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027-050-035
NOTES RESIDENTIAL PERMIT NO. 027-050-035 ' 05-1492 ` R wR"fG2- �CECYRIG 'ir'2E,��cGf To l,uGcc. �� . CARVER, CHARLES 1 i 05 16J0.tcp{ ro Goc�,2 > >�� KATIE CT, PALERMO Cont: BERGER CONSTRUCTION NSF iL OFFICE COPY .1 I l Address 15 i�AY/ CT I GAS Meter By Date loe ELECTRIC ! Meter By - Date f fl L I ' . M SPECIAL CONDITIONS CHECKED BY i SRA 3y FLOOD CERTIFICATE REQ. _ r FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY _ USE PERMIT CONDITIONS _ lr SUB -STANDARD HOUSING LETTER _ Ll JOB FINALED (Date) .t • -� qinnahira .....::::..................................................... County Subdivision Name DESCRIPTION OF INSTALLATION 3. ROOF ........................................................................ Material........................................................................ ....................................................................:.. Thicknessinches : s ( )........................................................ CEILING Lot Number Br . Thermal Resistance (R -Value): " ':` ' `: ' ' :::::::::::::::::::::: I , c ............................................................... Frame ype:........................................................................ .........................................................:..:::::::::::: A. Cavity Insulation ..................................................................... Material: Fiijertass: Thicknessinches :` ( ) ................5..1/2....................... B. Exterior Foam Sheathing ......................................................................... Material:.................................................................. .. ........................................................................ Thickness (inches):''` :::::::::::.......:........................ Brand Name:::::::Knauf: a Thermal Resistance Brand Name: : ': "- , Thermal Resistance stance(R- Value): Brand Name:ICnauf> ................................................ Thermal Resistance (R -Value): ' f9 . Brand Name:`'' Thermal Resistance (R -Value)::::::::::: J=OK 0= Not OK . = Not Applicable . =Not Ready eaQy MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /Nat. or/ P' L W P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Cana B-1 Date Card B-1, Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 =OK = NotOK Ap = Notprip6te RESIDENTIAL (Single & Duplex) - Not Ready I Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements- ood-Slope Ftg., Main; Soils-Elec. G .-//'r /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. GondA! P' Ftg. Depth 4 t ., Porches & Decks-, Soils -Steel-/ tj P' Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped . Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pier ire lace Ftg.-Steel W.V.; Fall-Frtting-Test-2 Way C/0-Sewe st was Pipe; Size Anchors -Yard G iping; SileU11- tj-'Wafer Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Ventilation 16. Insulation Dated 301 - Card B-1 Date Card B-1 Date -13-05' Card B-1 IAAA S. Date Card B-1 Date PLUMMNG (Permit) OK except #'s JAM"Vyater Htr.; Vent -Access -Combustion Air Baffle ion. er Pim est & Anchor -Nail Protection 12!. .V., est Fittings & Anchor -Nail Protection 1) %-7 2fr Shower Pan; Test, First Floor -Tub Access -� 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date / Card B-1 ate Card B-1 Date 03Card B-1 f 4,,V Date Cana B-1 Date ELE TRICAL (P rmit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled 27 mex Installed Close to Edge of Studs & C.J. 29' Equip. and made up w/Meth Fasteners -Bon as &Wat r 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu o C. Wire Size/ /ga Cu4 Al 31. Range Circle/ /ga Cu or- ven Circ. / /ga Cu or Insulated Neutral ❑ Yes �o 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35 Smoke Detector Date fit/% 0(_ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s . A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 38. tondensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Aft -Return Air Vent 115 Outlet 4 is Access & Platform ff Furnace in Attic Date f /Ic? `Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F NG (Permit) OK except #'s 1. s Proper Materials & Anchors 4 . ails Stud _Nailing Spacing & Braces -Plates -Sound 43. pAring Walls over Girders & Floor Nailing 4, . Draft Stop in Walls (rat proof) 45. ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4d' Headers & Beams -Size & Bearing Date No %i=$ 48,.-?Nng. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49 irePI6ce Ties or Type AFlue-Fireplace Throat ClearaXe 5a! Bdrm. Windows or Exiting Doors -Sill Ht. & Di4hsions i X52. Garaqe Fire Protection Framing -RC Chari tj,0 KJ Property Line Firewall & Openings " 5 . Doors -One 3' -Check Garage 3rd Story, 2 Exits 55_8fairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. PyWood on Roof Overhang -Attic Vents -Rafter Outriggers 51-A R;dina-Nailino Veneer Vents-Underflr. Access W! Brace Interior/Exterior Wall Panels Date , 9-j Card B-1 ! � Date Card B-1 Date 11.14.Dr Card 13 Date Card B-1 Date FINAL arm K except #'s 66!Furnace Vents -clearance -Comb, Air -Connector - I Garage Above Floor -Ducts -Meth. Protection Pedroom Exiting .I-& Bath Fixtures & Tub Access-SDa 69' E*ciTrim & Subpanel. Breaker Sizes & Labels air Rails F place or Stove, Clearance -Hearth .7EI .DGitiets at Wood Panel. Int. & Ext. 7-3!irFixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 . E Outlets & Receptacles at Kit. Counter 7 G age Fire Door, Swing -Landing -Closure 76- XC. Duct in Garage -Damper in G ge; Above Floor -Meth. Protection 7b . & Mech. Equip. Listed for Location 7 . . Receptacles in Garage (F.F.I.)-Romex Protection 8,1YI rf(ation-Foam-Looked in Attic Guard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked underl�_Ioor ❑ Yeses i O No 84./Stucco Brown -Finish /SSC. Unit Disconnect, Electrica)-Plumbing (8VVegis Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Comments at Final: 87e Water Well, Disconnect, Electrical, Plumbing 8 or Elec. Trim, G.F.I. Receptacle -Underground 8 e ' ation Throughout House Glass Protection 91. 9,errections froreviou nspections )JI L Gas TS;t-MqKrs TaggA, Gas -Electric 93. e2 -Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkle Date .- Card B-1 / Date Card B-1 Date *), , Date , ©1 Card B-1 Date Card B-1 Card B-1 - Date Card B-1 Comments at Final: 2005--0037065 Recorded 1 REC FEE 10.00 Official yRecords I CoB tteof CONFORMED COPY 1.00 CMM J. BRINBBS I County Clerk-Recorderl I I MP 011:42AN 28 -Jun -2005 I Page 1 of 2 IIII�'III"I'I'IIII"IIII�'I"II'I AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as.follows: See �c d Date 2 6"p 00s State of California County of jAR-,, On PROPERTY OWNERS: 1 0KJ me, personally appeared— (',1 W QZ) L • CIikVZS' f Yr1*DCil I�VLQ personally. known -"e (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) jure subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hWh"Aheir 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 of 'al seal. SignatureSeal: U KELLY J. REESON Tg COMM, # 1336087 O - NOTARY PUBLIC -CALIFORNIA +n ` BUTTE COUNTY Q COMM. EXP. DEC. 22, 2005 -' A.P. # 02.7 - 05d - 03 5 J_ t� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005--0037065 Recorded 1 REC FEE 10.00 Official yRecords I CoB tteof CONFORMED COPY 1.00 CMM J. BRINBBS I County Clerk-Recorderl I I MP 011:42AN 28 -Jun -2005 I Page 1 of 2 IIII�'III"I'I'IIII"IIII�'I"II'I AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as.follows: See �c d Date 2 6"p 00s State of California County of jAR-,, On PROPERTY OWNERS: 1 0KJ me, personally appeared— (',1 W QZ) L • CIikVZS' f Yr1*DCil I�VLQ personally. known -"e (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) jure subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hWh"Aheir 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 of 'al seal. SignatureSeal: U KELLY J. REESON Tg COMM, # 1336087 O - NOTARY PUBLIC -CALIFORNIA +n ` BUTTE COUNTY Q COMM. EXP. DEC. 22, 2005 -' A.P. # 02.7 - 05d - 03 5 J_ t� 68-36974 0 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 5, as shown on that certain Map entitled, "COWDEN SUBDIVISION", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on' June 20, 1986 in Book 100, at pages 96 and 97. PARCEL B: A right of way for road and public utility easements 60 feet in width, shown as Katie Court and Silver Bar Drive on the reap of "Cowden Subdivision", recorded in the office of the Recorder of the County of Butte, State of California, on June 20, 1986 in Book 100, at pages 96 and 97.' F-YC:F,.PTTNa THFP_F.FPOM that nnrl:i^n lt,;n- SJi�h;n n, r a .iti.oA ahnyA. PARCEL C: A right of way 60 feet in width for road and public utility purposes over the North 60 feet of Parcel 2 as shown on that certain Parcel Map filed in the office of the County Recorder, County of Butte, State of California, on April 19, 1985 in Book 99 of Maps, at page 18, as disclosed in Deed executed by Harold L. Silverthorn, et ux, to Gary L. Cowden, et al, recorded January 28, 1985 as instrument No. 85-19380 of Butte County Official Records. A.- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION V(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51492 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/29/2005 APN: 027-050-035-000 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. Site Address: 150 KATIE CT PAL License Class : License Number: Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: NSF (1939), GAR (576), COV (2740) 1 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: CARVER CHARLES E & PRISCILLA G 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 1264 OWOSSO AVE the Contractor's State License Law (Chapter 9 commencing with Section HERMOSA BEACH, CA 7000) of Division 3 of the Business and Professions Code) or that he or 90254 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BERGER CONSTRUCTION owner of property who builds or improves thereon, and who does P.O. BOX such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE CA sale. If however, the building or improvements are sold within one 95966-0304 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 (530 ) 589-4205 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, Contractor: BERGER CONSTRUCTION and who contracts for such projects with a contractor(s) licensed P.O. BOX pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 f the Business and Professions Code OROVILLE CA95966-0304 Date: �2`1 U Owner: �E-r C% PP QAL (530) 589-4205 WORKERS' COMPENSATION DECLARATION License #: 397316 I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 5255 S.F. Valuation: $183,699.00 `k I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' q30V `r)compensation provisions of Section 3700 of the Labor Code, I shall _ forthwith comply with those provisions. Date: A&t QS Applicant: (35 �f WARNING: Failure to secure workers' compensation coverage is —1 unlawful, and shall subject an employer to criminal penalties and one }j UX hundred thousand dollars ($100,000), in addition to the cost of W I 1 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Cou ty Code and/or I hereby affirm that there is a construction lending agency for the RAsolutibdowiotkindi a dab for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)Name: B Date: (jJ Address: P&MIT EXPIRES ON: p ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose .� Print Name: RI SQ— �A 6�. �a��� Signature: Date: 11 7 Oy�S 00wner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor tcl gg�no- BUTTE COUNTYIv ° '` PERMIT DEPARTMENT OF DEVELOPMENT SERV CES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP 05- t�G% OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # Website: www.buttecounty.net/dds //��•88 "PLEASE PRINT CLEARLY" 799.3 OWNER Last NameAA ue"R First Name °//� S C� Address 42/4 A -414q City I41 State Zip 01 Phone_3/® Fax E-mail APPLICANT IGNATU E X or office use onl CONTRACTOR Name f Address gD�� City " Sta(2e,;,7 Zi Phone _ Os— Fax E-mail Map Book Lic Clas APPLICANT IGNATU E X or office use onl ARCHITECT/ENGINEER Name f Address City Yes State FZ1p Phone Type Const. Fax E mail Map Book State License Number APPLICANT IGNATU E X or office use onl APPLICANT NAME Name f Address City Yes State Zi!Q Phone Type Const. Fax E-mail Map Book APPLICANT IGNATU E X or office use onl 10-5,11 Zoning f Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS /S LOCATION AP# ©2- — ® —O i. Property Address � � f Cross Street Sl ver ✓ � WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name a 2 /? "'- 4W Address Description or Scope of Work: Footage CCU ❑ Structure Built without ermits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: cl -!;, Receipt #: 01 l� �V \ Amount: / Bldg Other Date: 9 _ `j / 3 / Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans; 3 or 4. sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non=heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. , Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Applicant: Carver, Charles Permit No: 05-1492 Project Type: NSF/Gar/Cov APN: 027-050-035. 100% 70% Plan Check Fees $ 1,141.88 $ 799.32 $ 1,141.88 $ 799.32 WILLDAN Fee $ 799.32 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department of Development Services �uTtF YVONNE CHRISTOPHER, DIRECTOR 00 00 N 7 County Center Drive o _ Y o o_ o 0 0 Oroville, CA 95965 cOU Ny (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: WILLDAN FROM: Scott Rutherford (530) 538-7160 ' srutherford(cilbuttecounty.net LO r SUBJECT: Plans Transmittal For Review Per Contract O M DATE: 06/14/2005 Applicant: Carver, Charles Permit No: 05-1492 Project Type: NSF/Gar/Cov APN: 027-050-035. 100% 70% Plan Check Fees $ 1,141.88 $ 799.32 $ 1,141.88 $ 799.32 WILLDAN Fee $ 799.32 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other LO 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: 1 tI ASSESSOR PARCEL NUMBER Proposed Building Use: /v 5 Permit Technician: (f Date: / Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J Al 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. i N 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. IN 4. Engineered truss details and layouts in duplicate. No faxes! \❑ 5. Letter from Engineer or Architect for truss design review. f✓ 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du licate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation, Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. - ❑ 14. Other \ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) b. fns 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 1 Erosion Control Plan Required........................................................................ /►��0. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs ........................ �-� 9� �ti.1 23. California Department of Forestry plan approval R aid. Sen.... t-�t`r%1r .. %,b . ie 4 6.23.05 4. Planning approval for (A) Use: l�(B)Parking: (C) Parcel Check:.... ✓... \ ❑ f Contact Land Development about _Improvements, _Drainage ........................ - R; 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... L ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 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 and hold for pickup. I have been informed of the above ite Mand requirements for obtaining a building permit. /h / /-A��,,�- Date: t ^ 7- -1. Applicant: 1. Ind2x,<@fmit application for the�oite s numbered: Plan Check Letter 2. Additional items required / ontrac ; designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: SD on ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: - Structural reviewed by: Date: Structural approved by: W y Date: 01 W1 Note transfer by:CAjj ' ►'1 Date: Yellow: Building Division V E.M. USE ONLY Plot Plan Anachad 17— Roar Pion Attachad v"t r Son% to B.D. / TO: Building Department, FROM: Environmental Health SUBJECT: Sanitation Clearance �,Cc1G� deo a 35 Owner Location AP# Plan Approved ,,foo Sewage Disposal Water Supply: Public Private W I Clearance for dwelling. Other v1 �� �d ��—� G✓ 7 -- �"- ,cam6 A e GK Hold final for: Final clearance O.K. for: 8/96 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 C/�1/C� A.P. # 027' UD3 PROPROSED ILDING USE /V DATE rIBUILDING PERMIT FEES --- Balance Due ..................... --- FEMA Flood elevation review ... $ RECEIPT # DATE REC. 6`�J 6 2 9 ar2.dditional plan checking Fee.... $ _ CHOOL DISTRICT FEES (paid at School District Office) (form availa le er P1 -an Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units (sq. ftg.)... X $0.03 = $ _71X -e10 1^ / Sq.Ftg. nn nn w, 4. RECREATION DISTRICT FEES i (I1atd'at Recreation District Office) (form available after Plan Check) m 5. RESIDENTIAL DEVELOPMENT IMPACT FEES tr;�96 COUNTY WIDE (per dwelling) $�� CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NO TH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) "1 WATER TENDER FEES BATTALION # (paid at Building Division) 8. SMIP .... ( C Its 3-1 9. OTHER 10. OTHER 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 plan checking procep.,;�' APPLICANT DATE !f -I-&S_ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number (22 7a50'-60a.lurisdiction: city County Property Owner Property Location/Address Subdifti , en Residential Development No of Living Units Commercial/industrial . = I /-1 New Department Representative Mobile Home Installation Addtfion Lot No. ................... . ...... . .................................. i ........... . .... Sq. Footage E:T Addition/ '*Supplemental to (Group R) Conversion Permit # *(No foundation inspection) ....................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction arid' Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) '()A 00 18 i c entification No. 91 1� A, Lk4 ITA School District certifies that ��� f �C�-ham. C�� Date 1-f (Applicant) (X C-- 51 L">- 31E (Street Address) (Phone Number), Le /I A (City) (State) (Zip Code) f z has complied with the requirements of Resolution No. by payment of $ representing li 937 square feet. 1" 2926 %UFULL mmGAinON District Representative L-/ Remarks: Nodes: You may protest the Imposition of the fees Identified above by submKtIng a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest wtll'prohfl* you from challenging the Imposition of the fen In any court action. M, subsequent to the School DWrkg Representative signing Oft Butte County Schools Impact Fee Cartificidion Form, the School District Is nodftd by the applicable Local Planntril;Agency #0 this project Is being reviewed under the California &Mronmental Quality Act (CEQA� AiCw-'olsamav be subled to additional school fan to fully n*100,ft Impact an tin school Mstftft ed". Y6110W (DUnaing cA�-on 41 eA (school district) fobforrn.As 110/03)dm.m. Vi. I �fi BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM tfE- ATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) Project Location /Address Subdivision Name Building Permit Number Assessable Sq. Ftge J e?3 C/ Type of Residential Development (check one) New Development i,,""'Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date verified by Building Department tcepresentauve WRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Piqlsatlla Carver�� Ap licant Name Phone Number /2 27 DwoSsa aue , ormoso cke� o : sL Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ DO per unit for a total of Square Feet @ $ Remarks: Paid by Check No: L Paid by Cash: Recreation and Park District Representative per sq foot for a total of $ Receipt No: S ff&A 7 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION !r 7 COUNTY CENTER DRIVE__ OROVILLE, CA 95965 COPY of Document Recorded 28 -Jun -2005 2005-0037065 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of buk-', . PROPERTY OWNERS: On �o'� ' Uc� before me, personally appeated— C-ry�,r les t- - C IjkVZA," t fflJCi l I c, (,,MVIL V ' -- personally ImewtrYo-7ne (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) jOare subscribed to the within instrument and acknowledged to me that the/she/they executed the same in hWlwx/their authorized capacity(ies), and that by hisfher/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 of 'al seal. Signatur 4 L Seal:. UKELLY J. REESON COMM. # 1336087 (� `� NOTARY PUBLIC -CALIFORNIA +n A.P.# 027-050'035 1 BUTTECOUNTY 0a � COMM. EXP. DEC. 72,2005-1 A b8-36974 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 5, as shown on that certain Map entitled, "COWDEN SUBDIVISION", which Map was recorded in the office of *.he Recorder of the County of Butte, State of California, on June 20, 1986 in Book 100, at pages 96 and 97. PARCEL B: A right of way for road and public utility easements 60 feet in width, shown as Katie Court. and Silver Bar Drive on the clap of "Cowden Subdivision", recorded in the office of the Recorder of the County of Butte, State of California, on June 20, 1986 in Book 100, at pages 96 and 97. F_.XC:FPTTNn THFR_P.FPn that nnr�inn l�.inn *hin n, t ,i„,.i}�or PARCEL C: A right of way 60 feet in width for road and public utility purposes over the North 60 feet of Parcel 2 as shown on that certain Parcel Map filed in the office of the County Recorder, County of Butte, State of California, on April 19, X985 in Book 99 of Maps, at page 18, as disclosed in Deed executed by Harold L.' Silverthorn, et ux, to Gary L. Cowden, et al, recorded January 28, 1985 as instrument No. 85-19380 of Butte County Official Records. .... ,1 trx. - p�P PgTMENT Co 6uTTF o � o AUC WC�� Department .Count1 J. Michael Crump, Director Public f B u t Works 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 BLESS THAN 9 ACRE I Project Description: Project Location and/or Parcel Number:? By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 �.® g �L1C WORD Department Count , J. Michael Crump, Director Public f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538.7266 (FAX) 538-7171 4 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACREI Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of,disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 WILLDAN Serving Public Agencies August 16, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Jurisdiction Job No: Assessor's Parcel No: Description: Willdan Proiect No: Dear Mr. Rutherford: Approved 05-1492 027-050-035 Carver NSF/Gar/Cov 14353-1707 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies of sheets 1 through 6 and S1, dated 5/25/05 by Dick Miller. * Truss Calculations: Two (2) copies dated 12/17/04 by Longfellow Lumber Co. Inc. * Energy Calculations: Two (2) copies dated 06/08/05 by Donna Wallace. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. r/ �WILLDAN PublicServing Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. The information in bold text in the table below is not consistent with that shown on the plans and permit application. The 60 feet of covered breezeway was not included in the covered porch area. Butte County may recalculate the permit fee based on this information. Specific Use Type of Occupancy Type of Construction 1" Floor Stories S Ft I' Floor S Ft Total Sq Ft Dwelling R-3 V -N 1 1939 NA 1939 Garage U-1 V -N 1 576 NA 576 Covered Porch R-3 V -N 1 2740 NA 2740 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. gaac y, 4 ust r Plans Examiner Cc: Alice Mefford, amefford(i0uttecounty.net Don Berger, P.O. Box 5304, Oroville, CA 95966, Fax: (530) 589-4205 Page 2 of 2 Suresh Acharya, S.E. Plan Check Engineer. County of Butte Willdan 14353- 1707 SITE PLAN REVIEW APPLICATION Date: `V 2,6 AP# Permit Number (if applicable) 0&0 i Parcel Size: A Owners Name: Owners Address: �"r) Telephone No.: Situs Address: Proposed Use: ,Y�k eo,,. Residential IM 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 M Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel E Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) BUTTE COUNTY OCT Z 6 2004 DEVELOPMENT SERVICES Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date / ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) EJ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: �Q07(,nQG' _Index Date: .Qd ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit [3 Minor Use Permit E] Minor Variance ❑ Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: - Jr Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front , Side �O , O Side Street Rear O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CIF approval needed for encroachments into SRA setbacks Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees Amount Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) x Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel MaR: �(.( �/I &C� T/�� 2,Q s o .2 7 --1 1 /O) &&JLi (�&-M Map Date of Recording: (D a0 1r S M -7/:30/85- Lot: 5� Book: * /0 () Page. l 9 0 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required.. ❑ Class A roofs are required 0 Property owners responsible for roa n o Summary of Speck Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrysSuil ding Permit Site Plan Reviewl.doa BUTTE COUNTY Env! r-ounmgnbgI H e a AGRICULTURAL BUFFER NOTIFICATION AND/OR nr,f ry r 7004 UNUSUAL CIRCUMSTANCES REQUEST 7 C;ount., Gamer [)r We Croft, (;,% Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided -or subdivided. 0 Owner or Authorized Agent must complete the following and return with the required site plan to: Jq I Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 ') Name: (kade C, 4 Anis o- L.l u, . -Vex- Mailing Uri Mailing Address: E -Mail address Y? UL S I e_ Assessor's Parcel Number: 02:7 - 050 - 6 3 S Phone: �q F I Reason you believe you qualify for the unusual circumstances exception: Owner or Authorized Agent's signature od"%l/ �C��06 Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... I ternal Dept. Contact Info: [nv. Health ❑ P� 1 Building ❑Other Contact Person: LTJ Phone: 5 J,F - ice,/ ......................................................................................................................................................................................... For Agricuitural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions:. Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/1/03 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADNIINISTRATION * BUILDING * GIS * PLANNING November 8, 2004 Charles & Priscilla Carver 6241 Lancaster Paradise, CA 95969 Subject: APN — 027-050-035 Dear Mr. & Ms. Carver, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Environmental Health Application for a septic permit, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. Attached, please find a copy of any use permits, or map notes and conditions for your property. We are providingthis to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincerely, /anar �-a/oy—o Adler Assistant Planner W WW�� �QaQ�Ee� Aoe�oWF`1 >QCFQ44 3c3Q �.vNe�� Qo�o QEQea�� t 0 J W k Qi' O. e QW & Qc ee�t$�Q�coh � �evW��� WeQ v vQ�o QQ��e P • � "WWti Q Cj � W Q QQ QQWrp Q\ �oQF�W@wNb� C vWho 'ks, jQ ee �R�t°Qo m C oQ aa `r 3 Q wc����ti W.nn� 3 •��tn Q C W i 4 W i� �y j Q � , v n...... mv Q 4i.Q • he Cl) C Qd��3 W v C 0FW W S%h V` V Q�ZA OCZ �WQW �`RR Q• wW h CQ\i CRF k Qi' O. e QW & Qc ee�t$�Q�coh � �evW��� WeQ v vQ�o QQ��e P • � "WWti Q Cj � W Q QQ QQWrp Q\ �oQF�W@wNb� C vWho 'ks, jQ ee �R�t°Qo m C oQ m [q 1i B h i ., S o o� C Cl) i W v C W S%h t�0 �`RR Q• wW h t m [q 1i B h i ., S i W" i� (�dJ 3,I ,OL N UNM! to �z Wim C� H W C� htUUiY\�' aQ a o� < ('77.7,00.0"'y�lco h C Com ,va' m rj I I I I�I'I a M (p•,Id/M_FD.M,WY`): J (y;' X /Yrav/r _', O) m (sJ da+rsr �' vs �adc I a W i Is e QN QN g Z�$�o �@ I 4 ,vvOZI '•'' � r� � p he�C 3 0 sty , l Q Z LLji&q . � /i max=<' .'pD�-` •"� Q: I � rW�Q V Z4k to M� .ev QUI A .@ N Nk � •'ice i QM , P�` C \ �WI '/j � Q WWy3 $WIyV an W� � 'U- i�.� O C@4 -kllll 1. �e`E @@h o @ 1 �.• ' i' _/�� rs e.os __ � Wa �W�4�e Z� $Q�S�n 77 JVD/S � a` W W@>Wa �o�h �WWN"Z!Wy�W� G9.rad6�v 9b at '3i1d?M/r,c9 cul 'I I� 1 am o ^p VQ \ \ y sh N �p l 0 sty , l Q Z LLji&q . � /i max=<' .'pD�-` •"� Q: I � rW�Q V Z4k to M� .ev QUI A .@ N Nk � •'ice i QM , P�` C \ �WI '/j � Q WWy3 $WIyV an W� � 'U- i�.� O C@4 -kllll 1. �e`E @@h o @ 1 �.• ' i' _/�� rs e.os __ � Wa �W�4�e Z� $Q�S�n 77 JVD/S � a` W W@>Wa �o�h �WWN"Z!Wy�W� G9.rad6�v 9b at '3i1d?M/r,c9 cul 'I I� 1 am o ^p U U c U c U G ' RECORDED IN OFFICIAL RECORDS Ro.n.. Graves OF DUTTE COU}ITY,CALIF.OR}dIA Engineer or Surveyor t:TTHF PEOUEST 07' PARTY SHOWN P�9�°d WHEN RECORDED FILE WITH 19flS AUG I3 P 02= 39 MAP LISTED BEILW ELEANOR K QECKER CLERK -RECORDER RECORDER FEE SPACE ABOVE THIS LINE FOR RECORDERIS USE CERTIFICATE OF CORRECTION COUNTY OF BUTTE ) ) SS STATE OF CALIFORNIA ) SG�26 2 Ronald L. Graves , being duly sworn, Name of Engineer or Surveyor deposes and says: That the following corrections or additions to the map of as filed in Book 3 0 0 Pages 96 & 92 of m;;ps in the office of the Recorder are made by me in cordance with Section 66470 of the Subdivision Map Act: L EGIF4719 - EX167141S AFAICE ® - A-MIMJ 45' A/074CO A/07 c0,v E y 7MIf AOX4 04 /5' OF AC7U4e P12017E/77Y L /NES Subscribed and sworn to before me this day of Notary Public in and for the County of Butte State of California Certificate of County Surveyor "S? 02q'47 "W This is to bertify the above certificate of correction has been examined for compliance with Section 66471 of the Subdivi,sipn Map Act. p( County S}irveyor 11 RCE NO. 14225198 6 ER/MA/S"0IJSL / "Otvs AS 4.17 W" r OA/ /OC7M 97 / 70. EAST O� AS PEW AMP h' ' o 041 A� P'El? M141-7 K; S,E,6 ino Al 97 LINDA F. WILSON NOTARY PUBUC-CALIFORNIA ® Butte COLD* � 8� I96yCbOmmlwbnEVIresim20,1= Signature of Engineer or Surveyor (RCE No. �IS Noy. 4085_ Listed below are the present fee owners of property affected by the correction or addition. Gary L _Cowden Linda C, Cowden Florei.n'e Cowden LD1440 - REVISED - January, 1980 ,D.. ®E R®CUMENT Envic ®omental Hasa' I T 1 1012 t'11rya+► L>V-1 o ►-rc-k pc . ---------------- - -..............•- ... am: fiPs-• __ ......................................... .. .R.......................... ._ . .. .. ... ................................. ... 40 ryEpp9 D 5.� R' N F R AR• �U 7 ' �'b' i'C \ ` . _ .. .. .. ................. .. ..................................t p R 5:09: A� _-- :I.ti.. ... .. .. ... .. .. ... ............. .. .. ........................ .. .. .. ... .. .. .. .. - --l. ai. ... .. .. .._ L /+ } \: ... .. .. ... .. .. f =.lc� .................................... RLAMdO.W0ROM 3JWNG PLAN APPROVAL P Ear s DNO .. .. ... .. ... .. .. ... .. . \ ! 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Size, Ams PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: