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042-020-034
I �f x,. 42-02-34 Ernes Terrell SW corner of Bell Ave.& Guynn Ave., Chico Permit #7514-79-4new s age shed) 2MI 42-02-34 Per`miL#501- OE'(el, 'der WO h)- 042-02-0-034 00-2215 BELL, MAX 3413 BELL ROAD, CHICO CONTR: BUTTE ROOFING RE ROOF�4d B07-1173 t , 042-020-034 MISCELLANEOUS Room.Addn-First Stry ADDITIOM7 MSTR BEDROOM 3413 BELL RD - RASMUSSEN, JEFFREY'' r `141�j�'a �4• DlafoS kT:�7 042-020-034 AG02-067 MAX & LYNN BELL 3413 BELL RD., CHICO AG. BLDG. ate, �i PERMIT NO. 7514-79B PERMIT EXPIRES' OWNER Ernest Terrell owner CONTR. LOCATION (A.P. 42-02-34 - SW corner of Bell Ave. & Guynn Ave., Chico I Temp. Power Pole Called PG&E Temp. Elec. Ir r Called PS/G�&E Temp. Ga erv. Cal ed PG&E F I N A L E D 3 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECdRD BUILDING BUILDING (Cont'd) PLUMBING Setback l XL Firewaid — Soil Piping Forms Para e.g--.—._ 1st Floor Main Bldg Restroom-flnieh 2nd Floor FootingsFootingsv Windows 3rd Floor Stemwal Sidina To out Slab RootSheathin'g Water Piping Piers Roofing Sewer Garage Fdn. Vents Z Fixtures Footin s Stemwall Garage Venle Insulation Water Htr. Heaters Slab t Carport p Footin Prov. for physically handic Conf rmance of a .. strut a 4 Appliances Gas Piping &Test Temp. Gas Slab Final 1 2 Sanitation Patio A I VIREPLACE Final Footind Footing LECTRICAL Masonry Waft Throat Rou h 2 CC— Reinf. Ste Final Fixtures Bond Beam FIRE SPRINKLERS Mdturb Framing Test WateF-M:,-. StuccoFinal Subpanels Mesh MECHANICAL Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer v Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /! a,06r� a -gig Az "xia"�� < J:7 e�� 04'T ill; 46V X117 -ate 43 IN0 n entry t be� on t form e h ou visit�bsi ) Olt J_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignatureZZof Permitee or Agent Receipt No. /20170 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS BYDate /y fir- 7� Buf ding permit expires Date _ / z —ld:; ff BUILDING ,�p'��"/ " Owner � ��5� 1v'sryvl✓ VI{„/ S0, FT. OCC. BUILDING UATION C' li 7�O Mailing Address G LTJ Yle one No Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ?� Address fC.ee Pla ing ckFee& rPenalty IsmBuilding .- Ll PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Z -4 __�y - ?j Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe Wff/, S� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 sewer 5.00 Bldg. Plans ic'd t'� Parcel Approval Plans Approval 'RILWming Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family WH Duplex ❑ Mobil Home ❑ Others Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD•L 100 AMP 1.00 NEW OR ADDNST l CONST.DWELLING4 BLOGS.CCUP. ) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW RESID. BRANCH CIR T NON-RESID. ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID, (SINGLE OUTLET CIR. ON Ex. Occuo{OUTLETS OR FIXTURES, �@ BAL�205I Ex. FIXED APPLNS. OR P• OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 'K I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE . 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ ZZA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignatureZZof Permitee or Agent Receipt No. /20170 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS BYDate /y fir- 7� Buf ding permit expires Date _ / z —ld:; ff COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - �Oroville, California 95965 n 534-4541 6'e )/-0Telephone:0 APPLICATION AND PERMIT —u IVI — 1VF/l V11LUL1VV0 VI 1110 VVUllly VI Dully WClltUl UPV11 IIIc above-mentioned property for inspection purposes. X LDate 31 06y� Signature of Permittee or Agent Receipt No. � Ll / 2_8 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit ' hereby issued under the applicable provisions of the Butte un y Code and/or resolutions to do work indicated abov for hic fees have been paid. IRE�T OF PUBLIC WORKS /Avlk BY VOWDate i v Building permit expires Date I O BUILDING Owner ic SQ. FT. OCC. BUILDING VAL TION Mailing Address P.1- "7"AL-11 SQ CVT/ lV J o 7L Contractor N(2 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee "1 n W Building Address t6^45-It Plan Checking Fee&/or Penalty Permit Fee GO gNAI PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C/�(�0 Repair drainage or vent piping 1.50 A. P. JNo. �-- oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 44 4.1 Sal4em� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 O'd9-44vrtSRec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ .$ CLEO-, 5ceulca Cl�i9066 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5,OV Main service 600V OR LESS G, iyl 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others If Main service EA. ADO'L 100 AMP 2.50 2, Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLLING BLDGS,CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR/POWER APPARATUS & NON -RES ID. \SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) B L Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring Q Q$Lfr)C/ TIod 6.25 ZS I am exempt from the Contractors License Laws of the State of California. 50 Permit Fee $ l% $ �]S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ rp 75 —u IVI — 1VF/l V11LUL1VV0 VI 1110 VVUllly VI Dully WClltUl UPV11 IIIc above-mentioned property for inspection purposes. X LDate 31 06y� Signature of Permittee or Agent Receipt No. � Ll / 2_8 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit ' hereby issued under the applicable provisions of the Butte un y Code and/or resolutions to do work indicated abov for hic fees have been paid. IRE�T OF PUBLIC WORKS /Avlk BY VOWDate i v Building permit expires Date I O t : *, �,; ..-.. �,.,�,yC�,�.w�.t'�.-nw•t-.r.,y�•�•....-'�"a7}�"rn r----r'9QT`!^^�'�-r�.wacx•-sy.r �'T".'.. •s•r.,. ,w,T-,•r -•• v 7... _ ,. _ 11 042-02-0-034E BELL, MAX 3413 BELL ROA CONTR: BUTT RE ROOF c a t 3 r a t • .s♦ 1� t. � �� � .,�9. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 T- e'�' hone (530) 538-7541 ` �'PQRMITNo. (Rev. 12/96) APPLICATION AND PERMIT r � ASSESSOR PARCEL NUMBER7 17) ZONING BUILDING PERMIT OWNER JELEPHONE / �/ 'SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS - �„C,O"TRACTOR'S NA E .11 t' • _ • TELEPHONE • ' :CONiRA0TOR5 MAILING ORES CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ` Total Valuation $ ARCHITECT OR ENGINEER , LICENSE NO. Filing Fee $ 20.00 Permit Fee ..$ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ IF BUILDINGADDRESS Energy Plan Checking Fee $ $ _ - ' FEE. $ _ _s,l• ^Filing LOT NO. :SUBDrVISION'S NAME?" , t�' ` - _ _ " f. PARC MAP -"� , 0LUMBING�'PERMIT ' n ' - Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE• SF Duplex ❑ Mobilehome O Other 3 ' •� SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK 4 New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other j�� Describe Work: 4A�' �.,.,A,0,1171 Z4 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 +; .i..-.eogv-DR LEss ,� ,, 23.00 Main Service, �oonoRLESS.. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 7/ • License Class Lic. NO. 7-1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 ❑ I am exempt under Sec. Business and Professions Code for this, - WORKERS' COMPENSATION DECLARATION i I I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. II. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cc pensation insurance carrier and policy number are: Carrier 714 j.�2 ,t , Policy Number 7b (The above sections need not be completed 0 the permit is for work of a val&bon of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ..-G f2. Date signatire of Applicant - ❑ Owner Contractor ,;IATAnrge An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heig 't: ��. TO +o�A 46.00 % MW'CONS .-- NEW'CONST.-' DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.50FT_ NEW RESID. T.MULTI.OIRCUITS UTLET @7.50 POWER APPARATUS ' 8 SINGLE OUTLET CTR. EX. Occup. OUTLET OR FIXTURES BAL @ +. 0 Ex. Occup. DFIx�LEED�A PRESp°Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S -MECHANIC}AL PERMIT - Filing Fee " 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the utte County Code and/or Resolutions to do work indicate Ove or wh'ch fees have been paid. %j j/ By ate nkt PERMIT EXPIRES ON 94 /37 �1Receipt I I(Dat,) ` No.CQ 1 *""" WHITE-D.D.S.-B`D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive. • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /'� / % ZONING BUILDING PERMIT XEIJEPHONE SO. FT. OCC. BUILDING VALUATION • O N 5 MAILING KESS �• MRACT R'S E LTEMiPHONE OE} NTRACTORS ILING L , n. a . CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ow ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherBuildin Describe Work: Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 vR Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In II force and effect. �� License Class - Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. j I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co �e sation insurance carrier and policy number are: Carrier r Policy Number (The above sections need not be completed If the permit is for work of a-valulftion of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ' h comply wi those provisions. X l _ D t Signature o Applicant - ❑Owner Contractor Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heig Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG Occup. so OR ADDNS. a ACC. BLDS. 3.50FT. NNEW .RESD. MULTI -OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET US 20 Q I'00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. pUT1E... pap .)0E1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating CoolingY Hood 6.50 Ventilation SEP L 3 2 BUTTE COUNT' T T RMVTTiNWfV Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE t9� $ ETOTALEE COF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the utte County Code and/or Resolutions to do work indica ` ve r w 'ch fees have been paid. By to �J PERMIT EXPIRES ON I Iate Receipt No. ',2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 01/17a -m- -0&-7 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. 2-o �/r� 1 ZONING Q OWNER �1i a, L e PHo=30 RQ3-36l I OWNER'S ADDRESS 3 13 C159 LOCATION OF BUILDING 3413 Q e 11 28 C V\ %Co ccl c(SG-13 USE OF BUILDI�`� G, _ \ow c -s Co4o cli Icer .S ;a mem �t csE F `�-, loa� SIZE OF STRUCTURE 40 X �' _ -Lf-340 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —&_ STEEL CONCRETE OTHER(Specify) TYPE OF SIDING Mason ROOF COVERING Corte Shin lis FLOOR T�!PE l'�oncce os���oc� ,e ESTIMATED COST OF CONSTRUCTION $ z5, 000 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r f < �`� 4ftzllrl�- ao D FRONT SIDES 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above 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 occuDancv. Date -5- --7 4- 01 Permit Fee - $6600..000 Receipt No. �/ I Signature of Owner , Y)Oaz/ A&& The above described AG Buildina is exemDt from a bidildina Dermit. / OOD 1 PAR L 1 P.D I 17G lssuEJ Manager Building Division' By Date 1512 9 62 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant '+m'"'�W`P•"^'•-ir•..��•.-ww^w• - _.•?.1"""is1+.- �.1-',pls�.•ly.y'"J_ -moo.- n..,a-F �ij.yy"K,1i'`'^'1flX^`"._ "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: ` I `r ASSESSOR PARCEL NUMBER �0 ��� Proposed Building Use: ►-�,4 Counter Technician: Date: �• v ` Items required in order Wapply for a pe mit. All boxes MUST be checked OR marked NA in order to apply. "❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate: ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed of these must be stamped and wet n�ythe engineer. en . Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 1t* ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form.::..............................`............................................. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due -Sheet ....................................... ❑, f-5. Statement of Intent for Non -heated and A/C Buildings ............................................. s ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit ............... ' ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parkirig,. (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements,. ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction, approval prior to occupancy):' ' s ❑ 22. Pre -Inspection for �..; required?'' :............. ❑ 23. Contractor's license information. (Number, Name Stjkl'e, Classification)::?" ............ ❑ 24. Workers Compensation Carrier and Policy Number ) ... ❑ 25. Owner -Builder Verification ❑ Given to owner, ❑ Mai ed to owner ............ ' ....... ❑ 26. Letter of Signature authorization ............................'....................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits ................... . . t, r-....... `'' ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal caner, ❑ Check to H.C.D. $ 31. Other: < , hen issued Telephone and hold for pickup': a I have been informed of the above items and requirements for obtaining a building permit. Applicant: `��%�` Date: I. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approvedby: t• Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: - ;�,i i ' r��; Yellow: Building Division . ,_. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3413 BELL RD Owner: Permit NO: B07-1173 APN: 042-020-034 RASMUSSEN, JEFFREY Issued Date: 7/17/2007 By GLB Permit type: MISCELLANEOUS 3413 BELL RD Subtype: Room Addn-First Stry CHICO, CA 95973 Expiration Date: 7/16/2008 Description: ADDITION - MSTR BEDROOM (530) 680-1683 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: RASMUSSEN CONSTRUCTION INC RASMUSSEN CONSTRUCTIO Building Garage Remdl/Addn 3413 BELL RD 3413 BELL RD 1,455 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 893-9787 (530) 893-9787 1,455 - FEE INFORMATION Ag Com Building Permit Clearan $32.50 DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $652.69 DBMSC Room Add -1st Story 250sf $979.03 DBSMIP Residential $9.46 Total Charged: $1,749.38 Fees Paid: $1,749.38 Balance Due: $0.00 Receipt No: B3912 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RASMUSSEN CONSTRUCTION 326165 / B / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 I HEREBY AFFIRM UNDER ENALTY OF PERJURY that I am licensed under provisions of Chapter 9 cemme a ( g with Se on 7 00) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in I for a rff ct. of Division 3 of the Business and Professions Code or that he or she is exempt therefrom and the 1 P X 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 [$5001; 7/17/2007 7 Please check one of the following: Co ra o ig ature Date ❑ 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 RKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements E]I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier. State Fund Policy Number: 1766257 Exp. Date:41112007 Contractor's License Law.). (This section need not be completed if the permit is oron�r�llars ($100) or less. IAM EXEMPT under Section B. & P.C. for this reason: ❑ ❑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' Compen tion laws of California, and agree that if I should become subject to the workers' X 7/17/2007 comp sa io pr visio of Section 3700 of the Labor Code, I shall forthwith comply with those pro sionsl , Owners Signature Date X 7/17/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signatur Date At WARNIN AI O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, U construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL TAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this a it. I hereby acknowledge thatt is issuance of this permit does not authorize the use or ccupancy f any s ewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co ty t to t e bo mentioned property for inspection purposes. I hereby certify that I am the 0rty uthorr zed to act on the property wnefs beh '1 CONSTRUCTION LENDING AGENCY.. . /17/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fore f r ittee [SIGN] Print ate the performance of the work for which this permit is issued. (3097 civ. code) r Owner El Contractor OR.Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION CONTRACTOR Fi NFame- Mailing Address 3 LC R-6 City C (✓8 Staty� Zip,) Phone G `! Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address � City City State State FZ, Phone Fax Fax E-mail State License Number Lic. # z G b Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Addtess Zip City Fax State Zip Phone Fax E-mail Open Cov 0�1 (I U fk,.# State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APL ANT SIGNATURE -1tIL4� �. e�. C PROJECT LOCATION AP# Property Address City PERMIT a,('lI t � BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zoning Flood Zone SRA Yes No Occ. Type Const. 1... �.hin �11 1L Sq FT- Living 5 Garage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Open Cov 0�1 (I U fk,.# For office us on Zoning Flood Zone SRA Yes No Occ. Type Const. 1... �.hin �11 1L `— r+}`x .iay,,�.'��-i�;.:.:;vF�lMj„�•.�;,,;�c.3,r1t',7r"1.•!'vr,K'Ai:"s..i,-i,���'4';'l'.�\iii!1`"P.�a"+:�"'.�r:`''�F"-r""t["'1� E e i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District' CJ��h� A.P. Number nyr) -an 'I a,4 Jurisdiction: = City Property Owner Property Location/Address Subdivision Residential Development 0 I 5 5 No of Living Mobile Home Units Installation Commercial/Industrial 0 = l New Addition A Building Department No. Tax date Area No. ©County Lot No. 0 'Supplemental to Permit # "(No foundation insoecl Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No.A LJ+ School District certifies that (Street (City) Sq. Footage (Including Exterior Roofed Areas) v7- I� 4 Date C�.c►�,�ss'�i � s�vc�-i� (Payor) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. .03-q-0(0— representing 0✓-q-010representing L.�,53 square feet. B 2926 " FULL MITIGATION School District Paid by Check # _ (0(Q Remarks: by payment of $ S S Date � 07 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dm7 I 5 5 Sq. Footage 1 (Group R) Cr. Demo - existing sq. ft. see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No.A LJ+ School District certifies that (Street (City) Sq. Footage (Including Exterior Roofed Areas) v7- I� 4 Date C�.c►�,�ss'�i � s�vc�-i� (Payor) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. .03-q-0(0— representing 0✓-q-010representing L.�,53 square feet. B 2926 " FULL MITIGATION School District Paid by Check # _ (0(Q Remarks: by payment of $ S S Date � 07 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dm7 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1173 Location: 3413 BELL RD Parcel Number: 042-020-034 Owner Name: RASMUSSEN, JEFFREY Description: ADDITION - MSTR BEDROOM Date: 5/29/2007 By: GLB Sub Type: Room Addn-First Str Phone: (530) 680-1683 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 C � oo ie.�3chhoo� District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 fid Durham LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 Ung ied School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 [:] PARKS & RECREATION DISTRICTS ❑ M Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 0 ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Signature of Property Owner: FILE Date: 5/29/2007 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 #E3 C � oo ie.�3chhoo� District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 fid Durham Ung ied School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 1:1 [:] Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ M Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 0 ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ Other: ❑ Other: Signature of Property Owner: FILE Date: 5/29/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR X 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1173 Date: 5/29/2007 Location: 3413 BELL RD Parcel Number: 042-020-034 Owner Name: RASMUSSEN, JEFFREY Phone: (530) 680-1683 Description: ADDITION - MSTR BEDROOM Signature of Properly Owners /-� 1�,/ \ V--- Date: 5/29/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1173 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 3413 BELL RD Contractor: RASMUSSEN CONSTRUCTION INC 3413 BELL RD CHICO, CA 95973 Printed: 5/29/2007 1:53 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Ag Com Building Permit Clearan DBEH Building Review Fee 0010-460001-4612200-1010 $32.50 5/29/2007 $32.50 DBMSC Room Add -1st Story 250sf 0021-540013-4614901-1010 $75.70 5/29/2007 $75.70 DBF Room Addition - First Stor 0010-440001-4210500-1010 $979.03 DBSMIP Residential 0010-440001-4210500-1010 $652.69 5/29/2007 $652.69 1001-0-280-1011298 $9.46 19749.38 $760.89 Printed By: Gwyn Benedict Balance Due: $988.49 At the time of permit a 'Iicatio I was advised the above fees are required prior to issuance of the permit. The es m ch n during the plan checking process. Signatur . Date: 5/29/2007 Pursuant to Government code—Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds i 0 0 0' 0 IOy,��r�ii�ti/�''�S National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1173 Date: 5/29/2007 Location: 3413 BELL. RD Parcel Number: 042-020-034 Owner Name: RASMUSSEN, JEFFREY Description: ADDITION - MSTR BEDROOM By: GLB Sub Type: Room Addn-First Str Phone: (530)680-1683 By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed Title: FILE Date: 5/29/2007 BUTTE COUNTY PER I O' FORM NO DEPARTMENT OF DEVELOPMENT SERVICES ,'BUILDING PERMIT APPLICATION" BIN O: DBP -1 Phone: (530) 538-7601 Fax (530) 538-7785. Website: www.buttecountv.neVdds Payment of Fees Required at Time of Application PLEASE PRINT CLEARLY 3. 4 ` P�ROPER4TY O1N[VER INFORM¢AT ONJ_=TgW me First N e �V Maili g Address .34 t Tye City G 64�� State 7f PhC�•1 '� l �� f'%L 7) Fax E ad .$�R dS�'i.4 3 iK � APPLICANT Last Name p Name Mailing Address Mailing Address State City Phone State Zip Phone Fax Email Cell CA State License No. E ad .$�R dS�'i.4 3 iK � APPLICANT Last Name p First Name Mailing Address City State Zip Phone Fax Email Cell Date: t �, f Na a: 7! 'W n fil ,tis plication and all supporting material becomes subject to the Ce pub 'ns a nand will be posted on the County's website for electronic access J4, 601 ,3 APN =.R FyR�OJECTLOCgT, 10—..o3 010—.034 Property Addre� �/v/ 7VV V`ti Ci Location must not be in the city limits of Chico, Gridley, Oroville or Paradise, click below for parcel information Zip iftp://sk.chicomapworks.com/ ., WQRRR�S COMPEN$MI_,QN %W Policy Number Carrier If hiring other than a licensed contractor, a certificate of worker's compensation must be shown at the time of permit. issuance �k������n. ,4 LENDING.AGENC�Y r , Name Mailing Address City State Zip K:WEW WEBSITE\Building\Building Forms & Documents\2014\Word Docs with updated fax no 2012/Building_Permit_Application_DBP- 01_reJd' 10-17-12 G c Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit (per Butte County Code Chapter 26, Article 1, Section 263.1). A permit may be renewed (for a fee) prior to expiration a maximum of two (2) times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. The current refund processing fee is $127.00. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hnp:Hmunicipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B14-0665 Location: 3413 BELL RD Parcel Number: Owner Name: Description: 042-020-034 RASMUSSEN, JEFFREY AS BUILT SHED Signature of Applicant: Welect 2ND DWELLING l �� FILE Date: 4/7/2014 Phone: (530) 343-9631 Date: 4/7/2014 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 53&2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B14-0665 Date: 4/7/2014 Location: 3413 BELL RD By: CLG Parcel Number: 042-020-034 Sub Type: REMODEL Owner Name: RASMUSSEN, JEFFREY Phone: (530) 343-9631 Description: AS BUILT SHED CONVERSION w/elect 2ND DWELLING The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS (form will be available after plans have been reviewed by building department) ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1875 Feather River Blvd, Oroville CA 95965 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Clark Road, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS (form will be available after plans have been reviewed by building department) ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901- (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 ❑ ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ FEMA Flood Elevation Certificate (required with' 48 hours or permit will be placed on hold until received) ❑ ❑ Other: / "When filed, this application and�po mg material comes subject to the California Public Records Act. All public information related to this applic ct t c inspection and will be posted on the County's website for electronic access. Signature of Applicant: 1 Date: 4/7/2014 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 ' (530) 538-7266 Telephone (530) 538-7171 Fax "-0PR1k1QVr National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Wate Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE j Reference Number: B14-0665 Date: 4/7/2014 Location: 3413 BELL RD By: CLG Parcel Number: 042-020-034 Sub Type: REMODEL Owner Name: RASMUSSEN, JEFFREY Phone: (530) 343-9631 Description: AS BUILT SHED CONVERSION w/elect 2ND DWELLING By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may resultin rGvee of grading and/or other permits or other santions provided by law. S FILE Date: 4/7/2014 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B14-0665 Job Address: 3413 BELL RD Contractor: OWNER Job Description: AS BUILT SHED CONVERSION w/elect 2ND DWELLING Printed: 4/7/2014 11:35 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DB CA SB1473 100% 1001-0-280-1011473 $3.00 DBIFLD DRAINAGE DISTRICTS CSD 776 - MUDD-SYCAMORE CK 0035-239-4319762-10119762 $0.00 DBINVES INVESTIGATION FES @ 60% PER 0010-440001-4210502-101001 $495.00 DBEH BUILDING REVIEW FEE 0021-540011-4614901-101001 DBFIRE FIRE PRE PLNCK/INSP RES $105.00 4/7/2014 $105.00 0010-14001-4617240-101001 $228.00 4/7/2014 $228.00 DBFIRE FIRE FINAL INSPECTION RES 09 0010-14001-4617240-101001 $0.00 DBMSC GEN'L PLAN MAINT FEE MISC PR] 0010-0-4610311-10113311 $48.56 CFIFR MOBILE HOME/MULTI-FAMILY 12 MH/MF GNRL GOVT CW 12 98% MH/MF FIRE 12 98% MH/MF CRIMINAL JUSTICE 12 98% MH/MF CRIMINAL JUSTICE 12 2% A. MH/MF FIRE 12 2% ADMIN MH/MF GNRL GOVT CW 12 2% ADN MH/MF GNRL GOVT UA 12 2% ADN MH/MF GNRL GOVT UA 12 98% MH/MF HEALTH & SS 12 2% ADMI1N MH/MF HEALTH & SS 12 98% MH/MF LIBRARY 12 2% ADMIN MH/MF LIBRARY 12 98% MH/MF SHERIFF 12 2% ADMIN MH/MF SHERIFF 12 98% MH/MF TRNSPRTTN 12 2% ADMIN MH/MF TRNSPRTTN 12 98% MOBILE HOME JAIL FACILITY 0035-239-4318082-10118082 $450.80 0035-239-4318522-10118522 $529.20 0035-239-4318183-10118183 $225.40 0010-440001-4617999-101001 $4.60 0010-440001-4617999-101001 $10.80 0010-440001-4617999-101001 $9.20 0010-440001-4617999-101001 $8.40 0035-239-4318185-10118185 $411.60 0010-440001-4617999-101001 $1.60 0035-239-4318187-10118187 $78.40 0010-440001-4617999-101001 $3.60 0035-239-4318262-10118262 $176.40 0010-440001-4617999-101001 $15.80 0035-239-4318412-10118412 $774.20 0010-440001-4617999-101001 $14.80 0035-239-4318312-10118312 $725.20 0035-239-4318112-10118112 $372.22 DP PLANNING CLEARANCE FOR PERMITS 0010-440001-4210900-101001 DBMSC REMODEL -RESIDENTIAL 09 0010-440001-4210500-101001 0010-440001-4210500-101001 DBMSC SCANNING FEE 09 $81.50 4/7/2014 $81.50 $330.00 4/7/2014 $330.00 $749.00 r 0010-440001-4210500-101001 $64.00 DBE SINGLE PHASE SERVICE/RETAG RES 0010-440001-4210500-101001 $95.00 Printed By: Carrie Gomez At the time permit. Thi Signatu 69011.28 $744.50 Balance Due: $5,266.78 on; I was advised the above fees are required prior to issuance of the during the plan checking process. Date: 4/7/2014 Pursuant to overn enEod ection 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date o approval the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Situs Address ....................................... NameAddress Status I Date ......................................................................................... Taxability Code I Descr ......................................................................................... TRA I Base Date ......................................................................................... Creating Doc## I Date ......................................................................................... Current Doc# I Date ......................................................................................... Terminating Doc## 1 Date ........................................................................................ Neighborhood C___ ......................................................................................... I Supl Cnt Asmt Description ...................................................................................................... 200680053585 ...................................................................................................... ......................................................................................... Land Use 1 I Lanse Id U 2 ................................_...................................................... Zoning 1 1 Dwell 1 .......................................................................................... Acres SgFt .......................................................................................... SSN1 ISSN2 Section I TownShip I Range ...................................................................................................... Description ...................................................................................................... TPZ I Ag Pres I Etal I Bonds ...................................................................................................... Multi ... 1910 MH I Flag 1 1 Flag 2 ...................................................................................................... Asmt PP I Tax PP I Appeal I Split ...................................................................................................... Comments Assessor Inquiry - Main Asmt: 042-020-034-000 Feeparcel: 042-020-034-000 Owner: RASMUSSEN JEFFREY E MICHELLE D 3413 BELL RD CHICO TAXROLL ICURRENT IAPR DATE ..................................................................................................... RASMUSSEN JEFFREY E & MICHELLE D 3413 BELL RD Structure ............................................................................................................................................................................ CHICO CA 95973 FixturesI ................ ACT IV ............................................................................................................................................................................ Growing ............................................................................................................................................................................ ...................................................................................................... 000 I NORMAL ...................................................................................................... 062-022 11011212006 _..................................................................................................... 198784482000 I ...................................................................................................... 200680053585 ...................................................................................................... 110/12/2006 ................................................................................ 042 I ..................... 11 ...................................................................................................... 3413 BELL ROAD .......................................... _.......................................................... Net ............................................................ ...................................................................................................... A-511 I ...................................................................................................... 1.09 ...................................................................................................... 10 I -- Main I Notes I Ownership Detail I Ownership History I Exemptions I Mfg Homes I Attributes I Value History I Situs I Sales Ready. __ T _ _ r _ _�.. _ _ _ _ rteays 03/2112007 9:45:38 AM _ TAXROLL ICURRENT IAPR DATE ....................................... Land ............................................................................................................................................................................ .................................... ................................... _............................................................ 74,565 Structure ............................................................................................................................................................................ 124,442 I 1 FixturesI ............................................................................................................................................................................ Growing ............................................................................................................................................................................ I I Total LSI ................................................................................... 199,007 I Fixture RIP ................................................. I 1 ............................................................................................................................................................................ MH PP ............................................................................................................................................................................ I 1 PP I ............................................................................................................................................................................ Exemption ............................................................................................................................................................................ 7,000 1 Net ............................................................ 192,007 .............................I ....................................... RIC ## ..... ............................................................................................................................................................................ T R ID ate ....................................... Status ......................................................................................... _.......................................... ............................................................................................................................................................................ Descriptioi ENROLLED is BASE YEAR Main I Notes I Ownership Detail I Ownership History I Exemptions I Mfg Homes I Attributes I Value History I Situs I Sales Ready. __ T _ _ r _ _�.. _ _ _ _ rteays 03/2112007 9:45:38 AM _ 811111111 � NIXL7lItl1SNW N3SSfIMM! 3f 1 1` '^� �� I / _ wa..wP..o . f �7 m r 0 m z m PER ` s x s = s��n .e a9, a R,=FLAN S, im ruwusses cohsrnucrm or an.a.�n L 101111110" i °a _ ° ■ qD f i = ■ x e i m PER ` s x s = s��n .e a9, a R,=FLAN S, im ruwusses cohsrnucrm or an.a.�n L 101111110"