Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
028-050-036
7 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. oln-X Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.o , O V 0 _ 0 S � ZONING /1J OW`1J PHONE 0vy�",vER'SADDRESS (,)r8()-J�e L cp5q LOCATION OF BUILDING S' 4 W -Q - USE OF VILDING 2 G) l U 5Y -C) SIZE OF STRUCTURE ZY / ' o 66 o X SO. FT. TYPE OF CONSTRUCTI WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDI G ROOF C VERING FLVR TYE '� I Au 011 ESTIMATE CO T,NSTRUCTION $ yoo&� AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT I�r mrA / SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change.in use or occupancy of the building is rpade, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply ith t require ents in effect at that time and before occupancy. D Date O' 2 Signature of Owner � Permit Fee -$109.98 �j Receipt No. ` The above described AG Building is Manager.Buildir)6 Di White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant from a building permit. PARCEL I P.D. F NOTES /r� RESIDENTIAL PERMIT N0. _ 02.6- -•6e5 - 05-0880 DOTSON OROVILLE Cont: GENE NSF/ AA EILL A SPECIAL CONDITIONS R CHECKED BY SRA` FLOOD CERTIFICATE REQ. { FiIjE SPRINKLERS REQ. t _ t SPECIAL INSPECTION ITEMS VERIFY i. USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ;II v7 n -Y OFFICE COPY Address I � V GAS Meter By Date ELECTRIC Meter By Date— I 1� ,T •`JOB FINALED (Date) _ Signature /) #z, / J=OK 0 = Not OK . = NotReadyable I MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI 2. Soils; Special MH Support Sketch Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Sewer; Location -Test -Fall -C/0 -Concrete 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main Conduit 4. Water; Location -Test -Easement Needed (Sketch) 10. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Light Niche 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 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 -Connector 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; Size -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-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Windows -Doors 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-GFI 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 UNDERFS,OOR (Plans) OK except #'s 4+ -215 -Ni ng:5etbacks- Easements- Flood -Slope ain; Soils-Elec. Grnd.-/ (° /" Ftg. Depth LJt is Ftg., Garage; Soils Steel Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth WSt walls, Main; Steel -Blockouts-Wrapped Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors Slab, Steel -Wrapped 8. ers-Fire lace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Uectric Underground 13 lenums & Ducts; Clearance -Material -Support -Ins. 14 itders-Sills-Anchor Bolts-Joists-Vents-Crippies 15 Access & Ventilation 16. Insulation Date / Card B-1 Dated f/ CardB-1ZW Date Card B-1 7 kj Date j Card B-1,WA,-'V Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date 51. Card B-1 Date Card B-1 Date 52. Garage Fire Protection Framing -RC Channel Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 58. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 59. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 60. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 61. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral O Yes U No 62. 32. Service -Riser Conductors & Ground Main Disconnect 63. Infiltration -Walls -Windows 33. Equip. Clearances Panels-Motors-Mech. Equip. Card B-1 Date Card B-1 34. Clothes Closet Light -Shower Light -Spa Light Card B-1 Date Card B-1 35. Smoke Detector K. Ext. Steps -Door & Sidelight Protection -Landings Date Card B-1 Date Card B-1 Date 66. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Exiting 36. A.C. Ducts Insulation & Support G.FJA Bath Fixtur s & Tub ss -Spa 37. Vent Fan, Exhaust above insulation V6c. Trim & Subpan r Size Labels 38. Condensate Drain & Overflow, Size & Grade Stairs & Rails 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Fireplace or Stove, Clearance -Hearth 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 70' Garage Fire Door; Swing -Landing -Closure 41. Sills Proper Materials & Anchors Duct in Garage -Damper 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P,R.V. 7r Garage; Above Floor -Meth. Protection 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN (Plans) OK except #'s K. Ext. Steps -Door & Sidelight Protection -Landings . Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- Mecpr. Protection K,Pedroo2 Exiting G.FJA Bath Fixtur s & Tub ss -Spa 69. V6c. Trim & Subpan r Size Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72.,940ec. Outlets at Wood Panel, Int. & Ext. 7 .�fclt. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 . kc. Outlets & Receptacles at Kit. Counter 70' Garage Fire Door; Swing -Landing -Closure 76.,,PeC. Duct in Garage -Damper 7 Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P,R.V. 7r Garage; Above Floor -Meth. Protection Pr .; Elec. & Mech. Equip. Listed for Location 74.7 Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps ie'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Fo0wing Instld./Drive D Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Xtucco Brown -Finish Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 90. Glass Protection 91. C rrections from Previous Inspections 92'Gas Test -Meters Tagged, Gas -Electric 93.�ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date _ Card B-1 Date Card B-1 Date' -t, t 3, OGCard B-1 ^ J Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ENGINEERED WOOD SYSTEMS Certificate of Conformance Certificate 054070 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufG.ctured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard -A196-: -1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS,trademarked structural glued laminated timber members were produced in a manufacturing facility subject toregular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. b ..�J .c„ + 7 r Thomas G. Williamson Executive Vice President 0 t t ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street • P.O. Box 11, 700 • Tacoma, WA -98411-0700 Telephone: (253) 565-6600 • Fax Number: (253) 565=7265 The Collins =_= Compames Builders SuppIyHONE: S Q G DILL/JOHN DOTSON D 10038 WART RD/HONCUT P.O. BOX 5732 '.p OROVILLE LOADED DEL: 2560 FEATHER RIVER BLVD OROVILLE CA 95965 530-534-1242 FAX: 530-534-0735 4**REPRINT}** DATE IINVOICE NO. 10/12/05 3.76881 3DILL52 CUSTOMER NO. PAGE: i MUM SHIP TO: CA 95966 PHONE: 530-534-9722 TIME: DATE: JOB PHONE: SALESMAN CUSTOMER ORDER NO. DATE ORDERED DATE DELIVERED DELIVERY ADDRESS 31 37688 10/11/05 10/12/05 CHRGINVC OROVILLE 08:32 QUANTITY ITEM NUMBER UNIT DESCRIPTION PRICE AMOUNT 23 922616 EACH DF 2B EX6X16 S4S 368.000 639.000 MBFI 235.15 1.3 922614 EACH IIF 2B 2X6X14 S4S 182.000. 639.000 MBFI 1.16.30 12 922612 EACH DF 2B 2X6X12 S48 144.000 639.000 MBFI 92.02 22 922610 EACH DF 2B 2XGX10 S4S 220.2+00 624.690 MBFI 137.43 12 922614 EACH DF 2B 2X6X 14 S4S 168.000 6244.690 MBFY 1.04.95 12 . 922620 EACH DF 2B 2X6X2'@ S4S 240.000 639'.000 MBFI 1.53.36 EXPOSED 22 '15512 LFT 5-1/8 X 12 GLULAM 22.000 11.250 EAD 247.50 0.00 1086.71 78.79 1165.50 JVON-TAX MDSE. TAXABLE MDSE. SALES TAX MISC. CHARGE MISC. CREDIT ' GRAND'TOTAL CASH REC'D. ACCOUNTS ARE DUE AND PAYABLE ON THE 10TH AND PAST DUE ON THE 11TH OF THE MONTH FOLLOWING DATE OF PURCHASE. IF NOT SETTLED BY THE 15TH OF PHE MONTH A LATE CHARGE EQUAL TO 1%% OF THE PAST DUE BALANCE SHALL BE ADDED TO THE ACCOUNT EACH AND EVERY MONTH UNTIL THE ACCOUNT IS ,� 'AID. THIS LATE CHARGE IS LIQUIDATED DAMAGES MEASURED BY THE TIME THE MONEY IS WRONGFULLY WITHHELD. PLUS ADMINISTRATIVE COST RELATED TO C4�� ECTING AND ACCOUNTING FOR THE LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL TO ESTABLISH ACTUAL DAMAGES BY ACCOUNTING PROCEDURES, BUb ERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THE 1-A% IS FAIR COMPENSATION FOR LATE PAYMENT. IF LEGAL ACTION IS INSTITUTED FOR COLLE2TION, BUYER AGREES TO PAY REASONABLE ATTORNEY FEES AND COSTS INCURRED. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THE ORIGINAL INVOICE. NO EXCEPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 15% RESTOCKING CHARGE. NO RETURNS ALLOWED AFTER 30 DAYS. NO RETURNS ALLOWED ON SPECIAL ORDERED ITEMS. GENE D I LIE, -RMS: NET CASH. NO DISCOUNT X ACCEPTED AND GOODS RECEIVED BY I c Butte County Department of Development Services. N ® TES 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 v m.buttecounty neUdds 0U7Tf• AREA , RESIDENTIAL APN: � "R —O �D J Permit No. �— v Owner. Site Address: / (� lJ A Contractor. Type of Permit: pe-� r '%/34q CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED' SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: = Orsi 0 = Not OK MANUFACTURED HOMES U PERMANENT FOUNDATION Lj 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 Blckng; 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 DEC KS`COVERS'CARPORTS`GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs-Steel 3 Decks, GirderslJoists-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; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o0 0`1 Q Drawing COOLS 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 w/5' Crcltng Eqp-Pool Ightg Bdxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide =OK 0 = Not OK RESIDENTIAL (Single 8, Duplex) ' DATE JUNDERFLOOR rLuiviDI 1 Zoning -Setbacks -Easements -Flood -Slope 3 W ; Vent cc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 5 Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. ittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 es 5 Stemwalls Main; Steel-Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fars-SIderTTa6t 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test � —o1 —� 10 UF, Gas Pipe; Sz Anchrs-Sz Test c' 0���—b 0•�` 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE M E C H A N I C A L 12 Elec Undrgrnd 61 AgDucts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples en n, Exhaust abv Insulin 15 Acc & Vntltnondensate Dra & Ovrflw, Sz & Grade 16. Insulation 64 175pace Acc-Comb Air Rtrn/Vent 115 Outlet 6&'Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 25 Fr 26 Attic Acc; Sz & Prtctn-Draft Stop -Ins Baffles 27 Bdrm W s or Exit" orsSill HV-Kbim ns 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE IT L JR -I -E A L 40 &Tr afr�nr Clrnc4ns Prtctn 41 EI cptc acing-Lts & Switches at Doors 42 Sz es & No Of Cndctrs Stapled 4 omex Installed Close to Edge of Studs & CJ 44 E5p_Grfid-made up w/Me stnrs #5'Urnd 4ectrode B Gas & W c Cires in Ktchn & Cndctr Sz GFI d�fead Wire Sz_ ga ❑ CU orDAL AC Wire Sz ga ❑ CU or DAL 48 ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑ AL InsulateOlNeutral Q Yes ❑ No ,Aiirviice-Riser Cndctrs & Grnd Main Dscnnct 50Egp�lrncs pnls-Motors-Mech Eqp lothes Closet Lt-Shwr Lt -Spa Lt 2 moke Detector u0 o' m o' o` 04 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 fire Sprinkler afm O'er O�`C Os CERTIFICATION OF INSULATION ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS 1 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 u5 �`n /( Y� � e 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 3 U J o V l��/I ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 111' t�fii��� r Z -�6 ` DATE INSULATION COMPLETED square feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BATTS MANUFACTURER'S. PRODUCT I.D. MANUFACTURER CT I OCF Jov f. square feet) square feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BA17S MANUFACTURER'S PRODUCT I.D. MANUFACTURER KN I CT OCF KN BAGS C) R -VALUE TYPE OF INSULATION MATERIAL APPLIED MIN.INSTALLED WEIGHT PER FIBERGLASS FORM BATTS & BLOW MANUFACTURER'S PRODUCT I.D. INSTALLED THICKNESS SOUAREF00T MANUFACTURER CT OCF KN square feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BA17S MANUFACTURER'S PRODUCT I.D. MANUFACTURER KN I CT OCF KN BAGS C) R -VALUE APPLIED R -VALUE APPLIED MIN.INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SOUAREF00T INSTALLED THICKNESS KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS CT I OCF I KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM FTHISO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, L STANDARDS AND REGULATIONS - LAT N O T CT R DATE'12 ,RM" NMU MAnNKC -GENERAL CONTRACTOR T LE DATE REMARKS WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy 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 Prof sions Code, and my license is In full force and effect. �L License Class : License Number: Date:2" Contractor:t� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any gity or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive 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.). *_ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 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 coly with those provisions. � Date: , " I ©,7� Applicant: ( f—/Y (,G/ ` v PERMIT NO. BP050880 Issued Date: 08/12/2005 APN: 028-050-036-000 Site Address: 10038 AHART RD HON Map Index: Description: NSF (1547) GAR (528) COV (384)TO BE MASTERED Owner: DOTSON, JOHN & MONA L. DOTSON 777 DUNSTONE OROVILLE, CA 95966 530-533-7484 Applicant: MOUNTAIN DEVELOPMENT CO GENE DILL P 0 BOX 5732 OROVILLE, CA 95966 530-534-9722 Contractor: MOUNTAIN DEVELOPMENT CO GENE DILL P 0 BOX 5732 OROVILLE, CA 95966 530-534-9722 License #: 216715 Architect: Engineer: Total Square Ft: 2459 S.F. Valuation: $119,371.00 Census Code: 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. /j �j/ _ ,I / / MOM /M /UP CONSTRUCTION LENDING AGENCY This permit is h eby issued under the.appli ble"provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o ork indicated abode for vpich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) B / Date: Name: PERMIT EXPIRES ON: Address: a 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 R 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^ duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of n official form or document of Butte County. I hereby authorize represent atives of Butte County two enter upon the above mentioned property for inspection purpose . Print Name: f Q mit �� I JI �[- Signatur OFA ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor o. V. uuiw ,iy, c,,,,,�v,-,.i -..-• Yy 2C 0,257/era RUAE COUNTY 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 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION n Website: www.buttecounty.net/dds 0 d- O **PLEASE PRINT CLEARLY"* ` OWNER Last Name �VtSD First a e JIS -1 Address vu tOAE City 1 �. S e J 6 Phone Fax E-mail CR APPLICANT SIGNATURE X For office use only: CONTRACTOR Name L Z. Address ^ 9^ Geo( City State t i Phone ae2 Fax E-mail Date Approved: lac. #-N u �.� Cla APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name L Address 5211141 City State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name � L Address 5211141 City Occ. State Zip Phone Page Fax E-mail Date Approved: APPLICANT SIGNATURE X For office use only: Zoning City _ Flood Zone SRA -I Yes Carrier Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 35- v g8�6 LOCATION - AP# Property Address 1 City _ Cross Street 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 ))`` U Address ; Page 1 of 2 �((Cc Destcr'i'ption or Scop"Mork: Sq. age ❑ 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. Received by: Amount: IV� �� Bldg SRA Receipt #: Shedff 60 (: t GO� c')ot-0O �� 0 � � her Date t l ` 1 -.2 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 b' duplicate. , ❑ 7. Metal bldgs•:I (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. a ❑ 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). r 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 BUTTE COUNTY 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 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last NameD 5 First Name Address 94 City Se S e Zi Phone Fa Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name 5 Address '1 City C1 as Se Zip Phone 22 Fa E-mail Planner Lic. # Cl APPLICANT NAME ARCHITECT/ENGINEER Name City Address r City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail i For office use only: Zoning —5 Flood Zone X SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS'OUILDING FORMS\BldgApplSubRgmts.doc It� PERMIT NO. BIN # LOCATION AP# W r pert Ad ress City U� crolsi6re VA O "J ❑ Structure Built without Permits 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, ork: r---- L =r , L 0ez� as r I - eat -p -,z) Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 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. } Received by: K6. Amount: paid on 926 Bldg SRA Receipt #: � 3� Sheriff �Q(�II�AA��►►► �-O SMIP 3ct2g Zit 9$ Date: `f� „ ^ - O Other 2 e9 g Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS i -s 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, ❑ MA. 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 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 OA8 D Svc O� `�Website: www.buttecounty.net/dds OWNER � D(54_56n PROPROSED BUILDING USE 'Nq 1 -BUILDING PERMIT FEES j --- Balance Due ..................... $ I I / --- FEMA Flood elevation review ... $ A. P. # (;! DATE RECEIPT # DATE REC. SCHOOL DISTRICT FEES V3 DY 1 �L (paid at School District Office) (form available 1. 6i -W Wi -7=z0� Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. CREATION DISTRICT FEES ViV (paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES 8�-_COUNTY (Per d�j WIDE wellin $ 25 0 g) CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning LIA SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) '7/2-1/65 �'1• G ibe'n 7i111�3 -7-20-06 7. WATER TENDER FEES BATTALION # $200.00 (paid at Build' Division) 9. OTHER 10. OTHER 11. OTHER At time of permit applicatio , was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the n checking ss. APPLICANT DATE — V.5 Q,�; Pursuant to Government Code Section 66020, you are hereby notified that:items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) l�/LL TLE; 9 U V� . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION b�v U 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 6 PERMIT APPLICATION DATA SHEET 5c) Qac - c� 36 OWNER :Q ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: 15 ,v Items required in order to appy for a permit. All boxes MUST be checked OR marked NA in order to apply. T1. 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 faxes! <❑ 5. Letter from Engineer or Architect for truss design review. ;p' 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 A 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Rerr)aitting ifems needed to issue the permit. (May require additional plan review upon receipt of the following items.) pIZ (V Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ` ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑� / 1 . Erosion Control Plan Required........................................................................ ICY Fees as shown on the attached Schedule of Fees Due Sheet ............................. ❑ 2 . City of Chico Plumbing permit........................................................................ o A24 Site plan and business license approval from the City of Biggs..................California Department of Forestryplan approval aid. Sent by: ��'C26 065 S Planning approval for (A) Use: Ul )Parking: (C) Parcel Check:........... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ i�6. NPDES Form............................................................................................. � 20 Encroachment Permit for driveway from the Public Works Dept ........................... I ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 3. Letter of Signature authorization.................................................................... . Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... 3�.5,,❑ Legal description, P M.H. Title, title Search, registgation or MCO ......................... I When issued Telephone - ' ' " U and hold fc I have been informe b�he abovejtleQ arid)rpquirements�o ai ing a building Applicant: / v 1. Index permit ap a ion for the above items numbered: 2. AOCUQal items required 'r o, designer, owner, was advised of the above data by hone, ❑ mail, ❑ counter, by *Pants a designer, owner, was advised of the above data by ne, ❑ mail, ❑ counter, by a esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by reviewed by: Date: Plans approved by: I Structural reviewed by: Date:Structural approved by: i Note transfer by: C>7 Date: Yellow: Building Division ate: ✓ I !\ in Che Iter CQ 11,0 Date: CS Date: Date: Date: 19 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance MMAALLhn l ') 1 �, V- c Owner Location Plan Approved for: Sewage Disposai� Water apply: Public Clearance for dwelling. Other /ham e J- -4- Hold Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 EA. USE ONLY Plot Plan Artachod Floor Plan AttzchaQ-�:-, Sent to ®.O. / Date AP# e Wel AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION-- _i 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0042615 Recorded 1 REC FEE 10.00 Official Records I County of I COPIES 2.50 But I CAtiDACE J. GRUBBS I County Clerk -Recorder) I I JC 012:12PN 21 -Jul -20 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 4I1A�� le 1)x� 1<9At 3 � 17(iWe-al CX' <�05- Frt Date ! 2 /0.5 PROPERTY OWNERS: JAN lt�o�� G� State of California ; County of �,, I-{-, wtM On .S before m _ _ _ no cow personally appeared J41,14 of �,'1` E / ' personally m known to me (or proved tc e on the bans satisfact ry evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my�and and official seal. II\\ � Signature. A.P. # 08'- �l3 Seal: C.on>tigislon #'14676* MEL MEM Notory pUbllc - Ccgforrft.. Mn N 1487649 z Butte County Ic - Caebmtai _ My Comm.E);tresMay4,2M County *ftmay412008 ., On!) i / AMYP ,M.AH207 l FMrBtt it rtoixk�m+off ,�„�„�„�, 7 Di+"�[Jti"t� • �il�t.xt t3toV! _ ;�. NIYA .M Atli :triucJ �t'uc3 :i?.sx . ;146W 1, K noitz 11 FSG17s I•yJ�h.�" rx] nm��viv1 � ' ; +iNnlC�liit)� •'iN,jul? Yactom Afluo7 ottu@ aC�JS LMT?�;r.i �NY�� YM THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOTS 94 AND 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF HONCUT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13,1899, IN BOOK 7 OF. MAPS, AT PAGE(S) 85. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF' BUTTE, RECORDED MARCH 25,1999, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 99-12822, AND CANNOT BE SOLD SEPARATELY: AP NO. 028-050-016 (PORTION) PARCEL H: A NON-EXCLUSIVE EASEMENT FOR PUBLIC UTILITIES PURPOSES 12 FEET WIDE OVER A PORTION OF LOT 95, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF HONCUT", WHICH MAP WAS. RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13,18991, IN BOOK 7 OF MAPS, AT PAGE(S) 85, SECTION 169 TOWNSHIP 17,NORTH, RANGE 4 EAST, M. D. B. & M., LYING NORTHERLY OF AND RUNNING PARALLEL WITH AND ADJACENT TO THE. SOUTH LINE OF LOT 952 FROM THE WEST LINE OF LOT 95 TO THE EAST LINE OF LOT 95. THIS EASEMENT IS APPURTENANT TO AND SHALL.INURE TO THE BENEFIT OF LOT 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF HONCUT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE(S). 85, AND APPLIES TO ALL HEIRS, SUCCESSORS OR ASSIGNS OF SAID LOTS. THIS EASEMENT INCLUDES THE RIGHT TO ENTER UPON SAID PROPERTY EASEMENT AT ANY TIME TO CONSTRUCT, INSPECT,. REPAIR, REPLACE AND MAINTAIN SAID PUBLIC UTILITIES AND ALL APPURTENANT FACILITIES, INCLUDING THE RIGHT TO TRIM AND REMOVE BRUSH AND TREES. CDF FIRE SAFE REQUIREMENTS AP# 028-050-036 PERMIT # 05-0880 NAME: Dotson Under authority of Public Resources Code Sec. 4290,. the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Drivewav Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The .length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. 0 Setback for Structure Defensible Saace [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [X] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials [l 07/27/2005 Darren Read Date Signature 6 ' F F I R E 179 s JfL, Y.� /Nit. •:7 f. Department of Public Works 0 -C o u n t y a Il'S'�- ® 0 Michael Crump, Director LAND DEVELOPMENT DIVISION F M P' Storm Water Management Program 7 County Center Drive Li NOroville. CA 95965 a 5 (530) 538-7266 AUC W�F� (FAX) 538-7171 National Pollutant Discharge Elimination System/ (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAf� ACRE Project Description: Project Location and/or Parcel Number: 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 L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: BUTTEOUNTY DEVELOPMENT FEE CERTIFICATION FORM V FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) O Building Permit Number E)P Q506go Property Owner (s) t)o a)n , _U®hn Project Location /Address Ah nI T(� Subdivision Name Assessable Sq. Ftge --em I % Type of Residential Development (check one) New Development Single Family -Detached Single Family -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 - Continents: Set alta C W - 6F Department ❑ FRRPD ❑ CARD 0 PRPD 0 DRPD certifies that: �We_ �u 5 y - 9 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. Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: 39 2 q Paid by Cash: Recreation and Park District Representative KAFORMSTUILDING FORJAi\park-rec standard form rev I.doc per unit fora total of $ 106(0.00 per sq foot for a total of $ Receipt No: 0 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM �i FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) UaLP • a d ( Ud� Building Permit Number 0 Property Owner (s) A6�offi 6 Project Location /Address �ti`r1CC>6`� Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development L/ Single Family -Detached Single Family -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: ^l Building Department Repre en ti a Date C FRRPD ❑ CARD .0 PRPD ❑ DRPD certifies that: .. . LC 3-31-1 4722 hJ3E))! licantName Phone Number 5732 Z. le 95,-. Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of- Dwelling Units @ $ 1056- 00 per unit for a total of $ / 0 ✓ f� Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: 3 9 Paid_ by Cash: Receipt No: / �c3 Recreation and Park District Representative Date K:\FORMSOUILDING FORMS\park-rec standard form rev Ldoc BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. �`I Z —O 13 (One form per Building) School Distriet 19b lydern6rrtBuilding Department No. U05M$� —�T A.P. Number on —or,�o ncb Jurisdiction: City jCounty Property Owner i d<4)r) CrOi1 fl Property Location/Address A u aro (7 _ yn tIC4 Subdivision Lot No. ............................... ....... _................. Residential Development :C] Q Q Q $q. Footage I % No of Living Mobile Home Addition) 'Supplemental to (Group R) Units Installation Conversion Permit # (No foundation Inspection) :...................._...................................._........ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition ` (Including Exterior 7Areas) uilding Department Rep --seNaive7 Date District Identification No. 0!5 0,8 14 kevisd Y OU t V, h Ori School District certifies that ao (Applicant) S 3�- 9�a� (Street Address) j r (Phone Number) (City) (State) (Zip Code) t has complied with the requirements of Resolution No. 105 - IQ D � by payment of $ 34 66 , cJ 0 representing IS Lkj square feet. 2926 i FULL MmGATiON $ �l ap School Distict Representative / Date Paid by Check # Uhl ) 5 Remarks: Per (�(,A (+N (4' CA - W4_COV6+116(AI nti ©'r ✓ Notion: You may protest the Imposition of the fess klentified above by submitting a written protest to the District, In compliance wfih Cowwrmnennt code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wrttien protest wiii'prohibit you from challenging the Imposition of the fees In any court aetian N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is faotille t by the applicable Local Planning Agency that this projed Is being revlewed under the California Environmental Quality Ad (CEQA), this prole A may be sublectto additional school fees to frdy rdtlgate. Its Impact on thn school distrieft schools. ` White (applicant), Yellow (building department), Pink (school district) feeform.kds (10/03)dmm 7al BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM G6 (One form per Building) School District Building Department No. A.P. Number Jurisdiction: Q city County Property Owner -,J Vid 7 Property L.Iyc,��1 ?rty Location/AddressQ6r Subdivision Lot No. Residential Development .... ....... ................... ..... I Sq. Footage No o Ang Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ......................................................... Deed Restricted Sq. Footage and '(Attach a signed copy of Deed Restriction Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage Now Addition (including Exterior Roofed Areas) Building Department Represen Ve Date District Identificaiion, No. 0115 0 3 14' 4 -an. School District certifies that Qo hn ok, (Applicant) (Street Address) (Phone Number) O�D�(u CA- 9S1 Co (0 (City) (State) (Zip Code) has complied with the requirements of Resolution No. I OS D by payment of $ q �� representing square feet. JAB 2926 $ IFULL MMGATION $ -7- 05 - School District Representative Date Paid by Chock# Remarks: Notice: You may protest the Imposition of the fan Identified above by submitting a written protest to the District, In compliance with Gow arnmeril: Code Sedlon 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will'prohlbit you from dmilb"Ing the Imposition of the fen In any court action. if, subsequent to the School District Representative signing this Sulte County Schools Impact Fee Certification Fonn, OWN School Dis I trid Is notllled by the applicable Local Planning Agency that this project Is being reviewed under the Calf nds Environmental Quality Act (CEQA). this pojed may be subject to additimutl school fen to hdly millosts. its impact on the school dhrbkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dm.m f % { .. a. .o 6"u. 6w-, - SITE PLAN REVIEW APPLICATION Date: (� ^ U S A29 Permit Number (if applicable) A�? -i-t-) Par - Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Parcel Size: 730°? ❑ Single Family Remodel ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Annie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic Agricultural Exempt Building ❑ Other. Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES EVFORMATION (For Staff Else) Approved ❑ Conditionally Apprdved Cif.. Pl%n Rf%Tnned Anuroved' X 226 C% ❑ Resolve Problems Prior to Approval { ALL ITEMS CHECKED APPLY TOTHE 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 attac ) o Flood Zone: Flood Panel No.: 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) E]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 F1 Minor Variance El variance El Administrative Permit ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:_ Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front Side Side Street Rear Height Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ 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) # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Countv Standards for Deed Creation: No ❑ Yes 9��q =Cots — ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements IN Subdivision Map/Parcel Map: Map Date of Recording: 3 3 zr Lot:_ l (p �{" Book: Page: 0 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and PRC. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide as erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division.,, ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa .�I 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C'V,WYSSui crm.v Permit Sh Plan Rr iewI ADC 1 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING April 28, 2005 John Dotson . P.O. Box 5732 Oroville, CA 95966 Subject: Environmental Health Permit (APN: 026-201-005); Septic Dear John: The Butte County Department of Development Services, Planning Department, has reviewed the submitted permit, and require the information indicated below to continue review process. Furthermore, this zone does not allow for the establishment of residential uses as a primary use. Creation Deed: the deed(s) that created this specific parcel. The document(s) could be obtained at the County Recorders Office, or through a title company. Generally, land granted for value received could have created property before 4 March 1972, and gift ® deeds could have created property until 9 February 1993. The legitimacy of a land division depends on specific dates, and the applicable requirements at that specific time. • } Zone: this,parcel is zoned for light industrial uses (M-1), and residential uses are not permitted in the zone. You may establish a residential use, when it is accessory to a permitted industrial use. Please contact this Division for further information at (530) 538-7601. Please return the document(s) to Butte County Development Services, Planning Department. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. SinciS e46" ter Planning Manager Cc. Environmental Health C'r S�6 P1 AD w Zj , ()s"v _3 �v BUTTE COUNTY DEPARTMENT OF PUBL-IG- HEALTH DIVISION OF ENVIRO��UI.j:NTAL HEALTH v ronmental Health 7 County Center Drive 411 Main Street Oroville, CA 95965 P.O. Box 5364 TEL: (916) 538-7281 DEC 16 1998 TEL: (916) 891-2727 FAX: (916)538-2140 7 CoFAX: (916) 895-6512 County t;encer urne Oroville Ca APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM L04 56 Owner's Name .ssessor's Parcel No. ���<j —� Applicant's Name hone No. S. 3 VG 20 Mailing Address 1. Construction Site OL �' Q� (Street and numb7or direction and distance to nearest crossroad) BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT 411 MAIN STREET • P. 0. BOX 5364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965 TEL: (916) 891-2727 TEL: (916) 538-7281 FAX: (916) 895-6512 FAX: (916) 538-2140 Date Issued_. l Z, — /& —49 S EXPIRES ONE YEAR FROM DATE OF ISSUANCE Permit Issued to _1`4 AIrW Lr) o construct a sewage disposals stem for: _6 ��( ,�y /)/.,t)t//l A)d ocated at: A.P. # b -- - SEWAGE DISPOSAL SYSTEM REQUIREMENTS SEPTIC TANK Liquid capacity: gallons ' Material t-- pecial conditions: LEACHING FIELD OO y "` Totallength: �Dol� feet Trench width: inches Minimum No. of lines: Rock under pipe 6 inches Jitional leaching field will be required if experience shows it to be necessary. No part of the system may be located within feet of the center line of any County Road. E: Satisfactory inspection by the Health Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the system is approved. ermit Fee $ r %h'`/� Penalty Fee $ -' TOTAL FEE $. dditional Fee $ eceipt No. % V6, _24z>U Issued By: ENVIRONMENTAL HEALTH SPECIALISE � 17/fa 31 - 278R (Rev. 6/94) - J �j , RC1 owp Department C o u n t y J. Michael Crump, Director Warner C. Phillips, Assistant Director April 29,1999 f Public of B u t /IL c.-) as.-os'D - J 6 Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7683 Env' anmental Health APR 2 q 9999 I 7 County ranter Urive Ted Runge Oroville, Ca Runge Trust �} P.O. Box 2042 V Oroville, CA 95965 I Re: Certificate of Merger, AP 028-050-016 portion (Lots 94 & 96) Dear Mr. Runge: Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on March 25,1999; under Serial Number 1999-0012822, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, 1 Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: Building Division ✓tnvironmental Health Dept. ,p Bob Jones, Public Works Ron Graves & Associates B-565 file yrs. �_, +ry�I'•,y e IIIIi�i�'IIII�I�III��II�II�I�III�I ' �'r 1 999—�QJ 1 2822 AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 Recorded Official Records CoBUTTEyyOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:11PM 25—Mar-1999 REC FEE 13.00 Maureen Page 1 of 3 CERTIFICATE OF MERGER 3 �O LANDS BEING MERGED: AP NUMBERS) 28-05-1 SUBDIVISION I PARCEL MAP: Town of Honcut BOOK 7 PAGE 8 5 BLOCK LOTS) 9 4� g ti BOOK PAGE BLOCK LOTS) As of the 24th day of MARCH , 1999 , those lands noted above are merged to create ONE parcel(s) of land as described in Exhibit(s) A attached hereto. MARCH 24, 1999 M E RUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY Ta RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A attached hereto. ALL SIGNATURES MUST BE NOTARIZED: SIGNATURE DATE SIGNATURE DATE U)1530 W98) A M E R.I C STATE OF CALIFORNIA }ss. COUNTY OF Butte 1 On December 17, 1998 ,before me, Michelle A. Miller, Notary Public. personally appeared Henry T. Runge, Jr., Trustee personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he;she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal. (This area for Ci9rPa: noiana+ sea', MICHELLE A. MILLER Commission 51178414 Mfr CPS(- •° Notary Pubic ®. Butte County, Ca6fomia My CommWM Eta. APR. 3, 2002 Title of Document Date of Document No. of Pages Other signatures not acknowledged GI -5191 3008 0 0-( (Genera( LEGAL DESCRIPTION Runge Merger Lots 94 and 96 as shown ori the map entitled, "Town of Horicut", recorded in Book 7 of Maps at Page 85, Butte County, California Recorders office, merged into one parcel.' Job no. 98-149 Apn 28-05-16 ,.� L LAND RONALD L, GRAVES RLS 4055 UP. 6/30/00 \Q qTF OF CA EXHIBIT A RECORDING REQUESTED BY ;� ; ;;_. i;:)iif �Tl' RECORDER Mid Valley Title & Escrow Company c FR;:^.t.. NO. R[CO;1RDED AT THE REQUEST OF AND WHEN RECORDED MAIL TO: r,10, VALLE TITLE COMPANY John A. Dotson and Mona L. Dotson DATE RECORDED' 9// 777 Dunstone Drive TIME: 9: azo A -,r Oroville, CA 95966 A.P.N.: 028-050-036-000 GRANT -DEED Above This Line for Recorder's Use Only The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $28.60; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ File No.: 0403-2014252 (AM) X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X j unincorporated area; [ ] City of Oroville, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Margaret Mills hereby GRANTS to John A. Dotson and Mona L. Dotson, husband and wife and Robert Hieb and Pauline Hieb, husband and wife, all as joint tenants the following described property in the unincorporated'area of Oroville, County of Butte, State of California.: PARCEL I: LOTS 94 AND 96, AS SHOWN ON THAT CERTAIN. MAP ENTITLED, "TOWN OF HONCUT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE(S) 85. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED MARCH 25, 1999, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 99-12822, AND CANNOT BE SOLD SEPARATELY. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR PUBLIC UTILITIES PURPOSES 12 FEET WIDE OVER A PORTION OF LOT 95, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF HONCUT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE(S) 85; SECTION 16, TOWNSHIP 17 NORTH, RANGE 4 EAST, M: D. B. & M., LYING NORTHERLY OF AND RUNNING PARALLEL WITH AND ADJACENT TO THE SOUTH LINE OF LOT 95, FROM THE WEST LINE OF LOT 95 TO THE EAST LINE OF LOT 95. Mall Tax Statements To: SAME AS ABOVE A.P.N.: 028-050-036-000 Grant Deed - continued File. No.:0403-2014252 . (AM) Date: 08/04/2005 THIS EASEMENT IS APPURTENANT TO AND SHALL INURE TO THE BENEFIT OF LOT 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF HONCUT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE(S) 85, AND APPLIES TO ALL HEIRS, SUCCESSORS OR ASSIGNS OF SAID LOTS. THIS EASEMENT INCLUDES THE RIGHT TO ENTER UPON SAID PROPERTY EASEMENT AT ANY TIME TO CONSTRUCT, 'INSPECT, REPAIR, REPLACE AND MAINTAIN SAID PUBLIC `UTILITIES AND ALL APPURTENANT FACILITIES, INCLUDING THE RIGHT TO TRIM AND REMOVE'BRUSH AND TREES. Dated: 08/04/2005 11A 4, f ar aret Mills STATE OF California } }ss. COUNTY OF Butte } On AUS} L4 2i, -b1---, before me, /a VLI J . Psi G((, e y Cwt personally appeared v /'+- f oil I IIS personally known to me (or ' roved to me on the basis 'of satisfactoryevidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the. same in. his/her/their authorized. capacity(ies) and that his/her/their signature(s) on the instrument the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature � My Commission Expires: Notary. Name: NotaryRegistration Number: This area for of{cial notarial seal Notary Phone: County of Principal Place of Business: Page 2 of 2 KARY J . B! DWELL � Commission 1,13810.,7 "�:;;;,:>•Y.1 �, Q_ Nota Public -California Butte Cou my My Comm. Exp. NOV. 03, 2006 Notary Phone: County of Principal Place of Business: Page 2 of 2 SITE:PLAN ............. .. ... .. .. ... .. .. ... .. .. .... r:....... 3 ir..... . .... . 7 .. .. .. .. ............ .. ... .. .. .. - ............ .. .. _ ... �.. .. ... .. .. ... .. .. ............ .....................3......................... .. .. ............ .. ... .. .. .. ...............:r.'^;"�'.-: lrrres:'�a - .. :! ...................... .. .......................................: .. ... . 00 _. - .. ... ...............l a o' �. .................................................. . •. .. .. ... .. .. ...' .................:...........:......:.....:.................. .. _ ... .. .. .. .. ........ ... .. .. ... ._ .. ... i .. ... .. .. > ... .-4} ( � ... - Y.s i .. .. .. ._.... ._ .c..r.•." ._ tom. ['�. 'v/ .. ............ I� ;4,.. .. .....................O fl y� .. ... :ul ,. .D .�o y .. ..:. .:.............. ... .. ............ .. .. ............................ tiY.. :'!7/D' -�. .(fie •t�•r• .�. .}.. •Y �.... .. ... , - . ,c U .....:............................................ ............ ................U .... ... .... _............. .. ............................................ .......................................... •Jy J= ............ .. ............. .. .. ... .. .. .. .. c ... _ i ... .. .. ... 4 .. ..:. .:.. ..: .:.. ..:.. . . . <.. .. .. ...... i ...............l� 0 .. .. .. ... _ t n ............. ............ .. ... .. .. ... .. .. A :.. .. .%. .................................................. ... .. .. ... .... ............. e ..... _. ... —.: � ... �=................... t... .. r. �....U�-.. . ...... .. ................. ............ ..................... ..................... ..... ....... ............. / .. ......... .. .. ... .. .. ... .. .. ... .. .. ... _. .. ... .. .... .. ... .. I _ ... .. .. ... .. .. ... .. ... .. .. ... .. .. ... .. .... .. ... .. .. _ ............ .. ............ .. ... .. ... ... .. .. ... .. .. ... ._ .. ... .. ... .. .. ............ .............. .. j..... :......:...........:......:..................: ............. ............ .. ............. ... .. ... ..:. .:.. ..:.. i .......... :...... ...... ...... .......................:•••... ... _......................... t. a .......... .................j .. ............ .. .... 7 .. ...._ ....... -r... 0_ .. . o f� I �P� � s ............. ............................................................. .... ••..... ...... ......---...._----------------..._.............-.................... ....................................................................... - Assessor's Parcel Number: 0 ❑2 © — Owner Name J 06! Address / Phone o. 7 7-7 Site Location E] — 0 0 M Scale: 1tt = 70 I1 Contact: .Name.�D��.� li'xJ Phone Q, i`� ��) ri f �D oar za, aoa3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: BI R t SITE PLAN .....{......:....:.:.....:......:......:.....:......:......}..... ?......:......s..... r......j .. .. .. ._. .. .;......... _.. .. ...... .. .. ... .. ... .. .. ........ .. ...... ... .. .. ... .. .r. _..t.... .. .. ... .. .�. .. ... ............. .. .. .. ... .. .. ... .. .. _ ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. _._ .. .. ... .. .. ... .. .. ... .. .. .. .. ... .. .. ... .. .. ._. .. .;-- -- - - .. .. ... .. .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. . .. ... .. .. ... .. .. ... .. .. _.. .. .. .. ... .. .. ... .. ._ _.. .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... dodo .. ... .. .. ... .. .. .. .. ... .. .. ... .. .. ... .. .. ... ............ .. .. .._ .. ._ ... .. .. ... _ .. .. .. .. .._ .. .. ... .. .. .. .._ .. .. ... .. .9 _ ... _ .. R ...— —.. ._. .. ... .. .. _. ... �. .. .. .. .. .. .. .. .. .._.�. .. ._. .. _. ... .. .. _.. .. .. ... .. .. ... .. ^.t`fi~ .. .. . _. .. .. .. .. ... .. .. .. \ J .. -`. ............_.. .. _. .. ... ._. _.. `ic ;...._. .. .. .._ ... _ .. .. .. ... .. .. .. .. .. ..;;.. .. ... .. .. .. ...... .. .. .. :� .. .......................... .. .. Q•.. .. ... •�.. .. ... .. .. .. .. _ ... .. _ .. _. .. .. ._. ... .. .. ... .. .. .. .. .. ... _. .. ... .. ... .. .. ... ... .. .. ... .`: .�. .. _ ... _. .. ... a• •�'a .. .. ... .. .. ... ... .. .. ... n- u V9 _ _ (� :ire �. a to •.. .. .. ... .. ... _.. .. ....'s.....�..... ±coif Fj . !�-? .. .. ...:�_.i#�r��i �:v .a i . EG._ ....._ „ii ,� �. -' .f ... .. .. ... .. , I :� �1...1 .Y..: .. ._ .. I;. -� it i r y — --eco- —a o- - .X 1N. C. r .. .. .�s .moo � .. .. ._. ._ R, �_, 1'0 S r • 3,- .. ........ �c......: :4.. h BAR.g 4° _.._ ;rpt . o..,t.N..` .............................. .............?....� r - / .�..... ...................... ... .. ............ ........_ ........................ ... .. .. ... .. .. ... .......................... / �.a�t Ei2D' ... .. .. a:�tt >..P..1e .�,1.:. _.� : o c .. .. .. ... .. ... .. .. R ., .. ...................... .. .. ............. .............. t - .. ... ......................................... e l /.-•�................. .. 'l............ ..... L� . ........................ ............ ...... ..... iod is �.J..` w... .. .. .. .. .. .. .. i... .. ... .. ... .. ... ._ .. ... .. .. .. ... ........................ .. ............................ %�•.r .. ... af..r Assessors Parcel Number: Scale: OwnerName / s Address / Phon Site Location Contaict Name � „�(� ?) ,'L l Phone 5 -1 - 4f -/ . Oddrr r, 7D73 FOR OFFICE USE ONLY Zoning: &e s General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: . USES: 4, � � SITE PLAN ... i. .. .. ... ............. ... .. .. ... .. .!. .. ... .. .t. ....}.... .. .f. .. .}.... .. .. ... ............. .. _. •£•........................ ........................ ..... ... .. .s.....r ........................ ... .. .. l.. .. .. .. .. .. .. ... .. .� ............ :......:....._......:.... _ ... .: . .:......:.. ....:... ..:. .:.. ..:.. .:.. ..:.. ..:. .:.. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... .. .. ... ............. ............. .. ... .. .. 1 .. ... .. .. ... .. .. ........... ... .. .. ... .. .. ... .. .. ... .. .. ... .. ............. f _ ...y , .. ... .. .. ... -caLL. _ ..:... .. . ............. .. : . . ........... _ .. .. ........... ... �'F�U�it1�ES� ARCD r .�. ��Ea �.� ClA!? ENT .ALL EASEWE .. ................ ............ :.....; .. ............. .. A SET i�lS. TF. �� i?6fl . — TFSE gr -•- rev � '. L... .. _ ... .. .. ... .. i p�i W iC .. F6 . Tk,7= .. .. ... ... .. .. ... .. .. ... .. .. ... .. F%A( CENT' ... .a� �RLY ���'tliE� AVDQIi�IPNlE .. .. .. .. .. .. ..R f 2 F7 p /� £ EXCEL .. ... .. ............. ... .. .................. ...�V Q10E HA ........................ ... .. .. ............... .... .�.. _..._ ..�. .�.. .. •• .• ... .. .. •.. ••......._ ..�. .• ... •_ .• .._ .. _. .................. .. .. ... .. _.................._ .. .. .. _.............. .. .. ... ... .. .. ._. .. .. _ ... .. .. .................. .. G , .. .. .. .. ... i... .. L ' .. .. ... .. .. _ .. I L - ... j. .. .. ... .. .. ... ................ ... .. .. .ti.... .. ......................... .. .. ... .. .. ... _ _ �.. .. .. ... .. - _ ��`p .. 1 .1 �CR- .D• E. T. of Fl�EY .... ... .. ... .. .. "r _... —.................... h 0 _ .... ;.....................:...........:........................;.....; _ as u Y e YC� 1�Ci'•1fNl........ �� ltd •CO�'1C�1�>011� -� %�i4Gl�r j•[ ... .. .. .. .. ... .. ._. .. ........... .�:�. y.(:., .s.. Gig • ':1 u+.t4JP n''G� ..u£ i'v iii a: •• .. .. .. ... .. .. .................................... .. .. .. .1..:.. ... _. ........ .... .. .. ... _. .. ... ............ • _ �d t� - Sig�£atu�e :. .. ... .. .?X 1N. Data . �. S57 .: .. c......: L.. �"r' ? th! c4 :K: BAR - >L .�.. �.. ,t .N• _ :a .�.F .. ...i E'Q.....:.. z' 1�j1.: .. ... r f �. ...i .. r �. P` D ;'.. .. ................. .. .. .. c ;................................................. ..................... ... .. .. ... .. 1. ...�. r - -...................................... .. ... -1 .. . .. " ... _.i.... ............ ............ .. ... .. .. .................................. .. ............ .. .. .. ... .. .. ... .. .. ... ............... .. .. ... .• ............. ... ..... . . . . . . . . .. . . .. . . . . . . . . . . . . . . . .. .......... . ......... . ........................... ..... ....... . . . . . . . . : . . . . . . . . . . . . . . - ---- ----- ' -4 ..... `y I Assessors Parcel Number./,6,6/ 2- ®- a ©a - ®®© Scale: !' = /,6,6/ Owner Name Address / Phon Site Location Contac C .Name �i �c ,�, L 1 Phone 74 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres _'�- 2= % 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING:. GEN PLAN: USES: h Ir SITE PLAN ...................:.....t..:......:.....:......:......:.....:......t.................t.............. ....................................... .;.. .}.... .. ... .. .. ... .. .. .. ...... ......... ... .. .. ... .. : .. .. .. .. .. ... .. y ... .. ................. ' ......................... .. ... .. ............ .. .. ... .. .. ... .. .. ... .. ...r.... ............. ... .............. .................................................... .. ... .. .. ... ...... ..: .. .. .. .. ... .. .. .. .. .................... . ... .. ... ... .. .. ... .. .. .. ... ............. .. .. .. ................... .. ..............._ ... .. ... .. .. ... .. .. .. .. I. .. .. .. ... ............. ............. .. .. ... .. .. ... ............. ... .. .. ... .. ...... .. .. ... .......................... ...................... .. .. .. .. . . - ... - . i. ... .._.. .. ..-. ............. ... .. :._... .. .. .A .. .. .. .. ... .. .. ... ... . .. ... . .. .. ... .. .. ... .. ALL................... ... .. .. .. ... .. -tel- .. .. ... .. ;...........�.... ............. ............. .. .................... :a► .. . .. ............. .. .. .. r.. _..... ..... _........... _... -h :............_..... _ .... :.....:.... :.....:......... >................. --- . .. ... ... �oY Fj . .�- }=................................................ ... .. .. ............. ............. .. ............. .. 0 e .. .. ... .. .. .... ......... .. .. ... .. .. Y .. .. .. .. O .. .. .. ... .. .. .. .. .. - ;. ...... .�1N.G.. L ....:... :......:..... .... . t r / 'moi" 'o u _ b , 4,,eCr` r :f �. ...i ��ce •D' ... ............... ... .. .. .. ..... ................ r ......,� P. R a v.R.�.�1=........................ .. i ! i .. ... .. .. .. .. .. /... ... .. .. ... �l ... .. .. ............. .. .. ............ -= .. .... .................... ...- _.. .i.............. .. ...... ...... ...... ...... ....... ! .. -.:..... ...... ...... ....................... ...... ...... ....... :... . . . . . . . . . Assessors Parcel Number. DO 20 ®— QO 0 DD = 0 ® © Scale: �" = 16401-1 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acnes 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: g I 4 t, yvb yg: r .. coNC- Fre©.A,T E GZ? �. cam Woo o vCc-X � 3 cap .. ab !�J R ESL /� SF.-� .. �N �. � SES �9• a ,.�.' �!J(rp Post Ty P-tf1 i��o1 �.C;il�/7- 8ic�ciM-S Wit--- 7::. _. _ ...... -