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027-050-039
NOTES # RESIDENTIAL PERMIT N0. — 021-050-039 -O5 028i0 SAXE CHARLES i To SILVER BAR DR, OROVILLE t Cont: O�VNE.R NEW SINGLE. FAMILY i I• .a OFFICE COPY i Address S, I v dA_ A(SA, � I GAS Meter By Date ELECTRIC Meter By Date 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I f t i JOB FINALED (Date) 4 Signatur 71 f_: I CHECKED BY F Glzu8eS LOERKE WSMATION OO., M AMM CEl T ICATE . Zc 5 \ ve od VVI -c .� - w'ia, (I r i�f:f r iia 7 elft awd mm ism Nip!& 7homiodR (R-VAM) f ly FN -_ fbm JdmB madvwo -- CC knelp baft InsloWwd0ftsq.•b15 � �Titicioness 15. 5 Mean ade t buMbd per o qm, m tbotio 7bmY d Rs aae (R V&w) (z • 3�f & EXTERIOR WALL. 4. RAISED FLOOR �shwals Bis mac+%___.__ 5. SLAB FLOOR /PERiM MER SB d Now w.s uRadh1 Z 1 ---- - Themjd R+ QVVaw) n IN d How ' Thold fbdoMm (R�4lahw} 8aId NM 7bl* ws ( ) . - _I . Thamd woe (R-vah;e Ra� � on rid o 'L J=OK 0 = Not OK . = Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing E 11. Ext.; Steps -Doors -Landings 12. Date Card B-1 Date Card B-1 Date Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements POOLS (Plans) OK except #'s 2. Footings; Size -Spacing -Marriage Line Setbacks -Easements 3. Gas; MH Test -Demand -Valve -Connector Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged _ y w 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 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 i 7. Electric e 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing E 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 _ y w •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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) 16. Insulation Date?Card B-1 Date N. 4J 6 Card B-1 L Date 40 Card B-1 Date Card B-1 Date PL ING (Per'mit) OK except #'s 1y ater Htr.; Vent -Access -Combustion Air Baffle 1 ater Pipe; Test & Anchor -Nail Protection I • y- i; 1 .VV .; T t Fittings & Abhor -N it Protection 9. yr 2e Shower Ran; T st, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date CardB-1 (A4(., Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC CAL (Permit) OK except #'s 2 Date UN RFLOOR (Plans) OK except #'s Elec. Receptacles Spacing -Lights & Switches at Doors Z g -Setbacks -Easements food -Slope ize Boxes & No. of Conductors Stapled ., Main; Soils-Elec. Gr . / A /" Ftg. Depth Romex Installed Close to Edge of Studs & C.J. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. S emwalls, Garage; Steel- Blockouts-Wra ed 6 . Fjold Downs and Special Anchors 7 SI b, Steel -Wrapped 8. iers-Fire lace Ftg.-Steel Clothes Closet Light -Shower Light -Spa Light W.V.; Fall -Fitting -Test -2 Way C/O wer Test © If UF, Gas Pipe; Size Anchors -Yard as Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date?Card B-1 Date N. 4J 6 Card B-1 L Date 40 Card B-1 Date Card B-1 Date PL ING (Per'mit) OK except #'s 1y ater Htr.; Vent -Access -Combustion Air Baffle 1 ater Pipe; Test & Anchor -Nail Protection I • y- i; 1 .VV .; T t Fittings & Abhor -N it Protection 9. yr 2e Shower Ran; T st, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date CardB-1 (A4(., Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC CAL (Permit) OK except #'s 2 lure & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 2 ize Boxes & No. of Conductors Stapled 2r Romex Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech Fas. eners-Bond Gas"& Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 39e.' Subfeed Wire Size/ = /g"u or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ • & /ga` r AI -Oven Circ. / /ga Cu or Al Insulated Neutral Yes O No 3.. ervice-Riser Conductors & Ground Main Disconnect ,G) r,76 Equip. Clearances Panels-Motors-Mech. Equip. Date Clothes Closet Light -Shower Light -Spa Light (Permit) OK except #'s Smoke Detector Date 11) 4P29 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except #'s Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49 A.C. Ducts Insulation & Support 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Vent Fan, Exhaust above insulation drm. Windows or Exiting Doors -Sill Ht. & Dimensions 3 ondensate Drain & Overflow, Size & Grade 5 . 39e.' Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 4d Attic Access & Platform if Furnace in Attic Date i Date ,G) r,76 Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FR"ING (Permit) OK except #'s 59 lazing Area -Glass P `t ction-Skylights-Plastic Sills Proper Materials & Anchors hear Walls; NailindB Its I 1. alls Studs -Nailing Spacing & Braces -Plates -Sound 96. Fire Sprinkler Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 4X. Draft Stop in Walls (rat proof) Date 46. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4. Headers & Beams -Size & Bearing Date FRAMING (Continued) 4 Han ers-Post Caps -Anchors -Connectors 40/,Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49 fireplace Ties ocType A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 drm. Windows or Exiting Doors -Sill Ht. & Dimensions Lf Garage Fire Protection Framing -RC Channel 5 . Property Line Firewall & Openings 5 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -55-gitairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56."PI wood on Roof Overhang -Attic Vents -Rafter Outriggers 57. iding-Nailing Veneer S �( X. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59 lazing Area -Glass P `t ction-Skylights-Plastic 9 hear Walls; NailindB Its I 1. Brace Interior/Exteri Wall Panels LI/6YP'- K. Insulation -Walls -Ceilings 63. Infiltration -Walls -Win 'ws Date Card B-1 , Date 9j . f y ,,,2j- Card B-1 ' Date ) I A. !-Card B-1 r Date 1/L I lWoe' Card B-1 Date FINA tans) OK except #'s �x - teps-Door & Sidelight Protection -Landings 65. qperWe Detector 66. -Furnace Vents -clearance -Comb, Air -Connector - f Garage; Above Floor-Ducts-Mech. Protection 67 edroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 69. E�Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. . Outlets at Wood Panel, Int. & Ext. 7 . Ki t. & Appliance; Ground -Air -Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter 7 Garage Fire Door; Swing -Landing -Closure '76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. rage; Above Floor-Mech. Protection 79'. 51>-; Elec. & Mech. Equip. Listed for Location 7 . Receptacles in Garage (F.F.I.)-Romex Protection 8 Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. F Instld./Drive O Yes O W/Walks O Yes O No/Planters O Yes O No gl,j-D6 c Brown -Finish 8 . . Unit Disconnect, Electrical -Plumbing RK Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Ext r Elec. Trim, G.F.I. Receptacle -Underground til •on Throughout House ss Protection C erections from Previous Inspections j J . ,r/ e, 9 Gas "s eters Tagged, Gas -Electric 93. XtZ & Sewer Connected -C/O to Grade -HD Approval 9 . rgy Compliance Certificate -Other Certificates !/Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date a Card B 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-00 1 ?86`% Recorded Official Records CoBUT6Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:37AN 30 -Mar -2005 REC FEE 13.00 COPIES 3.00 Laura Page i of 3 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: 3 (� A Date 13 N\ c>.�c�\ O S PROPERTY OWNERS: ,.� OR mribi- L B• ilAp, o£'jc'-� 4e:��a 1 r OL4A&iL3 0 State ofGW*fern* ) County of C-- ) On 3-$ -O before me, 4 - personally personally appeared -:� 15 r 13e d e l l personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. +�+►+��►����, WITNESS my hand and official seal. ♦.`W���ihl Signature Seal:.,'► 6f1 $?AM ••4 •A�� Z A.P. #0.27 0 5 3 9 = ,'4"" AND C,,,♦♦♦ CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT ms, State of c (s, t o r•,u l �. County of &A.44c, On 96,p: " soop before me, Name and Title of Office (e.g., "Jane DA. Notary personally appeared ��,�.N�� �. ��.x� Names) of Signer(s) ] personally known to me -OR- ❑ proved to me on the basis of satisfactory evidence to be the person(ei whose -_ ,-_name(s•) is/are subscribed to the within instrument and acknowledged to me that he/sk►e/t+tey executed the same in his/her/heir authorized capacity(ies), and that by his/berAh& JAMES IAMAR KINSER signature(s) on the instrument the person(s), or the entity upon COMM. #1377185 behalf of which the person(&) acted, executed the instrument. NOTARY PUBLIC— CALIFORNIA • BUTTE COUNTY WITNES my hand d official seal. w my tomm._Expires Sept. 28, 2006 of Notary Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: S 0-/- Document at Document Date: %%%^,_A S-, Zoo S-- Number of Pages: f Signer(s) Other Than Named Above: ,rp 9a P'Ne- Capacity(ies) Claimed by Signers) Signer's Name: ❑ Individual ❑ Corporate Officer ❑ Titles(s): ❑ Partner - ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Individual ❑ Corporate Officer ❑ Title(s): ❑ Partner - ❑ Limited ❑ General „ ❑ Attomey-in-Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: PARCEL 9, 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 10, 1986 IN BOOK 100, AT PAGES 96 AND 97. AP NO. 027-050-039 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE All: (530) 538-7541 PERMIT NO. BP050280 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 , I hereby affirm under penalty of perjury that 1 am licensed under Issued Date: 05/11/2005 APN: 027-050-039-000 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: 129 SILVER BAR DR PAL License Class : License Number: Map Index: Date: Contractor: Description: NSF 2385 SQ. FT/GARAGE 764 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the SQ. FT/COV. ENTRY 68 SQ. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SAXE, CHARLES CRANDALL & BEDELL to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section P.O. BOX 540 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO CA 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 95968 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 533-7102 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SAXE, CHARLES CRANDALL & BEDELL such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one P.O. BOX 540 year of completion, the owner -builder will have the burden of PALERMO CA proving that he or she did not build or improve for the purpose of , 1' sale.). 95968 I, as owner of the property, am exclusively contracting with (530) 533-7102 licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State Licen a Law.). Contractor: ❑ I am Exempt under Article 3 of th s ess and Professions Code i Date: �� '�s Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: I abor Code, for the performance of the work for which this permit s issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: PURSELL, FRANK JAMES Carrier: Policy Total Square Ft: 3209 S.F. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $174,321.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to(Ac e workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one Gj,,Q/ h7 4mG���d hundred thousand dollars ($100,000), in addition to the cost of C: ! "� r / (�Y compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 3(0,50? l CONSTRUCTION LENDING AGENCY This permit is hereby issued and a applicable provisions of the Butte County Code and/or �ab for I hereby affirm that there is a construction lending agency for the Re olutionj o do work i0dicat ve which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B / /�/►/ Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 1D627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl 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 my auth f ed age oft a ow er. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an offic'� for or docu en t gf B e County. I hereby authorize representalives of Butte County to ea upon the above mentioned property for inspection purposes. U Print Name: Signature: / Date: Owner 0 Contractor ❑ Agent 0 for Owner Agent for Contractor D �� rs �6�2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 r ,O A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds I (CEJ 1 /6-. /6 **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last I ., . First a Addre 5 City State State i 6U z%'06_9,) Phone 2 Fax E-mail Lic. #C lass APPLICANT NAME CONTRACTOR Name I ., . Address Zip City Fax State Zip Phone Type Const. V Fax E-mail Map Book Lic. #C lass APPLICANT NAME ARC ECT/ENGINEER Name _ I ., . Address Zip City Fax State Zip' Phone Type Const. V Fax E-mail Map Book State License Number APPLICANT NAME Name wN /_'D �J\ Address City State Zip Phone Fax E-mail For office use only: v Zoning S Flood Zone SRA 0 No Occ. Type Const. V Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT No. 05— BP BIN LOCATION AP# Uz 7 0 3 Property Ad es '' //gyp , City Cross et 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 �— 9N — Address Descriptio co . e of Work, Sq. Footage 2 335 sq r 'gra ❑ Structure Built without Permits V. rn� l0� ❑ 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. y *D AM �(� g Received b : Amoun Bld 13 Receipt #:4 7 0A -#1e& TJAI SRA Sheriff SMIP Date _4_ TO. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Y.. 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 layquts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement.of.Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: -(A) Data sheets and 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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.- 0 ees:❑ 3..Califo.rni.a-.Department�of.Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encrdbbh` ri6ht Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).. - ❑ 6. Con iractor'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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 0 00N O L0O utte County Department of Development Services )NNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538-7785 Facsimile LO FROM: I a SUBJECT: 00 DATE: WILLDAN Scott Rutherford Plans Transmittal 2/7/2005 (530) 538-7160 srutherfordebuttecounty.net For Review Per Contract Applicant: Saxe, Charles Permit No: 05-0280 Project Type: NSF/Gar/Cov APN: 027-050-039. 100% 70% Plan Check Fees $ 1,246.06 $ 872.24 $ 1,246.06 $ 872.24 WILLDAN Fee $ 872.24 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 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: Ohazk (_ T �� ASSESSOR PARCEL NUMBER Proposed Building Use:ys Counter Technician: Date: Items required in order td apply for a permit, All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7: Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑�'an] azardous Material Form Oroville, as applicable. 15.tati n and site plan prove/ from the Environm tel Health Department in ❑Chico ❑ �,p Qn b. Other 2G� Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................. ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ Erosion Control Plan Required........................................................................ ........ P" 21 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval maid. Sent by: _ 24. Planning approval (A) Use: 01IL(B)Parking: (C) Parcel Check: ✓ S ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... L� 26. NPDES Form............................................................................................. q, 627. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (Oven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ......................................:............................. ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued TelephoneS' 3 - ;?W 1/I 4 and hold for pickup I have been informed offthe,above(items and requirements for obtaining a building permit. Applicant: A ate: 1. Index permit applicatia for he bove� rite s numbered: �f Plan Check Letter 2. Additional items requir �) Contractor, design ; owner A as advised of the above data by X phone, ❑ mail, ❑ counter, by Ci26 Date: 3:"- O�� 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: I Date: Note transfer by:64WE�-.DateS=r- I Yellow: Building Division COUNTY OF BUTTE t3PO05 -02 cc-, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER�N/�� ��� A.P. # PROPROSED BUILDING USE ��� DATE , ...�. RECEIPT # DATE REC. L BUILDING PERMIT FEES j / GD/ --- Balance Due ..................... $ ` 1 62 / --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ c �'i2. SCHOOL DISTRICT FEESQew%% �j1-^ 5 11 aS (paid at School District Office) (form available after Plan Check)`S 1/ 3. SHERIFF FEES (paid at Building Division Residential ............$360.00 =)_ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. -91 / /�� 5. RECREATION DISTRICT FEES l s r „�/� OS /w IF, (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 $39;00' paid at Building Divisiong,.�', i? ' 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ 4one ff umrs Rm[. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. V 10. OTHER 6 At time of permit application was a vise a above fees are required to be paid prior to issuance of the permit. These fees may be changed during the la chec 'ng roe APPLICANT DATE 2 - Pursuant to Government Code Section 66020, you are EFrvbZNotified 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 tM 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) O�QPgTMENT Do TT oFo O �' o o 4 1 o t �\ a— � 0 5 tuc VY0�� Department J. Michael Crump, Director Public 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 ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ' [LESS THAN 1 ACRE 1 - Project Description: s�U" ' ���' rJ cR 3-O Project Location and/or -Parcel Number: 0/..'7- - ! ; rt/f-By signing belowIthe`pojeeownerowner's=agent;certiy=that this project WILL NOT DISTURB— = l -acre or more of land and':tl at I,=t}ierefore, da ii n'e d�,to'tapply=for'a Construction.Storm WaterEernut �� L - = from.`the� State=.of California `Regional :W er ai ty Control• =Board. Phased :projects that:-conta-int: multiple=site build-.outs--of.lessxthan:-Oi e�acre-=buten-°combihed with. subsequent --Phases. _ tharr-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.�� n Signed: Title: Date: 6�;w �J, Z -S -C)5- Less than l Acre NPDES & SWPPP.Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 School District A.P. Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Orlsdiction: city County Residential Development No of Living Mobile Home Units Installation Commercial/Industrial New Building6epartment Representative Addition Lot No. 1)5- ()rQ 900 ............... . ...... . .................................. ; ........... . ......................... Sq. ge- Foote Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation Inspection) ........................................................................ ! ....................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (including Exterior Roofed Areas) IS— —4.5- Date District Identification No. 050 2 9 Oi2o Y i �1'� School District certifies that / aq (Street Address) (City) has complied with the requirements of Resolution No. representing School 49 3? 9 • square feet. Paid by Check # Remarks: (Applicant) 55:3 ---7 10a - (Phone 0a -- (Phone Number) em 9��q LAO (State) (Zip Code) by payment of $ 2926 FULL 111111171GA"ON' $ /il oz Date No**: You may protest the Impo . sklon of the fen Identified above by submitting a written protest to the District, In compliance with Government Code Seedw 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written. protest wlll'pmhlbtt you from challenging the Imposltlon of the fan In any court actim ff, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the SC1100 . District Is notified by tit applicable Local Planning Agency that this project Is being reviewed under tit California EwArOnnuntal Qtislfty Ad (CWA). era project may be subject to additional act" fen to fully mith"Its-11111 Impact on the act" dbbkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ds 110/03)dm.m BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM krEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 02 ''J Building Permit Number Property Owner (s) Project Location /A Subdivision Name Assessable Sq. Ftge� Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date iss d ) verified by Building Department Comments: 0 DRPD certifies that: �; -5--71a z v Applicant Name . P ne Number 0 v-7 Jk__ Mailing Address f City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment o£ Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: Recreation and Park ve KAFORMSWILWNG FORMS\park-rec standard form rev I Am per unit for a total of per sq foot for a total of $ Receipt No: lb&51-1 SITE PLAN REVIEW APPLICATION Date:��j'0 j AP# a2 7 ._05-0 ^ 03 r Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: OAC .�f0a gS9(e.� Telephone No.: _ 3 - 7ro, Situs Address: /meq - /, Proposed Use: Residential New Single Family Residential Single Family Addition ❑ .Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): 0 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) U Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By.�A a2V Date r 05 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attaphed) o Flood Zone: ' Flood Panel No.: "WO7_C V �� Index Date: d 0� ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------- —---- —--------------------------- —------ ------------- —------- --------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: /A —s Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front o201 3 0, Side �J Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees `❑ Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Fire-, ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lx,� Z - Lot: Book: / D Page: Use Permit/Minor Use Permit CSG c 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. ❑ Property owners responsible for roa u Page 4of5' x 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 VA x 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 e7W.&Wk CE?T/F/CATE WE, !A?Y a COk/OEA/ AA//! 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LYlMs IN THE � Assoc � a es n7MEq TA.uMS /F REaav/REO 9Y [: /AF. % e e 4)177 OF BECOBO 7HA7 ,NAY AFFECT ry/S nnnnEAT✓ 9U7 CANNPT /iE TME FOLIAiO MONUMENTS AS UA//NCOnPORATE4 AREA ni /91TTE to., CAL/F, sou hsr5 LnEATEO FgOM gECOgO OA7A ifLYA,r(.�% 0 OEEOS SNODViV AS /IEq (q-/) AV& s) r.YE AOAOB /A/ TMIC suRB/visiO,v weA6 AfiT oAe0 O4i[fiisFYB idB m 170"177 COW/JEA/ P.O. Box 986 Oroville, Ce. 95965 COMA[Y W/7M S7AMBABOS FOO BOARS M -W ALYBA7EO RYTMe ZlMA/7Y FOB AMI"MIMACf \ Ph. (916) 534-9587 fi5-055 L'ahco� � .�C 8-73_P4 k�-aCoozCI-Z TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance aklLbs , ��) / L2 fL Owner Location Plan Approved for: Sewage Disposal)Nater SuppiL Pu Clearance for dwelling. Other ) Y'11-- �� Hold final for: Final clearance O.K. for: NOTE: E.W. USE ONLY Piot Plan Attached Floor Plan Attached Sant to B.D. / AP#\ Ibc Private Well l Environmental Health Specialist Date 8/96 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, . and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date B N\ 0A 5=h , O S PROPERTY OWNERS: ,. J oAi 1A1�f/� kL .i� Ak oz State ofGali€ernis ) County of C�•- ) before me, 1 I CW_U4e1J-VN JJ0.f 11 a 4 - personally appeared -:S 13e a e k I personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature_ i*'� 4SLA✓/� Seal:,&oA 0/0NO 7 A.P. O S 3 cT * �;�'TARY :. 1'I1,1 . Recorded I REC.fEE 13.00 Official Records I COPIES 3,00 County Of I BUTTE 1 CANDACE J. GRUBBS 1 Recorder ! ROSEMARY DICKSON 1 Assistant I Laura 11:37AM 30 -Mar -2005 I Page 1 of 3 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 B N\ 0A 5=h , O S PROPERTY OWNERS: ,. J oAi 1A1�f/� kL .i� Ak oz State ofGali€ernis ) County of C�•- ) before me, 1 I CW_U4e1J-VN JJ0.f 11 a 4 - personally appeared -:S 13e a e k I personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature_ i*'� 4SLA✓/� Seal:,&oA 0/0NO 7 A.P. O S 3 cT * �;�'TARY :. 1'I1,1 . CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of Ccc P I County of j(„ -1+C, On P14 ry, "D before me, liCr9VtC� T ljV ;ter'. /1V0lrw�/ /'ct b /iC, Name and Title of Officer (e.g.. "Jane D • e. Notary Public") personally appeared �� (,�.� C �' ��X. -c, Name(s) of Signer(s) personally known to me -OR- ❑ proved to me on the basis of satisfactory evidence to be the persoaW .whose names) is/are subscribed to the within instrument and acknowledged to me that he/si3e/" executed the same in hisLhwA#eir authorized capacity(Tes), and that by hisLber*tek JAMES LAMAR KINSER signature(s� on • the instrument the person(s), or the entity upon COMM. #1377185 behalf of which the persons) acted, executed the instrument. : NOTARY PUBLIC.- CALIFORNIA r BUTTE COUNTY W ITNES§emy hand and official seal. F a My Comm. Expires Sept. 28, 2006 Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: aN� Document Date: 199et^ S—, Zoo 5- Number of Pages: J /A Signer(s) Other Than Named Above: X /1) Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer ❑ Titles(s): ❑ Partner - ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Individual ❑ Corporate Officer ❑ Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: PARCEL 9, AS SHOWN ON THAT CERTAIN MAP ENTIT WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER F HE SUBDIVISION ", OF BUTTE, STATE OF CALIFORNIA, ON JUNE 2'01 1986 IN BOOK 100, AT PAGES 96 AND 97. AP NO. 027-050-039 9 V WILLDAN Serving Public Agencies April 28, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax: (530) 538-2140 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com COUNTY OF BUTTE PLAN REVIEW Status: APPROVED Willdan Project No: 14353-1375 Jurisdiction Job No: 05-0280 Assessor's Parcel No: 027-050-039 Applicant: Charles Saxe Description: Saxe NSF Dear Mr. Rutherford: 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 revisions were in response to a previous plan review and comments listed in our letter dated March 9, 2005. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets 1 through 8 dated 01/20/05, by Jim Pursell, P.E. * Energy Calculations: Two (2) copies dated 01/29/05, by Barry Rubanoff. * Truss Calculations: Two (2) copies dated 01/04/05, by Design Assistance * Structural Calculations: Two (2) copies dated 12/19/05, by Jim Pursell, P.E. * Miscellaneous Documents: Two (2) copies Truss Design Letter dated 12/19/04, by Jim Pursell, P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. 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. CCC 1. L aF`• d k��4:�-.%•:JS" �f Y • A, .i IAA, AM - 3 9lvr'.xa �,V'•. Y�yq, �; , .sem>rya� i _ � � �,�• :. a e r ,"o -y'. y�d3bu4 n.l �Y�JY•y� Rs? � 1—s k x te �wy e- a � tt�T N ME If i A Y wyas yy>2�g` `•�,` ) ,,ad• ' +!' F }y ni5 ^x ;r .. 'tw nVry i° fffiy @ ravk'� u r Y N.St�.+� � � 4 •yrtiri� � T '4 q �tti y 4 4 ti i 4 rr.d, •'4P APPLICABLE CODES Unless noted otherwise, all comments are 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 and abbreviated herein as "CBC." • Part 3, known as the California Electrical Code and abbreviated herein as "CEC." • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC." • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC." • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS." CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Specific Use Type of Occupancy Type of Construction Sprinklers 1s` Floor Total Sq Stories Sq Ft Ft Dwelling R-3 V -N No 1 2385 2385 Garage U-1 V -N No 1 764 764 Cov. Porch R-3 V -N No 1 60 60 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. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, 00, L Michael LeBeau Ricardo Guzman, S.E. Plans Examiner Structural Plan Check Engineer Cc: E-mail Alice Mefford at: amefford@buttecounty.net Charles Saxe P.O. Box 540, Palermo, CA 95968 Email: ccs(a-),arboristcrew.com Jim Pursell, P.E. Fax: (530) 534-0902 .Page 2 of 2 Wialdan 14353-1375.PC3.F Butte Comity 05-0280