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Home My WebLink About079-130-0050$-1138 CO'FER, SCOTT LFAIRHILL DR, OROVILLE PERMIT RENEWAL NEW SINGLE FAMILY' DATE;�6-17'Ob 13P#� EXPIRES: SL-Ifn'O'j 1 i UTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 r/ OFFICE #: (530) 538-7541 Q `� A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds `` **PLEASE PRINT CLEARLY** `r r) 05 - PERMIT NO. //3 BIN# 61;;k LOCATION OWNER Last NameD wn � First Name Address3qjb n sI Vr City QD, State StateCAf Zip 9 &h J�bone ' Fax Fax E-mail Lic. # 05 - PERMIT NO. //3 BIN# 61;;k LOCATION CONTRACTOR Name wn � Address � City Carrier State Zip Phone Fax N- ' Ej32 Fax E-mail License Number Z-) A- 0 ,; Lic. # Class 05 - PERMIT NO. //3 BIN# 61;;k LOCATION ARCHITECT/ENGINEER Name ��, � U ✓YIU Address � City 4 1 co Carrier State (A Zip Phon�y, �, I - 269q Fax N- ' Ej32 E-maiLState PA v5 et, License Number Z-) A- 0 ,; 05 - PERMIT NO. //3 BIN# 61;;k LOCATION AP# (o2.0, Pro rtyAddress - e� — City/, r�o�, lie Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worwer's compensation must be shown at the time of permit issuance. Occ. LENDING AGENCY Name Address APPL/CA COFFER, SCOTT Name __r.FIDR, OROVILLI C,c ConOWNER AddressNEW SINGLE FAMILY a 61 i111S Description or Scope of Work: Sq. Footage G O Structure Built without Per n proposed Change of Occupancy 1138 Vote previous use): City 0Cov 1) Phone D Fax E-mail APPLICANT SIGNATURE X CATION OF APPLICATION itions for which a permit has not been issued will expire one ter the date of application. In order to renew action cn an , r -._..tion after expiration, a new application, plans and fee w-11 be required. i 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 cf the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs ary not refundable. For offic6Aisle only: Zoning —2 I Flood Zone I X I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by Amount: y / 66131t 20 1 9� RRa Receipt #: L(( W Date: , I '05 v�2 Sheriff SM P Other Tot31 REV 2-24-05 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 /N 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. 115. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. .1; ❑ 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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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). ❑ i 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 00 CIOI LO O Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile TO: FROM: QSUBJECT: Z DATE: WILLDAN o�UTTFo o o 0 0 00 0 0 c0U N'�y Scott Rutherford (530) 538-7160 srutherford E buttecounty.net Plans Transmittal For Review Per Contract 5/3/2005 Applicant: Coffer, Scott Permit No: 05-1138 Project Type: NSF/Gar/Cov APN: 036-620-005 100% 70% Plan Check Fees $ 1,141.88 $ 799.32 $ 1,141.88 $ 799.32 WILLDAN Fee $ 799.32 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 9 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:ASSESSOR PARCEL NUMBER v 2� Proposed Building Use: S Permit Technician: Date: / Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. / W 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. � SIN 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. \`E7 ► W 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �j I fV 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. �j %dV 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) CGO 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ A 9. Erosion Control Plan Required........................................................................ '--E7 po!es as shown on the attached Schedule of Fees Due Sheet .............................. ❑ ity of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the Cit -Biggs ........................ b..... or- �7 J(A/ 23. California Department of Forestry Ian approval paid. Ser y T .% . C P 24. Planning approval for (A) Use:(B)Parking: (C) Parcel Check:...... Q ❑ Contact Land Development about _ Improvements, _ Drainage ........................ NNPDESForm............................................................................................. Encroachment Permit for driveway from the Public Works Dept ........................... 2 . Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... /A/ 30.. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ L iter of Signature authorization.................................................................... ecorded copy of Agricultural Acknowledgment Statement ................................. 3. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other:I When issued Telephone �C-�i / o�'t J -7b `f �Gy� . and hold for pickup. I have bee ' orme, t e above items and requirements for obtaining a building permit. Applicant: Date: y --Z - �s 1. Index permit applica on forte above items numbered: � Plan Check Letter 2. Additional items re' op 4 Contractor, designer o r, as advised of the above data by Dhone, ❑ mail, ❑ counter, Date: Contractor, designe , was advised of the above data by Z'phone, ❑ mail, ❑ counter, by K.6. Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: % I j AA. Date: Structural reviewy: Date: Structural approved by: Date: Note transfer by. , Date: Q _ Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES —.BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecountv.net/dds OWNER PROPROSED BUILDING USE IV 5 I. BUILDING PERMIT FEES --- Balance Due ..................... A.P. # 0 DATE RECEIPT # DATE REC. C435o-� l� --- FEMA Flood elevation review ... $ 65?dditional plan checking Fee .... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Copxmercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. RECREATION DISTRICT FEES �� VE . paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FACS COUNTY WIDE (per dwelling) $ L�0016 C�� q?DZ5 CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ TH CHICO SPECIFIC PLAN (per. dwelling) Zoning $ q !SRA E INSPECTION AND PLAN CHECK FEE y 26 yr' (J c� $204.98 aid at Building Division) 7 T - ATER TENDER FEES BATTALION # $200.00 (paid at Building Division) / Y� SM 9. OTHER 10. OTHER 11. OTHER At time of permit a on, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed ring the p checking process. APPLICANT DATE Pursuant to Government CodVection 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date o approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) 0P PRTMENT gVTT� 0 0 \ocOl►?J�. 5 GBUc WoR�- Department J. Michael Crump, Director Public Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 s National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: P5 F Project Location and/or Parcel Number: o'5( - G 20 - oa 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: 0W Ay - Date: q- 2 q -0 -"7-- Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BU,D2 RII.CT'T01 a?,� yrr�c�•.� *u:��°R.-w•::sc,:>:.:�°�r�lie i"t_�..i�.+�:x�'.�:�:x,.:.rts;�:,,,_:.a;r,..r-e .. ;:x:�:,•. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this infonnation 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 P< NO [ ]. 2. I HAVE >,3,HAVE NOT [ ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: !/ PROPERTY OWNER: 66 d DATE: `1,- — 0. NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/42004 Butte Count ' Department of Development Services ADMINISTRATION r BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile MAN011-01100 L 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 Califomia 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 contractors is to secure an "owner -builder" building permit, erroneously .implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification•from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic el C. Vieir4 C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. U ShYU. Civil En sneering- and Drafting- PO raftingPO Box 5115 Chico, CA 95927 (530) 521-2648 eda@ausmusengineering.com TRUSS CONCURRENCE LETTER April 28, 2005 Ausmus Engineering has reviewed the Truss Calculations provided and approved by: Homewood Truss Marysville, CA 95901 (530) 743-8855 Dated: April 13, 2005 The truss calculations were used in conjunction with the structural design for single story residence named: Coffer Residence Eric D. Ausmus, P.E. Ausmus Engineering Page 1 of 1 E:\Work\Ausmus Engineering\2005_ Projects\Coffer\Truss.doc New Page 1 Page 1 of 2 Application For Water Service - Potable South Feather Water & Power P.O. Box 581, Oroville, CA 95965-0581 Phone: (530) 533-4578 Fax: (530) 533-9700 Date: 3/1/2005 Acreage: / sq ft APN: 036-620-005 Zoning Code:. AR Use Code: RV Service Location: Legal Description: LOT 48 FAIRHILL DR. Mailing Information Laurie Coffer 3416 Morningside Dr. Oroville, CA 95966 Telephone: 370-4264 Fax: Request made by: Owner Number of Services Requested: j Size of Meter Requested: 0,63 Is Property served by another water source: No Type of alternate water service: Is there a dwelling on the Property: No Is the property fully developed: Yes Have System CapacityCharges been paid: No Amount Paid: Are there, Or will there be any materials handled or plumbed in such a way as to allow them to enter into the potable water supply system: NO Is Property in the District: Yes Is Will Serve letter needed: Yes Type ,& Number: AR General Plan: RV Comments: Estimated Fees & Charges New Account Fee Water Service Available? Yes pfd UJ System Capacity tyChar a 3, Low -Pressure Agreement —- Needed? Yes r No Service Installation Estimate Recorded Easement Required? Yes C.111-1 No P-!'" "Backflow Installation Estimate Mainline Extension Required? Yestr�No:�-�- Meter Set Fee Service Installation Required? Yes P% Annexation Processing (SFWPA) r - Backflow Device Needed? Yes )...._! Annexation Fee ($310.33 x ac.) Road Crossing Required? Yes _: No I County Clerk's Posting Fee ($36.00) Meter Size Approved: LAFCo Processing Fee ($600) Line Sizer .LAFCo Sphere -Of -Influence Fee Information Provided by? State Board of Equalization Fee 0 0� Total Notice to applicant: Fees and charges shown above are estimates only, effectivefor 30 days from the date sho)vn above. http://owidw2k2:8080/app_Print.asp 3/1/2005 PERMIT NO.: 19-05 i'y • Lake Oroville Area Public Utility .District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS 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 by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: Property Locations(s): A. P. No.(s): Fees due: Lauri Coffer 3416 Morningside Dr. Oroville Ca 95966 370-4264 Fairhill Dr. Oroville CA 95966 Copley Acres f iLot 48 036-620-005 $3,617.00 total due as of 3/3/05 New single family dwelling. Application for service approved: Inspection(s) made and successful test(s) observed: Loca Lake Oroville Area Public Utility District release to close permit: Date: By: ROVILLE AREA ITILITY DISTRICT Date: 117 C Street W I LLDAN Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com July 19, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Jurisdiction Job No: Assessor's Parcel No: Description: Willdan Project No: Dear Mr. Rutherford: Approved 05-1138 036-620-005 Coffer-NSF/Gar/Cov 14353-1605 Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies of sheet 1 of 6 not dated or signed; sheets 2 of 6 through 5 of 6, not dated, by Donald A. Gardner Inc.; sheet 6 of 6 dated 03/25/05, and sheets S1 through S3 dated 06/17/05, by Ausmus Engineering. ➢ Structural Calculations: Two (2) copies dated 04/27/05 by Ausmus Engineering. ➢ Truss Calculations: Two (2) copies dated 04/07/05 by Homewood Truss. ➢ Eneray Calculations: Two (2) copies dated 06/15/05 by Alvis Heating and Air. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. y W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the plans and the permit documentation. Butte County may adjust the building permit fee based on this information. Specific Use Type of Occupancy Type of Construction Sprinklers Stories 1" Floor Sq Ft 2 "d Floor Sq Ft Total Sq Ft Dwelling R-3 V -N No 1 2008 NA __l 2008 Garage U-1 V -N I No 1 541 NA 541 Porch R-3 V -N I No 1 190 NA 190 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. Window L used for egress in two of the sleeping rooms may not meet the minimum required dimensions to provide a net clear opening of 5.7 feet. The 2/6-5/0 double -hung windows meet the egress requirements when using these rough dimensions, but when the net clear opening is measured in the field, the area may not be sufficient. A 3/0-5/0 single hung window is generally considered the minimum acceptable size for an escape window. Butte County allows a red -line note to be placed on approved plans that refers to an attachment that specifies the minimum requirements for egress windows. Therefore, the plans do not need to be changed in order to be approved, but the red -lined note requires that the windows meet the requirements when measured in the field. This should be considered fair notice of the requirements. Page 2 of 3 County of. Butte Permit Number 05-1138 Willdan Project Number .14.353-1605 W I LLDAN A Serving Public Agencies SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerel saac Kuster Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Scott Coffer, 3416 Morningside Drive, Oroville, CA 95966 Page 3 of 3 Gustavo Franco, P.E. Plan Check Engineer County of Butte Permit Number 05-1138 Willdan Project Number .14353-1605 AND WHEN RECORDED M,% w BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0046252 Recorded 1 RFC FEE 10.0' Official Records I County of I COPIES 2.50- Butte 1 CMM J. 6RllBBS I County Clerk-Recorderl I 1 A6 09:08 68 -Aug -am I Page I of 2 IIII III III I IIII I IIII II II III II III II 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_ US ICss PR ER WNERS: State of California County ofx�� On �� Jam, a� before me, Sift co� ME, personally appearedl^-Oe�av�, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)•istare subscribed to the within instrument and acknowledged to me that ke%t"ie/they executed the same in W/Wr/their authorized capacity(ies), and that by&is/k fr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ' WINDY HILL 3 Signature Seal: UCOMM& # 1333071 NOTARY PUBUC-CAUFORNIA O BU1Tt COUNTY Q COMM. EXP. DEC. 3, 2005 A.P. #!_ C) Preliminary Report Description Order No. BU -218215•-3 CB The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 48, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "COPLEY ACRES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUM, STATE OF CALIFORNIA, ON AUGUST 1, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 38, 39 AND 40. APN 036-620-005-000. Page 4 Al.,.. RECORDED MAIL TO: Bi - t;OUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0046252 Recorded I REC LEE 16.@0 Official records I County of I COPIES Butte I CANIDACE J. GRIIBBS I County Clerk-Recorderl • I I ttG uli9;Q3AM 06-ALT-2@ffi I Page 1 of 2 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 ' Jt State of California County of PR ER WNERS: . - C 7 On . '� �`� before me, personally appeared_ Z) C5 9 1 c; , i A", personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)497%re subscribed to the within instrument and acknowledged to me that Ire/sl"ie/they executed the same in h1f/Wr/their authorized capacity(ies), and that byft-ts/ker/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. WIN=Hll�Signature Seal: U COMM 13 - NOTARY PUBLIC-CALIFORNIAQ i BUTTE COUNTY A _ COMM. EXP. DEC. 3, 2005 A.P. Preliminary Report Description Order No. BU -218215-3 CB The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 48, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "COPLEY ACRES SUBDMSION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 1, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 38, 39 AND 40. APN 036-620-005-000 Page 4 BUTTE COUNTY 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) Property Owner (s) Building Permit Number D S�( Project Location /Address Subdivision Name New Development Assessable Sq. Ftge C)-CD0� Type f Residential Development (check one) Single Family -Detached Single Family -Attached Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: A I -n [ A Department Represeftve Non -Residential to Residential Mobile home replacement Multi -Family Dwelling verified by Assessor Department verified by Building Department ns - Building VRRPD 0 CARD 0 PRPD 0 DRPD certifies that: Applicant Name Phone Number Ou A to C �1S�&0 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Dwelling Units @'$ /0 y %, 00 per unit for a total of $ / 0' 6' 00 Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: and Park District Representative KAFORMS\BU[LDING FORMS\park-rec standard form rev Ldoc per sq foot for a total of $ Receipt No i7F73 Date o5 BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District O y -o u i L 0-ja , Building Department No.` • A.P. Number Jurisdiction: City h, �/ County % Property Owner Property Location Subdivision Lot No. Residential Development !42 Q Q Q ; Sq. Footage 010Nog Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # '• .(No foundation inspection� ................................................................................... .... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior c.� Roofed Areas) ABuildringepartment Represef tbive Da e District Identification No. —13 0j`' School District certifies that (Applicant) D F (Street Address) (Phone Number) 6V�—.6 JI,lLe— _` crA Sal bL (City) _ (State)—,. has complied with the requirements of Resolution No. - (Zip Code) Z by payment of $ representing square,feet.- B 2926 $ ` ULL MITIGATION $ School District Representative f Date Paid by Check # X S" Remarks': 0 3 to ' 6 X'0 —00's .I- go eP e, 2 -' Abdce: You may protest the Imposition of the fees Identified above by submkdng a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees aro paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. lf, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertMcedon Form, the School Dilstrict Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully miggsb Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). feefonn.xis (3M5W= J S.• CONNECTION PERMIT P PPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT hereinafter referred to as "Applicant", being the prcperty owner or owner's ag esiring sewer service, hereby requests Lake Oroville Area Public Utility District, hereiafter referred to as "Distr c , to connect Applicant's sewage disposal line to District's sanitary sewer system and �.) provide sewerage servi e. Location of property: A.P.M _ 0-1 - �S Subdivision:_ Lot#: Block#: Property ,'annexed No. of E.D.U.'s this permit: I ❑ Property Hot Annexed � ❑ Property annexation in Progress Multiplication Factor: g SLS Kind of Service: 'Monthly Charges: q Capacity Charge: I U Residential ® Re-sidence of Owner Connection Fee: C ❑ Rental (single family) o ❑ Rental (duplex) ❑ Apartment SC -OR Facility Charge: - ❑ Industrial o� ❑ Commercial Total Amount Payable This Permit: ❑ Site plan r :viewed ❑ Jobsile reviewed The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abice by and fully perform. Applicant agrees to pay for such service at rates and charges as are established by District from time to time. Signal of plicant Mailing A6dress of &plicant 1 �r (D Phone # of Applicant: 310 I 0 - 49/ [D Name of Owner if not Applicant Mailing Address of Owner Phone # of Owner: 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. Inst; llalion of the sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. Applicant shall secure permil(s) as necessary from the County of Butte prior to doing any work, including encro�ichment permits when work is within county right of way. 4. Installation of the subject sewer line shall be at the sole cost and expense of Applicant. 5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. 0,ork-shall be inspected and approved by District. " 7. 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. 8. District verification form must be issued with this permit. . Payment of Fees/Charges required prior to final inspection. Payment received by: Date: Receipt # ❑ CASH ❑CHECK # LAKE O LE AREA P.U.D. By: Date: 4) Permit M 'Monthly charge payable at the current rate at time of connection. 1 SITE PLAN REVIEW APPLICATION Date: 7 27 0 r AP# 0 3� _ Permit Number (if applicable) 0-) "J J APPLICANT INFORMATION ' Owners Name: Owners Address: Telephone No.: .370— yZ(o q n Situs Address: Proposed Use: Residential New Single. Family Residential Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): 0 -- 0017— Parcel 0 17" Parcel Size: / 4'eA� 67 dam& ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ., 6 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site PI n Stamped Approved' By Date71.2--710S— Page 1.2-Z G, - Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and -requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required), SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • . Flood Zone: F's D • Flood Panel No.: Index Date:020 �0 ❑ Sacramento River Reclamation District (Approval must be obtained from the Cali ornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------___----------------------------------------- ---------- — ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: �9 %z GP --L.,oP- Applicable Building Setbacks: A)) ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front O , Side J� Cet Pu C- Side Street Rear 5 Height Waterway N/A N/A N/A A)) ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula M -------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ 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 ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23), ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 r In Subdivision Map/Parcel Map: �riLQS Map Date of Recording. 1i k3 Lot: `?�� Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El Page 4of5 FJ 0 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAI-arrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 ! £. G C'%a°LEY o .sngk maul, os awller Ol /he roa1 iAG,ratd within COPLEY S S.BA'✓/SR7N, as sAwm m Me mm,.md mnP, Lid bi/T7E OXMY 77TLE co~, a arpormw, as Trustee maer a Deed of rnad dyed M0' 7, /964 and recorded ,Nes A7 1965 n Boot of Bate Cavy Officed Rtrwatr a POW , ob hereby certify bat we we tie ANy pe9re »mem groom is rncessany to pea otar tte to sail bpd and we mruerw to be gWoraton o d mcavWm of sad oro as sham wMh file intrad b iter /mei 0 offer for obdcalion Arpbk use Ar Con& Abad poposes LANA VISTA DRIVE AFATHER dRGLE AAVVNA aRCLE, FAIRMLL DRIVE, AIORREL Cb7CLE DEtFNC.C10 AstVf,_FlLZ15'TFR_ DWYE, old AEL ROSE DRIVE lying whin We tubed bomb- toes as sham on he Ovwmd mop We also offer for dsdicatan for pabifc me, and do hereby obdxaale for smdfe purposes, to Aabw)ng: (o) Roos or way and wwmeo/s nth- mprw gas, sofa, ad amore fees, and for overhead and urxtr9vnd wr es for e4xd and lelePho'e serrate, bgelher . with nny and o7 gW~a'XW ggCerlanirq Menlo, a, cse; and under /hose sh* of land /yfng beAreen the ser and lar sb1 /hes of bYs oat Ale /roes dargroled fIUBL/C unurr EAxww LINE." (b) Easenerw for /qty ad or owr Mase stops of tad ly/ng be&w to MOW ad/a 5ft lies Of Ads Ord the /nes .sham Arean and "SE7BAOY LINE," sold sMfps to be kept open OW tee of b0d1W (c) Eosemad for gN' .-des ord oxfa-oges extending 20 feet hen to center- lines ofessetments referred to m (o) above and live fed n wdb,of Me bent/[» gtsm bww n by symLa4. STATE OF CA4FOW14 Cowry 6� BOTTE 1 . On thfs225rr oby d Jr.<y , 1963, before me Eow.vto Neef r o Ndary P -WIC In ad for the County of Sidle, Personally CWeared E G. COPLEY kom to me to be he peso wham now b subscribed /o /he facwrng certi%a7Je and a•I'nowedge0 to me that he executed the .tame. 4. tvDfv '•,ice;?�� My COnr1=07 expres J.v v. /s. /Pair S747E OF CA41F07N)A Ju COUNTY o� BuTTE I / � On th'E dW ofd./U 1063, beftIme �r�✓."rarya 41,Vrfcey o hblay Rib!/c h and fan f1 Auwy Of BNk Pasaa'/y 104 a.9VTAAW *mm to ore to be V)ce Pwki l a, BLrrrk 63tileTY TITLE DommlItr omtvomb tomb executed the faegarq coruscate and /s kxxwn to me to be the Person w1 executed the cer ifimle on behalf of to BUTTE rODWTY MOLE COMPANYrmed therah, ad aatnarteoW to me that sad CaW to madded he some. %. 7Z;41 .yfi., FH. SEELY ✓R., AUD/7007of the Go'AV7Y OF &1r7F, Sate of Cdihrrw ob hereby codify that Mere ore no Azr liens cgorW COctEY ACRES .9/BON nev as herem set lath, or wmid Sae, canty, AAnkfpo/, of Loml taxes, or spec& assessm nIs calected as lam, ucept loxes or specs asn7smerh•nW gyp! prole payab,!^ Tares or azemments nhi) of a ten &I ret )W polable / eel ro be m tie araml of fit. _ F.H. �^vR'- .IYA fits WALTER B. GR/MES, ob hereby certify ftV, o Regalered CkI Engineer of the -We of Gblihmla, Ma the annexed mopGi'� EY ACRES S180/VISION correcty Tp'esew'vj•Fd(ak axb-my wXrKww )n May, 1963,111 it a hte ocd aavpkf 1- -i 'Mat momereofs sMan tenon ual adore of Ate otoraaler Orrdz�tgy< pui/i: siwwn ad ore sufficient to ax -hie ft srvey ro be ret'!`o,; WALTER B GRIMES Regalend Civil EWmar Ab 7294 /, W. F. CHAN, DIRECTOR OF' PLAWNG of the PLANNING cawsSONLF 7H£ GWNTY LF9?7E, Sole atCal/lorm ob herby certify hW the amend /mat mrp of DOFLEYACW£S _gA%%V/SVN arYoma sdslontw//y wlb Me a6dksw design slwn w /1 knAwive mM which was braved by fins aamasxm on April /O,1963 ' WF CHAN Director of Pbnning I, R. P. ONE/LL, D/A'EcTOR OF Fun IC WORKS of J1 Calwyor BUTTE, Sole of Caifarw, do hereby ce tfy tot /have examfied be final mop of GOPLEY' ACRES SUBDIVISION that it a substantially fl same os an eared on the renrolfve Mop an Re and any apprwed ataohon Me oaf, hof all the provisos of the SUBDIVISION MAPACr of the Shutes of Calihamlo and any local ordirronces applicable of the Ilex of ogomvol of sod reaohve Mop Are Leen complied wfb o d l am saisled that Me mop ainov aafy correct. < .P. OWxL, Diedor of Adie Wits County of Bale A.C.E. Na 6696 / be hereby cal/fy that m the 30 'U' doy ol� BUTTE CaAVTY BOARD Oc.SU9TM. ORS officbty ognard map of GO°LEY ACRES "DIV/SON �' -/ 77r � of saafoaay soggily o the acdi/as eslfmled grand d$[6 ! _ro Inn a pvympi of hnes✓iri "a lien, LW lWyef payabh woe onfinwedged. LAVA V157A AWVE HEATHER A ORCLE, NGORA aRCLE 041RH/Ll. DRNF, MORREL ClRCLE, D&M#760D DRIVE,.' -HvN—R DRI✓E, and MEL .,f'b.SE. Dmvr an sham 007 sold mqo awf dfeed Ar ddimhm Ar ix9ft sae were ocrajOedtm bdAaf of the p is fo- aunty rmdp spa,, Canty Clei 1i I' , by Deady Recorded o the of xe of the RECORDER OF BUT7F COAVTY, Store of Colifam)o, of the request dgjITT&cOp)1/e Ca NtisL day of ibla� d= S a.YroC.t jig M, fn Mop QroA�_e Mp7ges�f, —3�, ond�-, Serial Na _?�. pC.�GOGLI d// �-L.2GdG0 Camly Recorder COPLEY ACRES SUBDIVISION A PORTION OF THE EAST HALF OF SECTION 22, T.19 N., R.4 E., KD.B.BM. OROVILLE, BUTTE COUNTY, CALIFORNIA OWNER & SUBDIVIDER E. G. COPLEY SCALE id00' ENGINEERING OFFICE OF WALTER B. GRIMES R.C.E. 7294 1338 MANGROVE AVE. CHIGO, CALIFORNIA JUNE 1963 70p, T L Lam.. BOTTE LL wry alar CANPANY, ✓ evHesiaen% STATE OF CA4FOW14 Cowry 6� BOTTE 1 . On thfs225rr oby d Jr.<y , 1963, before me Eow.vto Neef r o Ndary P -WIC In ad for the County of Sidle, Personally CWeared E G. COPLEY kom to me to be he peso wham now b subscribed /o /he facwrng certi%a7Je and a•I'nowedge0 to me that he executed the .tame. 4. tvDfv '•,ice;?�� My COnr1=07 expres J.v v. /s. /Pair S747E OF CA41F07N)A Ju COUNTY o� BuTTE I / � On th'E dW ofd./U 1063, beftIme �r�✓."rarya 41,Vrfcey o hblay Rib!/c h and fan f1 Auwy Of BNk Pasaa'/y 104 a.9VTAAW *mm to ore to be V)ce Pwki l a, BLrrrk 63tileTY TITLE DommlItr omtvomb tomb executed the faegarq coruscate and /s kxxwn to me to be the Person w1 executed the cer ifimle on behalf of to BUTTE rODWTY MOLE COMPANYrmed therah, ad aatnarteoW to me that sad CaW to madded he some. %. 7Z;41 .yfi., FH. SEELY ✓R., AUD/7007of the Go'AV7Y OF &1r7F, Sate of Cdihrrw ob hereby codify that Mere ore no Azr liens cgorW COctEY ACRES .9/BON nev as herem set lath, or wmid Sae, canty, AAnkfpo/, of Loml taxes, or spec& assessm nIs calected as lam, ucept loxes or specs asn7smerh•nW gyp! prole payab,!^ Tares or azemments nhi) of a ten &I ret )W polable / eel ro be m tie araml of fit. _ F.H. �^vR'- .IYA fits WALTER B. GR/MES, ob hereby certify ftV, o Regalered CkI Engineer of the -We of Gblihmla, Ma the annexed mopGi'� EY ACRES S180/VISION correcty Tp'esew'vj•Fd(ak axb-my wXrKww )n May, 1963,111 it a hte ocd aavpkf 1- -i 'Mat momereofs sMan tenon ual adore of Ate otoraaler Orrdz�tgy< pui/i: siwwn ad ore sufficient to ax -hie ft srvey ro be ret'!`o,; WALTER B GRIMES Regalend Civil EWmar Ab 7294 /, W. F. CHAN, DIRECTOR OF' PLAWNG of the PLANNING cawsSONLF 7H£ GWNTY LF9?7E, Sole atCal/lorm ob herby certify hW the amend /mat mrp of DOFLEYACW£S _gA%%V/SVN arYoma sdslontw//y wlb Me a6dksw design slwn w /1 knAwive mM which was braved by fins aamasxm on April /O,1963 ' WF CHAN Director of Pbnning I, R. P. ONE/LL, D/A'EcTOR OF Fun IC WORKS of J1 Calwyor BUTTE, Sole of Caifarw, do hereby ce tfy tot /have examfied be final mop of GOPLEY' ACRES SUBDIVISION that it a substantially fl same os an eared on the renrolfve Mop an Re and any apprwed ataohon Me oaf, hof all the provisos of the SUBDIVISION MAPACr of the Shutes of Calihamlo and any local ordirronces applicable of the Ilex of ogomvol of sod reaohve Mop Are Leen complied wfb o d l am saisled that Me mop ainov aafy correct. < .P. OWxL, Diedor of Adie Wits County of Bale A.C.E. Na 6696 / be hereby cal/fy that m the 30 'U' doy ol� BUTTE CaAVTY BOARD Oc.SU9TM. ORS officbty ognard map of GO°LEY ACRES "DIV/SON �' -/ 77r � of saafoaay soggily o the acdi/as eslfmled grand d$[6 ! _ro Inn a pvympi of hnes✓iri "a lien, LW lWyef payabh woe onfinwedged. LAVA V157A AWVE HEATHER A ORCLE, NGORA aRCLE 041RH/Ll. DRNF, MORREL ClRCLE, D&M#760D DRIVE,.' -HvN—R DRI✓E, and MEL .,f'b.SE. Dmvr an sham 007 sold mqo awf dfeed Ar ddimhm Ar ix9ft sae were ocrajOedtm bdAaf of the p is fo- aunty rmdp spa,, Canty Clei 1i I' , by Deady Recorded o the of xe of the RECORDER OF BUT7F COAVTY, Store of Colifam)o, of the request dgjITT&cOp)1/e Ca NtisL day of ibla� d= S a.YroC.t jig M, fn Mop QroA�_e Mp7ges�f, —3�, ond�-, Serial Na _?�. pC.�GOGLI d// �-L.2GdG0 Camly Recorder COPLEY ACRES SUBDIVISION A PORTION OF THE EAST HALF OF SECTION 22, T.19 N., R.4 E., KD.B.BM. OROVILLE, BUTTE COUNTY, CALIFORNIA OWNER & SUBDIVIDER E. G. COPLEY SCALE id00' ENGINEERING OFFICE OF WALTER B. GRIMES R.C.E. 7294 1338 MANGROVE AVE. CHIGO, CALIFORNIA JUNE 1963 ffFE*ArAovpc4sr cave? ai sEcriav e2 cot=— rA 0.9/vr' COPLEY ACRES .11 w 4- - I I "'o 13 15 L•10] 6 A 12 SUBDIVISION 7 lk 8 9 Y.• 10 A PORTION OF THEEAST HALF OF SECTION 22, T.19N. , R.4E.,IVI.DB.8M. N 00*05'"-E' "EST , (NF � E 2eaB.57 OROVILLE,BUTTE COUNTY, CALIFORNIA. SECT/ON Re OWNER B SUBDIVIDER E. G. COPLEY SCALE I"=100' JUNE 1963 ENGINEERING OFFICE OF WALTER 6. GRIMES R.G.E. 7294 1338 MANGROVE AVE., CHICO, CALIFORNIA. SHEET 3 OF 3 SHEETS I..S 6D P° TBILR LW 8 -8 2 4 9 5 .............. . . . . . . . . . . . . . . . rA 0.9/vr' COPLEY ACRES .11 w 4- - I I "'o 13 15 L•10] 6 A 12 SUBDIVISION 7 lk 8 9 Y.• 10 A PORTION OF THEEAST HALF OF SECTION 22, T.19N. , R.4E.,IVI.DB.8M. N 00*05'"-E' "EST , (NF � E 2eaB.57 OROVILLE,BUTTE COUNTY, CALIFORNIA. SECT/ON Re OWNER B SUBDIVIDER E. G. COPLEY SCALE I"=100' JUNE 1963 ENGINEERING OFFICE OF WALTER 6. GRIMES R.G.E. 7294 1338 MANGROVE AVE., CHICO, CALIFORNIA. SHEET 3 OF 3 SHEETS OGT -30-2006 07:47 AM LOAPUD 5305331750 P.03 IT NO.: 72-06. �• � Orville - to Public Ut lit District 19W EI& Street y OROYI LLE. CALWOiwu► 95988 (690) 689.2000 DISTRICT APPAOVAL AND VERIFICATION OF WILDING SEWERS INSPECTION This veriftcation form .must be submitted to tha Butte County 'Depa ment of Public Works Building Depattment prior to Issuance of a building' -or occupancy permit, whIcIr ever Is applicable. . Prlor'to final approval of a Building or an Occupancy Permit by Butte ounty, a.copy of this verification form, signed -off by Lake Oroville Area. Public Utlllty District, must be su mitted to Biittetounty. Date: October 17, 2006 Applicant: ' Lauri Scott Coffer -3416 MQrningaide Or:; Oxoville, CA 959fb Applicant Address: Applicant:Phone. No.; (53Qj 37f? -x2433 ' •Property Locations(s): -7Q .Fet9 r Hillass. . 'Copley Acres - Tot' 48. A.P. No. s F3s-s20-cos/o19-iso- --==-1 (): Fees due: 51.860 Capacity Charge, $2,318, SC -OR Facility Change, $200 Prnnexp�tion Fee and•s1 Conhedt on F®e Paid .aa of. Application for service approved: j I,AKE OROVIL E. AREA PUBLIC.UTILITY DISTRICT inspection(s) made and'succ®ssful tesi(s). observed: LOcat(on' + r- D te: By: Lake OroWle Area public Utflity Dfstrfct rAIAAe to close per tt: Date: L:.t..�l�; By.. , - in Seevice.- 1- Locked Out ►RfkNo : /tiraM i �it�a►r : nAYim �Yr►el Y�ItISW : f`i�ctrrrt�ar�hr�/ 04k - FngRIT01 Gold ,FOS BALANCE OF FEES SBEEET DATE: 1 PERMIT: ASSESSOR PARCEL #: OWNER'S NAME: FEES: (Amount and Purpose): BALANCE OF FEES: ADDI'T'IONAL FEES: REVISED PLAN CHECK: SHERIFF FEE: $ SRA I COPIES URBAN AREA FEES CSA 87 (North Chico. Spec) 19 WATER TENDER FEE $ —BATTALION # THERM DRAINAGE FEE $ ' -1 VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $, ADDITIONAL VAL: $ (Check n COUNTY CITY OF BIGGS (Check one) RESIDENTIAL CO MY-RCLAL I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Date: Contractor: 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 pity 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 Contractor's 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 penalty of not more than five hundred dollars ($500).): TpJ 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' Slate 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Bu iness and Professions Code Date: d1 Owner: WORKERS' COMPEN ION CLARATION I hereby affirm under penalty of perjurperit of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy #: 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: Q l( 0 Applicant: WARNING: Failure to ecure rkers' compensation coverage is unlawful, and shall subject employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) PERMIT NO. BP051138 Issued Date: 08/16/2005 APN: 036-620-005-000 Site Address: 170 FAIRHILL DR ORO Map Index: Description: NSF (2008)GAR (521)COV(190) Owner: COFFER,SCOTT AND LAURI 3416 MORNINGSIDE DR. OROVILLE, CA. 95966 530-370-4264 Applicant: COFFER,SCOTT AND LAURI 3416 MORNINGSIDE DR. OROVILLE, CA. 95966 530-370-4264 Contractor: License #: Architect: Engineer: AUSMUS ENGINEERING Total Square Ft: 2719 S.F. Valuation: $146,064.00 Census Code: This permit is hereby issued under the applicable provisions of the Butte Cou Resolutions to- rk indicated,above for which fees have been paid. By. ate: PERMIT EXPIRES ON: _ Coded/or 1 te a �6_,�) Address: (Date) 1 j ❑ 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 or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. L Print Name: L> Ul - t C�Y Signature: Date: n ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. G. Building Hermit U 1 -1 U -U41 pg i