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HomeMy WebLinkAbout021-190-062Building Code Violation . 021-190-062 Complaint to inspector-'/ ZZ Q 04-2.84 JACKSON, THOMAS , 30 day violation letter ,,IIII 021-19-62 514 DAISY LN, GRIDLEY `NVQ rEVERETT'& ANGELA WILSON Cont: OWNER 10 day violation lett r Daisy Lane, app 400 E French Ave AG BUILDING t Abated or Closed Gridley Permit#21-89A(Agricultural R1d2—L e- �� i � Stg ot- tractor & persimmon orchard equip -021-1,90-0- z --.-- - - 05 3, JACKSON, THOMAS 514 DAISY LANE, GRIDLEY Cont: OWNER NSF(GAR) 6 c _ `s Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buftecounty.net/dds ADMINISTRATION * BUILDING * PLANNING April 4, 2006 Thomas and Della Jackson 514 Daisy Lane Gridley, Ca 95948-9582 RE: Building Code Violation Location: 514 Daisy Lane, Gridley AP#: 021-190-062 Dear Thomas and Della Jackson: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location for failure to obtain the required permits, inspections and approvals from this office as follows: 1. The change of an Agricultural building to a residential dwelling without obtaining the proper permit. 2. Building a covered porch without obtaining the proper permit. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees." All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It, is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have COPY Thomas and Della Jackson AN 021-190-062 March 10, 2006 Page 2 any questions concerning this matter, please contact Bill Barron at 538-2051 or visit our office located at 7 County Center Drive, Oroville. Our hours of operation are from 8:OOa.m. to 4:OOp.m. Sincerely, Bill Barron Supervisor, Building Inspections BB: ajf Cc: Assessor Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive A Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds-' ADMINISTRATION * BUILDING * PLANNING March 10, 2006 Thomas and Della Jackson 1736 Rushing Street Yuba City, CA 95993-6442 RE: Building Code Violation Location: 514 Daisy Lane, Gridley AP#: 021-190-062 Dear Thomas and Della Jackson: This is a.courtesy notice to notify you that you are in violation of the Butte County: Code,,. at"the above -referenced location for failure to obtain the required permits, inspections and approvals from this office as follows: 1. The change of an Agricultural building to .a residential dwelling without obtaining the proper permit. 2. Building a covered porch without obtaining the proper permit. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a. Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have Thomas and Della Jackson AP# 021-190-062 March 10, 2006 Page 2 any questions concerning this matter, please contact Bill Barron at 538-2051 or visit our office located at 7 County Center Drive, Oroville. Our hours of operation are from 8:OOa.m. to 4:OOp.m. Sincerely, Supervisor, Building Inspections BB: ajf Cc: Assessor 0'f Butte County Department of Development Services ° e ADMINISTRATION * BUILDING * PLANNING °CDU Nt+° 7 County Center Drive Oroville, CA 95965 Thomas and Della Jackson 1736 Rushing Street Yuba City, CAr-"--'--"-" 012H16205578 $00.371 a 03/24/2006 _ Mailed From 95965 US POSTAGE X 957 NO 1 4104 .0 2i 03/29/06 ,FORWARD TIME EXP RTN TO SEND JACKSON 514 DAISY Lid GRIDLEY 0A 9594®-9ZG2 AIUBTt9P 95993 RETURN . To SENDER 95965%3397i Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buftecounty.net/dds ADMINISTRATION * BUILDING * PLANNING March 10, 2006 Thomas and Della Jackson 1736 Rushing Street Yuba City, CA 95993-6442 RE: Building Code Violation Location: 514.Daisy Lane, Gridley AP#: 021-190-062 Dear Thomas and Della Jackson: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location for failure to obtain the required permits, inspections and approvals from this office as follows: 1. The change of an Agricultural building to a residential dwelling without obtaining the proper permit. 2. Building a covered porch without obtaining the proper permit. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have Thomas and Della Jackson AN 021-190-062 March 10, 2006 Page 2 any questions concerning this matter, please contact Bill Barron at 538-2051 or visit our office located at 7 County Center Drive, Oroville. Our hours of operation are from 8:OOa.m. to 4:OOp.m. Sincerely, l�iVIC�arron Supervisor, Building Inspections BB: ajf Cc: Assessor • 021-190-062 :n 042351 ' 21-19-62 1 EVERETT & ANGELA WILSON JACKSON, THOMAS 514 DAISY LN, GRIDLEY i U�f NIS Daisy Lane, app PP 400' E French Ave Cont: OWNER AG BUILDNG I Permit#21-89A(Abricultural Stg Bl Exe�np� of tractor & persimmon orchard equip 021-190-062— 0 93 JACKSON, THOMAS 514 DAISY LANE, GRIDLEY Cont: OWNER NSF(GAR) • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE :2Z,/�SIJ�� /?a X0/07 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r1/LJ/ 7.)" Date Inspector REV 4/05 Phone # ` 2 57K FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" For office use only: CONTRACTOR OWNER Last Name---- Address x first Na Address c r t\ _ 1 1 J'� � City 1°ll C� r qV Fax State Zip S Phone Class Planner Fax E-mail 5 vs For office use only: CONTRACTOR Name 5 Address x City /- State Zip Phone r qV Fax E-mail Map Book Lic. # Class For office use only: ARCHITECT/ENGINEER Name 5 Address x City r /- StateC. Zip D Phone r qV Fax E-mail Map Book State License Number For office use only: APPLICANT NAME Name 5 Address x City { °� &j State C4 Zip O Phone '' Fax E-mail Map Book For office use only: AP# CW I - 190 Zoning_ 5 Flood Zone x SRA Yes No Occ. Type Const. Subdivision Name Address C Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 052gg3 BIN It h LOCATION AP# CW I - 190 Property Address S rs City e Cross Strt WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address C OVER FOR SUBMITTAL REQUIREMENTS U KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: ar/It, 0 4pl,t J hnymo Sq. Li btructure built wltnout Fermlts ❑ Proposed Change of Occupancy (Note previous use): EXPIRAT Applicatio re one year after N on an applicatio Ag'IQI?IJ , 'd-gNA O :;uo0 will be required. 3Nb7ASIHQtiIS ��6Z. REQUES. -go Z S t�7^IOH1`IOx3df Refunds can only be made upui, ...... Z90-06I-IZO 'on who paid the fee. The request must be made prior to the expi,—ion 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: K. 6 • Amount: 12-q 6.K Bldg SRA Receipt #: y y Sheriff SMIP Date: t—y — 09 Other l Z� lD Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEA CCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed Letter from Engineer or Architect for truss design review. ❑ 5. calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to Letter of intent. ❑ 10. mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! 0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9.. Letter of intent. ❑ 10. Hazardous Material Form. 0 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �U S l� 1 1 ASSESSOR PARCEL NUMBER 09 1 - I n I) -()(t Proposed Building Use: K15 r DWH I i n n Permit Technician: K. C7 - Date: Items required in order� apply for a permit. All -boxes MUST be checked OR marked NA in order to apply. `O MN 1. Site plans,Ur 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans,�or 4 sets, signed by the preparer of the plans. 2N Ef 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND2 sets of stamped and signed calculations. SN 4. Engineered truss details and layouts in duplicate. No faxesl `❑ 5. Letter from Engineer or Architect for truss design review. t�3 XN 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8, anufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in licate. ❑ '�`9T etal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D),Eloor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 2 Bk% 0--) ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 15. Fire Sprinklers............................................................................................ 0 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required .......... ... ........ ..................:::.. 18. Erosion Control Plan Required ...................................................: .................... 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ (00 ' . 21. Site plan and business license approval from the City of Biggs .............................. - ❑/ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. 23. Planning approval for (A) Use: (B) Parking:(C) Parcel Check:* d • ( � ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑/ 25. Fire Marshall Review (commercial projects only). Sent by: '�'E =Pt 26. NPDES Form............................................................................................. ❑ W1vnli 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... �❑� 29. Worker's Compensation Carrier and Policy Number .......................................... 'VZ►.- 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 530' 4,y (� - � { 5Z -j ft Af✓r- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for thea ove items numbered: 4 Plan Check Letter 2. Additional items required Contractor, designer, ner, as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer,-b-ww, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by:Date: ggr Structural reviewed by Date: .Structural approved by Date: 12 !LW Note transfer by: Date: /If Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 E.H. USE ONLY Piot Plan Attached r'loor Plan Attaclsad Sent to ®.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Loc ion AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for ✓ dwelling. Other t5 Hold final for: Final clearqne O.K. for. NOTE:Ue _ _� sST/I •� aP 3f}c�C�-Tt� �ar�Ei4 ar r �:i2� T`A ronmental He 8/96 r'v - cialist -0,2 a-0� Date i AIMOO L 50OZ 13 a. ! j ONIAN3 44 �ee✓�Ce� - — —' l �r� 1 v_c-40 P 6M ,9157 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER RL ftoy) A.P. # PROPROSED BUILDING USE N S 1- l) Nnifll 11 n A DATE 1 y Q J RECEIPT # D TE REC. BUILDING PERMIT FEES ryry I 4 t - - Balance Due ..................... $ �0"1 .10 --- FEMA Flood elevation review.. \additional plan checking Fee.... $ V"2. SCHOOL DISTRICT FEES 1 �u (paid at School District Office) (form available afterIPLIaInj Check NA 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5 RESIDENTIAL DEVELOPMENT IMPACT EES COUNTY WIDE (per dwelling) $—"q .17 CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) iz a0 -Cb 7. WATER TENDER FEES BATTALION # $0.00 (paid at Building Division) y, \ 88.. SMIP �(1 "% 9:� DRAINAGE FEE OTHER OCiSS O b� 11. OTHER At time of permit application, I was _advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the pl c ing process. APPLI.CANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division. Yellow -Applicant Pink -Owner (rev. 7/05) AND WHEN RECORDED MAIL TO: - - 2005-0077017 Recorded i RtC -cc BUTTE COUNTY BUILDING DIVISION DEC 2 0 2005 Official Records i 7 COUNTY CENTER DRIVE Date: County of I OROVILLE, CA 95965 This is to certify that, if bearing the Butte j CGjil?ftCE J. GRUBBS i purple seal of this office, this is a true County Clerk-Recorderl �+.:�.. aLE I -•• copy of the document filed with the j �$ o Butte County Clerk -Recorder's Office. LP3VVLPM 20 -Dec -200.5 i si ve i of i o 0 Candace J. Grubbs Butte uny Clerk -Recorder s * B ' Deputy ��y C COUP'" AGRICULTURAL ST MENT 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. /. 000 All that real property situate in the County of Butte, State of California, described as follows: /Ir/U. 0q2 ""o -0,/0 ,� � a- 'l l'z "1 "� � �':�'� ��.�'�>� 1 it � � s'Zi l �•'WI � 'r �ZC`' �.z &fif, '�" !Z • UtZ't-,r�i"VYti�yb[Y.�i} I^ �:�• 1 lei •`Ff',:� L'1r4f"���;1�t1 Date :2 '� PROPER ERS: .......... State of California ) County of{jf�r' ) OA �c�l:� �� C��`_ 1 before m,e, personally appeared i 'e. -K ,1�• I3 t'LL K -% ,Y'1 personally known to me (or -p Qyed ta-me-on_the-basis-of-" Aastoi y-idence) to be the person so whose name s&•is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/Her/their authorized capacity,(re ), and that by his/her/their signaturO on the instrument, the personSO or the entity upon behalf of which the persorkoacted, executed the instrument. WITNESS my hand and officiaseal. ' CAROL BERNEMY Signature Lei 'L ! Seal: Commiubn # 1573890 7 •i Notary Public - California Sutter County A.P. # ;'" t �� 0! { %:ek My Comm. Expires Apr 28, 20 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District f � f (� 1.Q✓{ Building Department No. t r! A.P. Number Jurisdiction: City ®County Property Owner / t /) Location/Address J, /�/ / t _/ %t�Property Tr;T AL1 l . ` r V Subdivision Lot No. Residential Development EQ Q Q Sq. Footage r� 13 No o Living Mobile Home Addition/ "Supplemental to (Group R) Units Installation Conversion Permit # ........................................................................................ *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 New Addition Sq. Footage Date (Including Exterior Roofed Areas) V, L/W � J 1,"t, ✓ (f'f F 'v' •" / y. 'V/ Distdctldentification No. I /1 `� :�� (+ tx �i( School District certifie that (Applicant) J A t S ✓A\ �Gt V�Q:: Al I-z�:�� CA 4[A.,.4 i n., r'ce �(y'.�1'dry�C� - !.� (Street Address)-' ^„. • 1' '(� tt ` " T ' 14 j 111TTTTTT,T+ ��(Phcna Number) C CA q �q (City) 1 (State) (Zip Code) 2 has complied with the requirements of Resolution No. V` I - 0 36 by payment of $ representing 2 3 0 square feet. B 2926 $ IVULL MITIGATION $ School District Paid by Check # Remarks: zc- - R ) I f) Date Notice: You may protest the Imposition of the fees Iderrtlned above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the dots fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. It. subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact an the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xa (3I05W= County Wide Impact Fees Odirance No: 3913 Ordhann No: 3892 Ordinane• No: 3912 ONkr•nc• No: 3902 R -Jud -05.113 Ef wive Dare: 02112,05 RESIDENTIAL EFFECTIVE 10129/06 • Eivwth o Dan: 0211205 ff-an: PgPNl4 10a9N5 Dev ENTER Par UNI tmpad AUDITOR SHERIFF GENERALGOVERNMENT SHERIFF NORTH CHICO SPECIFIC PLAN FIRE CHICO URBAN AREA PROCESSING FEE I Materials Unita Ne. of Units InIeel Fee Fee SREAKDOWN Jell TOTAL Trails TOTAL RdaMld s TOTAL Storm Drn TOTAL Fir. TOTAL Parka TOTAL NCSP TOT. {real Faell8l TOTAL Auditor TOTAL DOS TOTAL Ce not In otMr bn act areas as defined bolo Co Ce County Co Co Ce Countycounty 217.31 217.31 146.20 146.20 Singl•F.mily Dw Un6 1 d,0%.87 fa.OliR] 91.098.57 25].09 257.09 282.39 137.79 137.79 420.18 1.206,78 1.206.]8 330.53 330.57 638.03 638.- lG8.6{ 173.54 0.- 116.74 0.- 3,48 0.- 293.7{ 4]8.93 0.- MuM. Dev Unit 3,071.14 70.00 $0.00 176.00 0. - 792,69 0.- 263.93 0.-71].]7 1//?1 U.UU 119.41 U.W 7.>" V.W 390.45 4x9 iii U.W 7�a.9a U.W G3V.Sa U.W 111.b4 Mobile Home 0.1 Unit 3,117.13 30.00 $0.00 257.00 0.00 U.W 791 A7 CNco Urban Area CNco Urban Area CNeo Urban Area CN.. Urban Area CNco Urban Area CN- Urban Area County 0.- 146.20 CNco Urban Ara. 4.36 0.- 367.30 599.81 0.00 276.64 0.- 282.39 OW 137.79 0.09 420,18 CNeo Urban Area 330.53 CNco Urban Area 638.- 0.- Single Famiry Dev Una 173.6 5.372.09 $0.00 30.00 257.00 0.- 2!].78 178.93 0.- 220.89 0.- 225.47 0.- 11003 0.- ]76.60 263.9] 2.482.00 509.44 0.- 777.77 177.51 0.- MWtlfamity OevU. 0.- 3.995.45 30.00 30.00 176.- 0.- 0.- 230.64 0.- 112.50 0.- ,03.18 269.% 0.- 521.11 0.09 1.717.00 EI Media Fire 0. - Mobil. Hom. Dw Un[ 4,889.56 50.00 $0.00 257.- 0.- EI Medlo Fin District EI Medio Fire District 217,34 0.- 146.20 O.- 2482.00 0.- "D 599.81 0.00 276.6 El Medio Fire Distrlet 0.09 137.79 0.- EI Media FVe Dlstricl 1,2%.78 EI Media Fire District 173.54 0.- 116.74 O.- 3.48 0.- EI Madio Fir• District 0.- EI Medlo Fire Dlstrlet 0.- 72547 0.- Single Family Dev Unit 0.- 3,128.31 30.00 $0.00 257.- 0.- 117.51 0.- 119.41 0.- 3.56 0.- 300.48 489.89 0.- 225.94 0.- 230.6 0.- 112.54 0.- ]1].18 MWUfamlry Dw Unit 0.- 2.297.77 70.00 $0.00 176.- 0,- NCSP-Zoning SR -1 SRJ OR. No NCSP -Zordn SR -7, SR-3,BR-IND NCSP -Zordn 8R-/ SR J, SR -1 ND NCSP -Zenin sat, sBi, SAA NCSP-ZoN SR -1 BRJ BR -IND Moblle Home Dev Ung 2,326.36 $0.00 $0.00 257.- 0. - 0.- 367.80 5%.81 0.- 276.64 0.- 282.79 0.- 137.79 0.00 120.18 173.6 0.- No" CMCea cific Plan (NCSP)-ZoN SR-/ SR., BR -IND 0.- NCSP-ZoNn SRI 478.93 0.- NCSP.Z.N SR•1 BRJ SR -IND 0.- 110.07 0.- 776.60 NC BP •ZeN BR -1 8RJ NCSP•ZoN SR-7,SRJ,SR-i1PD 177.51 0.- Singla Famiry U. Un6 7,938.53 30.00 70.00 257.- 0.- 224.- 0.- 14424.- 0.- 374.- 0.- 529.- 0.- 984.- 0.09 ].6]6.00 z.482.00 0.- R•1 Multlfamlly Dw Unit 6.757.08 30.00 50.00 176.- 0.- 224.- 0.- 1.424.00 0.- 374,00 0.- 529.- 0,- 9$4.00 0.00 3.635.00 1.717.00 4.36 0.09 367.80 599.81 0.- Mobile Home Dw Un6 7,633.49 30.00 10.00 257.- 0.- 224.- 0.- 14424.- 0.00 774.- 0.- 529.- 0.- 984.- 0.- 7676.00 2,182.00 0.- 220.89 0.- 22547 0.- NertllCNeoB c111c Plan NCSP -ZontR•1 0.- ]76.60 NCSP-ZoN R-1 NCSP•Z.d R•1 177.51 0.- 119.41 0.- 3.56 0.- 30048 489.89 0.- NCSP R-1 N 0.- 270.6 NCSP•Z.W R•7 112.54 0.- SInx Famiry Dev Ung 8.031.57 $0.00 $0.00 25].- 0.- 224.- 0.- 1,424,- 0.00 467.00 0.- 529.00 0,00 964.00 0.09 5.528.00 2.482.00 0.09 NCSP •Z.M R•2 NCSP•Zoni R•2 MulllIs 11, Dev Unit 6.850.08 30.00 30.00 176.- 0.- 224.- 0.- 1.424.- No 4fi7.00 0.- 529.00 0.- 984.00 0.Do 3.828.00 1.717.00 0.- Mablle Hema Dev Unit 7,72fiA9 30.00 :0.00 257.- 0.- 224.- 0.- 1 4420.- 0.00 467.- 0.- 529.00 0.- 984,- O- 3,628.00 2.482.00 0. - 177.51 0.00 11941 0.00 North CNeeB elfic Pian NCSP •ZeN RJ 0.- 30048 NCSP -Zod. R-2 225.91 NCBP-ZoN RJ 0.- 112.54 0.00 713.11 NCSP •ZeNn R-2 NCSP •ZoN RJ Single Famiry D. Un6 7.541.53 10.00 10.00 257.00 0.- IS7.- 0.09 1,024.09 0.- 267.00 0.00 440.00 0.- 820.- 0.- 7.175.00 2.182.00 O.- 0.- 367.40 599,81 MldtilamilY Dev Un6 fi.3-.09 30.00 30.00 176.- 0.- 187.- 0.- 1,021.- 0.- 267.- 0.00 440.- 0.- B2t1.- 0.- 7,176.00 7.717.00 0.- 478.93 0.00 Moblle Xe no D. Unit 7,236.49 $0.00 30.00 257.- 0.- 187.- 0.- t 4424.- 0.- 267.- 0.- 440.- 0.- 820- O.- 3158.00 2,182.00 0.- 2]0. 4 0.00 NOrthCM409 aelfie Plan NCSP •ZoNn RJ 0.- 717.78 NCSP•Zo RJ NCBP-ZoN RJ ataras act NCSP-ZoNn RJ NCSF-ZeNng- • d .;n 9ingle FDev Un6 6.7",53 10.00 30.00 257.- 0.- 167.- 0.- 96 00 0.- 11 "0 0.- 397,- 0.- 738.- 0.- 2.777.00 2.462.00 0.- 420.17 1831 1,206.78 Mlilifamiry Dev Un6 5.599.08 30.00 30.00 176.- 0.- 167.- 0.00 %5.- 0.- 110.- 0.- 397.- 0.- 778.- 0.- 2.377.00 7.717.00 280 280 Dev Unit 6,475.49 $0.00 $0.00 257.00 0.- 167.- 0.- 965.- 0.- 110.00 0.- 397.00 0.- 738.- 0.- 2377.00 2.482.00 &0,00 0.- 1011853 PROCESSING FEE: $100.00 $4.196.87 Jell Jeli TOTAL Trails TOTAL Rds/Brd s TOTAL Sterm Dr. TOTAL Fire TOTAL Parks TOTAL NCSP TOT treat Facithle TOTAL Auditor TOTAL D09 1 TOTAL 18- 257.00 18- 0.00 1800 0.00 1800 0.00 IS- 0.00 1600 0.00 0.00 IS- 0.00050 60.00 -10 60.00 TOTAL RESIDENTIAL FEES: $4.196.87 280 280 260 280 280 280 280 4617996 4617999 Ordln.... No: 3896 Ordinane• No: 3912 Ef wive Dare: 02112,05 Ef dv. Dan: 10129M5 LIBRARY GENERALGOVERNMENT SHERIFF PUBLIC WORKS FIRE F.,llfty TOTAL I Materials I TOTAL I Veldeles I TOTAL I LIBR TOTAL Fae61tTOTAL I VehB Eqp I TOTAL F-11fty I TOTAL I V•hA Eqp I TOTAL ISHER TOTAI Roads TOTAL F,c thy TOTAL V.h&Eqp I TOTAL I FIRE TOTAL Co Ce Co Co Ce 217.31 217.31 146.20 146.20 4.36 4.76 ]67.80 599.81 599.81 276.64 276.64 282.]9 282.39 137.79 137.79 420.18 1.206,78 1.206.]8 330.53 330.57 638.03 638.- lG8.6{ 173.54 0.- 116.74 0.- 3,48 0.- 293.7{ 4]8.93 0.- 220.09 0.- 22547 0.- 110.03 0.- 776.60 792,69 0.- 263.93 0.-71].]7 1//?1 U.UU 119.41 U.W 7.>" V.W 390.45 4x9 iii U.W 7�a.9a U.W G3V.Sa U.W 111.b4 U.W 31].18 /US.tl/ U.W '1BS.aB U.W 621.11 U.W 791 A7 CNco Urban Area CNco Urban Area CNeo Urban Area CN.. Urban Area CNco Urban Area 217.34 0.- 146.20 O.- 4.36 0.- 367.30 599.81 0.00 276.64 0.- 282.39 OW 137.79 0.09 420,18 330.53 0.00 638.- 0.- 968.66 173.6 0.09 116.70 0.- 3.48 0.09 2!].78 178.93 0.- 220.89 0.- 225.47 0.- 11003 0.- ]76.60 263.9] 0.- 509.44 0.- 777.77 177.51 0.- 119.dt 0.- 3.56 0.- 300.48 089.89 0.- 225.94 0.- 230.64 0.- 112.50 0.- ,03.18 269.% 0.- 521.11 0.09 781.07 EI Media Fire Dlstrid EI Medlo Fire Dlstrlct EI Medio Fir• Dlshlct EI Medlo Fin District EI Medio Fire District 217,34 0.- 146.20 O.- 4.36 0.- 367.0 599.81 0.00 276.6 0.09 282.39 0.09 137.79 0.- 420.18 1,2%.78 0.- 173.54 0.- 116.74 O.- 3.48 0.- 2!].IB 478.93 0.- 220.89 0.- 72547 0.- 310.- 0.- 3]6.40 792.69 0.- 117.51 0.- 119.41 0.- 3.56 0.- 300.48 489.89 0.- 225.94 0.- 230.6 0.- 112.54 0.- ]1].18 709.87 0.- NCSP-Zoning SR -1 SRJ OR. No NCSP -Zordn SR -7, SR-3,BR-IND NCSP -Zordn 8R-/ SR J, SR -1 ND NCSP -Zenin sat, sBi, SAA NCSP-ZoN SR -1 BRJ BR -IND 217.34 0.- 146.70 0.- 4.36 0.- 367.80 5%.81 0.- 276.64 0.- 282.79 0.- 137.79 0.00 120.18 173.6 0.- 116.74 0.- 3.48 0.- 287.77 478.93 0.- 220.89 0.- 22547 0.- 110.07 0.- 776.60 177.51 0.- 11941 0.- 3.56 0.- 30048 489.89 0.- 225.94 0.- 230.6 0.- 112.6 0.- 343.18 NCSP-ZoNn R•1 NCSP •Zoning R•1 NCSP -Zoning R-1 NCSP•Zod R•1 NCSP -ZoN R-1 21].34 0.- 146.20 0.- 4.36 0.09 367.80 599.81 0.- 276.64 0.- 282.39 0.- 137.79 0.- 120.18 173.54 0.- 116.74 0.- 7.48 0.- 2!].77 478.93 0.- 220.89 0.- 22547 0.- 110.0] 0.- ]76.60 177.51 0.- 119.41 0.- 3.56 0.- 30048 489.89 0.- 225.94 0.- 270.6 0.- 112.54 0.- 33.78 NCSP-ZoN RJ NCSP•Zonin R•2 NCSP -Zord.9 R-3 NCSP •Z.M R•2 NCSP•Zoni R•2 217.34 0.- 146.20 0.- 4.76 0.09 ]67.10 599.81 0.- 276.64 0.- 282.39 0.00 137.79 0.- 120.18 173.50 0.- 116.74 0.- 7.48 0.- 287.77 478.93 0.- 220.89 0.- 225.x7 0.- 110.03 0.- 776.60 177.51 0.00 11941 0.00 3.56 0.- 30048 489.89 0.- 225.91 0.- 2311.6 0.- 112.54 0.00 713.11 NCSP-ZoNn RJ NCSP -Zoning RJ NCSP.Z.Nn RJ NCSP -ZoN RJ NCSP.Zo RJ 217.34 0.- 146.20 0.- 4.36 0.- 367.40 599,81 282.39 0.09 137.79 0.- 120.18 113.54 0.- 11 fi.74 0.- 3.48 0.- 297.76 478.93 0.00 �276,640.0000 225..47 O.- 110.03 0.- 33660177.510.00 119.41 0.- 3.56 0.- 70048 489.89 0.- 2]0. 4 0.00 112.50 0.- 717.78 ataras act • d 1825 217.34 1825 146.20 1825 4.36 363.6 1808 699.81 1810 276.64 1840 282.39 1840 137.79 420.17 1831 1,206.78 1651 330.53 last 638.03 ee8.64 280280 280 280 260 280 280 280 280 2- loll 826 loll 827 1011828 101001 fol -1 101161 10116z 1011-1 1011852 1011853 0S2gq S Building Permit Number Date Receipt Number TEMPLATE - This Re does not niers entries - you must save under a ddle-1 name it you rish to save information. Permit Staff Initials Please make copy to accompany payment K78u9tlinglFor n fResidantu Residential Impact Fee Cal 102905 Depart metit C n u n t Michael Crump. Director Y �® AUC WOF� of Public f B Q t \Y)0r ks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Description: Project.■on and]O-rP arcel Number,��ily%Tim v By sipiiing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Stone Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project - that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. z Signed: Title: Date: �if"�Jd1P� (Sp� cis-�Z9q.� I'M- �;dr R.•rrv.i '�'.!': __ . �.. .'.(:: iu•:n.. y./c;-moi_ .0 i•. :5.:.:/:= `�,'�: _ Attention Property Owner: - An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return tlus information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: 'YES ] No[ I. 2. 1 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: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS SIGNED: PROPERTY OWNER- DATE: WNER DATE: PHONE TYPE OF WORK NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11 /42004 Butte County Department ofDevelopment Services ADMINISTRATION t BUILDING' GIS ° PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a 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 Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you maybe an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Milael C. Vieir$ C.B.O. Mailager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte County Department o-Develop171ent Services 7 County Center Drive ° Oroville, CA 95965 (530) 538-7601 Telephone c0UN�y (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but- not limited to, Planning, Environmental Health, Land Development; County Fire, and Agriculture. I hereby acknowledge: e I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). . Please print: Applicant NameAPN: Building site address: � �PermitNo.: (iP599q?J I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIG _ APPLICANT DATE 1 KForms/BldePermitwithoutClearances 020705. -N v _ SITE PLAN REVIEW APPLICATION Date:, (�[ , L �'J AN �9?i( (� !� • 2 Permit Number (if applicable) 7223 Bin Number (© APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition . ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: �¢-- GP: v.FC DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date /V 6q- W ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: k • . Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: �-'S General Plan: 0-'Pc'— Applicable -'PG Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: K Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2-0 r Side S Side Street Rear �--� Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: K 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 ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements JJ Subdivision Map/Parcel Man: Map Date of Recording: -2 S Lot: % Book: Page: 3,3 IQ 1 5.)--3'3 2 1-/9-50 4 53 c a t;- SURVEYOR'S CERTIFICATE ' N THIS MAP WAS PREPARED BY ME OR UN- - DE.R MY DIRECTION AND IS BASED UPON PARCEL A FIELD SURVEY IN CONFORMANCE WITH `CIA—,aviA.crt- THE REQUIREMENTS OF THE SUBDIVISION MAP ACT AT THE REQUEST OF N 89•-53'-49'E 659.19' c rwn u 7 EARL A. ROBERTSON OECE-69,R 41974 • .19 '= I HEREBY CERTIFY THAT IT CONFORMS TO ' I I 0 J THE APPROVED TENTATIVE MAP ANO THE Ite 11 CONDITIONS OF APPROVAL TNE/ZEOF. j I 1 LOCATION MAP THAT ALL PROV1510NS OF APPLICABLE I STATE LAW AND LOCAL ORDINANCES I•- 1� 1 '--• .... .-_- NO SCALE HAVE BEEN COMPLIED WITH I 1N 1 �FpCf6510/�. c :. g G. rl !RC I NOTE: LOT RESURVEY 15 AS SHOWN MAY, 13402, yI ODS PARCELI 13 PARCEL 2 ON THAT PARCEL MAP RE- 11 N0. 13402 01 3.80 AC. 1a I 4.83 AC, CORDED AT BOO K ga OF PAR- Il.l m1 1- hl I��-` AP5 AT PAG CEL ME \rte J LE SCA0-100' Or c I IN c 11'20,-03, COUNTY SURVEYOR'S CERTIFICATE Q 1 I L -2.T9 THIS MAPHAS BEEN EXAMINED THIS BASIS OF BEARINGS O BLDNG. SET I BACK LINE I NON-EXCLUSIVE EASE- MENT FOR INGRESSANO m in 'Tk` DAY OF ,0,,1 19'7,1 FOR CON - FORMANCE WITH THE REQUIREMEI/TSOF ASSUMED BEARINGS ' AND FOR PUBLIC �+ 5ECTION 11575 OF THE SUBDIVISION - TAKEN BETWEEN FRENCH _EGRES5 UTILITIES AND TO BE �J MAP ACT. AND DEWS14UPAVENUES r A T THE CENTERLINE OF m n�—� a '' Ia,i N! 9^ G g �a �'; O N RESERVED IN DEEDS. N 9`56=00"E. Q EVAN 5-REIMER ROAD AS ^I g, ,'�, aL'' "'w-, a 4•, �' 10.00 R•50' N89"-43 =00'W. (A.112=49=/2' C CLAY G STLEBERRY RCE 14224 5• v,'�i o•. 6.9 - 90-42'E o 46 FD. NAIL LEGEND ----\���� �b:Z2.�1• I ��,_ --jD' I -- 1:' Ra 90 e•173=27=71' D. 31e I. P. RCE 13402 RECORDER'S CERTIFICATE - I I��; ■ FOUND AS SHOWN • NB9'-56'-OOE FILED THIS�_OAY OF 1975 — 1 4.32' N89'-S6•-Oo'e 0.T e_M IN BOOK �R OFP RCEL • SET 3/4"IRON PIPE 1 50.00' !c MAPqj AT PAGEIR AT THE REQUEST TAGGED RCE 13402. I NB -56,00!4 OF-Ylf— i>, SET NAIL W 1 I I 5.68' O O NOTHING FOUND OR SET ' I 1 N r1 I I p COUNTY RECORDER y , m1 SERIAL NO. i�a9a Q �! PARCEE 3 �I� I PARGEL4 I 3.92 A.C. Lu I6.50 II I PARCEL MAP ,to 1 I; I LOTS2.2 AND Z7 AS SHOWN HON ON THE 1 MAP OF GR IDLEY COLONY NO.7 FILED IN BOOK 6 OF MAPS, AT PAGE 7 BUTTE COUNTY OFFICIAL RECORDS. FO R- 90'DE E D E D TO COUNT OF BUTTE 800K1959 Io I JZ I EARL A. ROBER75 O. R. PAGE SIL i REC. DIST 2056 ORAINA66 ESMT. 600K 1900.R•1 I A PAGE 401 I BENNY C. MAY CIVIL ENOINCER I 170 BUTTE AVE, YUBA CITY,CALIFORNIA FD• NAIL 7B9'-58- 1 658.85' FD. 314*' IA. FD• 3/4'1. P. RCE 13402 RCE 13402 DECEMBER 41 1974 SHEET I OF 1 2 1-/9-50 4 53 c a t;- AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: 1. Insert the legal description of the property in the space provided on the attached form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this in- formation. (The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required. You must remain within the '/2 inch margins.) 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record the original and conform the copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 -1st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. MONDAY - FRIDAY 9:00 a.m. - 4:00 p.m. for Recording REMOVE THIS SHEET PRIOR TO RECORDING AND WHEN RECORDED MAIL TO: J BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 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 PROPERTY OWNERS: State of California County of On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: A.P. # 3AIVG MIN33 ALMO31' 500Z I` Z 330 1�3t��H�I�3WN0�11�1� 04 pr_i��—%s_ur��� 4�; n-"(0-77-3- I ('GNIA CEV. POUTAE l r AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0077017 Recorded I Official Records I County of I Butte I CAMU J. GRUBBS I County Clerk-Recorderl I I 03:02PM 20 -Dec -2M I REC FEE 7. &A IC 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: /Tr/U<'FIp?90—O&a R r( -e. l -3:CA rce.I 9 I AS 56WA 0,1 .+"� re( -4A i A � A r( ;' "0 �UOAO i' -leu c�► of a '77I "755/ 1 Q AC SQ ®7 IMAf ' / J4 IPA6 (S 3-, ?Anel �C: 1/Y�-JC���tS6a� W/ 'C�',Vt5s O� ' 0 �f qAt.�i'' � �' I a,��� A i S�1 a� .or a� P,q i�r � W Date ��/� Ap, '6� PROPERTA10 ERS: �` State of California County of(_,1{ before me, A'J') Zr PoRk i1 4fej -4(x ice At1,!7 7� l t75/ �^MIK Q personally appeared 1 (`�1fY1 `� 'i.7A,�L(S. / ('� g� personally known to me (o ) to be the person(Dwhose name so•is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity ile ), and that by his/her/their signatur0on the instrument, the person (sj or the entity upon behalf of which the persotoacted, executed the instrument. WITNESS my hand and offi ' seal. n CAROL BERNETHY Signature vat Seal: Ita Comminion #f 1573890 Notary RdAt - Colifanlo J Sutter County A.P. # (I — �� -O(DD� ai Camm. Expires Apr 28, BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public! ! ! ! ! ! ! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address!' Complainant: Address: Phone Number: The above information is not available to the public! ! ! ! ! ! ! (2) KAFORMS\Complaint Form revl.doc BUTTE COUNTY ADMINISTRATIVE PERMIT FOR TEMPORARY TRAVEL TRAILER Assessor's Parcel Number for Site: 01�1490 --Oj Street Address of Site: v/y MISU /4W , 6 1'( Applicant's Name: Applicant's Mailing Address: Applicant's Telephone Number: Building Permit Receipt Number: 05- (Show 5-(Show copy of Permit signed and issued) Date Sewage Disposal Permit issued: (2 - 2 ! - CD (Show copy'of Permit signed and issued) I certify that the above information is correct and that I have read Butte County Code Section 24-300-C (on the reverse s' of this application.) Applicant's Signature: Date: fD TO BE FILLED IN BY PLANNING DIVISION Date Application Received: AFC- • 2 t 2=cK2j= Zoning Verified by A - T e -T - Permits Reviewed by 4�f,k+C?- = S -ryu �iq Associated Building Permit # Q 52— 2-11 3 Administrative Pen -nit Planning Approval by Date Approved: gc . 2 ( Zov File: "Administrative Permits" Date revised: July 20, 2004 K:\Plamiing\FORMSMPPLICATIONS\ADMINISTRATNE PERMITS\Temp. Travel Trailer.doc The approved Administrative Permit is subiect to Chapter 24 of the Butte County Code 24-300 C. Temporary uses in zones permitting a residential use: Temporary travel trailer as a dwelling unit during construction of a single family residence or the rehabilitation of a single family residence that has been damaged by fire, earthquake, tornado, other acts of nature, or has been deemed condemned or uninhabitable by the County, subject to the following requirements: A. The travel trailer may be placed for a period not to exceed one (1) year from the date of issuance of the Administrative Pen -nit; provided however, the Planning Manager may extend such Administrative Permit for one six (6) month period. Such extension by the Planning Manager shall be done only upon'a showing of physical or financial hardship by the applicant. B. That the occupant has secured a building permit for a residence. C. That the'occupant has secured a sewerage disposal permit from the Butte County Environmental Health Division. D. That before six (6) months have elapsed from the date of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence; and E. That the house must be completed within the one-year period and the trailer dwelling must be abandoned. F. The applicant must obtain the necessary permits from the Butte County Building Division and Environmental. Health Division for the travel trailer installation. /0-57 C �O .'Lw� --� ' _ 4nAve.f -",,k � � J BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT a-:i?,r PERMIT NO. `�' V Agricultural building is defined as follows: Agricultural building is a structure designed and con ructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.0(9-1 ZONING • ISO- Manager Bullding Dlvlslon BY OWNER PHONE NO. OWNER'S ADD SS ff Vl`/1 I LOCATION OF UILDING S USE OF BUILDING r f SIZE OF STRUCTURE _'X'= SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF C VERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ - Gocn AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT / SIDES / REAR QJ AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply witht equirements in effect at that time and before occupancy. j n / Date Permit Fee *==109-9S Receipt No. Signature of Owner The above described AG Building is e)lempt from a building permit. FLOOD I PARC PD/ ROOF ISS AAjov C�A � ®� Manager Bullding Dlvlslon BY e Date � d White —W, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUItom EXEMPTION PERMIT P F I T NO,.G 1 O(/ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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. ASSF,S$ORnCEL�04 91 ZONI OW R()&/A Cf_ V� J , j PHOh N ^ 2� 46 OVA E ADDR n., r� v LOCATI N OF BDING 04)1.0, 'D 0,01) © . Fr - V, USEgBUILDING -to ,,��tt�� � ` ` Ina a47 C'� C �'' e� mo CJYC a P Ern SIZE OF STRUCTVAE X S0. FT. .'uo--' = TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SI ING ROOF COV . ING FLOG TYPE © Vic- �� n ESTIMATED COST OF CONSTRUCTION $ WOO AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �� ►'^^� -1 0— i S S FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. 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 Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date (_ Signature of Owner Permit Fee - $25.00 The above described AG lVilding is exempt from a building permit. Receipt No. Director Director of Public Works By. Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPL~ICAUN DATA SHEET :1 ) , , 1 Permit No. OWNER A. P. No. _ Proposed Building UseXRvt7;r tFi/�� Building Inspectora46 Date v 77� pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED . All itemshave been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required .. , , Pre-Inspec. request to Pre -Inspection q Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant Date - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052993 B. C. Building Permit 01-16-04 pg 1 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: 12/22/2005 APN: 021-190-062-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 514 DAISY LN GRI License Class : License Number: Map Index: Date: Contractor: Description: NSF(2388), GAR(480) 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 Owner: JACKSON THOMAS R & DELLA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1736 RUSHING ST the Contractor's State License Law (Chapter 9 commencing with Section YUBA CITY, CA 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 95993-6442 violation of Section 7031.5 by any applicant for a permit subjects the (530 ) 846-2187 applicant to a civil penalty of not more than five hundred dollars ($500).): JAXNS5@YAHOO.COM 1, as owner of the property, or my employees with wages as their (1�A sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: JACKSON THOMAS R &DELLA owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1736 RUSHING ST sale. If however, the building or improvements are sold within one YUBA CITY, CA 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 95993-6442 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the s and P rorespian Code Date: JalkbOwne ' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: KEY AND ASSOCIATES insurance carrier and policy number are: Carrier: Total Square Ft: 2868 S.F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $166,740.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one�LGI 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. U—�A (Q 151 U CONSTRUCTION LENDING AGENCY This per reby ssued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio o rk indica a above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) --1 Name: By: Dat Address: PERMIT EXPIRES 1 (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that,the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offi ' f rm or document of Butte County. I hereby authorize representatives of Butte County enter upon the above mentioned property for inspection puriDoses. Tto Print Name: S �1- C/�Yn,SO�/ Signature: I�/?<i Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 C Zi Butte County Department of Development Services -AREA N®T E r+ � 7- County Center Drive, Oroville, CA 95965 (530) 538-7601 vAvw.buttecounty netldds RESIDENTIAL APN: Permit No. Owner. _ 02I-1'90-062 05-2993 - JACKSON, THOMAS Site Address: _ 514 DAISY LANE, GRIDLEY - Cont: OWNER Contractor. NSF(GAR) - Type of Permit. _ ` l OFFICE COPY ri r i Address GAS Meter By l� ! ELECTRIC / ,�� Meter By ✓ Date 0 — SPEC SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE r3 es -1 DATE JOB FINALED: Z_ — ( y SIGNATURE: arc_ BY OK Nnt nK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FallIC/0-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q , or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE IDEC K S`C O V E R S`C A R P O R T S `G A R A G ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, GirderslJoists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptclslLting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Boxes -En cis rs-pniboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide s` o`¢ o o•� 0 Pool Drawing V, l w e k = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR I DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd---7. Ftg Dpth. At LO 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 15 Acc & Vntltn 16. Insulation c a,- m o,• m. DATE IF R I N G _ Sills Proper Materials & Anchrs 18_WbIls Studs -Nailing Spacing & Braces -Plates -Sound ,� B aring Walls over Girders & fir Nailing ft Stop in Walls (rat proof) i Stops, Furred Ceilings -Stairs -Chasers Tubs aders & Beams-Sz & Bearing Hangers -Post Caps-Anchrs-Cnnctns ,piing Joist-Rffr Ties-Purlin-Roof Brac-TrussShthg ZVFc Ties or Type A Flue -Frplc Throat Clmc 2 c Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27'Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel rty Line Firewall & Opngs Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Pfd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34_,,%Wc:co Lath -Weep Screed-Fndtn Vnts-UndrFlr Acc G ' g Area -Glass Prtctn-SkyLts-Plastic Shear Walls; Nailing -Bolts �r 37 Brace Int/Ext Wall pnls 381n Itn-Walls-Ceilings nflltration-Walls-Wndws Fo _ o'• -7.o` o'• cT DATE JELECTRICAL Rxtr & Trnsfrmr Clmc4ns Prtctn qc Rcptcls Spacing-Lts & Switches at Doors VBoxes & No Of Cndctrs Stapled mex Installed Close to Edge of Studs & CJ qp Grnd made up w/Mech Fstnrs Gr dng Electrode Bond Gas & Wtr-APSAppinc Cires in Ktchn & Cndctr Sz GFI Subfeed Wire Sz ga ❑ CU or ❑AL /pC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ W ❑ CU or FAL Oven Circ ga ❑CU or DAL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50gp Clrncs pnls-Motors-Mech Eqp Clothes Closet Lt-Shwr Lt -Spa Lt Smoke Detector 5� Ht ; Vent-Acc-Cmbstn Air Baffle 5 ipe; est & Anchr-Nail Prtctn est Fittings & Anchr Nail Prtctn fGaswr Pan; Test, First flr-Tub Acc Tub & Shwr, 2nd flr - Tub•Acc P ipe;; Sz & Anchrs 59 Fir prinkler; Test and Gas Piping UAIt: _11ME HANICAL AC Ducts Insultn & Support 6� t Fan, Exhaust abv Insultn w6densate Drain & Ovrflw, Sz & Grade 64-Kmace-Vent Acc-Comb Air Rtrn/Vent 115 Outlet 66Attic Acc & Pltfrm if Furnace in attic m a m & SideLt Prtctn-Landings 67 SS oke Detector 58'Furnace Vnts-Clrnc-Comb, Air-Cnnctr I5parage; abv-flr-Ducts-Mech Prtctn 7�droom Exiting Bath Fxtrs & Tub Acc-Spa 71'jP Arc Fault rim & Subpnl, Breaker Sts & Labels Z• s, Guard/Handrails or Stove, Clmc-Hearth iiltec utlets at Wood Pnl, Int & Ext ,Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC t in Garage -Damper tr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir M�eh Prtctn; LPG Appince Undr House 3" drain &T ;p1 b; Elec & Mech Eqp Listed for Loctn a2'EII Rcptcls in Garage (GFI) Romex Prtctn :'In n -Foam -Looked in Attic Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 8:,S,Drnge Planters ❑ Yes ❑ No $ Stu Brown -Finish nit Dscnnct, Elec-Plmb 84Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs i90 Well, Dscnnct, Elec, Plmb lec Trim, GF] Rcptcl-Undrgrnd ��Itn thru House 93 G1 s Prtctn rections from previous Inspctns .G est -Meters Tagged, Gas-Elec ewer Cnnctd-C/O to grade -HD Apprvl rergy Cmpinc Cert -Other Certs Address Posted .99 Fire Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO52993 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 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: 12/22/2005 ARN:O21-190-062-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 514 DAISY LN GRI License Class : License Number: Map Index: Date: Contractor: Description: NSF(2388), GAR(480) 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 Owner: JACKSON THOMAS R & DELLA permit to construct, alter, improve, demolish, or repair any structure, prior , to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1736 RUSHING ST the Contractor's State License Law (Chapter 9 commencing with Section YUBA CITY, CA 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 95993-6442 violation of Section 7031.5 by any applicant for a permit subjects the (530 ) 846-2187 applicant to a civil penalty of not more than five hundred dollars ($500).): JAXNS5@YAHOO.COM I, as owner of the property, or my employees with wages as their w sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: JACKSON THOMAS R & DELLA 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 - 1736 RUSHING ST sale. If however, the building or improvements are sold within one YUBA CITY, CA 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 _ 95993-6442 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the s and Profen ' Code ~ akyzlOwne Date: • WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: KEY AND ASSOCIATES insurance carrier and policy number are: Carrier: Total Square Ft: 2868 S.F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $166,740.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: IJ Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ` , f 1 U1 ( (.9 CONSTRUCTION LENDING AGENCY This permit reby ssued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio o rk indica a above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . • as U5 Name: By: Date: n c Address: PERMIT EXPIRES (Date) O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that,the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offi �rm or document of Butte County. I hereby authorize representatives of Butte County two enter upon the above mentioned property for inspection pur oses. Print Name: �/ltl'9 S �N - �J �:� Signature: Date:. Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE _i ot, K OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. .Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date /_ J FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE r )A/6 1,,/ S i/ / U`i ;21 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. I you have any questions pertaining to this matter, or need additional explanation, contact the Building Inspector as indicated below. k L7 Date f/ 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 CORRECTION NOTICE OWNER PERMIT NO. y A routine inspection indicates that the following violations of Butte Cou Ordinances exist at the above address and should be corrected. Please call for re-insp ion when correction of work is completed. If you have any questions pertaining to this atter, or need additional explanation, please contact the Building Inspector as indicated b ow. C}t hurt o 11.4, /c II o �4 .c.�{ ) tQ/' P Date REV 4/05 Inspector Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r" COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA ! (530) 538-7541 S OWNER CORRECTION NOTICE -2593 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. Vn0id 61_ rn V) VinUVV1 J Date t I I NO Inspector P "" REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE aci�scj')'_ C.C.S - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Retial oK -To CovElZ 1"10 iE _I Z q C ER_ SPE SN H t.L Date to �� _ y Inspector v E�L� i6 P_ PC—A-, h -. REV 4/05 Phone # 3,f 68'2 2— FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE S u e, OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date REV 4/0 Inspector �7 / O(•�n,aAALf 5 Phone # y FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ' , CERTIFICATION I NSULATION ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS �nus 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 (/` V 1 U r 1 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 VMS 500 SEQUOIA PACIFIC IC BLVD., SACRAMENTO, CA95814 LIC#202026 DATE INSULATION COMPLETED ( square feet) ( / square feet) ( square feet) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM BATTS FORM BATTS & BLOW FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER CT OCF K CT OCF KN CT OCF KN BAGS 7 R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLEDTHICKNESS INSTALLED THICKNESS SQUAREFOOT INSTALLED THICKNESS X12 12 KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS CT OCF KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS SICK -I SULA I T - T y� / j 1 11 Ivv/lVd( Il / �l// ATE 'If SIGNATURE - GENERAL CONTR CTOR TITLE DATE REMARKS WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy Monarch '.Laboratory, Inca NOVEON, INC. 4832 CORY COURT CARMICHAEL, CA 968M Scrrpk !de> 0va— cn: 514 DAISY t AMR, ONDaLIEY Dote & Tmre Talo: OW&MM 1345 Gaffeded By. PA Sarryoe a MWrlw LigWd Removed: 0&2&2M Client N0V075 Odrer Daft • Ifni pH RECEIVED PAST HOLDING TIME. 563 EAST LINDO"AVENUE CHICO, CALIFORNIA 95926 PHONE (530) 343-5818 Page 1 of 4 TE'S'T SRT Report Dote: M=06 Results for FSi366 Aa=teter Result Unit MAL Aggressive index 11.8 04N2l2008 DLS Lanoler O 20 c -040 "OIL DLS Langlier080 c 0.34 mok DLS PH. Drirttdng wirer 7.8 SU 0.1 TerrPeraMe. Drinking Water 16 degrees C DC Acidic Turbidity, prinking Water 0.08 NTU 0.05 Calcium, ICP 23 mglL 0.20 Magnesium. ICP 27 mw1- 0.20 Sodium, ICP 92 m00- 1.0 AkaW*. Drinking Witter 18t rn01L 2.0 :Bkarbonatft. Drinking Water 220 nglL 2.0 Carbonates. Drinking Wader <1.0 n4; L 1.0 TOM Hardness. Drinking Water the mglL 0.030 SPeoft Conductance,Drink Wmdwr 350 unnhoslam 1.0 Potassium, Drinking V tter 2.0 not 0112 Sulfate. Drinking Water 3.0 mOfL 0.45 Chloride. DrWdng Water 4.9 MOL 1.0 Ma11rM�1 Dre�t� +�,.. �:Lo Z3�f66 Parameter CAS Method _ _ Bottle Analyzed BY Aggressive index AWiAlll Asbeseo5-Cemert 04N2l2008 DLS Lang6er(� 20 a AWY164 V.48,No.3,1982 04/1 MMM DLS �8rw @ 60 a A1ilWAV-ill.No.3,1992 04113=5 DLS PR• Drinkkng UVt�er EPA Method 150.9 03292008 J®5 Terrperaaire. Oriniting VVarter EPA Method 970.9. Method 032@12008 DC acidic Turbidly. Orbdcing Water EPA 980.9 03!30!1008 OLS Calcium, ICP EPA Method 200.7 04/0712008 DLS Magresoum. ICP EPA Method 200.7 04107/2008 DLS Sodium. ICP CPA ua —# hfln v TOTAL P.01 Monarch 563 EAST LINDO AVENUE CHICO, CAUFORNIA 95926 Laboratory,, FZC m PHONE (530) 343-5818 Page 2 of 4 - TEST REPORT: ArtMcal De4ails for Sarwie 227887 1000 e Description Result 33rameter CAS Method Bottle Analyzed By zecific Conductance.Drink Water SM 2510 B 0811012005 MAS alcit m. Drinking Water SM 31118 08H312005 DLS opper, Drinking Water SM 31118 QW4/2005 DLS agnesun Drinking Water SM 31118 08/1312005 DLS 3tassium. Drinking Water SM 31 l iB 0811312005 DLS odium, Drinking Water SM 31118 08113/2005 DLS Mate. Drinking Water SM 4500 SO4-C.D,E 0812012005 DLS hloride. Drinking Water SM 4500 -CL -B 0812112005 JBS Boole Data f" SaniWe 227887 Derived in Lab From fHER REPARED BOTTLE. PLASTIC 50 ML. HNO3 01(50mL) ©uafityAs>E;ura ue for #lte SET VAb Sample 227887 1000 1000 e Description Result Value Unit OA Turbidity. Drinking Water (Analyzed: WHIRR= UM DLS Verified:OtiWrAW 12:30 DLS) 0 Conductmee.Drink Wates (Analyzed: Ordll== 1700 NRS Blank 0.031 NTU Blank Standard 0.83 - 0.80 NTU 1Q4 Standard 82 8.0 NTU 103 Standard 17 18 NTU 94 Duplicate 16 18 NTU 0 a. Drinking Water ( Analyzed: OSPLV 00 0900 DLS VenTred: 06114710115 14:57 DLS) umhoslom 98 Standard 5.0 5.0 M91L 100 Standard 20 20 mg1L 100 Standard 50 50 rrq& 100 Duplicate 12 12 rngfL 0 Spike 15A "Q& 102 Spike 15A mg1L 104 LCS 33.0 30.8 mg1L 107 e, Drinking Water (Analyzed: 06MM005 1100 JBS Verified: 06=200 08:21 DLS) Standard 1000 1000 rrQ1L 100 Duplicate 45 45 mg1L 0 Conductmee.Drink Wates (Analyzed: Ordll== 1700 NRS Verified: 0rJ11QM 13:17 DLS) Blank 1.0 umhoslcm Standard 71 71 umtms/cm 100 Standard 350 353 urrhosfcm 99 Standard 1390 1412 umhoslom 98 Duplicate 480 480 umhoslcm 0 ales, Drinking Water (Analyzed: 06/1011005 1700 JBS Verified: OW1311005 15:37 Dl -8) Gtar:dard 240 250 rr 95 Duplicate <1.0 <1.0 mo/L Drinking (Nater ( Analyzed: Qt311420031,1 DLS Verified: 01311471005 14:57 DLS) Standard 54 50 ug1L 108 Standard 250. 260 ug1L 100 L yd. ®A i ci rC 563 EAST LINDO AVENUE p ; 1 ]]' ]' CHICO, CALIFORNIA 95926 . a U. ®ra to y, Inc c ® PHONE (530) 343-5818 f ` Page 3 of 4 TEST REPORT. . Description Result Value Unit °r6 FI f Drinking mater (A nalyzed: OWIMA05 9200 DLS Verified- Oti114i2005 16:57 OLS) Standard' 1000 1000 ugfL 100 Standard 2000 2000 ugfL 100 Duplicate , 330 380 ug1L 3 Spike; 250 ugfL 97 Spike.. „ 250 uglL 94 LCS ' 477 500 ug/L 95 gates. Drinking Water (Analyzed: ON10=05 1700 J9S Veri iedt W130M 15-37 DLS) Standard 240 250 MOIL 96 t Duplicate 4 210 220 MgfL 5 + an. Drinking Water (Analyzed: 06f13G005 1100 DLS Verified: 0614=05 16:57 DLS) Standard "1 0.50 0.50 rrglL 100 Standard I' 1.0 1.0 MOIL 100 Standard 2.0 2.0 MgfL 1OO r Standlard �.,,, 5.0 5.0 rngfL 100 Duplicate 1.8 1.5 MgIL 0 Spikes 0.62 IT01-98 Spike ' 0.52 n W L 94 LCS I 1.01 1.04 MOIL 97 am. Drinking Water (Analyzed: 06H3RM 69(i0 DLS VerTaed.- Or/142M 11&-37 OLS) Standii d ( 1.0 1.0 Mg/L 100 Standard (: ;, 5.0 5.0 "Q& 10O Standard 10 10 M91L i 00 Standard ! 20 20 rroll- 100 ii Duplicate J� 8.3 8.3 rrafL 0 Spike, { 4.72 rrgllL 1 O1 Spike , l 4.72 M& 102 LCS 10.1 9.45 MOIL 107 Drinking Water ( Analyzed: 66MMAM 0900 DLS Verified 06!14!2005 14-57 DLS) Standard ' 5.0 6.0 MOIL 100 Standard ' 10 10 rr911- 100 Standard 25 25 rnOIL 100 Standdd 50 50 M91L 100 Duplicate 14 14 M91L 0 Spike 1' �: 15.9 MOIL 102 Spike 11 ' 15.9 ff1g& 104 LCS I 32.8 31.8 MOIL 103 lrinking Water (Analyzed: OGRW2005 1000 DLS 1 Verified: 06F2012005 11:25 DLS) Standar'& 5A 5.0 190- 108 Standard I 10 10 M91L 100 Standard. 15 15 M91L 100 Standard 20 20 M91L. 100 Standard 25 25 MOIL 100 Standard _,� 30 30 MOIL 100 Mor"Lurch a ? Laboratory, Inco Desciipiiori Result Drinking Water ( Analyzed: osra m 166 DLS Verified: wi20F2005 11:25 DLS ) Standard " 35 Standard ! 40 Duplicate i 32 Spike y Spike LCS 20.3 king Watw (Analyzedt- 06Y10/2005 17001 Wli .S ven int 061111 m 13--17 DLS ) Standard f 4.0 Standard I 7.0 Standard 10.0 Duplicate') 8.5 LCS 1 7.0 Bottle TFUCk g� far Sample 227887 01 OTHER 5 10:00 DC 563 EAST UNDO AVENUE CHICO, CALIFORNIA 95926 PHONE (530) 343-5818 Page 4 of 4 TEST REPORT: - Value Unit % 35 mglL 100 40 mglL 100 32 mg/L 0 20 mg/L 98 20 mglL 102 20.0 mg/L 102 4.0 SU 100 7.0 SU 100 10.0 SU 100 8A SU 2 7.0 SU 100 5 10:00 DC 02 PREPARED BOTTLE. PLASTIC SOW. HNO3 5 10:00 i DC 5 M00, DC mess is classified as very hare{ and aggressive on metal pipes and fixtures. When this water is allowed to evaporate on the glossy, metal d glass, the bicarbonates etch the surface and leave vd to residue. This problem can be eomeoted by vviping the surface dry. Installing a atter vai(i make housekeeping a much strr�lei task. The water will require considerable sodium or potassium salts to regenerate the tank poral of sodium or potassium regeneration salts can be a serious problem on small lots. Piping the regeneration salts into the septic tank cause leach line failure. Consider CPVC pipe m minimize pitting problems associated with copper pipe using this type of water. PROJECT JEoj*elle5aw a KEY -& -ASSOCIATES CIVIL ENGINEERS BY DATE 1646 POOLE BOULEVARD • YUBA CITY, CA 95993 (530) 674-1565 • FAX (530) 674-3528 CHECK DATE l3u7re (:ouuT'C sjit�ovj�v mfpAg 'MFoj SHEET OF �k�K�a1.1 I�ES1 Os-�c� �EFQ �o. �� ��• Z 99,E 4X I4 pr- xc-kYil 3ETWSeN DNIU?, room A -,PD FA MA Y U00? 61 A -r Ver AS PGAeZO'. CA)1 n4 k LA M o _.. _.. FESS/0 Q ON =' C18842 z m uj Exp. 6130/07 ,,, a * CIVIL �P gIFOF CAl1E0P� m