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RESIDENTIAL
PERMITNO. _x027=360=108 "--_---
7.
i VARRO, GILBERTO 05-1288
+_ MELODY LN, OROVILLE
'1 Cont: OWNER
NEW SINGLE FAMILY
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SPECIAL CONDITIONS
CHECKED
BY
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FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
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SPECIAL INSPECTION ITEMS, `
VERIFY r
USE PERMIT CONDITIONS
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SUB -STANDARD HOUSING LETTER.,,,, .
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_ Address � '=<` `,�• � '--,` ;
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Meter Dat k�
ELECTRIC _ ??_
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Meter By Date/� 7
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JOB (Date)
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Signature
- OK
=Not OK
= Not Applicable 'MOBILE HOMES
= Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location -Clearances -Grad-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat or/ /" L "ftJ P LPG
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors l
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.• Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test-Regulator-Connectoe
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Stze-Spacing-Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors l
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.• Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
Main; Soils-Elec. Gmd.-/ /" Ftg. C
Garage; Soils-Steel-Elec. Grnd.-/
Porches & Decks: Soils -Steel-/
//V / Ba. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Pie Ire lace Ft : Steel
-) .W.V.; Fall -Fitting -Test -2 Way C/O -Sew est
_,1 0. UF, Gas Pipe; Size Anchors -Yard (ping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
t Fan, Exhaust above insulation
Co r}&e Drain & Overflow, Size & Grade
39,'Fupr ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
(9D:7Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMIbl49'(Perrnit) OK except #'s
Materials & Anchors
t*2'WaKS uds-Nailing Spacing & Braces -Plates -Sound
43' P4VFfg Walls over Girders & Floor Nailing
aft Stop in Walls (rat proof)
Fir ops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing 4
Date FRA (Continued)
4 . rs-Post Caps -Anchors -Connectors
41- ¢. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng.
Firepla a Ties or Type AFlue-Fireplace Throat Clearance
Op2 W Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions
2. Gara F" Protection Framing -RC Channel
53. P Line Firewall & Openings
Doors -One 3' -Check Garage 3rd Story, 2 Exits
S rs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
2 t V%;��90 Mesh -Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection -Skylights -Plastic
I<Z Oe Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infittration-Walls-Windows
Date -02 Card B-1 Date Card B-1
Date - ,O— Card B-1 Date Card B-1
Date FINAL (Plans)'Ok (Plans)Oe ept #'s
V. I Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
rz . Elec_ Trim & Subpanel, Breaker Sizes & Labels
7 tairs & Rails
Fireplace or Stove, Clearance -Hearth
7 -LV Elec. Outlets at Wood Panel, Int. & Ext.
7,/ Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
., Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door, Swing -landing -Closure
76/A C. Dud in Garage -Damper
7-e Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
Above Floor-Mech. Pn
7Q Plb.; Elec. & Mech. Equip. Listed for Location
73. Elec. Receptacles in Garage (EEI.)-Romex Protection
Insulation -Foam -Looked in Attic
Syr Guard Rails & Deck Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
-Clearance Looked under Floor O Yes
- ^ 83. of onowino InstldJDrive OXs O No/Walks Des O No/Planters O Yes,O-NO
Stucco
A.C. Unit Disconnect, Electrical -Plumbing
8fy'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
—87 --Water Well, Disconnect, Electrical, Plumbing
Exterior Elec. Trim, G.F.I. Receptacle -Underground
W. Ventilation Throughout House
9 .,Glass Protection
9a! rredions from Previous Inspections
. Gas Test -Meters Tagged, Gas -Electric
93' Water & Sewer Connected -C/O to Grade -HD Approval
- gia-" Energy Compliance Certificate -Other Certificates
W"'Address Posted
� . Fire Sprinkler
Date Q 7 �ard B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
Date
Card B-1 Date Card B-1
Date
Card B-1,,,""Date Card B-1
Date
P M G (Permit) OK except #'s
ate . ent-Access-Combustion Air Baffle
at i ; Test & Anchor -Nail Protection
1 .V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. T ub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECT CAL (Permit) OK except #'s
24-fiWjre_& Transformer Clearance -Ins. Protection
I eceptacles Spacing -Lights & Switches at Doors
�iz� Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fastener -Bond Ga &
29'2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed, Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31 ge Circle/ /ga Cu or Ai -Oven Circ. / /ga Cu or AI
Insulated Neutral O Yes O No
32. S ce-Miser Conductors & Ground Main Disconnect
1p. C earances Panels-Motors-Mech. Equip.
�!�.Cloqthes Closet Light -Shower Light -Spa Light
6ZOS-moke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHA (Permitl OK except #'s
t Fan, Exhaust above insulation
Co r}&e Drain & Overflow, Size & Grade
39,'Fupr ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
(9D:7Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMIbl49'(Perrnit) OK except #'s
Materials & Anchors
t*2'WaKS uds-Nailing Spacing & Braces -Plates -Sound
43' P4VFfg Walls over Girders & Floor Nailing
aft Stop in Walls (rat proof)
Fir ops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing 4
Date FRA (Continued)
4 . rs-Post Caps -Anchors -Connectors
41- ¢. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng.
Firepla a Ties or Type AFlue-Fireplace Throat Clearance
Op2 W Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions
2. Gara F" Protection Framing -RC Channel
53. P Line Firewall & Openings
Doors -One 3' -Check Garage 3rd Story, 2 Exits
S rs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
2 t V%;��90 Mesh -Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection -Skylights -Plastic
I<Z Oe Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infittration-Walls-Windows
Date -02 Card B-1 Date Card B-1
Date - ,O— Card B-1 Date Card B-1
Date FINAL (Plans)'Ok (Plans)Oe ept #'s
V. I Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
rz . Elec_ Trim & Subpanel, Breaker Sizes & Labels
7 tairs & Rails
Fireplace or Stove, Clearance -Hearth
7 -LV Elec. Outlets at Wood Panel, Int. & Ext.
7,/ Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
., Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door, Swing -landing -Closure
76/A C. Dud in Garage -Damper
7-e Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
Above Floor-Mech. Pn
7Q Plb.; Elec. & Mech. Equip. Listed for Location
73. Elec. Receptacles in Garage (EEI.)-Romex Protection
Insulation -Foam -Looked in Attic
Syr Guard Rails & Deck Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
-Clearance Looked under Floor O Yes
- ^ 83. of onowino InstldJDrive OXs O No/Walks Des O No/Planters O Yes,O-NO
Stucco
A.C. Unit Disconnect, Electrical -Plumbing
8fy'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
—87 --Water Well, Disconnect, Electrical, Plumbing
Exterior Elec. Trim, G.F.I. Receptacle -Underground
W. Ventilation Throughout House
9 .,Glass Protection
9a! rredions from Previous Inspections
. Gas Test -Meters Tagged, Gas -Electric
93' Water & Sewer Connected -C/O to Grade -HD Approval
- gia-" Energy Compliance Certificate -Other Certificates
W"'Address Posted
� . Fire Sprinkler
Date Q 7 �ard B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
s . BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
I
CORRECTION NOTICE
UWNEH +� PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
=s explanation, please contact the Building Inspector as indicated below.
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Date Inspector
REV 4/05 Phone #
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FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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COUNTY OF BUTTE
WILDING DIVISION
. - DEPARTMENT OF DEVELOPMENT SERVICES 's
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of .=-
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
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Date / /� Inspector < <i ?f7 AV k,
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REV 4/05 Phone # �
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834`-`
................ ' . COUNTY OF BUTTE .... ` .... .
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional '
explanation, please contact the Building Inspector as indicated below.
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REV 4/05 Phone# 5-3 ) O'
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
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DEPARTMENT OF DEVELOPMENT- SERVICES
7 County Center Drive • Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
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OWNER PERMIT NO_*',"�_
A routine inspection indicates that the following violations of Butte County Ordinances exist At
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or.need additional,
explanation, please contact the Building Inspector as indicated below.
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Date _a�� Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTEBUILPING
DIVISIONDEPARTMENT OF DEVELOPMENT SERVICES7
County Center Drive Oroville, CA (530) 538-7541CORRECT16N
NOTICEOA6R
PERMIT NOA
routine inspection indicates that the following violations of Butte County Ordinances
exist at" -'the
above address and should be corrected. Please call for re-inspection'when correction ofwork
is completed. A you have any questions pertaining to this matter, or need additionalexplanatio
I e�contact the Building Inspector as indicated below.
CIA
Date _a�� Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
Date Inspector CI-
REV 4/05 Phone #��
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
........... , . COL NTY OF BUTTIE,(
' BUILDING DIVISION.
DEPARTMENT OF DEVELOPMENT- SERVICES
7 County Center Drive • Oroville,'CA • (530)`538=7541
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CORRECTION NOTICE
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OWNER - s PERMIT NO.
A routine inspection indicates/that the following violations of Butte County Ordinances exist at
the
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above address and sh Gld be corrected. Please call for. re -inspection when correction of
work is completed. If y�u have any questions pertaining to this matter, or` eed additional
explanation, please c tr( act the Buildng Inspector as indicated below.
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Date Inspector CI-
REV 4/05 Phone #��
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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:..... ......COUNTY OF BUTTE........... .
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'--' BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
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CORRECTION NOTICE
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OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please cot-thffBuilding Inspector as indicated below.
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Date
Ins^sector
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REV 4/05
Phone #
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FOR RE -INSPECTION CALL. 538-7636 OR 891-2834
t; COUNTY OF BUTTE `
f BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
111d(A)
rt OWNER
�,� PERMIT NO.
>- A routine inspection indicates that the following violations of Butte County Ordinances exist at. -
the above address and should be corrected. Please call for re -inspection when correction of
work is co pleted. If you have any questions pertaining to this matter, or need additional
explana n, please contact the Building Inspector as indicated below.
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Date `'� Inspector.''�'�^''
�. REV 4/05 Phone # ��� ►Sn�
% FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #; '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is In full force and
effect.
License Class : License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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
vi (ation of Section 7031.5 by any applicant for a permit subjects the
a plicant 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.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 11 am Exempt under Article 3 he Business and Professions Code
Dale( dL__ iS Ow
WORKERS' eOMPENSATION 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:
Carrier:
Policy
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
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.
PERMIT NO.
BPO51288
Issued Date: 10/13/2005 APN: 027-360-108-000
Site Address: 118 MELODY LN ORO
Map Index:
Description: NSF(2279)GAR(574)COV(530)OPEN(108)
Owner: NAVARRO, GILBERTO AND BERTHA
9574 DE REE RD
LIVE OAK, CA.
95953
530-695-1943
Applicant: NAVARRO, GILBERTO AND BERTHA
9574 DE REE RD
LIVE OAK, CA.
95953
530-695-1943
Contractor:
License #:
Architect:
Engineer: AUSMUS ENGINEERING
Total Square Ft: 3491 S.F.
Valuation: $171,471.00
Census Code:
5. q
q, A M
p—e—O5
CONSTRUCTION LENDING AGENCY This permit is hereby issued.under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated a ove or which fees have been paid. j 1
performance of the work for which this permit is issued (Sec 3097 Civ.) Date: l� /- " �L
Name:' By. 2 n
PERMIT EXPIRES ON:
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ 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 a fficial form or document of Butte County. I hereby
authorize representatives f Butte C unty to enter upon the above mentioned property for inspection purpose .
Print Name: U yx R JS C/ Signature:
Date: `
Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES.
BUILDING PERMIT
24 HOUR INSPECTION #: '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP051288
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 10/13/2005 APN: 027-360-108-000
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.
Site Address: 118 MELODY LN ORO
License Class : License Number:
Map Index:
Date: Contractor:
Description: NSF(2279)GAR(574)COV(530)OPEN(108)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Owner: NAVARRO, GILBERTO AND BERTHA
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
9574 DE REE RD
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
LIVE OAK, CA.
7000) of Division 3 of the Business and Professions Code) or that he or
95953
she is exempt therefrom and the basis for the alleged exemption. Any
viglation of Section 7031.5 by any applicant for. a permit subjects the
530-695-1943
a plicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: NAVARRO, GILBERTO AND BERTHA
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
9574 DE REE RD
sale. If however, the building or improvements are sold within one
LIVE OAK, CA.
year of completion, the owner -builder will. have the burden of
95953
proving that he or she did not build or improve for the purpose of
sale.). i
530-695-1943
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.).
�Professions Code
❑ I/am Exempt under Article 3e Business/and
v'=
Date( d__ Ow = `� 7
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #:
❑ 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.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer: AUSMUS ENGINEERING
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: -
arrier:Policy#:
Policy #:
Total Square Ft: 3491 S.F.
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $171,471.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
5qq
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
i
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated a ove or which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
' - S
BY Dater
Name:
PERMIT EXPIRES ON:
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a fficial form or document of Butte County. thereby
authorize representatives f Butte C unty to enter upon the above mentioned property for inspection purpose .
Print Name: / _ Itz1��/5 sf Signature:
1101
Date:
Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor
k`TTE Y G
OUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541 r)
91
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
�^ ' 1 Q
Website: www.buftecounty.net/ddls , 1
01Y\CA wow! PRINT CLEARLY** 1 Q,
OWNER
Last Name
irst Name/
Address
City /_ VC )4/
Sate ell,
Zip
Phone , d 4�5- '$p S—1 y
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
S n
Address
sox -51 15
City
Zip p S,FZ
Elate
Zip
Phone
Sate License Number
Fax
E-mail
Planner
Lc. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
S n
Address
. (9
sox -51 15
City C4 c O State
Zip p S,FZ
Phones d
52 / C Fax5JO 3 < -3 L
E-mail
Sate License Number
APPLICANT NAME
Name GlL ge v7 Td
Address F5—;741 lD g %i L Z= R /'
City L l V C 0141r
tate C�
Zip
Phone�.3 O �l S^ l�
Fax
E-mail
Subdivision Name
APPLICANT S'GNATURE
For office use only:
Zoning
Flood Zone
City
0>,0V1 l,
SRA
s
I No
Occ.
. ype Const.
Subdivision Name
Map Book
Page
Lot #
Planner
= Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\Bldg,&pplSubRgmts.doc
PERMIT
'0s= lad
BIN #
LOCATION
AP#D Z 7 o 8
o y Address /
lr'/ /1,/ Z G
City
0>,0V1 l,
Cross Street
A d 7L /
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
Page 1 of 2
Description or Scope of Work:
.530 S'F G S7 S�
Sq. Footage 00
❑ Structure Bui without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
R eived by: Amount: Bldg
b SRA
Receipt #: Sheriff
SMTP
Date�/,
(4's 3� Other
Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form. ,
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
' � 1' ,_______-,
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00
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1!
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
1
7 County Center Drive
Oroville, CA 95965;
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
TO: 11 WILLDAN
FROM: Scott Rutherford (530) 538-7160
Nsrutherford@buttecounty.net
SUBJECT: Plans Transmittal For Review Per Contract
M DATE: ' 5/17/2005
i
Applicant: I� Navarro, Gilberto Permit No:
05-1288
Project Type: NSF/Gar/Cov APN:
027-360-108
100% 70%
Plan Check Fees $ 1,167.72 $
817.40
If $ 1,167.72 $
817.40
!� WILLDAN Fee $
817.40
Copies Attached: Qty
Chk
Application
Site Plan Review
{ FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other'
��-....-�.--�,-:aP.a.��..✓ >;;-y:i-.N'S,i3�".nu�--..-.a. ..ai ... __ _�y.�y-s-.�_�..,.:,v^�1a.�d'K"�^'°"'t^_.:+-F,. :�.` .�_ .._.. .. - _...�.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
ii PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: ��� Perrpit Technician: Dater
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde -£o 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.
5 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
jg� 4. Engineered truss details and layouts in duplicate. No faxes!
t5 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
❑ 12. Hazardous Material Form
b 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)a�c-
15. Sanitation and site plan approval -from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
16. Fire Sprinklers..........!.................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
F1 18. Soils Report and/or Engineered Foundation required ...........................................
❑ Erosion Control Plan R'equired........................................................................
20. !es as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 1. City of Chico Plumbing permit.....:.................................................................. `
0 22. Site / P approval e Cit Biggs
23. California Department of Forestry plan ppovalaid. Sent by:
❑/ i1J 24. Planning approval for A Use: B Parkin :C P i Che :........... � _�_
❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................
Ig26. NPDES Form......`......................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification)....................
❑ 29. Worker's Compensation Carriers d Policy Number ..........................................
30. Owner -Builder Verification (_✓Given to owner, _Mailed to owner) .....................
03. Letter of Signature authorization....................................................................
Recorded copy of Agricultural Acknowledgment Statement .................................
Existing violations and;or expired permits.........................................................
❑ 34. Deed Restriction.......:..................................................................................
❑ 35. ❑ Legal description, ❑11 M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone �GI �I _ �► -3 and hold for pickup.
I have been infor. ed of the above items and requirements for obtaining a building permit.
l
Applicant: Date: �� a
1. IndexperAtt application for the above items numbered: 3 i 7 ?--z Plan Check Letter
2. Additional items required "� •-��� l � cok-Lc� -
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by- `� ! Date: '�'fl� A,6 A - s w r72
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 approved by: I I if _Date:
Structural reviewed by: Date: Structural approved by: _ Date:
Note transfer by: _Date:
Yellow: Building Division
E.H. USE ONLY
Plat Pian Atbchad
Rear Plan Anschad
Sant to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP# NI. Plan Approved for: Sewage Disposal_—Water Sup P Private We
Clearance for dwelling. Other .1
Hold final for:
Final clearance O.K. for:
NOTE:
aAL Im. 4
Environmental "alt SpSpecialist Date
8/96
iI
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNERC1�V -0 A.P. #
PROPROSED BUILDING USE, \ DATE
O I RECEIPT # DATE REC.
4el. BUILDING PERMIT FEES
--- Balance Due ..................... $
i
--- FEMA Flood elevation review ... $
r.
--- Additional plan checking Fee.... $
V6 2. SCHOOL DISTRICT FEES G -6;o
(paid at School District Office) (form availaar Plan Check)
3. ERIFF FEES (paid at Building Division)
4 o9 a_
Res ential..........':. X $360.00 =$
Units
Commer . 1(sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4_J6�)KQ,4EAx/'_1 . An 10/7(6
_4 I. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
()/1.1 vn/0 5
10/13/05
5. RESIDENTIAL I)EVELOPMENT_I.MP-AC-T-F ES 1100=1 10-1'3-05
COUNTY WIDE (per dwellin ) $T��
CHICO URBAN AREA (per dwelling) $
�f
EL MEDIO FIRE DISTRICT (per dwelling) $
IE
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $
.I
6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204:9&(Raid at Building Division)
ATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
fC ' e
8. SMIP_ Y� ♦ Ir �J `1 M
9. OTHER I
d.
II
10. OTHER
jf
11. OTHER
\o- 11 -05
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be chaAdurriilan checking process.
APPLICANI ! ° DATE S-= fF-. p !S7—
APPLICANT
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. 3/05)
i'
Butte County Deepartmentof-DevelopinentServlCes °�vrrF°
7 County Center Drive
Oroville, CA 95965 I ° "Y °
(530) 538-7601 Telephone
(530) 538-7785 Facsimile c�UN'�y
i�
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process W [THOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
a I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained.
• I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities. that could prohibit issuance of the building_ permit or r uire
submission of amended building _plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from -the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal. access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print: r
f
Applicant Name: A//�l/AD APN: 2 7 3 Cd—/61
/% L % D /
Building site address: d 7i 4 14 ti rc Permit No.:
I?
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
N
SIGNATURE OF APPLICANT DATE
Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 020705
i
a
l� ooIJN�
Department of Public Works
° C o u n t y o f B u t t e
® J. Michael Crump, Director LAND DEVELOPMENT DIVISION
®/ Storm Water Management Program
7 County Center Drive
Oroville, CA , 95965
ASCI �5 (530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase ll
Construction Storm Water Permit and Storm Water Pollution. Prevention
Plan (SWPPP) Acknowledgement rLESS THAN ACRE1
Project Description:
Project Location and/or Parcel Number: 0>-- �7 •—, 3 4'O 4re
By signing below, L the project owner/owner's agent, certify that -this project WILL NOT DISTURB
1 acre or more of land and that I,. therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of -disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project•
that disturbs one Ecre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
5,
bass than I Acro NPDES & SWPPP Compliance Certification
Butte County Storni Water Management Program
Revised 5/24/04
. �'•�l:..r'4t ��.s..'{.°x�:�xE..t._..:::r:3�_}�.�44t'k"`�::�i;�.xEc+j rzr,.i�tm��.. a�:L,s.c,wii:4:".i.:>:;.:r�:;:Y::.i:a l:�;•���S;e�:i�r..:..
Attention Property Owntr:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and _ssuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the or labor and material for construction of this proposed .
property impovement: YES [v ] NO [ ].
2. I HAVE [ (/ ] E%VE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contractee with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:'
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide sone of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY 0
DATE: • 5-- / 1;;'-- o 5—
NOTE: This Ower -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification mr-st be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/42004
Butte County Department of Development Services
ADMINISTRATION t BUILDING k GIS t PLANNING .
7 County Center Drive
Oroville, CA 95965
(530) 536-7541 Telephone
(530) 538.2140 Facsimile
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their '*own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Xvim
C. Vieir4 C.B.O.
Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
. Ih
USMiJS t�
EaSut�E?RL�G i��J�LJIJU �J� �U vJ
it
Civil Enpineerinp and Drafting
PO Box 5115 Chico, CA 95927
(530) 521-2648 eda@ausmusengineering.com
TRUSS CONCURRENCE ER
May 6, 2005
Ausmus Engineering has reviewed the Truss Calculations provided and approved by:
Endeavor Homes
Oroville, CA 95966
�I
Dated:
u
f�
The truss calculations were used in conjunction with the structural design for single story
residence named:
1�
Navarro Residence _
it
i;
ii
Eric D. Ausmus, P.E.
Ausmus Engineering
Page I of 1
E:\Work\Ausmus Engineering\2005_ Projects\NavarroUruss.doc
N;�VWILLies
Serving Pub!,DA�N
September 23, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
2399 Gateway Oaks Drive, Suite 210
Sacramento, California 95833
916/924-7000 fax 916/924-3644
www.willdan.com
BUTTE COUNTY PLAN REVIEW REPORT
Status:
Jurisdiction Job No:
Assessor's Parcel No:
Description:
Willdan Project No:
Dear Mr. Rutherford:
Approved
05-1288
027-360-108
Navarro-NSF/Gar/Cov
14353-1659-M
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 cover, dated 4/22/05, 1 through 7, dated 07/05/05, S1 dated
07/08/05 by Barry Rubanoff
k Structural Calculations: Two (2) copies dated 4/30/05 by Eric Ausmus, P.E., Ausmus
Engineering
# Truss Calculations: Two (2) copies dated 4/19/05 by Endeavor Homes
�k Energy Calculations: Two (2) copies dated 4/24/05 by Barry Rubanoff
* Misc. Documents: One (1) copy Truss Concurrence Letter dated 5/6/05 by Eric Ausmus, P.E.,
Ausmus Engineering
The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters
relating to this project, the superseded plans and documents will be discarded within 10 days unless we
receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
IX7WILMAN {
Serving Public Agencies `
APPLICABLE CODES
li
Our review was based on requirements of the 2001 California Building Standards Code found in the
California Code of Regulations, Title 24:
• Part 2, known as the California Building Code (CBC)
• Part 6, known as the California Energy Code, and Energy Commission Standards (CECS)
CODE ANALYSIS �III�I
Specific
Use
Type of Type of
Occupancy Construction
Stories 1"
Floor Sq Ft
2 "d Floor Sq Ft
Total Sq Ft
�_.•'.""^P:+� R.i rim. r>a ii^."�;; ,k�A -k':.1 �a�. �.:xt,�,'x.�.�``,a''�''+: 'w�: �;-k .w�'...r:F,, t���� ��!"'" ,�:::ir'�25.°_`��
F 9- :;tw��'nEi S:S �i ,. _ .."r . Y�i. �=°:�-a�
Dwelling
R-3 V -N
2
1380
*896
*2279
Garage
U-1 V -N
1
574
0
574
Covered Porch
R-3 V -N
1
530
0
530
Open Terraces
R-3 V -N
2 1
0
108
*108
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 notes as redlined on the plans.
3. Contingent upon Butte County Planning Department review and conditions of approval.
4. Contingent upon California Department of Forestry (CDF) review and conditions of
approval.
5. Field inspector to verify installation of existing or new smoke detectors in all existing
bedrooms and hallways leading to bedrooms (may be either battery operated or 110 volt
with battery backup) as required when the valuation of any addition made to a Group R -
occupancy exceeds $1000 per CBC 310.9.1.2 through CBC 310.9.1.5
6: -Gable-End Truss calculation submittal is deferred to Butte Co.'s review at their discretion. '
• �f
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
Tom Trueb
Plans Examiner .
Thank you
Cc: Alice Mefford amefford@buttecounty.net
Eric D. Ausmus" P.O. Box 5115, Chico, CA 95927, E-mail eda@ausmusengineering.com •
Page 2 of 2 County of Butte
Willdan 1.4353- 1659.PC2.F
M
SITE PLAN REVIEW APPLICATION
Date:
19Lo� APS
Permit Number (if applicable)
APPLICANT INFORh7ATION Parcel Size:
Owners Name: f Zja LIAAAQ
Owners Address: 95- 7L/ CA- ;�tS
Telephone No.:
Situs Address:
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
❑ Residential Acce3sory
❑ Permanent Secor_d Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Adation ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
❑ Septic ❑ Well
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
10 Approved ❑ Conditionally Approved E] Resolve Problems Prior to Approval
Site -Plan Stamped Approved
By Date `Z �4 05
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.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: /—_ --�_
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
�O ,
Side
Side Street
Rear
I
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
ry
❑ Subdivision Man/Parcel Man:
Map Date of Recording:
Lot: Book: Page:
❑ Use Pennit/Minor Use Permit
Permit Number: ;. Date of Approval:
ik
Parcel Map/Subdivision Map/Use Permit Conditions'
❑ Comply with the following Conditions of Approval:
❑ Meet thel Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
i
❑ 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 Te rider Fund may be required.
i
❑ 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
Applicable Development Fees:
Standard Fees Amount
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Formula
* 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
43 Deeds:
Date of Creation:
Deed of Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation:
Comments: -
1i Lel �� �l�f� �- ,�►-� a �
Legal Access Provided:
Legal Access Required
❑ No ❑ Yes, Road Name:
❑ Noyes
74 �� 70-/0
❑ No ❑ Yes
❑ No ❑ Yes
vw l� 0-6
Parcel Deemed to be legal
Verify Legal Parcel C]Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger. ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
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.
CALarrys\Building Permit Sia: Plan Reviewl.doe
Page 5 of 5
El
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.
CALarrys\Building Permit Sia: Plan Reviewl.doe
Page 5 of 5
r i3J.T 1�vvitl- 'LIF
' ' ' � a; - '.ren,:- , c r-f-^?♦'� ,
►,Uc S 1 I ca{ 1971
T� _,j, ;P t0: `J'1.?� lap lil?'.': "'�; "J O 1- 13 "KL'•JI_NDt.R ;/0 '
:lannin-. T''e t. -
1 AveuUiTl HCHOE
`5 l•ncs =.rte.
SanRafael, Cr\ ffC
¢¢ 7.
_ i:?Y•'`:..1 i_�.1 ^r by i n the County, '
O'_ _ilt Fide tOI cert_=y i;P i•i'.e l?1'?(; d_ rision %,:!-,ic!i cr= ated the •parcel of
� ..r0rorty �_d e ntlf4.2d 1n-. �, ,•, T -.l ;c•r' ,:i1 -pp i abi r i n r n
'::. � .__ _.. J _ .. CO:.• -._..> ;f-� _..C:....... ti_OV_.v10._S :O� ti: ,
_ :i i..b di-•risin f:,ar. Act anol J; Crt_-. ?_0 of the _-ii it lueCounty, Code. ,
1. Pro::)e_-ty'1cccj.i._o ?: east sido Of Ialermo^i.0`1cu-•. .� +
south Of CO;; Ln.. -r_i e1"r I
?_ ^:fie JroY : 1 ^•.Ycel ;iL?' O^r: '� ' .27
-22-10, 108 .
Descri._n-tion: ."'.11 that- cert:a_`n prenerty located in the County
of •:nu tte, State -of Ca.liforni.a, more particularly
cI ... I 'as f 0110•;:^ •
'the S :i _ Of the P; } OLE the id';rt and the
i of the 5E== of the .PT:r of Sec 2 p
2 , 18:•, , 4L , INIIDBJIN .
Issuance o: this certificate is conditi'ona'l upon the follow-
in,!T conditions ::hich 1=a,.e been- imposed pursu-ant to Butte' County Code
Chapter .20-48 and Business and Professions Code :section 115832:(b)
he public f h a' i , li
to protect t_•_ _?..o__c halt'. n:, nab__c•safe-ty.
• •tet'
County of tutte
Subdivision Committee
.W
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
KFEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
0 CHICO AREA RECREATION AND PARK DISTRICT (CARD)
❑ PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) 02..7- 360 log Building Permit Number DP�5 i 2.8 b
Property Owner (s)
Project Location /Address
Subdivision Name
IV/ New Development
Alteration/Additi on(s:
Mobile home
Assessable. Sq. Ftge 22 A
Type
of Residential Development (check one)
V Single Family -Detached Single Family -Attached
Demo Permit (date issued
Comments:
Non -Residential to Residential
Mobile home replacement
Multi -Family Dwelling
verified by Assessor Department
verified by Building Department
V'F'RRPD ❑ CARD ❑ PhpD 0 DUD certifies that:
t
Applicant Name Phone Number
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of: xx.
Dwelling Units @ $ / V ��• 00 per unit for a total of $ e Ob
Square Feei. @ $
Remarks:
Paid by Check No: Paid by Cash:
Recreation and Park District
per sq foot for a total of $
Receipt No: / 0 u 0
vdol RC\T)1 M MMI-_ U/ n lO\-..J...... ---A -A Fn, -m —, 1 linC • � ��
Date
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
RA Oq2 00O
(One form per Building)
n `, u
School District 0 eoO i (it, 1 1 Qh' t Building Department No.
Q J
A.P. Number ���'� ".�(� Jurisdiction: City County
Property Owner �I l l`%`Ir (WO
l )
Property Location/Address W Wy I__ane otoy.ffle VA
Subdivision Lot No.
c
Residential Development =
No of Living
Units'
s
Commercial/Industrial
................... .....................................................................
QSq. Footage
227 C
Mobile Home Addition/ 'Supplemental to (Group. R)'
Installation Conversion Permit #
*(No foundation inspection)
:........................................................................................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
0
New Addition
Sq. Footage
(Including Exterior
Roofed Areas)
j o-7-oS
Date
District Identification No. '060079
Or b V;) Le h 1 A �;<j � School District certifies that
(Applicant)
&q Ss- /, i3
(Street Address) (Phone Number)
t h 0)S t�
(City)
t (State)
has complied with„the requirements of Resolution No. D .5
(Zip Code)
by payment of $
representing pC :aquaee feet. B 2926 $
IVULL MITIGATION $
District
Paid by Check # 44, F Remarks:
Date
!9-/ 1 1)4 9�
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 aro paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the %es 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 OW this project Is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional spool fees to fully mitigate Its Impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feetorm.xls (3105W=
_ II
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
10 -Oct -2005 2005-0061450
Has not been compared with
original
BUTTE COUNTY COUNTY RECORDER
�I
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 ;,FOPERTY OWNERS:
a-) 6-
�.
State of California
County of
On . Or—t' in.�,— �� 2005before m
personally appearedCTLI&r fb NllV4rrin cw,L b,r$kc, Q k Q%)arf-p ,peraawWy
-bnemw fa* a (or proved tome on the basis of satisfactory evidence) to be the person(s) whose name(s)' re ubscribed
to the within instrument and acknowledged to me that the xecuted the same in herr authorized
capacity'es and that by bis4a /their ignature(s) on the instrument, the person(s) or the entity upon behalf, of which
the person(s) acted, executed the instrument.
WITNESS my hand nd official s
Signature a-/1�� Seal:
JAMES LAMAR KINSER
COMM. #1377185
NOTARY PUBLIC • CALIFORNIA
A.P. # Oma. - �b - I� �� ~ • BUTTE COUNTY
a My Comm. Expires Sept. 28, 2006
I
' Preliminary Report Order No. BU -197586-3 AM
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
THE WEST HALF SOF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER AND THE
SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF
SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M.
APNS 027-360-107-000 AND 027-360-108-000
PARCEL II:
A RIGHT OF WAC- FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60
FEET IN WIDTH, LYING 30 FEET SOUTHERLY OF AND ADJACENT TO AND 30 FEET
NORTHERLY OF AND ADJACENT TO THE SOUTHERLY BOUNDARY LINE OF THE NORTH
HALF OF THE NORTH HALF OF THE NORTH HALF OF SECTION 33, TOWNSHIP 18 NORTH,
RANGE 4 EAST, I.D.B. & M.