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Home My WebLink About024-080-104TJ r NOTES RESIDENTIAL 0241-080-104 03-2443 PERMIT NO. A.Z9_V_EDO, JOE _410�c WINTERS CT GRIDLEY Cont: COTT W A\�KEi CONST NEW SINGLE FAAllLy A; SPECIAL CONDITIONS CHECKED BY f — SRA — FLOOD CERTIFICATE REQ:'-.. — FIRE SPRINKLERS RE6. —SPECIAL INSPECTION ITEMS. VERIFY USE PERMIT CONDITIONS SUB-STANDAR,D HOUSING LETTER,.,,, OFFICE Copy Address GAS Meter ay 3 F ELECTRIC Dat By Meter i3y Date_ JOB FINALED (Date) S c ignature 1�1 4 = OK 0 = Not OK NotApplicable Not Ready DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Vs 1 . Zoning Requ i rements-Setbacks- Easements Date 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test- Easement Needed (Sketch) Footings; Size -Spacing -Marriage Line 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 3. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Utility Clearance 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1 . Zoning Requ i rements-Setbacks- Easements 2. Footings; Size-Spaci ng -Marriage Line License Decals 3. Gas; MH Test- Demand -Valve -Connector 11. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Card B-1 Date 7. Water and Sewer Connected -C/0 to Gracle-HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 11. Cert. of Occupancy Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1 . Zoning Requ i rements-Setbacks- Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. Carports; Windows -Doors 3. Blocking Electric 4. Gas; MH Test- Demand -Valve 9. 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Ext.; Steps -Doors -Landings 7. Water and Sewer Connected .8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Exits Card B-1 Date Card B-1 10. License Decals 1. 11. Verify #'s with Office 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date 4. Card B-1 Date Card B-1 Date Elec.; Pool Lighting; 15 Volts-GFI 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-SteeI 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg - Frg- Bracing 5. Alum. Awn.; Columns -Con nections-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 -GR 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 4 = OK 0 = Not OK - = NotApplicable RE�IDENTIAL = Not Ready Date UNDEF3FLOOR (Plans) OK except #s ,�®rf g -Setbacks -Easements -_Flood -Slope 41,1 �4 4;2 (9-11�tg,, Main; Soils-Elec. Ftg. Depth a,-rtg., Garage; Soils-Steel-Elec. Grny�/ /" Ftg. Depth 4. Ftg,.Porches & Decks; Soils-Steek/ /" Ftg. Depth temwalls Main; Steel-Blockouts-Wrapped bell�temwalls, Garage; Steel- Blockouts-Wrapped da-lqold Powns and Special Anchors 4_4?96, Steel -Wrapped 8. Pipirs-Fireplace Ftg.-Steel ge'5.W.V.; Fall-Fifting-Test-2 Way C/0-Sewer'fest j-7. 10. &�as Pipe; Size Anchors -Yard Gas Piping; Size Test 11 --Water Pip ; Test -Anchors -Regulator -Service Test M,:Li 2. Electric Underground 117 VA 131pni imQ 8 Ducts; Clearance-Material-Suppqrt-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies- 15. Access & Ventilation 16. Insulation Date Card B-1 . Date Card B-1 Date Card'B-V Date Card B-1 Date PjLW0XfG (Permit) OK except #'s a t -_ 'ent-Access-Combustion Air Baffle ,AfatpePipe; Tast & Anchor -Nail Protection V.; Test Fittings & Anchor -Nail Protection �W�-,5hower Pan; Test, First Floor -Tub Access —21. 1 & Shower, Second Floor -Tub Access 'qRtTub 22, -,Gas Pipe; Six -3 & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card 82 1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAIC (Permit) OK exceDt #s (-2!!;7 ElVooReceptacles Spacing -Lights & Switches at Doors i Boxes & No. of Conductors Stapled '?��.mex Installed Close to Edge of Studs & C.J. �Kip. Ground made up w/Mech Fasteners -Bond Gas & Water kVF012 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Siz0Q /gACu or Al-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ (0/ga Lu-br Al -Oven Circ. / /ga Cu or Al Insulated Neutral OVe--s*' ZINo 32. Service -Riser Conductors & Ground Main Disconnect 33. ip. Cjearances Panels- Motors-Mech. Equip. 94-*'(jotWs Closet Light -Shower Light -Spa Light Al.�Xloke Detector Date Card B-1 Date Card B-1 Date Card B-1-,,- Date Card B-1 Date MECH ermit) OK except #s - ugle Insulation & Support enIA-Sn, Exhaust above insulation 5sate Drain & Overflow, Size & Grade T2n��Uce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet jg�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 ermit) OK except #s PropzM!,trials & Anchors &LW�d�ailing Spacing & Braces- Otes-Sound �.eXlnoaus over GiLqgj:A.& Floorpefing r Stop in Walls ((at!�� &�'Tlsq_llops, Furred Ceili7n-g-s-�tairs-Chasers-Tubs 4Q.,61faders A Reams -Size & Bearing Pingle & Duplex) Date FROING tGd-ntinued) 1 41. H,%<erFx-.Post Caps-Ancho.-s-Connectors . I' . J * - ftr. Ties-Purlin-Roff Brac.-Truss-Shti ng.-Rtng. 1��.�f,a Ties or Type A Flue -Fireplace Throat Clearance F59^ Access; Size & Romex Protection- Draft Stop -Ins. Baffles _ _Vie' L5*,,."Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. GaLagp ,�Plre Protection Framing -RC Channel —5 erty_Line Firewall & Openings 21!�E�oo�s-One T -Check Garage 3rd Story, 2 Exits 96"_SUgr< 'Width- Head room -Rise -Run- Land i ng -Fire Protection gi��.Iwfood -- Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stu_qpv'Mesh-Drip Screed -Fd. Vents-Underflr. Access _W.-m5Tazjpq Area -Glass Protection-Skyliqhts-Plastic Wall Panels be.' intiltration-VW .P�Iows Date Card B-1 Date I Card B-1 Dat%t:j� Card B-1 Date Card B-1 Date 4W4Mns) Weicept #s ' 9</F)et qtpnq-r)oor & Sideliaht Protection- Land inas 66 --Furnace Vents -clearance -Comb, Air -Connector - In Gaf-acie: Above Floor-Ducts-Mech. Protection �!�. . & Bath Fixtures & Tub Access -Spa 60'.-Elece1rim & Subr)anel. Breaker Sizes & Labels J41--5[req4-ee-qr Stove, Clearance -Hearth 72elErec. lqts.at Wood Panel, Int. & Ext. 76-40- Appliance; Grounc-Air-Gap-Cooking Clearance 7!��utlets & Receptacles at Kit. Counter 76e,Garage Fire Door; Swing- Land i ng -Closure 76. A.C-DUc' in Garaae-DamDer iqZ�aragc Above Floor-Mech. Protection 79.'Plt�- ,�Ier_ & Mech. Equip. Lisr.ed for Location El . ptacles in Garage (F.Fl.)-Romex Protection �5�_u lation-Foam-Looked in Attic - 91. Gprd-Rails & Deck Construction- Post Caps — - r vments-& Crawl Hole Door Drainage & Wood -Earth Cleapn*6e' Loqked undery.4odr 0 Yes,,_- \ 8&,-�rb_1lowiag4rYId./Drive Q�Ye's Cl NoMalks QAt<O No/Planters 91fe-s QNo 84. S_UiCco Brown -Finish Disconnect, Electrical- Plumbing 8&.-V'e-nts 6la6v_eRoof, Plbq-Ai)i)lianoe-Firer)lace-Clearance to Ooeninqs 8Z_W5tSpWeM, Disconnect, Electrical, Plumbing 8!� �er� Iec. Trim, G.F.I. Receptacle -Underground en " D.Throughout House 94--Corre�� from Previous Inspections 92. GV �-eters Tagged, Gas -Electric Sewer Connected -C/O to Grade -HD Approval Wt_*7tnerml�borripliance Certificate- Other Certificates 95,,Address Posted 96. Fire Sprinkle a e a - ate Card B-1 Date Card B-1,�� Date Card B-1 Date Card B -f-"/, nqtp Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 * Telephone (530) 538-754 N (Rev.12;66) AP I P .1 L . ICATIONANDPERMIT ASSESSOR PARCEL NUMBER 024-080-104 ZONING A5 BUILDINGPERMIT OWNER AZEVEDO, JOE & HEATHER TELEPHONE 846-0571 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1335 DERSNUP AVE GRIDLEY CA 95948 1966 R 106 164.00 619 W_ 119'142.00 CONTRACTOR'S NAME SCOTr WALKER WNST ONE 503 C 6539.00 CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAJUNG ADDRESS -Fireplace 1500.00 Total Valuation $ 125,345.OG ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee $ 730.40 Plan Checking Fee $ 474.83 BUILDINGAIDDRESS 437 WINMS COURT GRIDIEY Energy Plan Checking Fee $ 23.00 PERMIT FEE $1248.33 LOT NO. SUBDrVISIOWS NAME 77_7� L MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF A Duplex 0 Mobilehome [3 Other SPECIFY Each Trap 7-0084.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each gas water heater or vent 15.00.15.00 TYPE OF WORK New Addition 0 Remodel 0 Ublities 0 Installation 0 Other 13 X Describe Work: NEW SINGLE FAMITY Gas piping system I - 5 outlets 15.0015 - nn Building sewer 15.- 0015-oc) Mobile Home I S I G @?20.00 PERMIT FEE $ rA no ELECTRICAL PERMIT Filing Fee 20.00 Main Service 8.0.0�v, OoRL.r=:ss 23.00 93-00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, 5/will do the work, and the structure is not intended or offered for sale. 1 as owner of the property, am exclusively contracting with licensed contractors io-construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, so OR ADONS. & ACC. BUDS. 3.5g!--'090 4A NEW CONST I-= - NC.RESID. * =. 97.50 OWER APNRATUS PSIN . C.. ) .. 0 _ET j 20 @ 1.00 -Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. ME m'A '(,E,,6.)OR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.. 0 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed ff the permit is for work of a valuation of one hundred dollars ($100) or less.) E511 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 workers' compensation laws of California, and agree that if I should become subject to the w ers' compensation provisions of section 3700 of the Labor Code, I shall f wit: cc w* those provisions. �&�Wth,/ ;XW "7 a�_ -_ Date 05-13 -1-1063 Signature of Xpplic - GrOwner 0 Contractor 0 Agent W An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories yin height. MECHANICAL PERMIT Filing Fee 20.00 Heating 00 Cooling 15.00 Hood 6.50 6.50 Ventilation 4-- 4 50 18 00 PERMIT FEIE $ 7/,- 5() - Mobile Home Installation Fee $ Energy Inspection Fee $Ar, - nn Occ CONS7 TOTALFEE$ 666.31 CDP 1 PAR�Pl K717. This permit is hereby issued &der the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ove4� late If RES ON F '71 PERMIT EXPI In 4- ReceiptNo. WHITE-D.D.S. B.D. C2ARY-ASSESSTZ PINK-INSPEC R GOLDEN Pjp4APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 53877541 t i CORRECTION NOTICE OWNER PiR41T 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. It you have any questions pertaining to this matter, or need additional explanation, please contact this office irr�mediately. 4 , ............ COUNTY OF BUTTE BUILDING DIVISICiN DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA * (530) 891-2751 7 County Center D�rive - Oroville, CA - (530) 53877541 CORRECTION NOTICE A 7, 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. 11 you have any questions pertaining to th�is mailer, or ne\ed additional explanation, please con office immediately. % IV71J 12 0/ - ie el '/' a //-)X-�'- 11V7i /-'7" I 4zwe j1t-?11r1X4 /101( Date - Inspector 1. 7 REV 10192 t CER IFICATE .0 k _'%AMTE Of Tlfteltp 16W mr 1 IT C1 A COINFORMAKE IHE UNDERSIGNED MANUFACTURER HEREBY CE#T1r1ES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTIO—N (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC Al 90.1 -1992, Structural Glued Laminated Timber, and that such manufacture has been at our plant in — . which plant has a quality control system approved by the Inspeeflon Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. JOB NAME: JOB LOCATION: CUSTOMER'S ORDER NO. -----DATE n.03 MFGR'S ORDER NO. AITC HEREBY CERTIFIES that the said company at its said plant is licensed . by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use theAITC: Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the qual- ity control system in effect at said plant is. periodically inspected and verifie6 -by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, *in the judgement of AITC, said company is capable of complying with applicable man0acturing and testing provisions of said Standard in respect of products manufactured at said plant. Conforman6e wltht'he Standard in respect of any specific or particular product is the sole responsibility of the manufacturer, AITCs guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by tile AITC Inspection Bureau. AITC FORM 6C 099-:1 INA 89E-1 AITCCerfiflcoteNO.92- 0'81444 AMERICAN INSTITUTE OFTIMBER CONSTRUCTION RF.CETVED AUG 0 8 2003 KELLFA L8R. SALES 0 1992 AMERICAN INSTITUTE OF TIMSER CONSTRUCTION P6206610ES f CERTIFICATION OF INSULATION WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS Ar 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 IJ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 L137 U�Aets C4, U 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 DATE INSULATION COMPLETED 1-7 square feet) square feet) square feet) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM BATTS FORM BA17S & BLOW FORM BA17S MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURIER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER 1 OCF KN CT OCF KN —0 CT OCF KN BAGS �'S t2 R-VALLIE APPLIED R -VALUE AP-P11ED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SQUAREFOOT INSTALLED THICKNESS -(or s7i-f -I � , - KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS —77 t7 CT OCF I KN 1.$0 # -- __ - AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDYFOAM THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS SIGNATURE - INS NTRACTOW 91-0 TITLE DATE -2 -*17 - SIGNATURE - GtNERACCONTRACTOR TITLE DATE REMARKS WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy �4E'( T SERVICES -BUILDING DIVISION 0 COUNTY OF BUTTE -DEPARTMENT O4F L, 7 County Center.Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET V OWNER: 6" t,-� d 0 ASSESSOR PARCEL NUMM�R V Proposed Building Use: r ) 5 Counter Technician:. 411� —Date: 5- 3- a:5— r\ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. lot plans, 3 or 4 sets,'signedty the preparer of the plans. Complete plans, 3 or 4 sets, signed by the Ireparer of the plans. 3�. 13 gineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. tngineered truss details and layouts in duplicate. No faxes! Ene ' compliance design and supporting documentation in duplicate. rgy 0 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. I 0 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received o 0 flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 0 9. Plot plan and business license approval from the City of Biggs ................................... 0 10. Letter of intent for non-residential buildings .......................................................... 0 j 1. Detached Accessory Building Form filled out by the owner ..................................... 0 12. Hazardo te .......... .................................. Other U11 it. (May require additional plan review upon receipt of the f I win —remaining itemnnseeded to issue the'perm 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ................................ -ganitation and plot plan approval from the Environmental Health Department in6MtU7/ �Califomia Department of Forestry plan approval 0 paid. Sent by C C .. y: . ...................... ity of Chico Plumbing permit ........................................................................ 19. Planning approval r (A) Use: (B)Park.ing: _(C) Parcel Check: Q 20. Contact Land Development about 0 Improvements, 0 Drainage ....... 11. Encroachment Permit for driveway from the Public Works Dept. (const'r'u'ct'io'n approval prior to occupancy). 0 22. Pre -Inspection for required ................ 0 23. Contractor's license information. (Number, Name Style, Classification) ...................... I ber ............................................... 0 24. Worker's Compensation Carrier and Policy Num 0 25. Owner -Builder Verification (0 Gi'ven to owner,'D Mailed to owner) ..................... 0',R\ Letter of Signature authorization .................................................................... —q(,&)Recorded copy of Agricultural Acknowledgment Statement .................................... 0 28. Manufactured home utility clearance ............................................................... U 2 0 29. Existing violations and/or expired permits ......................................................... 0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $ 0 3 1. Other: F When issued Telephone !62!!�E(42— and hold for pickup. I have bee taining a building permit. t. Applican Date: LZ -4�-C20& By iteins.) q* - 1. Index pe7it application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by 0 phone, 0 mail, 0 counter, by _Date: Contractor, designer, owner, was advised of the above data by El phone, b mail, El count by Date: Plans reviewed by: —Date: Plans approved by: &:::--Date: Structural review&�Lb Date: Structural approved by: Y, Note transfer by: ate: _, %0 'V611ovf: Milding ITivision .=P , 1� TO: Building Department 3 - ZY513 FROM: Environmental Health A SUBJECT: Sanitation Clearance E.H. USkE ONLY ��,Flot Plan Attachad Floor, Man A hod Sant to S.D. 24 - O� �-A Owner Location AP# Plan Approved for: Sewage Dispos-at-, Water Sup Clearance for — dwelling. Other A 1U49a-' Hold final for: Final clearance O.K. for: NOTE: 0;ult�I(A - IuAf Environmental Health Specialist 8/96 Private Well Date FW, -- 77, 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 OWNER 0 PRO ROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due ........... $ Revised Plan Checking Fee .... rf 8 1 U SCHOOL DISTRICT FEES`_ -A 14 1/ vW zL4 (paid at School District Office) ( o' available afte4PIan Check .3. SHERIFF FEES (paid at Building Division) Residential ............ X $360.00 Units DATE,g� t( ),�, UCEIPT # DATE UC. 3 ILL / �1_-e - 3 7!2 37Z y ff-A� 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 = $ Sq. Fig. Amt. 10. OTHER At time of permit annlicatiorXi was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed �Xg tkeh.fa , jr-c)igcVhg process. Pursuant to Government Code Section 66D20, 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) November 11, 2003 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3�97 Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Address: Dear Mr. Vieira: Azevedo New SFD Gridley, CA County of Butte- FINAL CHECK Jurisdiction Appl. No.: 03-2443 LP2A Job No. 203015.079 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1 Plans: Two (2) copies of cover sheets through 7, (7 sheets) cover sheet June 17, 2003, by (unknown, illegible writing); revised sheets 1, Z'3, and 7 dated October 28, 2003. 2. Structural Calculations: None submitted. 3. Title' -24,,:i Energy Compliance Documentation: Two (2) copies dated 07/25/03, by Computer Performance. 4. Truss Calculations: Two (2) copies dated Aug. 4, 2003, by Homewood Truss. These documents were reviewed only for their conformance to the 2001 California Building, Plumbing, Mechanical, and Electrical Codes. We have no further plan review comments. Therefore, we are recommending approval of the above noted items With the following conditions: 1 . Compliance with SRA requirements (form attached to plan -set). 2. Redline revisions as noted on plan sheets 2 and 3 (interior braced -wall panels shall be supported by "continuous foundation" below per CBC 2320.5.6). The above documents now bearing the "LP2A Plan Review Approval" stamp on all appropriate sheets are enclosed. Please let us know if you have any questions. Thank you. Sincerely, LINHART PETERSEN POWERS ASSOCIATES Roxanna Recinos-Serna I.C.B.O. Plans Examiner RRS/JV:ag f:\butte county 01 5\butte county 2003\203015-079-pcf.doc Enclosures aLINHART PETERSEN POWERS ASSOCIATES 7610 Aubum Boulevard e Citrus Heights, CA 95610 (916) 7254200 - FAX (916) 725-8242 * Toll Free (877) 235-0653 M C!14 AP -NO.: 024 080-104 DATES: 08/13/03 OWNER: Azevedo Phone: SITE ADDRESS: Winters Court (530) 846-0571 I Gridley Zoning A-5 Acres 1.01 Name/Date _r Flood x Map/Book 81 Page 22 Block 7Lot 3 Panel 1110C Snow Load Other SRA NON VALUATION CODE SQ FT $/SQ FT VALUATION Residential/ Guest House/Heated Fun Room R 1966 $64.00 $ 106,164.00 Garage or Storage Shed U 1 619 $18-00 $ 11,142.00 Covered Cov 503 $13.00 $ 6,539.00 0 0 $ $ Re -Roof x $ 60.00 Calculate squares 20 ft x 30ft 60 sf 6 squares Fireplace A (Zero Clr): Masonry: 1 $ 1,500.00 TOTAL VALUATION $ 125,345.00 BUILDING PERMIT FEES CITY FEES FILING FEE 1 $ 20.00 $ 20.00 Permit Fee - Full Permit Fee - 1/2 (MH)1 $ 730.50 Plan Check @ 65% Permit Fee $ 474.83 Plan Check Minimum/Mobile Home State Approved Plan 1 $ 23.00 $ 23.00 Plan Check MASTER PLANS ONLY Revised Plan Check $ 46.00 $ Energy Inspection Fee 1 $ 46.00 $ 46.00 Energy Plan Check Commercial 4000+: $ Residential To Master: Mobile Home Installation Inspection $ 100.00 $ $ TOTAL BUILDINGPERMIT FEES $ 1,294..33 PLUMBING.PERMIT FILING FEE $ 20.00 $ 20.00 Each Trap 12 $ 7.00 $ 84.00 Solar or heat pump water heater $ 23.00 $ Water piping 1 $ 15.00 $ 15.00 Each gas water heater or vent 1 $ 16.00 $ 15.00 Gas piping system 11-5 Outlets I 1 1 5+ Outletsl $15/$3 $ 15.00 Building Sewer 1 $ 15.00 $ 15.00 Mobile Home Utilities ISewer: I I Water: I lGas: 1 $ 20.00 $ $ TOTAL PLUMBING PERMIT FEES $ 164.00 ai U N RUH MANI", H. U"N" HHUHmEgg ;mR, a R "S pirl""K H N q Q... 0`2 `-M-N i-I�W ..... ....... Mn- 4. �WNF 4- INWM11�-'�.l K. k _7.bATEt: 0 8 13 /`061 024 H AP -No.': �-086-15:T E H gx M EB r" 6; H . OWNER- Azevedo' Phone (530) 846-0571 7 SITE ADDRESS -r* FWinters'Cburt Gridley �Stfkqb, o" il E M M;, gm FILINGFEE, �q wf $ 20.00 $ 20.00 Main Service 60OV'or less/200A or les�,, U, VONINkInIP: 1C 23.00 $ 23*.00 200+A to 1000A "M" 46.00 $ NeW.Construction, or Add ns, Dwelling Occupied &Accessory Bldgs $ 0.035 $ 90.48 New Cofistruction� Multi -Outlet Branchtirc'u'its' ..... . ... $ 7. 0 5 $ No PoWerApparatus & Single'butlet Cir.' T RN; .1 WX:F, ........ Outlets. Fixtures -20 H, $ 1.00 $ Existing, Qccupied' or 20+ Ulng $ 0.50 s. Fixed Aopliances or Outl'etsi(Res) ea. $ 5.00 $ ... Temp'orary Slerv'ice, M_ $ 23.00 $ Mobile Horne Facilities 20.00 vffli . . . V F $ Misc'ellaneous Wiring H M'. $ Pre-'Insppctioh (existing MH, existing' site) . . . . . . . . . . N ... . $ 23.00. $ Pool Electric $ 30.00 $ -om yy-m p. m m.m.-g-m-g. --y-a' "W" 1 �"P N, u.. B. ............ M., m 'n, �TNH" go� -P. . . _.m_; um. m W.1_1 0-, 1 "T, n� HE air�.;it mil d., 'n M U.0 �'H NUNHU $ TOT t L --- j7t ..... . -------- q E'Ui . . ........ P R M I T ,_ICA t. RRN N 1� IN Rr� FILING FEE:, $ 20.00 $ 20.00 Heating Up to and including 100,000 BTU 64 ip 15.00 $ 15.00 Greater than 100;000 BTU ...... E ........ . . it 110.00 $ Upt63HPand100,000BTU- H-MR_HK+ 15.00 $ 15.00 o ing 34- to 15.HP and Over -100,000 BTU. ...... 26.00 $ Evaporativer Cooler �,N g m 15.00, $ Exie' rid Ducts in Additions. -0 H !kRH jM'. Em $ 15.00 $ 0 H ods M H, PNI-I.ill" Tz_H=__, HA ME $ 6.50 $ 6.50 Ventilation 3; $ 4.50 $ 18.00 Gas Firepla c -e%' $ 15.00 $ I mi 0 'UP, vu V - M." gj 3tU ii.,N .1 C H"INHININN, �'W M HFIv, _0 #MRMI M#Wl� �Z W:� . ... ... ... . . R M! A. L T lttg. L Ul: -B ht, _71, 'K R, �T -J'UT,_�jm pccupanc Y : H, -,`N-, `21, 1 � 'n, M g lihm',6 00-H. construction: , - v X� H `4 !mm -.1-5 , 111.51 � � N' 01M ISSUED B V-, N�N ...... . Q. HAZ FEES' IMP FLOob CDF PRdL PD H ai U N RUH MANI", H. U"N" HHUHmEgg ;mR, a R "S pirl""K H N q Q... 0`2 `-M-N i-I�W ..... ....... Mn- 4. �WNF 4- INWM11�-'�.l 02 EPN E24-08 MATIES]. 08/13103 0." 0-104 OWNER- Azevedo Phone: j(530)146 Notes: -0571 .......... ...... H - M� ENHHEM.M.- ............. ........ x. % ....... H -h -H -25H.... H .... . ....... ..... . ...... HHUM 5 . ....... H.H.-H.H. ...... .... . .. ��F ..... HHH.H.-H H -H- . ... UN- .. . ........ 11 .......... . M.H.q., NP .. *.11 ........... ............ .. un ....... R.H.- -H ... . .... M., -H M.10 I I.I�,�llw��.I.��".."�,.�,.�"*,--,.-�-.�,— � . Winters Court Gridley : , , ................ M, ..... ENO .... . M.M.- H H -MR, N 'NU . . .... ....... ......... M -"M .... . M� N. . STATE- RES PO NS I B I LITY, AREA (S RA) BALANCE - DUE, SRA Pe, St-teVHN0FU2;-`.j $ 89.00 Is, FEES $ ............... M .... ggonq -:N`=kU^H, 1-1 .......... ...... .......... . ....... . �H .;Z 7 .. ....... ..... ..... �N ........ ........ ...... ..... H . ... M.M.—H H ... ... M 0 RACIA M TIM R� H H. 'H" ......... -0 Sheriff 366.00 S 360.00 i� .... NAF&Fper S�Living unit "360.,66' ---------- M.1.11.& ......... —.-- .... M. -MM URI. N.a. "HiMPH K, .... ..... 36 0.00 MHINM=1111 HPI -1 =—q'l ..... . ... ..... D NA61 E -RAH Per H Thimmaiih� Residential s F5 Commercial Par Onfimm.. 3304 URN R .... N N -R, A, 4 w ung"M ...... A, - STREET zl, , menci-�l 'RIM -,puw Chim Urban -M, ,x -dn;4 i $ 198i.00 Area NA commercia IndItal strud.-H.-H, Per Sq.Lt. 1.02 P.N. N.1111 .... Residential $ '59i.0o a. Therm.1ii. Commercial ; s - - -. cr 11,9241 $ Urban Area Par A a MINHHH, I I - - , , I - % I - . , . tri ......... N"HM"' UMM" Mf; Indus at I R� P A, $5.962.40 ei 'ROVE TOTAL SfjktETjMP M -4.N ........ ngg . ....... 1 - -A M r X.g , W ti E R,,, E N b R' A WaterTender Per PaTreTI;--H M-� 200.00 1 $ TOTAL WATER TENDER FEES H -M 4ux, MINE �M-M-N MM.M.N.N. M1.11.1.11.1-1011. NNUIN.-M-1 , M.- �KCH10,Q-SOEC160,PL, ;(WC$Py",� NORT AN ZANN ..... p M.Iii Residen at at DU I ME 3,31�5.006 $ NMU,.] $ IndustriaLfCommercial ."'MIM.- PerSF H ...... 2.3Z If B $ 72,6K000 $ Is M M School chool IL .................... ...................... mm-jgggg g - - --guinu..,'n ........ 1--; .... UP IMMNNU pug,. g NRS�,.FEESI, .. ........ .......... m un -ug - M V IMTOTVA =LMI M P7A.C-Tff 1 1 1 00. 0 0 360.00 $ $ Collected by -N� . ... . .... nNT.- OTHER FEES: ... ...... H. j, . ...... ........ ..... Development ..... . . . . ..... ......... .110-11 . ... . ... . ...... . �U- N. N, ..... N. services 6 PIL 1,088.51 .. ....... ........ ......... . 1 ........ ..... . . . MI -0 -67710'. -M.N . .... .. .... p ...... ..... . ... .... . .... . .. . ............ TOTAL ALL FEES $ 2,026.31 $1,448 .51 OWES $ 577.80 $ $ $ PAID PAID PAID PAID F MEE- Fe H 'T—MME"! T MAI 6a, SViif6' M: ��, $I a-7 ............ ....... ...... . . . ........ . ...... .... k N Receipt No. ... . M M. HE ..0 — M�M� —MMI. Receipt Date 3/03 .. ..... I . . . H.'r-n- nx Staff Initials ............... H"11, "N" UP1411111HU.— ............ ......... .......... P .... . ........ ...... Receipt Name ....... --H-UM ......... I .... ON .. .... —E 4N- ... . MW.-M.N .......... "N., Check Number A I I NME 878 h,-- ........ ..... ......... ..... "'AN -3 H, .... M— ="N.— ................... ... Check Amount M .......... .... ... Cash ............. M MINI.1111.1..= M., N N. A . .. ..... ......... .... . H -M .. ........ .. ...... —n . .. ..... TOTA L PAID 1 i 6 7.801$ $ $ SRA FEES $ �U I.R D�, MINIMUMERAY §3 �,90 I LK WAR jM E YT _LF J!I,AY -i oi i P Z� kt6k�ATI& DiSiR'(dfS1,'0 o, 4 a� bnQ, ` Chico Area Residentia per 2SIg LF �10.4 nt. Durham Ftesjdimtia� !s 1 MU -B.''; N 1; 0�,wnu..;; qm U, ... . ...... ....... .. ................ ....... ..... NO— .......... . ......... p-M 'MUN.N.-H-Mi ..... . "..H. -H .-flResidential M, h a 4,207.24 Resi; ��;- 7 2.141$ .... i; - ..- CHECK Page 1 of 3 JAP NO.:, H, 'T J 411"1 D A i E S: 031 0 �_Pvo 100 01/00100 6�/00/w Coun ty 0, 9 utte ef DEPARTMENT OF DEVELOPMENT SERV ICE S OWNER, "S"5M fi—M 'N --im ---.......... 0H M -i 0 v one: - z, ;4 -nuuM.M.-M ! — . . - F, '� mH Ph -T M R-95.,muuum; _unMRu� ..... n'. -M. H q Nu H H HE'HEJ" u, k, hone H M. H—RuflM. P u.- .......... ...... uM uDd ni1p`?Avdh* 16, E !!� ........ ................ UuU,--;:F.0 UN Phone: �ADDRESS: Building Division, 7 County Cente Drive qpll, ggp;;u.M-uM1[. ....... g ... .. u.N Idle P,�H RE Phone: ........ dON,"TRACTOR fl- .......... Phone� ....... W N. OrovIlle, CA 96965 N_Nu H ......... 'P, -i a &u. 0H ............ HUN H!"I-1,10-lEina'il:, r._:.N:._ ,;!N.Au . ....... ..... (530) 53'8 -7541 .... H F . .. UNU 4.- fo! P hon H ......... . -FRI N u ..... uwu ARC"I I W_ I OR ENGI NEER ... .. hH.? 0 'u� Li No.:ig� Ic ........ 4 U N. N a. PERMIT NUMBER: 03 3 . ..... ... N U F ... ... 0110.1,110r 1111.0 ill H I I I - -T I Nr Emitil:, -244 SITE "N' lwi 4117, . .... ... unn, J.-uu.u.g. 9n., . HTPhon.: M APPLICATION ADDRESS: M GISH 94&.,M AND PERMIT rid, M -H. Email: HH., -®rlu-NA nn M., USE tq'i @W" "pi, Nil . . ........ n ....... H—M . . . I,; M.; �Nb '!P, lihar� gnu 4 ...... . .. u. 02 -RL Hi - i - H. 11 H5 U., ............ ..... N 5"� ........................ .. ........ . .. .... N N M .......... "TYPE OF K jr� 'A dd rig ....... uRmdI�:11-'Utlts!' N nu; nuv n� -.Uun- 0� ..... H Other:. A.'m W -MM -M i HN. 1-11 ......... HH" ORK N, -_Wu1.---�_-:.h ..... . . u-� --W �N I. H u. m ml_ TH. iih H R;� ,., 1..� Lu N H. q DESCRIPTION MW ... .... ...... Nx m r� z n ....... UN- u, pi. .. ..... MM El I n M g H, U -'-;-----h02 .. ...... .... u u u 9 u u N. u; k, q u ......... 2,P. P.,; , ` MIN I hereby affirm.under penality of perjury that I am licensedunder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licens e is injull.force and effect. up 0 M ap p . .. ....... - oanskli ss,H' ....... . License No. TF MPH K, x Pu E.Ri U1.12 'DER IQW"1'MW`- 4PECE R AT K I hereby affirm under penality of�jperjury that I am.exempt from the Contractor's State License Law for the following reason: 1, as owner ofthe property, or my employees with wages as their solecomperisation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractorsJo construct the project. A TA. I am exempt under Sec. UrN 2", u -,.N, Business and Professions Code for this reason: 9, PH Un UN . .................... mn H ........ - - - - , E . i� U-1 ....... . . .... . . z -E RMO T U0 MHU... p um.. .......... H . q- -%q -p m p p= -_ ......... QZ*�_110 ffl!.'_MtM11', 4.1,11 t IHR�,_ -�RUMI -ZiR 6'11.?.'.�? 1'.111' 1,14 M`i N`0 'hereby I affirm under of perf6ry one of the following declarations: I I I have and will maintain a certificate,of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code for the performance of the work for which this permit is issued. 1. 1 I haveandwill maintain workers' compensation insurance, asrequired by.Section.3700ofthe LaborCocle, for the performance of theworkforwhich this permit is issued. My workers' compensation insurance camer and policy number are: `Rfl - rf� .... §-,:,.,.. , iM_.'_.;H .... _041H.H.R.-ROR I I. I., -1 . .......... H _T. I., I - M., anner, ..quk,..- �, ull, .0 uu.. HHEE.E.R.-ME'k, C HA H N. - 01 0 'N W .1 R."'E' R uS HE -H� N..,MM -P "K Policy Number: �K`-iu.'-,-,fi--i R i (This.section need not be complet d if the pe it is for one hundred dollars ($100) or less). 1,ce�ify 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 Califomia,,and agree'that, if I should become subject to th e workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING:, FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,006), IN ADDITION10 THE COST'OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,'INTEREST, AND ATTORNEY'S FEES. yg 4 NST N b- �,,, , .'" � -1411111 "Wr:` .......... I hereby affirm -under penalty of perjury that there is a M�!TR�,2p g'an of the work for y4!ighjq�.R!T�.t i�.i!� ued- 7 .. . k ..... No ...... - .... i PREMMU ' flHHKRHflHF'5'RN uMu. k'u.=W. M.. W' Le rn e: p:�- riders Na ng.`��n y mugn m .. p. - gq. - - in g - u n_.� g 4 u - - .g . -M ru- gsgp - .. 21'. k n. a PAK N: "....3-M "N Lenders Addresi:', a -H :,6ertity that 1, have read, this application and state that the above information is correct. lagreetocomply with all city.and county ordinances and state aws r6lating to building construction, and hereb a uthorize -representatives of this county to enter upon the above-imentioned property for inspection Y purposes.,, Signature of Applicant Date 0 ner Contrictor b N." t W ........ AnOSHAperff�ltls reqyi-di�i.excivationsovei5'0'id�epa r nd demolition or construction of structures over 3 storie - s In height. This permit Is hereby Issued under the applicable pro%�Islons of the Butte County Codi and/or Resolutions to do work Indicated above for which fees have been paid. Date PERMIT EXPIRES ON: IBy Date Page 1 of 3 OVT National Pollutant Discharqe Elimination SWPPP County Non -Certification for Project # _ Storm Water Permit Compliance System (NPDES) Phase ll & for Butte By signing below, I, the project architect/engineer of record, indicate that I am aware that a ' construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. L additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. L further, certify that this projectwill not disturb more than 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Stonn Water Quality Task Force, Sacrwnento, CA. I certify that appropriate BNIPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BNIPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNIPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNIPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than I acre of land-Tequires 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 more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the'best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan M BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM —Jt (One form per Building) ;> School Dis ct Z212 Building Department No. A.P. Number 09 y — 00'a - /0 risdiction: city County Property Own& - /-1 .1—' U Property Location/Address Subdivision Sq. Footage Residential Development F -T-1 No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) .. .. ..... ... ... . .. Deed Re stri ct ad Sq. Footage z (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility d&�ument) I Lot No. I New AddWbr Representative Sq. Footage (including Exterior Roofed Areas) //- /�- 03 bat'e - D' Identification 0. njik, A School District certifies that (Applicant) Address) (City) -:has complied with the requirements of Resolution No. representing IL sqUare feet. School District r 2926 FULL MMGATION (Phone Number) (Zip Code) by payment of $ . AI �Lo - ;J I Date Paid by Check # Remarks: N01111ce: You may pictes do Imposition of the fen Idendfled above by submitting a vattten protest to the District. In compliance with Gom u ont Code Section 6602%a), within 90 days from the date fees are paid. Fallure to subndt a timely written pr~ will'pioh" you ftm challenging the Imposttion of the fen In any court action. ff. subsequent to the School District Represents&* aligning this Butte County Schools Impact Fee Certification Form, the School District Is i-111111- by the applicabile Local Planning Agency that thia p na-� Is being reviewed under the Calftmis Envimunental Quality A ct (CEQA� thisp W , -maybe sulloct to additional school fen to hdty n*%pft.ft InWact an On s�chool school*. White (applicant), Yellow (building department), Pink .(school district) feeform.)ft 00/031ift.rn � AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records County Of BUTT E CANDACE J, GRUBBS Recorder ROSEMARY DICKSeN Assistant 03:57PM 17 -Nov -2003 REC FEE i@.@@ COPIES 2. 5o, Kathy Page 14 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See - Date o PROPERTY OWNERS: / A A Z State of California County of On C) before me, IV 0 1-(AJ- personfilly appeared 44i� o�-,L,4 ' �r\ ,r '. 4zjVfA0 a,&,A -Tog, 447-e- -kc� a personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/ar-e-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 mv hand and official se*L A.P. # NOTARY PUillj—, FORNA COUNTY OF BUTTE- Cor"M- ExPifes April 17, 2000 Order No. 00202883-004 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A SURVEY OF PARCEL 2 OF PARCEL MAP 75-38 Alr4l) 39 AND LOT 29 OF'GRIDLEY COLONY NO. 2, FILED IN THE OFFICE OF THE RECORDER COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 26,1980, IN BOOK 81 OF MAPS, AT PAGE(S) 22 AND 23. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES,'AS SHOWN ON THE PARCEL MAP REFERRED TO HEREIN. AP NO. 024-080-104 PARCELB: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PVBLIC UTILITIES LYING WITHIN THE BOUNDS OF PARCELS 1, 2 AND 4 AS SHOWN ON THE MAP RECORDED DECEMBER 26,1980, IN BUTTE COUNTY OFFICIAL RECORDS, IN BOOK 81 OF MAPS, PAGES 22 AND 23.