HomeMy WebLinkAbout021-190-018BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
AGRICULTURAL BUILDING EXEMPTION PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 992 DEWSNUP AVE
Owner:
Permit NO: B06-2652
APN: 021-190-018
ZARAGOZA, JUAN & ISABEL
Issued Date: 2/21/2008 By GLB
Permit type: MISCELLANEOUS
P O BOX 645
Subtype: Ag Exempt
BIGGS, CA 95917
Expiration Date: 2/20/2009
Description: AG BLDG- TRACTORS AND IMPLI
(530) 370-1137
Occupancy: Zoning: A5
Contractor
Applicant:
Square Footage:
ZARAGOZA, JUAN & ISABEL
Building Garage Remdl/Addn
P O BOX 645
BIGGS, CA 95917
Other Porch/Patio Total
(530)370-1137
FEE INFORMATION
Ag Exemption Permit $109.98
EH Building Review Fee $70.00
Total Charged: $179.98 Fees Paid: $179.98
Balance Due: $0.00 Receipt No: B851
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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
X 2/21/2008
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Contractor's Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are notintended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractofs License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is for one hundred dollars ($100) or less.
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
2/21/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
N .20.' Signature Date
provisions.
2/21/2008
1/0 aH 2 r 2
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
'gnat Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
r 2/21/2008
CONSTRUCTION LENDING AGENCY
]HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
of Permittee [SIGN] Pripj Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner ❑ Contractor OR. Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net/dds
AGRICULTURAL BUILDING EXEMPTION STATEMENT
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.
Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for
an agricultural exemption.
Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any
requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte
County Environmental Health, or any state and federal agencies.
Initials V. AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
Initials TF. 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 manufactured home, and 23 feet from a commercial/industrial buildings
Initials 'Z2- AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a
residence and a manufactured home, and 40 feet from a commercial/industrial buildings
Site Address:
992 DEWSNUP AVE
Permit No: B06-2652
APN:
021-190-018
Square Footage:
Permit Type:
MISCELLANEOUS
Occupancy:
Permit Subtype:
Ag Exempt
Zoning: A5
Description:
AG BLDG- TRACTORS AND IMPLEMENT
Required Setbacks:
Applicant:
ZARAGOZA, JUAN & ISABEL
Front: Side: Rear:
P O BOX 645
BIGGSCA95917
Type of Construction:
(530) 370-1137
Type of Siding: Stucco
Owner:
ZARAGOZA, JUAN & ISABEL
Est. Const. Cost: $ 9,000.00
P O BOX 645
BIGGS, CA 95917
Roof Covering: Compostion
(530) 370-1137
Floor Type: Concrete
I declare under penalty of perjury that the building will be used as stated above, and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the
requirements in effect at that time and prior to occupancy.
Signature of owner:_ r �h %y r Q 6 70 Date: 11/14/2006
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name '
irst Name
r.
Mailing A ress
City i0sr��
State C.
Zip S 9`/P
Phone
Fax
E-mail 3 7o - I! 3 7 -
--
CONTRACTOR
Name
TL' ti U
Address
AP L/)-,>-, V
City
r (�
State
Zip
Phone
-�70 _ y,7.
Fax
E-mail
Date Approved:
Lic. #
Class
--
ARCHITECT/ENGINEER
Name
n
Address
AP L/)-,>-, V
City
r (�
State
Zip
Phone
-�70 _ y,7.
Fax
E-mail
Date Approved:
State License Number
--
APPLICANT INFORMATION
Name
6
Address
AP L/)-,>-, V
City
r (�
State �.
Zip C/ S� yP
Phone
-�70 _ y,7.
Fax
E-mail
Date Approved:
APPLICANT SIGNATURE
X y
For office use only:
AP#
O — O) X
Zoning
Flood Zone SRA I Yes No
Occ.
WORKER'S COMPENSATION
Type Const.
Subdivision Name
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
O — O) X
Property Address
992 *Ve.
7�5City
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
Address
Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ 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: ' Bldg
SRA
RipXt #j � _Sheriff
SMIP
-16- Other
Date: I i'
v 119V�Total
t4 -
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 75965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
(LESS THAN 1 ACRE 1
Reference Number:
B06-2652
Date:
11/14/2006
Location:
992 DEWSNUP AVE
By:
KEJ
Parcel Number:
021-190-018
Sub Type:
AE Exempt
Owner Name:
ZARAGOZA, JUAN & ISABEL
Phone:
(530) 370-1137
Description:
AG BLDG- TRACTORS AND IMPLEMENTS
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one.acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed: ✓)- L/ 61H 2cry 01 a n 24
Title:
FILE
Date: 11/14/2006
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
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 you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° 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.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° 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 unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons prefessing 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 requir3ed 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's automated telephone information system at 1-800-321
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES OR NO)
2. I (HAVE/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:
ADDRESS CITY
PHONE CONTRACTORS 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:
ADDRESS CITY
PHONE CONTRACTORS 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
Description: AG BLDG- TRACTORS AND IMPLEMENTS
Reference Number: B06-2652
Applicant Name: ZARAGOZA, JUAN & ISABEL
Signature of Property Owner: 610a r4oz6l, Date:
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) maybe requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municioalcodes.lexisnexis.com/codes/butteco/
Reference Number: B06-2652 Date: 11/14/2006
Location: 992 DEWSNUP AVE
Parcel Number: 021-190-018
Owner Name: ZARAGOZA, JUAN & ISABEL Phone: (530) 370-1137
Description: AG BLDG- TRACTORS AND IMPLEMENTS
Signature of Property Owner: G1 I/ Coe 20 1& c v 2a. Date: 11/14/2006
FILE
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 75965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B06-2652
Job Address: 992 DEWSNUP AVE
Contractor:
Printed: 11/14/2006
8:56 am
Fee Description Account Number Fee Amount Paid Date Pmt Amt
Ag Exemption Permit
0010-440001-4210500-1010 $109.98 11/14/2006 $109.98
EH Building Review Fee
0021-0-540-013RC $70.00 11/14/2006 $70.00
Printed By: Karen Jones
179.98 $179.98
Balance Due: $0.00
At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan
checking process.
Signature: /1 y cl" rfly Q o
Date: 11/14/2006
Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from
the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a
protest are specified in Government Code Section 66020(a).
NOTES
a
t'.
i-
RESIDENTIAL
PERMIT NO. _'021-190-018 - 04-1226
ZARAGOZA, JUAN
02 DEWSNUP AVE, GRIDLEY
I Cont: OWNER
I NSF/GARAGE
11
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS'REQ.
SPECIAL INSPECTION ITEMS
VERIFY
I
SLI OFFICE COPY
I
Add ess
GAS
Meter By Da/e2
ELEC TRIC
Meter By Date
Addres
GAS
Meter By Date
RIC—
ELECT
Meter By -_ —Da- -- t
JOB FINALED (Date)
Signature
J=OK
0 = Not OK
. = NotReadyable
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
1.
Zoning Requirements -Setbacks -Easements
Gas; MH Test -Demand -Valve -Connector
2.
Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Water; MH Test -Regulator -Connector
4.
Water; Location -Test -Easement Needed (Sketch)
8.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Tie Downs -Type -Installation Cert.
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
11.
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
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. Blockino
4. Gas: MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
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- Panel boards- 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
Date
RESIDENTIAL (Single & Duplex)
OK except #'s
2 -Ft Main; Soils-Elec. Grnd.-/ 1" Ftg. Depth
.-fig., rage; Soils-Steel-Elec. Grnd.-/ Z" Ftg. Depth
4. F ., P ches & Decks; Soils -Steel-/ /" Ftg. Depth
walls, Main; Steel- Bloc kouts-Wrapped
Date Card B-1 Date Card B-1
Date ELECT CAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
25,Fler. Receptacles Spacing -Lights & Switches at Doors
e Boxes & No. of Conductors Stapled
2 Romex Installed Close to Edge of Studs & C.J.
2 quip. Ground made up w/Mech Fasteners -Bond Gas &Water
29. 2_Aoliance Circuits in Kitchen & Conductor Size GFI
2.0e"OS'uVeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
/ 1. qange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
7 Insdrated Neutral O Yes O No
Conductors & Ground Main Disconnect
"33 ui . arances Panels-Motors-Mech. Equip.
T4./C!pKes Closet Light -Shower Light -Spa Light
3 Smoke Detector
Date
@&!Hold Downs and Special Anchors
Date
7.
Slab, Ste rapped
3
8.
Pier treplace Ftg.-Steel
Fan, Exhaust above insulation
3tr
.V; Fall -Fitting -Test -2 Way C/O -Sewer Test
39
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Pfe Stops, Furred Ceilings -Stairs -Chasers -Tubs
11.
Water Pipe; Test -Anchors -Regulator -Service Test
71.
12.
Electric Underground
Alec. Outlets at Wood Panel, Int. & Ext.
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
M.
15.
Access & Ventilation
Duct in Garage -Damper
16.
Insulation
Date A_
XiCard
B-1 Date Card B-1
Date
8 ,/Insulation
Card B-1 Date Card B-1
Date
PLUMBING (Perm(t) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Clearance Looked under Floor ❑ Yes
1
ater Pipe; Test & Anchor -Nail Protection
87,/Water
Well, Disconnect, Electrical, Plumbing,
.V; Test Fittings & Anchor -Nail Protection
Exterior Elec. Trim, G.F.I. Receptacle -Underground
20.
wer Pan; Test, First Floor -Tub Access
Date
Ail-lTest
r
Tub & Shower, Second Floor -Tub Access
Pipe; Sixe & Anchors
ire Sprinkler; Test
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECT CAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
25,Fler. Receptacles Spacing -Lights & Switches at Doors
e Boxes & No. of Conductors Stapled
2 Romex Installed Close to Edge of Studs & C.J.
2 quip. Ground made up w/Mech Fasteners -Bond Gas &Water
29. 2_Aoliance Circuits in Kitchen & Conductor Size GFI
2.0e"OS'uVeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
/ 1. qange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
7 Insdrated Neutral O Yes O No
Conductors & Ground Main Disconnect
"33 ui . arances Panels-Motors-Mech. Equip.
T4./C!pKes Closet Light -Shower Light -Spa Light
3 Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
3
.C. Ducts Insulation & Support
37.�nt
Fan, Exhaust above insulation
3tr
pef�densate Drain & Overflow, Size & Grade
39
-Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet _
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 FRA (Permit) OK except #'s
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Sills Proper Materials & Anchors
42.
alts Studs -Nailing Spacing & Braces -Plates -Sound
4K
ari g Walls over Girders & Floor Nailing
4
Dr Stop in Walls (rat proof)
45.
Pfe Stops, Furred Ceilings -Stairs -Chasers -Tubs
4
Headers & Beams -Size & Bearing
71.
fireplace or Stove, Clearance -Hearth
Date FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
48. Cli . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
1. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
ge Fire Protection Framing -RC Channel
5T
Pro y Line Firewall & Openings
64',Kt.
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55: Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
7
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
id Nailing Veneer
tucco Mesh Drip Screed -Fd. Vents-Underflr. Access
59.
ing Area -Glass otection-Skylights-Plastic
Shear Wa , N ng -Bolts
i
nt Exterior Wall Panels N �/
U.
63.
sulation-Walls-Ceilings
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
64',Kt.
Steps -Door & Sidelight Protection -Landings
63'
Smoke Detector
.
Furnace Vents -clearance -Comb, Air -Connector -
I arage; Above Floor-Ducts-Mech. Protection
6 .
bedroom Exiting
%!G.F.I. & Bath Fixtures & Tub Access -Spa
69.
lec. Trim & Subpanel, Breaker Sizes & Labels
0.
,Stairs & Rails
71.
fireplace or Stove, Clearance -Hearth
7 .
Alec. Outlets at Wood Panel, Int. & Ext.
7 .
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
7
/Elec. Outlets & Receptacles at Kit. Counter
M.
Garage Fire Door; Swing -Landing -Closure
7 .,A.C.
Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
)n Garage; Above Floor-Mech. Protection
7
Ib.; Elec. &Mech. Equip. Listed for Location
9.
Alec. Receptacles in Garage (FF.I.)-Romex Protection
8 ,/Insulation
-Foam -Looked in Attic
81
Guard Has & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
86.E
Following Instld./Drive El Yes O No/Walks ❑ Yes O No/Planters ❑ Yes U No
tucco Brown -Finish
A.C. Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87,/Water
Well, Disconnect, Electrical, Plumbing,
88k
Exterior Elec. Trim, G.F.I. Receptacle -Underground
8§./Ventilation Throughout House
90, ,Glass Protection
91,,/
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
9 .
Water & Sewer Connected -C/O to Grade -HD Approval
4.
Energy Compliance Certificate -Other Certificates
Address Posted
96.
Fire Sprinkler
Date 9w§ard
B-1 Date Card B-1
Date It
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
Insulation Certificate
BUILDING PERrBT
BUILDING OWNER :'l�
BUILDING LOCATION: g �2�✓v
Description of Installation
ROOF
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
CEILING
Batt or Blanket Type Brand Name
Thickness (inches) _ 11 Thermal Resistance. (R -Value)"
Loose FM Type Brand Name
Contractor's minimum installed weigW/ ib Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR -WALL
Material G,6 z•-t�l
Thickness (inches) —
RAISED FLOOR
Brand Name
Thermal Resistance (R -Value)
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Brand Name
Thermal Resistance (R -Value)
Material Brand Name
Thickness (inches) -
rmal Resistance (R -Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
General Contractor (Builder) License Number
Signamre and Title
Sub -Contractor (Insulation Installer)
Signature and Title
Date
License Number
Date
THIS CERTIFICATE MUST' -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
OWNER
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
-L 4._ Gni - ) 2 "Z \,a
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
J;�Date Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT'OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 -T
7 County Center Drive •'Oroville, CA • (530) 538-7541
CORRECTION NOTICE
71A � `Z�
MA
AA p 1-7- ` PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed.I ou have any questions pertaining to this mailer, or need additional explanation,
please c act this office immediately.
7-
A-
Date
Date r'( — C r
REV 10/92
r
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER ` PERMIT NO. '
A routine inspection indicates t t --the following violations of butte county Ordinances exist at the `
above address and should a corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
,LJ, �/ ZO ✓l Ma ' /?DL S 4,4712111, #4, 4�-"
i 12`' ,2
IiCY Iv/JL
COUNTY OF BUTTE........
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541.
CORRECTION NOTICE
4 aAr, 02-4
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 notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please cont)act this office immediately.
E�
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
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 notice this office when correction of work is
completed. If yo have any questions pertaining to this matter, or need additional explanation,
please contac his office immediately.
d 3 l nd�
{ i ., e I I I t r• a,•
''COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE a
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 aye any questions pertaining to this matter, or need additional
explanation, please contac he Building In p4ctor as indicated below. #.
c �
•y
Date Ry`
7 Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
.; ,COUNTY OF BUTTE.
•. BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
i'
/ A
Date �!.�� Inspector y4/<11%4Wn 4/���
REV 4/05 Phone # � %, 9` � ? 5
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
CORRECTION NOTICE
�AI?A 0 z/-9 O y- /,.,�
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 iscompl 'fed.
If
If you have any questions pertaining to this matter, or need additional
y�
explanation lease
the Building Inspector as indicated below. r
A/ Aav
w
72
y�
%% ����� 7-
12"
�i 12"V/J,//I.�
(Gl ✓/r���� 7i P// e2z/ 41Z
Date �!.�� Inspector y4/<11%4Wn 4/���
REV 4/05 Phone # � %, 9` � ? 5
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
DEPARTMENT OF. DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP041226
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date' 06/22/2004 APN•' 021-190-019-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Sits Address: 992 DEWSNUP AVE GRI
Date: Contractor:
Map index:
Description: NSF(2712) GAR (550)COV(732)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State'License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: ZARAGOZ, JUAN & ISABEL
to its issuance, also requires the applicant for such permit to file a
PO BOX 645
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
BIGGS, CA 95917-0645
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
0 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
Applicant: ZARAGOZ, JUAN &ISABEL
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
Contractor:.
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 oftheBusiness and Professions Code
Date:��v " 'Owner: 2
License #•
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 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
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
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:
Carder:
Total Square Ft: 3994 S.F.
Policy #:
Valuation: $201,192.00
l� 1 certify that in the performance of the work for which this permit is
n
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
I
q65 ( / i /
`-t
compensation provisions of Section 3700 of the Labor Code, I shall
�)J Ip /
forthwith comply with those provisions.
+��C /
ti
� )- D GZ-
3-3-76.
Date: f, ~
Applicant: 2,
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.
t
CONS TRUCI ION LENDING AGENCY
Kunder the applicabie provisions of tine Butte Cou+illy Co��R
T'riis d�er, i`'s iiA!oindicatedfor fees have been
I hereby affirm that there is a construction lending agency for the
Re oil n t above which paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
BY �` -� Date:
Name:
r�S 0 t r�%
PERMIT EXPIRN: 4 [l
Address:
Date
O I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O 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. 1 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes.
—�
Print Name: c/ (i C�Ii7 n! L6 G D 2A' • Signature: °2fV h / ri J nn n::, a
/
Date: 2- D
j Owner 0 Contractor ❑ Agent for Owner Cl Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041226
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' 06/22/2004 APN' 021-190-018-000
the Business and Professions Code, and my license is in full force and
'
effect.
License Class: License Number:
Site Address: 992 DEWSNUP AVE GRI
Date: Contractor:
Map Index:
Description: NSF(2712) GAR (550)COV(732)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: ZARAGOZ, JUAN & ISABEL
to its issuance, also requires the applicant for such permit to file a
PO BOX 645
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
BIGGS, CA 95917-0645
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: ZARAGOZ, JUAN &ISABEL
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.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 ofthe Business and Professions Code
2
Date: -Owner: V '
License #'
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
Engineer:
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:
Total Square Ft: 3994 S.F.
Policy #:
Valuation: $201,192.00
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 6 ^ - D Gl-
? 2
S J �/ —7tLJ •
Applicant: 2,
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in.Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This��eniri 's hereti issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
of the work for which this is issued 3097 Civ.)
Resoltit' n t ork indicated above for which fees have been paid.
performance permit (Sec
Name:
BY: �J (� Date:
Address:
PERMIT EXPIRS N:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O 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. 1 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes.
r^
Print Name:y / d Al C2 L6 G O l d - Signature: �!/6l/ / ryY� in 7 0
Date:
f Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
FFICE #• (530 38-7541
PERMIT NO.
BP
Gx�
13,50"6s
q q6-1 Si
DATE:
APN:, 1 c /6• / � l
202 INWG:
OWNER'S LAST NAME:
OWNER'S FIRST NAME:
PHONE:
bra 0001
�Tr��
S'30 /l 37
STREETADDRESS:O o f S�
FAX:
CITY, ZIP: -r�� 917
E-MAIL:
SITE ADDRE' • Ssi v Y�
CITY, ZIP: I
`/�
i A
NEAREST CROSS STREET:
T P.
J �
r O!�
APPLICANT NAME:
-OT
PHOOL
CPO 2 goSTREET
ADDRESS: `-� v a
r
FAX
CITY, ZIP:
E-MAIL:
CONTRACTOR WAME:
PHONE
STREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
LICENSE NUMBER:
LICENSE TYPE-
ARCHITECT/ENGINEER NAME:PHONE:
Irr
Vz2.
STREET ADDRESS:
5 cl Ae l
F
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION ORS OPE OF WORK:
N o�•i J
ov
❑ Structure Built without permits G
❑ 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 fees will be required.
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. Filin fees, plan check fees for work plan
checked and other department costs are not refundabl .
For office use only- � )
Notes: SSI V � IIA-�I' '
Application Received by: Date: �j
Receipt number: (y Amount Receive�'� �' /
r
Master application 34-04
7 .. . + r c,.s �.;a�•.�.p.1KryT,B+, �it.Y.:.sw....+. ;r...+ ,�-....... 7-..-.. _ - ..:-..�»r .-•.....
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
_Z�
Q -
`�PEERMIT APPLICATION DATA SHEET
OWNER: rASSESSOR PARCEL NUMBER09�'
L11 Id -
Proposed Building Use: Counter Technician: _Date:
Itiems required in order to apply for a permit. All boxes MUST be checked OR marked NA in orded1d apply.d, t .
1• 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 1
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.
7 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate. j
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form 6
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable., C
16. Other N
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followh
❑ 17. Fire Sprinklers..........................................................................................J
18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by � _..
�❑ 19. Soils Report and/or Engineered Foundation required ...........................................
20. Erosion Control Plan Required........................................................................
21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. �;-�
❑ 22. City of Chico Plumbing permit.......................................................................%
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. o
24. Planning approval (A) Use: ak(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 ........................... ' U
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. umber, Name Style, Classification) ...................
30. Worker's Compensation Carrie and Policy Number ..........................................
31. Owner -Builder Verification - Given to owner, _Mailed to owner) .....................
q/ 32. Letter of Signature authorization ...................................... :.............................
•� 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $_
❑ 38. Other:
❑ 39. Other:
When issued Telephone and hold for pickup.
1 have been informed of the above'items and requirements for obtaining a building permit.
Applicant: 4e4, ar? 2co 1 c9 g? 024 • Date: O -Y.
1. Index perrrj pplication for the above itetk numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: A Date
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: M Date: 44 bW
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES ^ j �+
OWNERZf- , -2, A.P. 0 - N C� -
PROPROSED BUILDING USE � J DATE t/
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES -ter I j q
(paid at School District Office) (form available after Plan C e k)nA G t �1 �D owa 21 d /
/zljo4-
3. SHERIFF FEES (paid at Building Division) ,
esidential............ X $360.00 =$_2)(x)
(
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #,
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
4
C //,,�� n meq. rig. Amt.
l0. OTHER S Y , 6• / D-' (M i (p ' 7,1- 6
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT �y qr, �al i -4t Gl �e 7e1. DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
11Ea, 07122/2003 11:15:57 AM
Name ZARAG6ZA JUAN & ISABEL I Asmt # Fee # 1021-190-018-000 i
Status Status Date
Addr1 P 0 BOX 645 ��
Tax- 000 NORMAL OWNERSHIP TRA 075 018
Addr2 BIGGS CA 95917 Situs
j
Addr31 Base Dt 06/07!2000
Addr4 -- ; Land 63,672
!I QJJ Timber Preserve
Structure 0
AgPres Fixtures 0
Comments 12119001800 CONVERTED 09/08!88� it Etal
Growing
Creating Doc# 198SR0478900 Date ji
Total L&I 63,6721
Current Doc# 200080020841 Date 06!07!2000 ,� Bonds . —
Fix. RF 0
Multi Situs
Killing Doc# Dateill 1Flag! MH PP _ 0
1 0
Asmt Desc 009.02 AC LOT 17 SuplCntPP
—� I� Flagg ---- l
Zoning A5 1 Dwe11r0 �� � 910 MH Exempt Of
I
4 � ,� ( Net 63;67
AcreslS Ft 9.02 NIC 021 � Asmt PP Pen
!UJJ Tax PP Pen R!C#
�U-1 Appeal Pending T/R D
jSplitPending 'RICStat
'! PHY
I OWN I EXP I
TAX
I HON
A_TT
SIT
�; APR.
�! PCL II
'!fell ' �► 'ISI
Find
! - I t l`
11Ea, 07122/2003 11:15:57 AM
O.B.- I
OWN R -]BUILD R RIFICATION
Attention Property Owner:
An "owner -builder" building pemlit 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 buil
verification is received. ding permit will be issued until this
1. personally plan to provide the major labor and materials for construction of the proposed
roperty improvement: YES NO ❑
HAVE' HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (Tam) to provide the proposed construction:
AME:
DRESS: CITY.
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
a aiiWL' VU. CI i :
PH CONTRACTOR'S LICENSE NO.
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
)—IY L \J;1".
PROPERTYOWNER,-A 7 v
NOTE. This owner -Builder Verif ration is required by Section 19831 and 19832 of the
California Health and Safety Coda This verification must be completed and -
- - returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
OA -I
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder” you are the responsible party ofrecord 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 you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (Including materials
and other costs) is $300' or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments 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.
There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contract 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 in their
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board i. your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner guilder Verification" on the reverse side of this form so that we can confirmthat you
are aware of these matters. The building permit will not be issued ung the verification is returned.
rely,
Mic 1 C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner-Buuderbtformadon is required by Section 19530 of the California Health and Safety Code
OVER
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District e5i
2 I o L C—
y
Building Department No. �Pr54 f :1 -.1
A.P. Number 0Z
Jurisdiction:
City County
Property Owner Z..
A-rzA, G�Z,A
Property Location/Address
Subdivision
Lot No.
Residential Development
0
Q Q Sq. Footage 71 2
No of Living
Mobile Home
Addition/ 'Supplemental to (Group R)
Units
Installation
Conversion Permit #
*(No foundation Inspection)
s...................................................................... . .........................
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 Fxderior
Roofed Areas)
If , e> le4-
Building,6e,bartment Representative
Date
rice Identification No 1
School District certifies that t\
(Applicant) 10
< �'' JNttShtllfa ��/P.
(Street
(City)
has complied with the requirements of Resolution No.
representing
square feet.
(State)
(Phone Number)
K
(Zip Code)
�q A 0V j by payment of $
2926 $
FULL MMGATION $
Paid by Check # Remarks:
Date It
Notlw: You may protest the Imposition of the fees Identified above by submitting a wrfltan protest to the District, in compliance with
Govwnrtrad Code Section 66020(a), within 90 days from the date fess are paid. Failure to subn* a timely written protest will'prohibIt
you from challenong the Imposition of the fess in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fes Certification Form, the School District Is
r Will by the spp ic" Local Planning Agency that this project Is being rens wd under the California Environmental Quality Ad (CEQA),
this project may be subjed to additional school fess to fully mlNpate tis Impact on the school dk&k t schools.
White (applicant), Yellow (building department), Pink (school district) _ feefonn.xds (10/03)dmm
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE
Project Title: ro/ G o --a
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more ' of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provided by law.
Signed: 1,47coo
Title: O W17 r-
� -
Date:
COMPLETE THIS INFORMATION:
RECORDING REQUESTED BY:
COPY of Document Recorded
07 -clay -2004 2004-0026976
Has not been compared rith
original
BUTTE COUNTY RECORDER
AND WHEN RECORDED RETURN TO:
CCS -'A .*Rv�, I -A
V
CsAi4 3 �r-.
fieri) iIIQ (yam �) �C� S THIS SPACE FOR RECORDER'S USE ONLY
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
(Additional recording fee applies)
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
06 -May -2004 2004-0026699
Has not been compared with
original
BUTTE COUNTY RECORDER
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 N11a
State of Califwla��
County of 1J61
PROPERTY OWNERS:
as n Z CciQ 002 Com. ��i 0" Z U rc�l 6 c -?U
On b��ffg�r�e me,
(�i'11 -u / y`f-
personally appeared kkan anZ7la YC'c Q6 Z ZSRj#>el YCt g !) ZG`, personally
known to me (or proved to me on the basis of sati actory evidence) to be the person(s) "ose 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) executed the ins u
WITNESS mjacted
and offic'CHERYL A. GARCIACOMM. #1347300 m
Signature�L al: w �'^ Notary Public -California N
e BUTTE COUNTY
MY Comm. Exp. March 19, 2006
A. P. # 90 '-v
SCHEDULE C
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:
LOT 17, OF GRIDLEY COLONY NO. 7, ACCORDING TO THE OFFICIAL MAP THEREOF,
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, FEBRUARY 5, 1907, IN BOOK 6 OF MAPS, AT PAGE 7.
AP NO. 021-190-018
MAG U ERE Professional Building Designer, A.I.B.D
BUILDING DESIGN General Building Contractor
"Be Your Own Builder" B HIC # 530213
AW -OE kLV /&W e� ?Wc- T use �� jai AS
���G/E7J o� �ZiC�Sb� �iiL.T�/.r,G� �o�r✓ ' .v�x�J-S- ��?>
3020 Industrial Drive Suite B Yuba City, CA 95993 Phone: (530) 6736838 Cell: (530) 7134313 Paget. (530) 790-6261 Fa)c (530) 6733290
SITE PLAN REVIEW APPLICATION
Date: " - C1 AP#� - �/C' "� /
Permit Number (if applicable) Bin Number
•
APPLICANT INFORMATION Parcel Size:
Owners Name:
Owners Address: �� ' -
J, Vol 92
Telephone No.:x5.70 //3 7
Situs Address: Z -6w," hd_4u-(�_
Proposed Use:
Residential
Jj 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 ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
Septic ❑ Well
❑ Agricultural Exempt Building Agricultural Buffer Form ❑ Applicable ❑ N/A
❑ .Other:
Brief Explanation (if necessary):
r
DO NOT WRITE BELOW THIS LINE
DE VELOPMENT SER VICES INFORMATION (For Staff Use)
Jg Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By Date CP -12 PYA
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area: •
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: X
• Flood Panel No.: I) 25 C— Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
---------------------------------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement •
Zoning: P — 5 -
Applicable
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
' Applicable Development Fees:
Standard Fees Amount Formula
❑Fire
• ❑
School*
❑
Parks/Recreation
❑
Roads
❑
Sheriff
❑
Drainage
❑
NCSP/CSA 87
❑
Chico Urban Area — Road
❑
Thermalito Drainage Area
❑
Thermalito Urban Area
❑
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 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
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
IR Subdivision MR/Parcel Map:
Map Date of Recording:
Lot: 1-7
❑ Use Permit/Minor Use Permit
Permit Number:
& Zi D L -e -x �� LDS/ M -7
Book: �i, Page: 7 •
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Pill
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 road maintenance, and stop sign maintenance.
Page 4 of 5
BUTTE COUNTY EnvironmAntal Health
• AGRICULTURAL BUFFER NOTIFICATION ANDIO
SEP 0 ? 2903
UNUSUAL CIRCUMSTANCES REQUEST Courity L"enter Drive
Croville, Ca
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: Tv slti 2 6 t!= Q a? U . Phone: S?o - 3%2 - 1137
Mailing Address: / b doo-, 6 yS 21-2'217z
E -Mail address
Assessor's Parcel Number: 1° / — /-go - o
Reason you believe you qualify for the unusual circumstances exception:
114 0 CY I- 4/s
•
or Authorized Agents signature
9- a off.
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
......................................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING
.........................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal)
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
Exception Recommended f_iD�..P��� ❑ Exception Granted with the
Exception NOT Recommended I T l 2-� following conditions:
Reason/Conditions/Specific setbacks �la
from adjacent agricultural operations:
•' X,5 das&_ 2L--. () (� -AV -C. l` lk U4,J- CFI yl-er of Qgj,�y
Arc. - rM&Lik IraA� AMC- /l-ee s -Ung—go, Gabs � SUA baviJzr,.
Agricultural Department Signature: UL-•.. Date:` og o a
YMC'I/1/03
/<d ed ti ��1/ -� r��s•
�'6� 3"'�.. •`-G'�''1i�'�O'.-'-�O*^_^9'_r.'��p ^^'.�r�^i^-.._.oma—a��0.--_�.—O -- Y //�, �_
e e -
44
a
co
1
44
a
a
1
O'
1
0
a
44
0
a
%
O'
44
S
a
%
O'
e
0
a
44
° v v
(v fey -P f
S
Zr
° v v
(v fey -P f
' N.R.2 E. M.D.B. a M, rax AREA CODE 21-19
)k 75-12
i L6 75- /8 4,0, A v E .
� 65
4.35 AC 6/ },Iy020 — of n
~631.88 ( /9 /9 /7 1. 400
2 @
Fqj
0
29
5:33AC.30 v
240.0 % 3 389. /9 21
2
360
122 n r. 23
1 3..8 AC., i 4g3cic hcqN
OS
,.30-40-
i — , L ?846 629.02 I
65Ac 4.76Ac
O 59
1 q /.it
1 O� 64 °: M
27 apis
628. 94 O
3 - v1I 4 a 4.76Ac 2
o� i3.92Ac
PM 52"", ��.34408s 188.0 5
3/4.43 23/4.43 `
2 Z9AC. 2,30AC.
Zj
55
2.30AC 9.82 Ac
229
57
PM.49 7
ASSESSORt MAP N0.21-19
COUNTY OF BUTTE, CALIF,
h
66
4.79 AC
h
N
632.99
'`
67
nmi
4.79 AC
h
634.1
4
a
68
gs
4.79 AC
PM 92-2 63:
Fqj
0
29
5:33AC.30 v
240.0 % 3 389. /9 21
2
360
122 n r. 23
1 3..8 AC., i 4g3cic hcqN
OS
,.30-40-
i — , L ?846 629.02 I
65Ac 4.76Ac
O 59
1 q /.it
1 O� 64 °: M
27 apis
628. 94 O
3 - v1I 4 a 4.76Ac 2
o� i3.92Ac
PM 52"", ��.34408s 188.0 5
3/4.43 23/4.43 `
2 Z9AC. 2,30AC.
Zj
55
2.30AC 9.82 Ac
229
57
PM.49 7
ASSESSORt MAP N0.21-19
COUNTY OF BUTTE, CALIF,
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
LP2A
Scott Rutherford (530) 538-7160
srutherford(cDbuttecountv.net
Plans Transmittal For Review Per Contract
5/24/2004
Applicant: Zaragoza, Juan Permit 04-1226
Project Type: NSF/Gars e APN: 021-190-018
100% 70%
Plan Check Fees $ 1,350.53 $ 945.37
$ 1,350.53 $ 945.37
LP2A Fee $ 945.37
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other - - - - — -
Other
i
DAN) D
t
q33-1538
7 County Center Drive
Oroville, CA 95965
N
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
N
TO:
'
M
FROM:
1
SUBJECT:
O
�
DATE:
LP2A
Scott Rutherford (530) 538-7160
srutherford(cDbuttecountv.net
Plans Transmittal For Review Per Contract
5/24/2004
Applicant: Zaragoza, Juan Permit 04-1226
Project Type: NSF/Gars e APN: 021-190-018
100% 70%
Plan Check Fees $ 1,350.53 $ 945.37
$ 1,350.53 $ 945.37
LP2A Fee $ 945.37
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other - - - - — -
Other
i
DAN) D
t
q33-1538
June 18, 2004
Mr. Michael Vieira
County of Butte
7 County Center Drive
Oroville, CA 95965-3397
Re: Plan Review: Zargoza SFD
Address: Dewsnap Avenue
Dear Mr. Vieira:
County of Butte- FINAL REVIEW
Jurisdiction Application No.: 04-1226
LP2A Job No. 2040015-054
Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents:
Plans: Three (3) copies of revised Sheets 1 through 6 dated February 25, 2004 by Maguire's
Building Design.
2. Title 24 Energy Compliance Documentation: Two (2) copies of revised T-24 Documents dated
June 11, 2004 by Dan Cannada.
3. Prefabricated Roof Truss Calculations: Two (2) copies dated April 12, 2004 by Erickson Building
Components. Two (2) copies of revised/added truss calculations dated April 12, 2002 by
Erickson Building Components.
The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes (i.e., 1997 UBC, 2000
UMC, 2000 UPC, and 1999 NEC as amended by the State of California) were used as the basis of our
review. We do not have any further comments regarding this submittal package. This plan
review is recommended for approval as submitted with the following red -marked revisions:
At the Foundation Plan on sheet 2 holdowns were shown were required as shown.
In addition, holdowns were amended to be HPAHD22 holdowns as shown.
2. At detail 4/2 the insulation shown was amended to be R-19 to be consistent with
the energy calculations.
3. At detail 6/2 the length of the alternate braced wall panels was amended to be 2'-8"
minimum.
4. At the Braced Wall Plan on sheet 5 the braced wall layout was amend to conform
with the requirements of CBC 2320. In addition, a note was added below the plan
specifying that double studs or solid blocking is to be installed below all interior
braced wall panels.
5. At the Typical Section on sheet 5 the insulation was amended to be installed
between the floor joists as shown.
f:\butte county 015\butte county 2004\2040015-054-pcf.doc
isLINHART PETERSEN POWERS ASSOCIATES
7610 Auburn Boulevard • Citrus Heights, CA 95610
(916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653
Zargoza SFD County of Butte - First Review
Dewsnap Avenue LP2A Job No.: 2040015-054
June 18, 2004 Page 2
Enclosed for your use are the above noted documents that were reviewed, bearing the LP2A plan
approval stamps. If you have any questions, please do not hesitate to contact us directly.
Sincerely,
L ART P EN POWERS =Plans
og eterson, S.E. s
Structural Engineer Exami
i
PK:ag
Bin 32
Enclosures:
TO: - Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. M4 ONLY
Pial Plan Attached
Floor Plan Atuchad�—
Sant to G.D. I
Owner Locatiod AP#
Plan Approved for: Sewage Disposal-- Vater Supply: Public Private Well�
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
;mental Health Specialist
Date
' z21i
T oy• z�
V�
COMPLETE THIS INFORMATION:
RECORDING REQUESTED BY:
AND WHEN RECORDED RETURN TO:
fst
z 0C® 4— 0 02 6 9 7 6
Recorded
I REC FEE 13.00
Official Records
1 CONFORM 1.00
Couunt Of
CONFORM 1.00
BUT
i
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Barbara
IM MAM 07 -May -2004
I Page 1 of 3
_(� V )T P U, '1 ���, S THIS SPACE FOR RECORDER'S USE ONLY
<=n� Atc-() �
aAa �� R
a•
THIS PAGE ADDED TO�PROUIDE ADEQUATE SPACE FOR RECORDING INFORMATION
r> (Additional recording fee applies)
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2004-0026699
Recorded
Official Records
Count BUTT Of
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:11PM 06 -May -2004
REC FEE 7.00
CONFORM 1.00
Barbara
Page 1 of 1
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 r qa�� T
State of Califgrll
County of ,,((��
On 2t%D r
S J10- CVJQ Q�
PROPERTY OWNERS:
C ra- ooz CL. �1iaH 2c1 rc� o mob.
.fSxbel zaraazat,
personally appeared T/ k.d-ira � rCcCI d aa' personally
known to me (or proved to me on the basis of sati actory evidence) to be the person(s) ose 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 ins u
WITNESS my, a and offic* CHERYL A. GARCIA
COMM. #1347300
Signature al:w Notary Public•Callfornia (n
o BUTTE COUNTY -►
d My Comm. Exp. March 19, 2006
A.P. # �! ` l qo - D � /�
SCHEDULE C
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:
LOT 17, OF GRIDLEY COLONY NO. 7, ACCORDING TO THE OFFICIAL MAP THEREOF,
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE., STATE OF
CALIFORNIA, FEBRUARY 5,1907, IN BOOK 6 OF MAPS, AT PAGE 7.
AP NO. 021-190-018
Piot Pian Attec►had'
c--
Flooa Man Antachad
r ' Sento S.D. I
TO: Building Department
FROM: ' Environmental Health
SUBJECT: Sanitation Clearance
�--� h A _ 1..1U� .t�S y1 ti. 10 21 CiU
Owner 3 Location AP#
Plan Approved for: Sewage Disposa Water Su ly: Pblic Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist . Date
8/96
SITE PLAN REVIEW APPLICATION
Date: " , C) g AP##'
Permit Number (if applicable) dL} —� �-2-� Bin Number
1 APPLICANT INFORMATION Parcel Size:
Owners Name:
c� G
Owners Address: �T � 1 S�
Telephone No.: --5 70 //3 7
Situs Address:La
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
13 Septic
❑ Agricultural Exempt Building
❑ Other:-- _ --
Brief Explanation (if necessary):
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
Agricultural Buffer Form ❑ Applicable ❑ N/A
NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Jg Approved ❑ Conditionally Approved ❑ ResolveK%bM ViV*Bpproval
JN Site Plan Stamped Approved MAY 2 61 2004
By Date 9-12 �aNLHHmcNIU
urMarras oc� owes
Page 1 of 5
1
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: 1) 25' C— Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: P — 5 -
Applicable
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
C�
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
Applicable Development Fees:
Standard Fees Amount
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Formula
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
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 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
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
12 Subdivision Map/Parcel May: & rZ i r> L C— X ,, p tam / » -7'
Map Date of Recording:
Lot: 1-7
❑ Use Permit/Minor Use Permit
Permit Number:
Book: (, -) Page:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
Is -
Page 4of5
BUTTE COUNTY
EnvironmontnR Health
AGRICULTURAL BUFFER NOTIFICATION ANDIO 7 SEP 0 2 2003
ul�rtr
UNUSUAL CIRCUMSTANCES REQUEST Coenter Drive
Cov�ille Ca
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: Tv ev," Z d y cJ Q a2 ca . Phone: S _?D - 370 - 1137.
Mailing Address:
E -Mail address
Assessors Parcel Number: - / — 1-196 - 0 / 9 -
Reason
Reason you believe you qualify for the unusual circumstances exception:
a 6 o// cy I- (is
�C/ati 7- a- D?.
Ow er or Authorized Agenes signature Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
......................................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING
.........................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal)
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
Exception Recommended -���G, �iEf j� ❑ Exception Granted with the
70 Exception NOT Recommended 1) 12, ``�S following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations: PI&z.e bvcla LLA
?s c-IuS 7L..5 nC,isOAe - v 4kc kw -k; % fA"�- ceu-we, o ep
alus n Acta.- IM&Lun • Ira., irtx. 6-e� -Wpw A, Easy- StLA b"N1JAX,**
Agricultural Department Signature:a(A-�- Date:` og o a
`0 \ � YMC 7/1/03
-p,pr)40
do
p',bzo-' 4
*4JB /h
afl 4-11 U 7 J _
0
' N.R. 2 E. M.D.B. M, � `", rax AREA CODE 21- 19
- S
75-12
Hl1 L 75- /8 d0' AVE.1
Geri 37
�'9..:
65 �j
a 4.35 AC 6/ �++.•
h 1! 400
20 631.88 /9 /® /7
Q h
2
4.79 AC
5:33AC. 30
G
632.99 r
--- _ Ann
�l � I / 1 N 2 r•
67 II 360
n 4.79 AC
63.1 I 6/ 1P2� ^ 23
4 I 3.8 AC.11 i 4.83.4 C
ai
si o
pf 4.79 AC `� I- � 91 ® �
5•
PAI 92-2 633,22 I �' -� 464 E •
62 9. 02
63 55.4 � L � � 4.76Ac 59
q /
&o.1 64%01
28 r7 a 1 ►.
3{ 1; 628. 94 O
I1` 3 v1 1 4 0, 9.76Ac
`ol 0.92Ac a 2
R r ® PM 52-33 PMZ 2
44085 /88.0 Y 626..85
3/4.43 2 3/4.43
® 2.49,4C. i.30AC.
/7ACt _ I55 5&
— —
Z
ui 2.2.9A 2.30AC 9.82 Ac
2 (q 57 . �, (10
/2�
24
M — 35 1.82 AC. _
ROAD
25 4@5.S8AC
32 14W4.
N
�
11 112
14113
ASSESSORt MAP NO, 21-19
COUNTY OF BUTTE, CALIF.
t
i .4 1
st Mo
J
o
3
JL
y
�
v
�
t
i .4 1
st Mo
J
i � � �
., _
�
�
�. ? _
� �. y
� t 4 S{�.
c . q r �
;
�' �
#
K .;�
__, .. ... �. .,
a .'� .�'�.
.�, � ,,. _. .. _ ,.
�
.� .. _ ._-. ,,.
_ _,.._ e .. .. ,�. .-
r ».� .<
* 1--1
All
wAy
000-0
70
0. v w �j
WE 09 MIT
77�
I Y , No, w
R, yz
4
-my
i.
All
rw