HomeMy WebLinkAbout079-230-013BUTTE COUNTY
DEPARTMENT ORDEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP042318
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
1 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: 03/17/2005 APN: 036-310-160-000
the Business and Professions Code, and my license is in full force and
effect.
License Class.: License Number: Site Address: 105 IRON HORSE LN ORO
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 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 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).):
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.).
Map Index:
Description: NSF(1976)OPEN(312)
Owner: SMITH STONE
1954 CAMPBELL AVE
OROVILLE, CA
95965-5214
530-532-4205
Applicant: SMITH STONE.
❑ 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, Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the
Date: Owner: —t^
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
License #:
Architect:
Engineer:
Carrier: otal Square Ft: 2288 S.F.
Policy#: Valuation: $131,560.00
I certify that in the performance of the work for which this permit is Census Code:
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: / r
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.QW46
�J
CONSTRUCTION LENDING AGENCY This permit is h eby issued under th a icable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolu ions to o work indicated a Eve for ich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name: By Date:
PERMIT EXPIRES ON:
Address: T (Dale)
Cl I 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 foilh or docume t of -Butte County. I hereby
authorize representatives of Butte County to enter upon the/above mentioned property for inspection purposes.
�7 �(/ \ 1
Print Name: �Q�.('Q � �/ Signature:
Date: :IS — 7 0
Kowner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
B. C. Butldlnq Permit ui-iti-uv pq 1
0
B AI AN CE OF FEES SHEET
DATE:
PERMIT #: J
ASSESSOR PARCEL #:�
OWNER' S NAME:
1
FEES (Amount and Purpose):
BALANCE OF FEES: $
ADDITIONAL FEES: $
REVISED PLAN CHECK: $
SHERIFF FEE (commercial only):
SRA: $
COPY FEES ($1 or more) $
$
DRAINAGE BASIN
BC RESIDENTIAL IMPACT
County Wide Chico Urban
EI Medio North Chico Specific _ $
WATER TENDER FEES BATTALION #
FEMA $
SMIP $
OTHER
62
RECEIPT NUMBER(S)
COUNTY OF BUTTE-DEPAiZTMENl' 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:._ ted' // I )0) . I�JGi%'� ASSESSOR PARCEL NUMBER S../ 3t(,,
Proposed Building Use: NST Counter Technician: P Date: U ~tJ
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
_F. 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ Erosion Control Plan Required........................................................................
21 Fees as shown on the attached Schedule of Fees Due Sheet....<'.hr,.�
❑ 22. City of Chico Plumbing permit.......................................................................
23. California Department of Forestry plan approval paid. Sent by: -4-
24. Planning approval (A) Use: &k_ (B)Parking: (C) Parcel Check: 4a)-- G3- 9_cot,( (3r-
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
l 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑. 30. Worker's Compensation Carrier and Policy Number ..........................................
- 31. Owner -Builder Verification (liven to owner, _Mailed to owner) .....................
32. Letter of Signature authorization......................................:.............................
33. Recorded copy of Agricultural Acknowledgment Statement .................................
34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other: i
When issued Telephone - (> 0/ r/° and hold for pickup.
I have been informed of the above items requirements for obtaining a building permit.
Applicant:
pp
/and
�^^�' l
date:
t�� ��'
1. Index permit application
for the above items numbered:
Plan Check Letter
2. Additional items re
Contractor, designe , own
Contractor, designe
, was advised of the above data by
the data by
p e, ❑mail, ❑ counter, b
hone,
Date:
, ow
was advised of above
❑ mail, ❑ counter, by
Date:
Plans reviewed by:
Date:
Plans approved by:
Date
Structural reviewed b :
Date: Structural approved by:
Date:
Note transfer by:
Date: 10
U
Yellow: Building Division
' E.N. USE ONLY
Piot Ren Atbchad
Hoot Ren Attached ✓
Sent to B.D.
i
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Avs m.r�f /Eos tto2sE �.�, D�ro�`/4?0
Ow-ner Location AP#
Plan Approved for: Sewage Disposal Water Supply:ublic Private Well ✓
Clearance for ✓dwelling. Other c3 0E- pe00-7 ' ��F Z -
Hold final for:
Final clearar a O.K. for:
NOTE: / l
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER A.P. #IJ(p�
PROPROSED BUILDING USE /V DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
Additional Fees Due........... $
--- Revised Plan Checking Fee.... $ .
__�e2. SCHOOL DISTRICT FEES / h /� /j ,
(paid at School District Office) (orm available a r Plan Check SPI �p (�
3. SHERIFF FEES (paid at Building Division) ,
Residential............ 360 =$ �I� ��L S- ��4/ 7P
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X = $ _
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
0$510.00 (paid at Building Division)
7 A . SRFIRE INSPECTION AND PLAN CHECKFEE
(paid at Building Division)/5., .
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Fig. Amt.
10. OTHER N�20o L_ y.Qy
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
maybe changed durin pJdh checking4x-ecersi .
APPLICANT
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
O.B.-1
OWNER -BUILDER VERIFICA'T`ION
Attention Property Owner:
An "owner-buildee' building permit has been applied for in your name anal beam your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing 'and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES' NO ❑
2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have conirac ��t._,h the folio pFp?n (firm) to provide the proposed construction:
NAME: i"6LI
ADDRESS: P7_1 -2_V-7 / % fes: �. CITY
PHONE: S_?2 5 CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work
NAMM:
ADDRESS:
' "I
CONTRACTOR'S LICENSE NO.
{ I-w.ill4ravide-some-of the-vmrk-but-I have -contacted- -the-foll-ovdng-per-sons to-prov,i
the work _indicated: -
NAME .ADDRESS PHONE TYPE 'OR WORK -
SIGNED:
PROPERTYOWNER:
SOCIALSECURITY N MBER:
DATE:_'—
NOTE: This Owner -Builder Yeri 7mlon is required by Section 19831 and 19532 of the
California Health and Safefy Code, This vatrwaiion must be completed and
returned to our office before we are permitted to -issue the permit
OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a building pmoft has been submitted in your name listing yourself as the builder of property
improvements specified.
For you protection, you should be aware that as "ownerfim7d a yon. are the responsible party ofrecord on surh
a Pem& Big Pem:dft are not requaed to be signed by ProPerY owners Unless they are
own worm If yorr work is being Performed by someone other than ourse personally P o�g then-
liab if that person Y you may Pmt Yourself from possible
P applies for the Proper Pew in his or her name.
license from
�
o am required by IM to be licensed and bonded by the State of California and in have a business
apply. Y ��tY• They are also required by law to port their license number on all pmMits for which they
IfYDU
dD
be aware of the PIM to
your own warp wig theon of various trades that you plan to subcontraa4 you should
wing fi f mnalion for your benefit and protection;
a Ifyou employ:Dr othm ise engage any persons other than your immediate
and oder cosi) is $300 or more for the entire Y• and the work (including znateaials
snbcomraciors Bien yon may be an P1QJ and such persons are not licensed' as contractors or
employer.
♦ If your are an emPIDYW. YOU mast register with the State and Federal Go ` '
subject m several obligations veraments as an employer�and you are
�� � including state and federal income tax wi8i DI&n& mal social security taxes,
mi disability insurance costs, and unemployment compensation contrrbutio�,
T en may be dial risks 5or you ifyou do not cavy,curt these ob
With resp-„ct to worhes ins. and these risks are especially serious
compensation ias�aaace.
♦ For more specific baa abs your obligations uada Federal i.aw,
if you wish. the U.S. Small Business . ca�act the Internal Revue Service (and.
State Law, cximact the D ). For mare specific mfaanation about your obligations under
Department ofBeneft payments and the Division of indnsfrial Accidents.
If the is intended for sale, PmP=IY owners who are not licensed contractors are allowed to perform their
work Personal�Y or ugh their own employees, without a licensed contractor or subcantraCtDr, only under limited
conditions.
A frequent pracfce of tmliceased fessmg is in
pezmk eaoneously implying $� g2e � owner is to be secure an ¢owner bm7der" building
ermiis are not
Prong his or her own labor and material Budding
p required to be signed by property, o� � they are Pegg their own workP personally.
it on about licensed oomracton may be obtained by the factors State Lie ease So y�
community or at 1020 N Street: Sacra CA. 95814.
Please Clete the "Owner Builder Verification" on the reverse side of ties form so that we can c
are aware ofthese MMers. The building p� onfirm that you
Wo not be issued Ch1 the me rimed.
V01 T 15 Owner-Bur7derinfo"Mrw t Is required by Section 1383# ofthe CWbr. Heal& mzd Safety Codes
Air In
A V y
�el1C WCPF
Department
C o u n t
J. Michael Crump, Director
of Public
o f B u t
Works
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 rLESS THAN 1 ACREI
Project Description:
Project Location and/or Parcel Number: /CJ �(� L-1 f%"
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.
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:'
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION. FORM
'(One form/ per Building)
School District /Jl/I l� ( JYl f�i !I G����� i�1�1.'" Building Department No.
A.P. Number �, J(O��� r/�/ 1 Jurisdiction: City County
Property Owner
Property Location/Address
Subdivision
Residential Development Q
No of Living Mobile Home
Units Installation
Commercial/Industrial
,
New Addition
A.
We
Lot No.
d 9a -007
Sq. Footage
(Group R)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
District Identification No. 050194
a' i
i
i i a �L School District certifies that
Sq. Footage
(Including Exterior
Roofed Areas)
�=// 611
Date
(Applicant)
( h _
(Street Address) (Phone Number)
02-6VI.,ite,-. Cr9x940(4
has complied with the requirements of Resolution No.
representing % /7 1/ square feet.
t
School District Representative
Paid by Check Dir
Remarks:
(State)
(Zip Code)
\ by payment of $
2926 $
FULL MITIGA710N :
Date
�;4- ��II
Notice: You may protest the Imposition of the teas Identified above by submitting a written protest to the District. In compliance with
Goventnrsrrt Code Section 66020(a), within 90 days from the data hes are paid. Failure to submit a timely written protest wlll'prohlbit
you from challenging the Imposition of the hes In any court action.
N. subsequent to the School District Representative slgnlrrg this Butte County Schools Impact Fee Certification Form, the School District Is
notMad by the applicable Local Planning Agency that this project Is bring is view under the California Environmental Quality Act (CEQAh
this projstt may be subject to additional school tees to hilly mltlgsta is Impact on the school dlsbicft schools.
White (applicant), Yellow (building department), Pink (school district) feeform.x(s 00/03)dmm
-
- ENCROACHMENT PERMIT
COUNTY OF BUTTE ♦ DEPARTMENT OF PUBLIC WORKS
7 County Center Drive ♦ Oroville, CA 95965 ♦ Phone: (530) 538-7681 ♦ Fax: (530) 538-4356"
Download Forms: www.bbttecounty.net/publicworks
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District
Phone: (530) 538-7339
APPLICATION
I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and
highways, all in accordance with County ordinances and _neral laws. All information except si nature must be typed or legibly rinted.
1. Applicants Name: �- U n
2. Address:
3. Phone: S U , S JS _ Cr7 4. Assessors Parcel Number. 0
2 4 le
5. Location of Work to be Done: / SOZ „)v )40f vJ S L /
6. Applicants Signature: 7. Da�
i
I CONTRACTOR'S INFORMATION
8. Contractor's Name:
9. Address: 1141 r
10. Phone: 2t:
r
12. Contractor's Number Certificate of Insurance: Yes O No C1
14. Contractoes Signature: t
15. Authorized Agent
TYPE OF WORK TO BE DONE
16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑
17. Driveway (List Type): CA C CL 0 e. L— 18. Other.
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions
written below, permission is hereby ranted.
19. Conditions
Underground Service Alert U.S.A must be notified two working days prior to any excavation. 800-227-2600
20. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑
21. Date Issued: 22. Expiration Date: 23. Surety: Yes O No
Mike Crump, Director of Public Works By; 1,111, elld
"Note: If permits are faxed to any number besides (530)538-4356, theyc�e delayed up to one
Page I ort
General Conditions —See Page 2
GENERAL CONDITIONS
1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agresad by the?ermittee that the
doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any
provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time.
This permit is to be on job at all times while the work is being done.
2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at
all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein,
shall leave the County Highway in a thoroughly neat, clean, and usable condition.
3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any part of the County Highway
and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of
the responsibility of such encroachment by the County Department of Public Works.
4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation
provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee.
5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way.
6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting
therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general
public without.special permission, in writing, from the Board of Supervisors.
7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise
out of the work herein permitted or which may arise out of the failure on the part of the Permittee to,do the work provided for under this permit In the event any claim
of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of
them harmless for such claim.
8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300
feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special
Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of
way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving.
The relative compaction from the bottom of excavation to a plane five feet (5') below finish surface grades shall be no less than ninety percent (90%)
as determined by Test Method No. Calif. 216-C of the Materials and Research department, State of California, Transportation Department, Division
of Highways, or other approved test method.
The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grad shall be no less than ninety-five percent
(95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests.
Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8' lifts, and be compacted to a relative
compaction of not less than 95%.
Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a
relative compaction of not less than 90%.
Any pavement cutting shall be scored, or saw cut before trenching.
Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts.
All installations, parallel with roadway, shall be placed as close to the right -0f --way line as possible.
No portion of the backfill(s) shall be compacted by ponding or jetting.
All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or
other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at
other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the
excavation to the original grades and cross sections, and to a condition as goos as, or better than, existed prior to
the construction.
All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction
operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with
compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2') of asphalt
concrete over eight inches (8') of aggregate base, according to current California State Specifications.
9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work.
10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause
to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public
over and at the site of work authorized herein.
11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special
conditions and requirements contained herein.
0,)20 - G If
/ SITZ; PLAN REVIEW APPLICATION
Date:'k,;� s 0 L/ AP#
Permit Number (if applicable) 2?
APPLICANT INFORMATION Parcel Size: /0 lL
Owners Name: G
Owners Address:
Telephone No.: z
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):
01f �-(j
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SER VICES INFORMATION For Staff Use
® Approved ❑ Conditionally Approved
❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By �� Date 3 0
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:
• Flood Panel No.: QUOU-IMT 0 Index Date: Lf j2D
❑ 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_(SeeDevelopment_Fe.es_Section.and_attached.standards-and-r-equir-ements)-----------
❑ 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:_A,.
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. 4 CDF approval needed for encroachments into SRA setbacks
Page 2of5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
ti
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. 4 CDF approval needed for encroachments into SRA setbacks
Page 2of5
Applicable Development Fees:.
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation ----
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other --
---------------------------
------------------------------------------------
ubdivision 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
El Deeds:
Date of Creation: Legal Access Provided:
Deed of Reference: ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: Legal Access Required EI No ❑ Yes
Complies with CountyStandards for Deed Creation:[]
Yes, Road Name:
Comments: ❑ No ❑Yes
❑ 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
-------------------------------------------------------------------------------------------------------------------------------
��. SC/�' '�' a 'U (2 Zj a7
1 ,
7— � Page 3 of 5
`:. Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: ( Page: Li
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 an- -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
701
Page 4 of 5
c
x
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.
C:VLarryslBuilding Permit Site Plan Reviewl.doc
Page 5 of 5
. A SWI LLDAerving Public �N
December 9, 2004
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.wilidan.com
Willdan Project No:
14353-1078
Jurisdiction Job No:
04-2318
Assessor's Parcel No:
036-310-160
Description:
SMITH RESIDENCE
Applicant:
Stone Smith
Dear Mr. Rutherford:
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 sheets C through 6 (7 sheets) dated 6/7/04 by Darren Driver
Energy Calculations: Two (2) copies dated 6/15/04 by Barry Rubanoff
Truss Calculations: Two (2) copies dated 6/14/04 by Robert Anderson
The plans have been stamped with the Willdan approval stamp and dated the date of this letter. 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.
W I LLDAN
Serving Public Agencies
APPLICABLE CODES
Unless noted otherwise, all comments are 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 and abbreviated herein as "CBC"
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC"
Part 4, known as the California Mechanical Code and abbreviated herein as "CMC"
Part 5, known as the California Plumbing Code and abbreviated herein as "CPC"
Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS"
CODE ANALYSIS
Type of
Occupancy
Type of
Construction
Sprinklers
Stories
1st Floor
Sq Ft
2ndFloor
Sq Ft
Total Sq Ft
R-3
V -N
No
1
1976
NA
1976
U-1
V -N
No
1
NA
NA
NA
Uncovered
Porch
V -N
No
1
312
NA
312
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.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals noted at this time.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
Sincerel
saac Kuster
Plans Examiner
Cc: Alice Mefford, E-mail: amefford@buttecounty.net
Stone Smith, 1212 '/: 12`h Street, Oroville, CA 95965
Page 2 of 2
Gordon Wright, P.E.
Plan Check Engineer
County of Butte Permit Number 04-2318
Willdan Project Number .14353-1078
AND WHEN RECORDED MAIL TO:
r
9 BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
LR- 9x05-10jo 1 4iO4 4
Recorded
I REC FEE 10.00
Official Records
I COPIES 2.r0
CoBU TEOf
CANDACEUUJJ.. GRUBBS -i
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Myles
10:56AN 14 -Mar -2005
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 S_IL)- a 5—
State of CallfoTnia
County/of
On /`N 1
fit G,k
PROPERTY OWNERS:
(D20 C) S before me,
L 77i�e-r►� S, No
�S
personally appeared—Q------, �_4� d-„�_ a5ty'� W -k- perseffa}}y
known -to -me (or proved to me on the basis of satisfactory evidence) to be the persons) whose nameKis/are subscribed
to the within instrument and acknowledged to me that he/sheMtey executed the -same in hisfhe+4theip authorized
capacity(ieg), and that by his/heffth**rsignatureWon the instrument, the person`} or the entity upon behalf of which
the personW acted, executed the instrument.
WITNESS m nd an icial seal.
JUD OMML M. 1344684
Signature G % ��`'� Seal: a NOTARY PUBLIC -CA I
FORMA
BUTTE COUNTY O
A P � U' O COMM. IXP. MARCH 23, 2006 �
r
°1
1 .
Description
EXHIBIT "A"
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 21, 1989, IN
BOOK 117 OF MAPS, AT PAGE(S) 4 AND 5.
APN 036-310-160-000
PARCEL II:
THAT CERTAIN RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER
PARCELS 1, 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
AUGUST 21, 1989, IN BOOK 117 OF MAPS, AT PAGES) 4 AND 5.
PARCEL III:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WEST 60 FEET
OF THE FOLLOWING DESCRIBED PARCEL:
THE SOUTHWEST ONE QUARTER OF THE NORTHEAST ONE QUARTER AND ALL THAT
PORTION OF THE NORTHWEST ONE QUARTER OF THE SOUTHEAST ONE QUARTER LYING
NORTHERLY OF THE NORTH LINE OF THE COUNTY ROAD, AS SAID ROAD IS DESCRIBED
IN DEED TO BUTTE COUNTY, RECORDED NOVEMBER 22, 1929, IN BOOK 217 OF DEEDS,
PAGE 377, BUTTE COUNTY RECORDS, IN SECTION 34, TOWNSHIP 19 NORTH, RANGE 4 EAST,
M.D.B. & M.
EXCEPTING THEREFROM ALL THAT PORTION THEREOF CONVEYED TO THE COUNTY OF
BUTTE IN DEEDS RECORDED AUGUST 4, 1989, UNDER BUTTE COUNTY RECORDER'S
SERIAL NOS. 89-29263, 89-29264 AND 89-29265.
ALSO EXCEPTING THEREFROM ALL THAT PORTION OF THE ABOVE EASEMENT LYING
WITHIN PARCEL II, DESCRIBED HEREIN.
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
22
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. / I
o /
ZONING 412
OWNER
PHONE NO.
OWNER'y ADDRESS
LOCATION OF WILDING 1
//
` I
USE OF BUI D NG
SIZE OF STRUCTURE
77// F
TYPE OF CONSTRUCTION:
WOOD FRAME J` STEEL
CONCRETE OTHER (Specify)
TYPE OF SIDING
RO COVERING
FLOOR TYPE
ESTIMATED CIUST QF CONSTRUCTION
C73 j
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT
SIDE REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date � ® Signature of Owner 4"'tom
Permit Fee -66Q407
Receipt No.
The above described AG Building is exempt from a building permit.
— FL D I PARPEL P.D. ROOFIfIG IS U
Manager Building/pivision -
EVA
White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant
Date N
I- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - -
SETBACK LINE
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SITE- PLAN
SCALE: 1/32 1'-0
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