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026-080-083
f Butte County Department of Development Services. eu TE. Rea N Q T E S 7 County Center Drive, Oroville, CA 95965 . co (530) 538-7601 vnvw.butte.Coimtynelidds I t RESIDENTIAL /- APN: Permit No. C71TO �V C/�. ��S f -a 1 t �Q Q� €20 6 080-083 06-0226 Owner jJESKA t ()lEL PA I,D = Z%d-11 n �!J ,,' Site add f ,IMELVINAAVE1 Palermo r 1 Cont: FLT ENGINEERING c Contractor. NEW SINGLE FAMILY ' Type of Permit l 4 � O S) /-'/Y /v1. �a 06T �Ef1nV N. . C (�.it. a L- •A. '�, CPA" Du_m RR- --A� 93 -- Di Y ` • /r Y - SPECIAL CONDITIONS 1 CHECKED BY ❑SRA e ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS Q VERIFY ❑ USE PERMIT CONDITIONS ❑ SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID i ❑ ENV HLTH CLEARANCE OFFICE COPY n Address { • GAS 2 r 41 ' Meter By , D� ' - ELECTRIC q Meter By Date i DATEJO ' F SIGNATURE: COUNTY OF BUTTE :} BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES :�..:. N 7 County Center Drive • Oroville, CA • (530) 538-7541 ` CORRECTION NOTICE .r C" OV o2Z� ? OWNER PERMIT NO. `FA A routine inspection indicates that the following violations of Butte Count Ordinances exist at p 9 Y 4• ._ 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 nexplanation, please contact the Building Inspector as indicated below. r 'fit;:;• IT'rA, y( e\ F r 4 �-r %r 6 � S G v La r C—f t r.. - Date' _ '� Inspector Ovc� wANe REV 4/05 Phone # ; FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 6 ; . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to. this matter, or need additional pl nation, please contact the Building Inspector as indicated below. JS�c_S i •t Gc�5 T� n _ _ ev CSC S Lc. � C. �, ct �-t �,� e ,.to � .r a ►- ��a ��'�., i�►iti=+lTi�j�f�.�������. evn 1 RAM %,ALL: 030-/030 UFS U!d1-Ztf34 Z COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of Butte Count the'above address and should be corrected. Please call for re-inspectio work is completed. If you have any questions pertaining to this ma explannaatin, plea a contact the Building Inspector as indicated below 0 hoz- . PERMIT NO. ' 4"+ y O finances exist at when correction of r, or need additional lV 0 1. Date �J r `' �j Inspector � REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 � \ Date � ,speer gzCA-R dw / ) RE 4ozs Phone# FOR REINSPECT ON CALL3-6 6OR891-2834 /,i.,.- '.,.. ` 2 :.) COUNTY OF BUTTE - BUILDING DIVISION . \ - DEPARTMENT OF DEVELOPMENT SERVICES . 7County Center Driv�e-Onmle CA -(53)538-7541 CORRECTION NOTICE ~) /�:5% - � » OYNER PERMIT NO. A routine inspection indicates �hlthe following viol@asofBkecun Ordinances exist a ) the above address and should k corrected. Please clforri#pdewecorrection of work is completed. iyou have any questions pertaining to this m mGlor _ed additional 2/ � \ Date � ,speer gzCA-R dw / ) RE 4ozs Phone# FOR REINSPECT ON CALL3-6 6OR891-2834 COUNTY OF BUTTE_ BUILDING DIVISION y' DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 } CORRECTION NOTICE OWNER 226 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 expl ation, please contact the Building Inspector as indicated below. ri 0 i , � � r r Ca /,� f/�1I /l �z l' I 121 O _S!,N4 Date �5` (O' C3 Inspector - CEZ4 �_ REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Project Address ' ❑ Yes, Builder Name Builder Contact 71--)--L ani i z l .Ic_ Telephone 534 - 7_i- S ? Plan Number HERS Rater Telephone Sample Group Number ,x Certifying Signatdre \1r. • • ;�_ _ . C-.-� Date (-?,Q 'tel Sample House Number Firm _ _ ❑ No HERS Provider . 14, Street>Address:, G t 3 City/State/Zip: Conies to: BUILDER_ HF.RS PR(1VTDF.R AND RITTI DIN(_ TIFPARTAWNT ❑ No ITERS RATER COMPLIANCE STATEMENT The house was: ✓ 19 -Tested ✓ ❑ • Approved as -part of.sample testing, but was not tested As the HERS rater providing diagnostic testing and fieldlavenficatron, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form Vw- �W2; ✓ ❑Trhe installer has provided a copy of CF -6R (Installatron Gertif fate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION <" Procedures for reld verification,gtg d a nostic.testrn o ad �u 1 airflow_ are avarl bleY n RA CM, Appendix RE4.1. v �T .Method For Airflow Meas9W 8-2 Ali. 7,471RE- 50 urements ❑Yes ❑ NoDuctegnexists4on plans ❑ RE4.1.1 D-:ailPanY _ r FlowCa ocF ture,Hood. ^ � : Oyu• .. � .: i �' '. ❑ RE4.1.2 Dia ostic Fa6 n F,lsing Plenum Pressure- ❑ RE4.1.3 Di ostic Fan Flow,IJsin Flow Grid Ivleasuiement;,:.,; q _ Measured,A>Irtlow: -; Total CFM j"y e Mk ,, .,<t Rated sTons:> cfin/ton yam`',+`', ""� .•.�T �Y.- _.'3'U=Rye#- +gyp ;/. , ✓ ❑ Yes ❑ No Measured air low �skgreater than the c me na m Ta bli. RE 2 .: ❑ ❑ a pass Pass Fail 0- i 4'y�.S'.f, ✓ ❑ MAXIMUM COOLING CAPACITY PrnrP1AtrP.0 fnr dP1Pi7ninino ninyimvm rnntmo nr7 rnnnr h n o m>m In Aln..r .A APAA A----,4.'- DJ72 1 ✓ ' ❑ Yes, ❑ No Adequate airflow>verified (see=adequate airflow credit) ,x 2 ✓ y❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified i 4 ✓ 0. Yes. ❑ No Cooling:capacities of installed systems are:5 to maximum cooling capacity r rt : ,indicated on the Performance s CF 1R and RF 3.'rr. 'If the cooling capaities of installed systems are> thanmaxurum coolmgY 5 ✓ Yes ❑ No �capacrty,m the CF 1Rthen the electtical==mputfor the instlled systems'must ✓ ✓ ❑ ❑ �A sbe < to electrical mut in the CF -]Rand RF -4.' �s �z Yes :to 1, 2,,,aid,3, aril Yes.tg either 4 or 5 is a, .ass Pass Fail ✓l❑'HIGH EER AIR CONDITIONER Procedures or.veri cation are available in RACM, Appendix Rl. 1 ✓ O,Yes ❑ No EER values of installed systems match the CF -1R 2 ✓ ❑'Yes ❑ No For s lit system, indoor coil is matched to outdoor coil ✓~ ✓ 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required) ❑❑ ' Yes to 1 and 2; and 3 Of Required) is a pass f Pass I Fail t W a'tic Residential Compliance Forms '' ' Y December 2005 fol"l- W'14 -CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Project Address —710-7 MC- U I N 14 X ec Builder Name Builder Contact Telephone Plan Number HERS Rater Telephone 40 —0010. Sample Group Number W -Compliance Mbthod (Prescriptive) ✓ Climate Zone Certifying Signature - \--N- Date Sample House Number Firm Cooling Capacity HERS Provider Street Address: ins 4fic equipment i bq� hfi City/St . ate/zip: Uopies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: v"' 0"Tested Appr4_e-'d_testing, but was not tested As the HERS rater providing -diagnostic testing ands eld veru. I a t'certify that the house identified on this form complies with the diagnostic tested compliance requirements as c Wthis form. The installer has provided a6R (Install.., U Icate NT THERMOSTATIC EXNSIONWVECTW W ,WfT�' M Procedures forverification �r CU..' Appendix R1. field � fifhffRbRWic:g;0a' W V 0 REFRIGERANT CHARGE MEASURER tmw Verificatinn fnr Renuired Re.friaernnt a s without Thermostatic Expansion Valves Outdoor Unit Serial # ec Location Access mvoyJJ.,ed]R inspection. procedureTh(''; shall consist of W ✓ 91'Yes 0 No th`system ... ........ . vis*'uW.W.,*erJfica ioffitlik the TXV is insal'kddq,� e,��iand�4 Q, 4 ❑JE1 2�4 Cooling Capacity Btu/hr ins 4fic equipment i bq� hfi Date o Calibration,".checked month is a pass Pas s V 0 REFRIGERANT CHARGE MEASURER tmw Verificatinn fnr Renuired Re.friaernnt a s without Thermostatic Expansion Valves Outdoor Unit Serial # ec Location Outdoor Unit Make W Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification Date o Calibration,".checked month geGauge Date of,Thermocouplelalil ra ton—K-M. (must be monthly) Z� ?; g, - oZ "Sof 1 A - .Standard Chalke Adeasureme glitcloofairdry-bulb '5YFand'abovej: Note: The system should be installed and charged in accordancewith the manufacturer's specificatf ns and installeiverification shall be documented on CF -6R before starting this procedure. If outdoor air dr ii OF rater shall use the Alternative, Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. I✓ 0 Yes 0 No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. I Residential Compliance Forms April 2005 JAN -19-2007 09:46 DR. HEATING — AIR 530 538 9413 P.01 INSTALLATION CERTIFICATE (Part 1 of 13) CF -6R SITE ADDRESS PERMIT NUMBER •4 0 6-Owo-o$ boa An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip, Type (pkg. CEC Certified Mfr Name and Model Number fl of Identical Etiderq (AFUE, etc.)' Duct Location Duct or Piping Heating Load Heating Capacity heat pump) Systems KFlRMW) (attic, etc.) R -value (Brulhr) (Stulllr) YOMS_F4001 0 4.1 1-7-517, coo l 0 Cooling Equipment Equip. Type (pkg. heat pump) CEC Certified Mfr Name and Model Number # of Identical Systems Effidelcy (AFUE, etc.)' ()aCF•1Rvalue) Duct Location (attic, etc,) Duct R -value Cooling Cooling Load Capacity (BruR1r) (Btu/hr) ItLj JL) A I P 401 i , Z 1'13 aoo Pack. A0VVA- &2 obi+ -j] I scE /a0� 1. a reads greater than or equal to. I, the underslgnad verily that equipment listed above is: 1) is the actual equipment In"ed, 2) equivalent to or mora eKeient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential building, and 3) equipment that meets ar exc s the appropriate r uirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), applicable. �w/here ,)R PC -`N-4,25 !>ti r s Inc. Signal e, Date Installaing Subcontractor (Co. me) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Heater CEC Certified Mfr Distribution If 11 of Rated Tank Efftcieney2 Standby2 External Type Name & Model Number Type (Std, Recirculation, Identical Input (kW Volume (EF, RE) Loss (%) Insulation Point -of -Use) Control Type Systems or Btulhr) (gallons) R-value3 2 For small gas storage (rated input of less than or equal to 75,000 Btufir), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Blulhr), list Reoovery Efficiency, Standby Loan and Rated Input For Instantaneous gas water heaters. list Recovery Efficiency and Rated Input. 3 R-12 emamal Insulation Is mandatory for storage water heaters with an energy factor of less than 0,56, Faucets & Shower Heads; Ad faucets and showerheads installed are carilfed to the Commission, pursuant to rill@ 24, Part 6, Section 111. I, the undersigned, verify that equipment listed above my signature is: 1) the actual. equipment installed; 2) equivalent to or more efficient than that speci- fied in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards tot residential buildings; and 3) equip ment that meats or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occvupancy GRAMCS(NEW 1B4W INSULATION CERTIFICATE Job Number: F 8300 DELMAR JESKA 17107 MELVINA AVE., PALERMO CA Contractor/Owner Name Job Address (street, cih,, state) BUTTE I[T— County Subdivision Name Lot Number . DESCRIPTION OF INSTALLATION i. ROOF Material: Thickness (inches): I 2. CEILING Brand Name: Thermal Resistance (R -Value): I i Batt or Blanket Type: 1 Fiberglass Brand Name: I Knauf Thickness (inches):1 12 I Thermal Resistance (R -Value): c 38 1 Loose Fill Type: I I Brand Name: I Minimum Installed Weight/ft I lb Minimum Thickness: I i inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): I I 3. EXTERIOR WALL Frame Type: I A. Cavity Insulation Material: E Fiberglass Thickness (inches):1 61/4 I B. Exterior Foam Sheathing_ Material: f��__ Thickness (inches):) I 4. RAISED FLOOR _ Material: E_ ,:/fST� Thickness (inches): l 1 5.. SLAB FLOOR/PERIMETER Material: I Thickness (inches): I I Perimeter Insulation Depth Inches: ; I 6. FOUNDATION WALL Material: I Thickness (inches): I I Brand Name: I Knauf Thermal Resistance (R-Value):1 19 1 Brand Name:! Thermal Resistance (R -Value): I I Brand Name: Thermal Resistance (R -Value): t ] Brand Name: Thermal Resistance (R -Value): i I Brand Name:! Thermal Resistance (R -Value): I DECLARATION I hereby certify that the above insulation was installed in the,building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. 2&3 l_ -LACI -✓�'' �`D Item Number's Signature and Date Item Number's Signature Ad Date Chico Insulation Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060226 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury. that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/17/2006 APN: 026-080-083-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 7107 MELVINA AVE PAL Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF (2021) GAR (704) COV (344) Contractors' Slate License Law for the fallowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JESKA, DELMAR AND BROOKE 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 Slate License Law (Chapter 9 commencing with Section 7810 OCCIDENTAL AVE 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95968 applicant to a civil penalty of not more than five hundred dollars ($500).): 530-534-7857 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ` intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: JESKA, DELMAR AND BROOKE 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 7810 OCCIDENTAL AVE year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of sale.). 95968 ❑ 1, as owner of the property, am exclusively contracting with 530-534-7857 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Articl�Business fessions Code Dater Owne WORKERS' COMPENSATIO ECLARATION 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 permiib License #: is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation . insurance carrier and policy number are: Engineer: FLT Carrier: Policy #: Total Square Ft: 3069 S.F. ❑ 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 Valuation: $153,765.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I ([l ( `T �� �} - Cnn: Date: 11���nn Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 5q hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 1n )'1 Jn- 7 code, interest, and attorney's fees. 3— o�`O 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 Resolutl ns to do work indi sled above for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) (n► {�I f► -1 ,Af�, ��� qq c -� (�! ,. By �JUJII� ��u � Date: 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 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 I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represen Ives of Butte County to enter upon the above mentioned property for inspection s. .* W Signature: Print Name�y , 1-7 Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 IF L V - EHMHEEMMa 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 Mr: Delmar Jeska 7810 Occidental Avenue Palermo, CA 95968 Subject: Placing of Foundations. Project: Jeska Residence - Melvina Avenue, Palermo, CA To whom it may concern: (530) 872-0254 FAX (530) 872-9331 July 6, 2006 Based on your request, I am confirming the adequacy of residential footings being poured in two pours. The only deviation from this is noted on plans, at the Shear Wall Schedule Note "H", where the Holdown's SSTB Anchor Bolt is needed to be increased by one size. If you have any other question, please contwi. this office. Co: Endeavor Homes File Q�pf ESSIO,yA L. T yG� Fyc No.32434 M FOF CAI�F��� Sincerely, Frank L. Tyukos Principal Engineer = OK = Not OK ' MANUFACTURED HOMES " PERMANENT FOUNDATION LTJ SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckrig; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade" 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers MISCELLANEOUS DATE IDECKS-C 6VERS`CARP0RTS`GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks. Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Silis-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls tool Drawing DOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsrs Fencing -Alarms 13 Bonding, Diving board or Slide OK = Not OK RESIDENTIAL (Single & Duplex) DATE UN ERFLOOR DATE IPLUMB"ING W/-oning 'etbacks-Easnts-Flood-Slope in; Soils El Ftg Dpth Garage; Soils-Steel-Elec Grnd Z/' . Ftg Dpth. t orches/Decks; Soils -Steel 11-- Ftg Dpth walls Main; Steel-Blockouts- rW apped-,-- �. emwalls Garage; Steel-Blockouts-Wrapped H Downs and Special Anchrs lab, Steel Wrapped 8 Piers- r Ic Ftg-Steel D • all -Fitting -Test -2 -way C/0 -Sewer Test 1 as Pipe; Sz Anchrs-Sz Test I.. tr Pip , Test-Anchrs-Rgitr-Service Test 12 Elec drgrnd 13 PI ums & Duct erialSupport-Support irders-Sills- nc r ists-Vnts-Cripples 15 Acc & Vntltn 16.lnsulation _ °,• %4_ �' 0• DATE IF R A_Wl N G Sills_Proper Materials & Anchrs _Studs -Nailing Spacing & Braces-Plates-Sound ari Walls over Girders & fir Nailing Stop in Walls (rat proof) 21 it tops, Furred Ceilings -Stairs -Chasers -Tubs ers & Beams-Sz & Bearing gers-Post Caps-Anchrs-Cnnctns Cretp,iill ing Jo* t-Rftr Ties-Purlin-Roof Brac-TrussShthg c T s or Type AFlue-Frplc Throat Clmc ; Sz &Rmx Prtctn-Draft Stop4ns Baffles rm Wndws or Exiting Doors ill & Dimensions 2 ge Fire Prtctn Framing -RC an 1, Line Firewall & Opngs �D�;��Y Ex or 3'-Check Garage 3rd Story, 2 Exits 3 tali Width-Hdrm-Rise-Run-landing-Fire Prtctn 3�'Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 St 'Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Glazi Area -Glass Prtctn-SkyLts-Plastic 36*Shear Walls; Nailing -Bolls 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infi Itration-W al Is-Wndws el �6 DATE JELECTRICAL 40 Fxtr nsfrmr Clmc4ns Prtctn cptcls Spacing-Lts & Switches at Doors Sz s & No Of Cndctrs Stapled o n fled Close to Edge of Studs & CJ and made up w/Mech Fstnrs rn tectrode Bond Gas & Wtr Appinc Cirrs in Ktchn & Cndctr Sz GF] 47 Subfeed Wire Sz /1JAt 9a ❑ CU or ❑AL Aire Sz p ❑ CU or ❑ AL ange�Circ G ga �CU or ❑AL Oven Circ V� ga ❑ CU or ❑ AL I sulated Neutral E] Yes E] No.. 48 Service -Riser Cndctrs & Grnd Main Dscnnct 50 E rncs pnls-Motors-Mech Eqp "Re ClgywesCloset Lt-Shwr Lt -Spa Lt moke Detector 5WTWtr •• Vent-Acc-Cmbstn Air Eaffle wt�r P -;-Test & Anchr-Nail Prtctn sSDWV• Test Fittings & Anchr Nail Prtctn wr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub-Acc 5 as ipe; Sz & Anchrs '59 Fire Sprinkler; Test 60 Yard Gas Piping I UAIt (MECHANICAL 1 I °e 01 AC Ducts Insultn & Support ent Fan, Exhaust abv Insultn n ensate Drain & Ovrflw, Sz & Grade B4'1 urnace-Vent Acc-Comb Air Rtrn/Verf 115 Outlet tic Acc & Pltfrm if Furnace in attic FINAL 66 Ext-%teps-Door & SideLt Prtctn-Landings moke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In,Garage; abv-fir-Ducts-Mech Prtctn 9s oom Exiting Fl & Bath Fxtrs & Tub Acc-Spa %4-GFI Arc Fault 7-c Trim & Subpnl, Breaker Sts & Labels 73'Vtairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec utlets at Wood Pnl, Int & Ext 7 n, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 4lec Outlets & Rcptcls at Ktchn Counter arage Fire Door, Swing -landing -Closure 79 AC Duct in Garage -Damper 8ti' trtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir "",Meech rtctn; LPG Appince Undr House 3" drain err Me Elec & Mech Eqp Listed for Loctn lec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps aTfn'dn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Dmge Planters ❑Yes ❑No ,;87 St cco Brown -Finish 8 CC nit Dscnnct, Elec-Plmb nts abv Roof, Plmb-Appinc-Frplc-Clrnc to bpngs 90 Wtr Well, Dscnnct, Elec, Plmb 9X�xt lec Trim, GFI Rcptcl-Undrgrnd ntltn thru House ,2.�ass Prtctn 94 Cor ons from previous lnspctns wa Test -Meters Tagged, Gas-Elec 96 tr & Sewer Cnnctd-CIO to grade -HD Apprvl nergy Cmpinc Cert -Other Certs 9 dress Posted .99 Fire Sprinki r AND WHEN RECORD& Mil TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0005352 Recorded 1 REC FEE 10.00 Official yRecords I CoButteof i COPIES 2.50 U N RCE J. GR41BBS I County Clerk-Recorderl I I JC 09:3WM1 02 -Feb -2006 I Page 1 of 2 (III ISI II" (I�' I IIII' I' I'II'I III �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 PROP RTY OWNERS: State of California ) County of On before me, IQene�. S. 17-ePue, 11afaC Pubbie-1 personally appeared q a qnd ArookQ eske— personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that'bg[ske/they executed the same in ftik/heeir/their authorized capacity(ies), and that by iiis(RK/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and off iian. REN&E S ClEPt1E Signature Q_ �(.tA_ Seal: CommWWn tt 15"75 Nota Pubtl Coe►orrNo I A.P. # B-7,6 -0`6 2-0'63 -0900 N c Bunte Cowty WC0Mb0aJan l& 20W Z .Preliminary Report Order No. BU -212174-3 CB Description The land referred to hcrein is situated in the State of California, County of Butte, and is described as follows: LOT 4, IN BLOCK 80, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF SUBDIVISION NO. I OF THE PALERMO CITRUS TRACT, BUTTE COUNTY, CAL.", WHICH MAP WAS RECORDED IN THE OFFICE OF -THE RECORDER OF THE COUNTY OF BUTTE, STATB OF CALIFORNIA, ON FEBRUARY 28, 1888. APN 026-080-007-000 (PORTION) EXHIBIT "p• Page 4 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. BP060226 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury. that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/1712006 APN:O26-080-083-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 7107 MELVINA AVE PAL Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF (2021) GAR (704) COV (344) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JESKA, DELMAR AND BROOKE 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 7810 OCCIDENTAL AVE 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95968 applicant to a civil penalty of not more than five hundred dollars ($500).): 530-534-7857 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: JESKA, DELMAR AND BROOKE pp 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 7810 OCCIDENTAL AVE year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of sale.). 95968 ❑ I, as owner of the property, am exclusively contracting with 530-534-7857 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: O I?a�m�Exempt Articl�Business Professions Code �under Owne Date.:51-.� WORKERS' COMPENSATIO ECLARATION 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: FLT Carrier: Policy #: Total Square Ft: 3069 S.F. ❑ I certify that in the performance of the work for which this permit.is issued, I shall not employ any person in any manner so as to Valuation: $153,765.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I' o 'q 2 ` 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%�j 1 (] J' code, interest, and attorney's fees. l ` l I(a--0 3- 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 Resoluti ns to do work indi ated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) p (� B Date: 3- U-1 60 Name: y ` 07 Address: PERMIT EXPIRES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represent ves of Butte County toenter upon the above mentioned property for inspection Print Name:Z,Q Signature: DW Date:�J�I Owner ElContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 �IJT% BUTTE COUNTY U DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION O AND. SUBMITTAL REQUIREMENTS r p 24 HOUR INSPECTIONN: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 a OFFICE 9: (530) 538-7541 A FEE I-VILL BE REQUIRED AT TIME OFAPPLICATION C OUR Website: www,.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Nam Name F4 Name Vetrnc� ItA d` tp � i6 City -Pa -mad `� City •?bacXV-'� State Cly 1 Zip � tQ Phoqt,, -7,,,,-7 Fax E-mail I, I r l VC, t( how • C-13Ylrl .•j R ARCHITECT/ENGINEER CONTRACTOR Name Address �0-29p CICL Address City -Pa -mad `� City StateC.�A State Zip Phone Fax Fax E-mail State License Numb r Lic. # Class ARCHITECT/ENGINEER Name -.�=1_T.. �n _ trwrnk. -'y u�OS ekiri Address �0-29p CICL (:4 City -Pa -mad `� Phone 1 ' � � StateC.�A lZip Phoney .� _ � O Subdivision Name Map Fax E-mail Lot # State License Numb r Date Approved: a APPLICANT INFORMATION Nam ' �r g� Address 1(,-.:) Cit e(_ Zip,��� Phone 1 ' � � EFa E-mail lt v APPLICANT SIGNATURE X For office use only: Zoning Property Address 1107 1YY?A V r LPA Flood Zone I X, SRA I Yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT BP BIN ttA I I PROJECT LOCATION AN O a(0 -ug -O,2; 3 600 Property Address 1107 1YY?A V r LPA City Cross Street of--�h Vi ll 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: Se— Sq FT- Living Z Garage Open Cov. J�� ❑ Structure Built 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. UVEB FOR SUBMITTAL REQUIREMENTS 11 K-\FrIRhAC\RI 111 nimr: FOPhAC\RlrinAnnlCiihRnmte rinr Pone 1 of)' Receipt� Date: t 0� Amount: 114-7 - Bldg Sheriff 1 (49 —7 ` c� Total 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 manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. Cl 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if El 9. .required). Letter of Sig natureauthorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 r ... „ • ... � _. ...."-,_. yT rr v'4' '� ,.:}' �^�Y... . .� . •.nr^�v..�''wti•-•�Yn.+'1'. .�.7ryiA1 /';��••f��. �. } �t..r � ...T .-_ e i .. r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIOI, 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ��1��1�r� ASSESSOR PARCEL NUMBER �j `:� ' V �V (X3 Pro sed Building Use: �/� Permit Technician: Date: Itedis required in order to apply for a permit. All boxes MUST be checked OR marked NA in ordert 6 apply. at 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxesl 5. Letter from Engineer or Architect for truss design review. (`(off- Reqs J ft j Per 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. . ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential' buildings. ❑ 12. Hazardous Material Form :17 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other emaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 5. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable Cn/ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ �19. Erosion Control Plan Required......................................................................... afhl 20. Fees as shown on the attached Schedule of Fees Due Sheet ..........................:,.. ❑ 21. City of Chico Plumbing permit........................................................................ . ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 13 24. Planning approval for (A) Use: 6t_(B)Parking: (C) Parcel Check:. ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. 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 Carrier and Policy Number .......................................... 17y 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 0 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction..........................................................::.............................. O 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ....................... 36. Other: ,O yn k C r c 37. Other: �. G/ / I When issued Telephone 1 ,� 4 ' O " �'� I ala and hold for pickup. I have been informe of the above items and requirements for obtaining a building permit. Applicant. Date: Z-1-0 b 1. 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: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by:Date: Plans approved by: Date: Structural reviewed brDate: Structural approved by,. Date: Note transfer by: Date: . I Yellow: Building Division �A E.H. 6g ONLY Plot Plan Attached Floor Plan Attached Sent to BD/DS I TO: Building Division - Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance }4 Sn Owner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well ✓ Clearance for V/dwelling. Other d aJe- c- <—/ ,0 / On. 9 -xi S - v Hold final for: Final clearance O.K. for: NOTE: I E'nvironmental Health S -ci list Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner JESKA, DELMAR APN No: 26-008-083 Application Date 2/1/2006 Permit No: BP 060226 Permit Type: NSF 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Yes Flood Elevation Review $109.98 3 SRA* Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-RFFuNDARI_F nnrtinn of fpps rfup at nnnliratinn $2,919.29 $1,167.72 $1,751.57 Balance of Building Permit Fee 0 _ $204.98 4:4 4 1127 70 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,167.72 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT x$5;963(82 $1,751.57 14Mq Sq7 " $15.38 44q547 - %' RECEIPT DATE Tech/Asst 4 5 6 7 7a 8 F�7 10 Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IIVIVAL; I I-ttb - KtSIUtN I IAL" Applications After 2114/05 *F lPer Dwelling SFD IPer Dwelling MFD x Per Dwelling MH County 1 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan A SR -1, SR -3, SR-1/PD �c 0 R-1 do R-2 R-3 7938.531 6757.081 8031.53 6850.08 7541.53 6360.08 6780.53 5599.08 7633.49 7726.49 7236.49 6475.49 Processing Fee is automatically added to impact fee total 1 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 loa More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 JAt time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO I; is completed for applicant to take to respective district office. RECEIPT DATE Tech/Asst $4,196.87l� RECEIPT DATE Tech/Asst CE OF PERMIT. Forms will be prepared after plan check 12 SCHOOL DISTRICT FEES* �_ I Oroville Union High School 092 I I1G� Ute' 12a RECREATION DISTRICT FEES* Oroville / At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: 7i — I "0 6 Pursuant to Govere'�__e�ereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 Butte County Department of Development SemCes 0 k13 "T 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT 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: v I need to submit applications for septic and/or well to Butte County Environmental Health immediately. S 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. o 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 require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refimd 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: _T"M 0- t 3 e -5* -L' APN:G� G Applicant Name: Building site address:�1/1 �r/`e Permit No.: 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: SIGNATURE OF APPLICANT DATE OWNER—BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ pe' ] NO [ ]. 2. I HAVE [ K ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: 41��,,� PROPERTY OWNER. DATE: 24-6 4 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING . GIS t PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and 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. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. o public works Departm t . U . B t o C o u n t y o -r :r i` �•,,, `-i /1 2' • ' ,�,TID DEVELOPMENT DIVISION j. Michael Crunp, Director stoRnWater lylanaoementProorarn 7 C6unty Center orivz Oroviile, CA 95965 CO U "� (530) 538-7266 (FAA 538 NPDES Phase 11 National Pollutant Discharge Elimination System ( tion) Prevention Construction Storm Water Permit and Storni Water Plan Plan (SWPPP) Acknowledgement (LESS THAN project Description: �e-L,3 Project Location andlor Parcel Number: B si ' ' g below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB Y• 1 acre or more of land and that L therefore, do not need to apply for a ConstructiondStorm whatr contain . frDn the State of California Regional Water Quality Control Boar Projects multiple site build -outs of less than one acre but when cort mbined with r permit fromtheetS woof than one acre of disturbed soil will require a Construction Storm California Regional W ater Quality Control Board- am oardam aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project• that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Sign ed: Title. Date: Z,l --o (� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 0006-0005352 Recorded I REC FEE 10.00 Official Records I County of I COPIES 2,5@ But I Cf NFACF J. ORIlBBS I County Clerk-Necorderl I 1 JC 09.30PIN d2-i=eb-2096 I Page 1 of c IIII III III I IN 114 11111111111111 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: L Date 7 C� State of California County of `�uC ey On e (,•Uci•4 (&�' aCp( before me, K E ri e e b P d e�, �.l�fdr�cr PubUe..,- personally appeared .L e lma r ,—Je %<u. and Braga k.o 7 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)Vare subscribed to the within instrument and acknowledged to me thaf%e /Nw/they executed the same in 86.�/IW/their authorized capacity(ies), and that by hisjhK/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offciart'-tle'� �C6Z=�Won M=iUM�75 Signature �d Seal: a Notary Pubilc -= Coolonf s Butte County A.P. /1. b c ���1 " c� ` '3 t 1*Carrxr .0Vkft W l& 2009 .Preliminary Report Order No. BU -212174-3 CB Description The land referred to Herein is situated in the State of Califomia, County of Butte, and is described as follows: LOT 4, IN BLOCK 80, AS SHOWN ON THAT CERTAIN MAP ENITYL M, 'MAP OF SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT, BUTTE COUNTY, CAL.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1888. APN 026-080.007-000 (PORTION) EXHIBIT ;q^ Page 4 ,RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO ram. Ge) vna r- & Zgook a J'@skA ggtu oCC1b&V1'W'- Ave Addreu © y. snt. PA termo ZIP Order Na ?Y to F 2005-0065761 Recorded I REC FEE 13.08 Official yyRecords I C antteof I COPIES 3.80 Bu1 J. SUN I County Clerk-Recorderl I I L8 09:30 28 -Oct -M 1 page i of 3 Illlllllllllllllllllllllillllllll! it PA/ SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. Oa4 -0 8ro -073 GRANT DEED aic. _ o8d --�07 G�Cpo,&n - • The Undersigned Grantor(s) Declare(s) rC0 mentaryTransfer Taxis $ �' 0 Cityfrown of mputed on full value of interest or prolferty conveyed, or KUnincorporated Ana full value less value of liens or encumbrances remaining at the time of sale O Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereb acknowledged, L° !;ga,rd i4 Scfi err a4i d t$c#y hereby GRANT(s) to I ?jam%wta r �%GS� a -M d �ro�k r tTGS /<-at— the followieel�ps°perty in the O City of Unincorporated Area County of uffe— State of California SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF .� lro"F ' At �rirry GSI A. Sa.heac Document Date: la • Za • Ci peg (R/9�7, :73rf1, L c97hcer i State of California Countyof 'F�AJWL— ) SS. On CgIt ^Z7T� aS before me, the undersigned, a Notary Public in and for said County and State, personally Personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose names) is/are subscribed to the within instrument and acknowledged to me that hetshe/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the p0rson(s), or the entity upon behalfofwhich the person(s) acted, executed the instrument. WITNESS my hand and official seal. MAIL TAX STATEMENTS TO -- FOR NOTARY SEAL OR STAMP tRVM ROAM _ Casne�lon I ltlbbMT Alotaty Pjft - Ootilbtrtlo Btft C"* mKim lt,tEW Am10. �Lll CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California } Coun f �,_TT� J ss. Ofore m beAe, , Date J/ 11 _ e1 I Name and title of 011foet (e.9, "Jam Doe. Notary Pubne) personally appeared MN R �I�i oar�na�ans itlloo� ID r1*" VkM=CG0Wft i MCC* M►C+anR�a,�� Plane Notary seal Above Names) d sepner(s) ❑ personally known to me &pTved to me on the basis of o evidence Person s) whose names re subscribed tbihe within instrument and acknowledged to MR that ha/je hey executed the same in histijoheir authorized c apacity(ies), and that by h' rR air signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument WIT S my hand. an off' ' plAeal. ZL Torsipimture d Notary OaRk OPTIONAL Though the lnlomzVw below is not mquked by law, ft may prove valuable to persons rWng on the document and could prvve:nt baudulant removal and reattachment of this roil to another document: Description of Attached Document Title or Type of Doc/u,6m�tent: ,,` Document Date: ` v W� Signer(s) Other Than Named Above: Capacity(les) Cla ed Slg eKs) Signer's Name: L ><)pdlvldual ❑ Corporate Officer — TttlOO ❑ Partner — ❑ Limited ❑ General O Attorney In Fact Top of fume here O Trustee ❑ Guardian or Conservator ❑ Other.. ' Signer Is Representing: Number of Pages: Name: ❑ Inds I ❑ Corporate er — TMe(s): ❑ Partner—❑ LI ❑ Ge ❑ Attorney in Fact Top Of ❑ Trustee O Guardian nservator O Other. Signer Is Representing: 02004 NaDorrsl NwW Aeso03tlW • 8350 oe 9oro Avg,. P.O. Boa 2402 • (del A0ft CA 91313.2402 item N0. 5907 Reorder cell ToBfise 1-800 a7sav .Preliminary Report Order No. BU -212174-3 CB Description The land refemed to bcrein is situated in the State of California, County of Butte, and is described its follows: LOT 4, IN BLOCK 80, AS SHOWN ON THAT CERTAIN MAP ENT, UM, -MAP OF SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT, BUTTE COUNTY, CAL.", WHICH MAP WAS RECORDED IN THE OFFICE OF -THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1888. APN 026-080.007-000 (PORTION) EXHIBIT "p• Page 4 Mar 17 06 11:15a Feather River Recreation 530-533-2724 a BUTTE ®1UNTY DEVELOPMENT FEL CERTIFICATION FORM \f FEATHER.R.N.ER 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) p.2 Assessor Parcel Number (s) _ n % (Q - Building Permit Number cklCly / �_ "A Property Owner (s)_ Project Location/Address Subdivision Name Assessable Sq. Ftge 209 1 Type of Residential Development (check one) New Development Single Family -Detached Y Single Faintly -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home _ Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building Department Reeenativo 0 I'RR.PD 0 CARD D PRPD ❑ DRPD certifies that: Applicant Name l 17e/D O��c�e.�td`c`, T Mailing Address Date Phone Number City State Has complied with requiremcnts of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check into: ()a _ Paid by Cash: inn and Park per unit for a total of $ y��? ; Lfo per sq foot for a total of $ Receipt Igo: J Sl_� IN _.` 3/!C_/CYn ralel� Zip _ r BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) School District Or OV) 1 on ,`Building Department No, � 22 fnC�,3 A.P. Number - (�D• Jurisdiction: City lCounty Property Owner ���k� _ ��'!rx)iii(t Property Location/Address Subdivision Lot No. .................................................................................... Residential Development Q Q 0 Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group. R) Units Installation Conversion Pefmit # •(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 New Addition Sq. Footage (Including Exterior Roofed Areas) Date District'Identification No. _ I {� lb415ASchool District certifies that moi'" 6,% ,) i(4-- �-,�1 ✓ ) s (Applicant) (Street Address) (Phone Number) (City), (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ S's -7. 2i 62-1 squarPe feet. l ) IUD&( School District Representative Paid by Check # Remarks: B 2926 $ ULL MITIGATIONS :,i $ Date 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 hes 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 thhi 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). f eform.xls (305W= Page 1 of 2 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 Phone: (530) 538-7681 Fax: (530) 538-4356 All information except signature must be typed or legibly rinted Permit#: NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel Number (Required): 02(j ^ 0j60 — Ot63 , 0M Property Owner's Name: 6 fy �,*,e gVJ<e �I +,55 KA PROPERTY Phone: -5-24-?BS's Property Address: OWNER 011 N=5,— OJA At94-1e_ �� �� Mailing Address (If Different): �il•1 t//t s. A ?$lo a„C-- Pa`ER�ty GA R a. L---OZM C) C A ?5-q bB 95968 Work will be performed by: ❑ Contractor ❑ Property Owner Contractor's Name: Phone: s-3 O _ S-33 —3(1 Address: 4991D %/, //45' CA 9s s65 Fax: X30 , -5-33 - WO zi�6 WORK PERFORMED BY Contractor's License 7 Number: 2-18 Z -! Certificate of Insurance currently ,1y( on file with Deoamnent? JX Yes ❑ No Applicant is: ❑ Property Owner ❑ Property Owner's Agent kontractor ❑ Other: I / WE, the undersigned, hereby apply to.the County of Butte for an encroachment permit to do the following work under or over the County roads and hi hw , al 'n accor ance with County ordinances and general laws. Signature: Date Signed: Road affected: I-'Ia-v„4A /4.Z70 I%1 -t --A Time and Duration of Encroachment: Permanent Encroachment ❑ Temporary: From To LOCATION Type of Encroachment: M Driveway ❑ Roadway ® Culvert ❑ Fence ❑ -Pipe/Pipeline ❑ Sign/Billboard ❑ Other Tire S-3 % W /2 vCu/ Site Plans 13 No Attached: Yes PERMIT IS: ❑ GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) andspecial conditions written below, permission is hereby ranted. 1. ❑ Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. ElOther Conditions: ” Z Ste,✓ �9�CD Jr -3/ /o /1Gtf�S PERMIT CONDITIONS 1 -J IAS ALL (To be filled L b, L AL9 lAA I 1i-1 — A C- C (4 AF in by County) Date�2 Q Issued: / U Expiration Date: 3113 D7 Sure ry / f 57 G(� Date Amount Paid: Z ' 2 �G Paid: G Paid By: J e Check / �v Receipt 7 ,� No: No.: Mike Crump, Director of Public Works By: I �)� N� Road District: —5 Inspected By: Inspection ❑ Completed - OK ❑ Completed - Not OK Results: For County/Q . f ` ❑ Additional Comments Attached Use Only Comments: Note: If permits are faxed to any number besides (530) 538.4356, they can be delayed up to one week. Form: 2oo506EP Page 1 of 2 SITE PLAN REVIEW APPLICATION Date: AP# (�c� �? -ce 7 Permit Number (if applicable) ,�/� / Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: RQsidential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ptic Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel 1�Allcultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) Zone: A -P GP: �a2 ` Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date Nj;WZ• 16. 2vls6 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑_ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: x, • 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 ❑ Chapman/Mulberry ❑, Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit El Minor Use Permit ❑ Minor Variance Zoning: General Plan: Applicable Building Setbacks: Front Zoning Code IZOr Streets & Highways Fire Prevention Subdivision Map Side r Side Street Rear l� i Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: Date of Creation:T �� Legal Access Provided: ❑ No ❑ Yes Deed of Reference: S66 Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[—] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a. Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: 3 Page: 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 Facsimile ADMINISTRATION * BUILDING * PLANNING March 9, 2006 Delmar & Brooke Jeska 7810 Occidental Avenue Palermo, CA 95968 Subject: Environmental Health Permit (APN 026-08 Dear Applicant/Representative: The Butte County Department of Development S submitted permit application, and requires the information in order to continue the review (this 83); Septic & Well �, Planning Division, has reviewed the wing revisions to your site plan, or be for notification purposes, please see DG1V W�. ® Creation Deed ❑ ite Plan Resubmit — Follow Requirements ❑ Erosion Control Plan Setback Conformance ❑ Watershed Protection Zone ❑ Front Yard ❑ Cohasset Specific Plan ❑ Side Yard ❑ Subdivision Map Note ❑ Rear Yard ❑ Off -Street Parking; Development Standards Special Setback or Parcel Limitation ❑ Parking for Specified Use ❑ Federal Aid Road/Arterial ❑ Lot & Landscaping Requirements ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* ❑North Chico Specific Plan — Erosion Control ❑ Fire Sprinklers* ❑ Notification Only — No Action Required ❑ Other: * Fire sprinklers, and the J'ItA setoacK, are not r' quireneenu ./v/ wc; • —..i«..6 J"r " –'-` --- notification is for informational purposes, however maybe required for the issuance of a building permit. The requested information, or notification, i described on the included hand-outs. You will also be given some brief direction, on the f flowing page, of how the information should be submitted or returned to the County. Sh uld you have further questions please contact me between the hours of 8:00 a.m. and 4:00 p m. Monday through Friday at (530) 538-7603, or the appropriate Department/Division identifie in the hand-out. Sinrel Mo . 16. 2� y, Chris Tolley Associate Planner Cc. MAR -15-2006 20:22 MID VALLEY TITLE & ESCROW P.02 D a4 I/ ..._. :\.. �-X 0 W Z' ede?"y' Art,,." Ile. eA*. p. .............. rj? f A4,64J za , . 7 . 7 L /Aa t 1, i. .... I� -�y � %/ Cf/Li •Crrl� Cl�r/FLlL:ly-.41'A � • 6m PA MAR -15-2006 20:23 MID VALLEY TITLE & ESCROW P.03 .__i ._.....i._!7! .s•�'_.i:c!i. P 4A /F. 'e. ae,7nen, 'e 41 rd4( gze V,-Aow C/z e- /6- a - e al 7 gel, 71 5 Zed. 4. 7 'Ila IL 11al/..,Tel 4? -4 v el 1 �el'e iev f." It', I f -ti------ - I . L ce- 11j& Vee. e. e, lee. e.�. e -r -Y f e-1. ev.,v fL, Cr.&<ez, —Z44X 7-(,A4fez4, - OV, 61�� 1 7 -cell Alt i. e:17 /r -j 00 i 61; (3el 1911-1 Awk.. I .7 006 e• e le., 4T ell- MAR-15-20OG 201:24 MID VALLEY TITLE & ESCROW P.04 ell -low ' � .. ..._...Clcc•z.c.lct�co/_v���w...r�cvntrvrct.��icts��r_,crc•�c'aL..�ra..�sl�,.�,s�c�r9ulur�s�c�.../ IU..G!v:.faleGi7 I• .� .. _ ._�.._ � .t^/ii✓:i:C�'/,r:d/,�%i��Ii.!/' Pi:7GU.Cc�.: uil.Gu>v:2f�J.:rliii3ttl.�Lc1�l�"�':/ i '� i .Atti'�. _CC�AyCIU_/i'?.? G!-�jI.C.G'GQ.G..�LG6l.�/��_CtC2� :Q�sGC[.L !t/.•GJ:t/._yiGC,O � .....__ .... Z'J Gl%GQu 7 :-_...._ ._._ .._.v. .cviu.cat_tv,:�r '' .cav_�i•� �_:v,s-i.c'w(Lt/'r..:<s•�i%;��c�ira.�„i�it - .. DD. V , (//,-/•� 1.. 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Gt�CI.n?,�d/�2lGtG_Cl.�(•r.'•�Ce.�O.,GVGf .___._.__--' �r, �<<r. c�rcir�o�7fu_1T.rrr��_�� .�.•... 2c�c: -- �c�.cc�i Cllfs%!!/J (LGJ. _ �✓ �Ce? _ iixtdf...��ru da�rcci/yyierf/er_.d Y'p p �.. j • -- .�rrr�u�trr,_'h�.cecfeG,crruaU /rfl2r'!�i•sllt�l✓_,' f / Qeeat ✓- - . oT�2c -�• •Oxy,...ctticd�.-l�it,ircvr�tuorv._�.ccl. . __.... i �. u.��uui/o,�iF�c ecs,irrcl . rG 1�i ... `.,_ __.:-:�- .'.�r.�ryct.-•'ru�.aN,cC%.Ccc:_�cuu.ar.�d-: ,xs'�' O I C lri.'/l�1 i!L di n "'•� --QryGG(/ �Gtt.:._tL77a.L'%L4'.i 11t.--.. , .--'�-•� �'C� iZCdi_.�v^I•GL�.`L!•G_`�?C;o!/.GGA � !� - - :.k.>'R:,:'r �+:.'� j,p'*•l�' 7"'S• •i.+�, - •'f'�” • c. � F -tl w= ; .• .._...._... ,.`kyr_ ._ TOTAL P.04 MEN 11N ME Appraiser- Date R—ESID—ENTIAL, BUILDING -RECORD-�I—elo�S IYZ PAR6EL1ji:a-Zie, > Q"C 3(0 415 r. '.Unit Cost Unit Cost Cost Unit Cost f Cos Cost Unit cost Cost Unit Cost Cost Unit Unit Cost CU6n it Cost Cost Cost s Cbst,� wag44 _J: 2-0 0 SHEET' OF —SHEETS iv C, ji'v- DESCRIPTION OF BUILDING 60 COASSOSHAPE CONsrRucrjoN STRUCTURAL EXTERIOR ROOF w&H FING AIR COND TION R00 AND FINISH DETAIL Frame Stucco on Flot 4 Atch Wiring 1Heating I Coolieq ROOMS TRIM FLOORS IFLOOR FINISH I INTERIOR FINISH 244 V_L I Gable: ky r Conduit Forced I 1jj - B 1 121 IMaterial 6, -ode 1WO//.? Ceilings ARCHITECTURE Stondard Sheathing, Siding "a I B X. I lCoble 6rody[ llvm,d An 14 Above Standard Concreite.81ock_ _t A�,6 Ti /Lt/e4 Shed 14 Fixtures Fmoll unit Stories B.4fi.I Irari - I K Cut go Few Cheap I Ent. //17// USE TYPE ?j4 Brick Shiny/es Dormers A vq, I' JWadiv- Floor 11nd, Living Single FOUNDATION Adobe Shakes many I ISPeC471 Zone On# Dining Double Concrete Floor jois h 8.8 a. I TaG. Gutters Central-, -ro Duplex Reinlo, ,,-Ced ljt - 't, X PLUMBING Bed Aperimeni Brick 2,d: "X Brick Shlflg/e Poor I 1Good Bed . Flat X0001, Sub Floor Slone. Shake Oil Burner Court K piers WINDOWS fwe 111,04'res I C103 7 Motel D. Y. Cosemewl rile Trim water1leater. ln5uldied CeilinqsSteel Sash Composition A,io.-/Ac Xitchen LL 0 04, Units Light )Ieov Injuloted Wolls Screens Compo. ComDo. T&nal&LI�6ds Elect. DfOh7 Bdlerial.•14 Ft. Splash. CONSTRUCTION' RECORD. EFFEC. APPR. NORMAL. . GOOD RATING (EGA. sp) BATH DETAIL Permit YEAR YEAR Remoin9 Amount Dole Age roble */a Arch. Func. Con- lVorageSPace Work-' wo Cond. Fl. No. FINISH FIXTUR S I SHOWER No. For Life. form. FJP77, C Alt Plan OT loset inhShip Floors mo//s 4ajr&bJ- Tpe Grobe t. TD. FI;7/sh -7 LL MEN 11N ME Appraiser- Date 16 , 7-M '7115166M > Q"C 3(0 415 Unit Area '.Unit Cost Unit Cost Cost Unit Cost f Cos Cost Unit cost Cost Unit Cost Cost Unit Unit Cost CU6n it Cost Cost Cost s Cbst,� wag44 _J: 2-0 0 iv C, ji'v- 0` 60 -Eel q9 244 V_L t 7yLAO-11 UL V 64_* "a 14 0 oyr6 ?j4 -ro _7 NTrgoFl L -i m mi 7 TOTAL. I q 46 3 q 0., -r.0 C103 7 NORMAL % GOOD t/Z R.G.,L.N.D. 0 04, 7- -.q 16 0 .11 can . -n'- - - J - A �� �-,,tai C�s c 6q T -V) scl�,�01 -e4c-�` - cosy �> 0 SITE PLAN .. B e•Couri� . 1 T _ ....... _ ... .. .. .. .. .. ... .. .I. _. .. .. .. .._._::.. OIED_.................. ...__ . •A y; < •7• �- Ittt`•i n�ciE Ham.. l: C' d i . . . �. :cam ..................._....................... .._.... .. I .. _.._ - _.. 1. �...... ignature 0 ._ .............. o i .. .. ,, 1. .. .. 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R... -- • • .. .. ... _ .. _ .. ..........`F - - - -. -. .- ......_ . .. ................. . ............ ................ - --• - ._ .. ..... .. .. - • .. .. Assessor's Parcel Number.. ® ® Scale: 1" — �o Owner Name _ e_6A01_ — Address 1 Phone No. 7-eto ¢cl crC Cay ��$ (530) 5 5A676s7 Site Location L/R- Q4Qoo co, Contact: Name Phone(,r) s ��(r— 7�s� 6--j- x23.2003 FOR OFFICE USE ONLY Zoning: - General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES:. SITE PLAN .................................. .----....•-•.•:•-•-..:..- _............ . ....................• -- . •• - - - - .. ... __ .. _.�.:__•__•:. .. _. .. ...... ...------._ ........... ... _. .. ._. ............ .. ..................... i. .. ... _. .. Y ` _ __ .. ... .. .. ... _. ._ ._ .. .......................�• _. .. .._ .. ... _. • Z... 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OcDY — — —................. ........ - .. .. .. .. .. .. _. _. .. .. .. .. ... .. ._ .......... .. .. __....................-_ .. .... - .......... ... __.......................... . �. _.:..........._. ._ ............. ...... ....... .. ... ........... .. :.. .:.. _. - _.... ........................................................... ....... . .. . _ .�... _-__... .._.�..... _.. .. ... ......................................... .. ...... ... .. • .t _ �. .. .. -_ -' .. -. M. MAIM ti EA H .: -...................... ... .. .. .. .. .. _.. _.................... : - - 9.. ... .. .. ... _. .. .. ------------- _.......7coI V.CB,11E DRIVE ..._. 3� u C� - �, - - _ .....---••-. • - � _ _•._:...... _...... .......................... ,_ .�,• _- Fsa NING bIVI9IOhE- BUILDING P.LAN�IPPfZOVAL �.:... - — —}- ._—.. .. — ©ate• IIiiEi�, (� Z ......................... d "cla— .. :........................... ... .. ._ ... ._ .. _ - -- .. • ... ................_.. _.. - ttire- Assessor's Parcel Number:®0 ®— ❑© -- ®®� . Scale: 1"= Owner Name _o--6/ Address / Phone No. ��'ro &,x folK, Site Location Oft 3091 tq e lJr'na Adz �4o_<rc Co, Y,5,04 Contact: Name ��e,LMe4 n<l����� FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres ' a.00� . PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: SE Wd