 533 - 4 y �S oil() 5g9-1 lo I and: old for pickup. L 1, I have been inforr�erra ve ite sand requirements for obtaining a buildin 3�t C-3 U df i° 9ermit. P Applicant Date: 1. Index permit application for thea a items nu bered: Plan Check Letter 2. Additional items required Contractor, desig s adviseAV a ove data by ph ne, ❑ mail, ❑ unter, Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abov data, by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by- :Te Date: b Plans approved by: if Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division