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PERMIT NO.
RESIDENTIAL
027-050-040 BP040718
SAXE, CHARLES..
IOSSILVER BAR LN., OROVILLE
NEW SINGLE FAMILY �
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SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature V
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OFFICE COPY
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
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
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than, five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of Bu ness d Pl ofessions Code
Date: 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
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
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 #:
I certify that in the performance of the work for which this permit is
issued, t shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
PERMIT NO.
BP040718
Issued Date: APN: 027-050-040-000
Site Address: (c'Sqy- ,,�L,
Map Index: 6r,;6 ✓I` 1
Description: NSF (2243) GAR (576)
Owner: SAXE, CHARLES
PO BOX 540
PALERMO, CA
95968-0540
Applicant: SAXE, CHARLES
Contractor:.
License #:
Architect:
Engineer:
Total Square Ft: 2243 S.F.
Valuation: $145,795.00
Census Code:
WARNING: Failure to secure workers' &densation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
r
CONSTRUCTION LENDING AGENCY This permit is hereby issue
I hereby affirm that there is a construction lending agency for the Resolutio s t o work ind
performance of the work for which this permit is issued (Sec 3097 Civ.) / A a
PERMIT EXPIRES
provisions of the Butte County Codri anrVor
fees have been paid. I_
Address: 1 fDife
❑ 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.
Cl *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. 11
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the d Illy uthori d agen th 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 ffi al form r docu en Butte County. I hereby
authorize represe,tatives of Butte County tooeenter
�upon the above mentioned property for inspection purposes.
Print Name: �IlJ7 J V' 1/ "� Signature:
Date:�� U
,Qwner 0 Contractor 0 Agent for Owner
0 Agent for Contractor
J=OK
0 = NotOK
Applicable
- =Not Applicable RESIDENTIAL (Single & Duplex)
. = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
FA, Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5e"8temwalls,
Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Pi replace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
1
13.
14.
at ipe; Test -Anchors -Regulator -Service Test
lectric Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date L -7
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17.
W ter Htr.; Vent -Access -Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
" LVI 2
W.V.; Test Fittings & Anchor -Nail Protection
ower Pan; Test, First Floor -Tub Access
. e t Tub & Shower, Second Floor -Tub Access
2
. Gas Pipe; Sixe & Anchors
Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24.
Fi ture & Transformer Clearance -Ins. Protection
2
. Elec. Receptacles Spacing -Lights & Switches at Doors
2,§ooTize
Boxes & No. of Conductors Stapled
27.
ex Installed Close to Edge of Studs & C.J.
2
uip. Ground made up w/Mech Fasteners -Bond Gas & Water
2
. 2 Appliance Circuits in Kitchen & Conductor Size GFI
,Veolubfeed
Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
nge Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
32.
ice -Riser Conductors & Ground Main Disconnect
. E u' . Clearances Panels-Motors-Mech. Equip.
3
othes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
3
Date
Vent Fan, Exhaust above insulation
C ndensate Drain & Overflow, Size & Grade
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Attic Access & Platform if Furnace in Attic
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
4
. Sills Proper Materials & Anchors
4
4
. Vyalls Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
4'4AraE
Stop in Walls (rat proof)
45
re Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date FRAMI_bG (Continued) `
4*0'%Dgers-Post Caps -Anchors -Connectors
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
59,,Atrc Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5m. Windows or Exiting Doors -Sill Ht. & Dimensions
520"G-arage Fire Protection Framing -RC Channel
op,erty Line Firewall & Openings
5 xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55f3'rai ; Width -Headroom -Rise -Run -Landing -Fire Protection
,95—Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5;,&el6 g�aifirng Veneer
cco Mesh -Drip Screed -Fd. Vents-Underflr. Access
52,,6TRing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
Br a Interior/Exterior Wall Panels
nsulation-Walls-Ceilings �►
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card Date Card B-1
Date FINA tans) O,K except #'s
F.I. &
71
Floor-Ducts-Mech.
78-4(iit,Fixt. & Appliance; Groun lo-Cookino CleaFance
74/Ele utIgK& Receptaelbs at Kit. Counter
75,4a Fire Door; Swing -Landing -Closure
76:"A.C.Pdct in Garage -Damper
7- r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in age; Above Floor-Mech. Protection
7 Ib.• Elec. & Mech. Equip. Listed for Location
79 . Receptacles in Garage (F.F.I.)-Romex Protection
8 . In;wl�ion-Foam-Looked in Attic
81. Gprd<ils & Deck Construction -Post gAps
8 -dn. VBents & Crawl Hole Do r Dr age & Wood ar h.
Cle�e Looked un5gpKoor 0 Yes
83_,-foI19v6nci Instld./Drive Wfes 0 No/Walks 0 Yes /Planters 0 Yes o
Electrical -Plumbing
8E�yte�Above Roof, P4btf7Cppliance-Fireplaee-Ce-arance to Openings
877 Wates, Discrawifc-t, EleSOZO, Plumbing
8 xter Elec. Trim, G... eceptacle-Underground
8a,4engation Throughout House
from Previous I
92. Gaeters Tagged, Gas -Electric
91o,Oater & Sewer Connected- o Grade -HD Approval
'A'J/ /' &V Energy_Compliance Certificate -Other Certificates / /A
Posted
Date74;-/, b5 Card B-1jjP Date 1) U Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Nqt OK
. = NotReadyable • 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
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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
,. 5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Mar 15 05 07:58a LOERKE INSULATION CO.,INC 5308918560
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AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
�.- w IIIIIIIIIIIIII'�IIIIIIIIIIIIIIIIII
200'4-0028.469
Recorded
Official Records
County Of
I REC FEE
I COPIES
I.
BUTTE
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
10:16AN 13 -May -2004
I Barbara
I Page 1 of
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, e \A Ii A a+kcx-c V e-JQ 6jua.A,� cx,,ka v,,,a-&,o, ,. ,.�t- psi -
e,
Date 5' 7
State of California
County of &4k,
13.00
3.00
On $-7-200-1 before me,
.- -A,`s L.c.„.o.r- Xi N x;er , /00ic**-y 10tAbl,c,
personally appeared 'Gc�xc. personally
known to me ) to be the person(s) whose name(s) is/afe subscribed
to the within instrument and acknowledged to me that he4he/t4my executed the same in his/her/t#reir authorized
capacity(ies), and that by hisser/their signature(q) on the instrument, the person( or the entity upon behalf of which
the person{.&) acted, executed the instrument.
WITNESS my bund and official seal.
Signatur Seal: JAMES _
KIPt;SE
COMM: #1 771$5 -�
��'7� NOTARY PUBLIC.'-'•'CORNLA
A.P. #_09-7—O5Q -C�y BUTTE,COUNLY
My Comm. Expims'Sept.:28, 2006
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of Californ
ss.
County of
On
personally
before me,
Date
SUSAN ROBERTS
COMM. #1386941
NOTARY PUBLIC - CALIFORNIA
VENTURACOUNTY
My Comm. Exp. Dec. 21, 2006
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AlIV(i00tl0113A
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S1b3R0Ef N�d.�®snis
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Name and Tide oftricer (e.g., "Jane Doe, Notary Public")
1
Name(s) of Signer(s)
❑ personally known to me
roved to me on the basis of satisfactory
evide ce
to be the persory("whose name
subscribed to the within trument and
acknowledged to methW,e? xecuted
the same in �rd capacity(i, and that by hesignature(6�on the instrument the persone,or
the entity upon behalf of which the pers000<
acted, executed the instrument.
WITNES y hand and offic' al
Signature o Notary lic
OPTIONAL
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:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer
Signer's Name:
Number of Pages:
❑ Individual Top of thumb here
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney -in -Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
0 1999 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.nationalnotary.org prod. No. 5907 Reorder. Call Toll -Free 1-800.876.6827
.�_.�rwrrr++..�...+ra.�r�.-r .wa•v.7'll'r.Y:. r. �4 f_M. i - .
Order No. 00211296-001
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 B:
PARCEL 10, 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 1:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS 60 FEET IN WIDTH, SHOWN AS
KATIE COURT AND SILVER BAR DRIVE ON THE MAP 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..
EXCEPTING THEREFROM THAT PORTION LYING WITHIN PARCEL A DESCRIBED ABOVE.
PARCEL B2:
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.
AP NO. 027-050-040
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP040718
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: APN: 027-050-040-000
the Business and Professions Code, and my license is in full force and
effect.
Class: License Number:
tO S S,
License
Site Address' � V � .v
Date: Contractor.
Map Index' Vrd ✓)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: NSF (2243) GAR (576)
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
to its issuance, also requires the applicant for such permit to file a
PQ BOX 540
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
PALERMO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95968-0540
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: SAXE, CHARLES
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:•
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
L3I am Exempt under Article 3 of Bu ness d P lofessions Code
Dater Owner:
License M
WORKERS' COMPENSATION DECL . ATION
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
Architect'
'
is issued.
O 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 2243 S. F.
#:
Valuation: $145,795.00
.Policy
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
rin
Date:
Applicant: Ld A I
WARNING: Failure to secure workers'ensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Coda ?nfUor
I hereby affirm that there is a construction lending agency for the
Reso=ndicalt abov fo whit fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
3
Name:
BY ate:
Address:
PERMIT EXPIRES ON:
D to
❑ 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 d ly 'uthod d agen th 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 ffi al form r tiocu en Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
oma? ��
Print Name: �i "� Signature:
15�_ 0_ U Z
Date: —
,----*wner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION BP
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530 891-2834 (CHICO)
OFFICE #: (530) 538-7541 / C
DATE:
APN:
ZONING:
OWN 'S LAST NAME:
OWNER'S FIRST NAME:
PHONE:
6,33;—%/d
STREET AD R>� :
FAX:
�� �7���
CITY, ZIP: /lz(�-�n ^ C� �S U
E-MAIL:
SITE ADDRES •- su vex AAA g -�Z�Pelz'
CITY, ZIP: 0A0 .11C.l, / �
�
NEAREST CROSS STREET: V" ��� �v
TRACTILOT P
APPLICANT NAME:
\•iJ'
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
CONTRACTOR NAME: OW
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
E-MAIL:
LICENSE NUMBER:
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
Wf 6L
❑ Structure Built without permits /
❑ Proposed Change of Occupancy (note previous use)
T=LM?5=bk O GIS S is S f ->-A
EXPIRATION OFA PLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only: ` Gp. )k
Notes:
} I
Application Received by: I Date: 3
�'?? _
�3Amount Received: Receipt number: 3 C1
Master application 3-4-04
COUNTY OF BUTTE -DEPARTMENT OF'DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: V\ 7�� ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Technician: Date: J G
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order o 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!
I 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 A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
�p 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ l 17. Fire Sprinklers............................................................................................
18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. 0
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................ ........
21. Fees as shown on the attached Schedule of.Fees Due Sheet ..............................
22. City of Chico Plumbing permit ............................. ................... 11
23. California Department of Forestry plan approval paid. Sent b .z.l. G - ! •
24. Planning approval (A) Use:Z�}G (B)Parking: (C) Parcel Chec : 3-2-3 - 0 9
❑. 25. Contact Land Development about _ Improvements, _ Drainage .........................
-f] 26. NPDES Form ............................................. :...............................................
�K 27. 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 Carri r and Policy Number ..........................................
31. Owner -Builder Verification (Given to owner, _Mailed to owner) .....................
32. Letter of Signature authorization......................................:...........................
33. Recorded copy of Agricultural Acknowledgment Statement .................................
34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other�< I � f� ►1C'D
When issued Telephone and hold for pickup.
G7�
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: /
1. Index permit pa per;it
2. Additional items re
Contractor, designer,
Contractor, designer,
Plans reviewed by: _
Structural reviewed b
Note transfer by:
-rs_oy
Plans approved by:
Structural approved
Yellow: Building Division
Lij
E.H. USE ONLY
Plot Plan Artzc,;--<2i.-
Roos Man AtmchadN
Sent to 8.0.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
fL 6f
Owner Location AP#
Plan Approved for: Sewage Disposal---.-, Water Supply, Public Private Well
Clearance for dwelling. Other -2) Di W; bl",.— /. lo d& A
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES //\\
OWNER
PROPROSED BUILDING USE DATE ` U
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
_6 -.Re 'se Plan Checking Fee.... $
OOL DISTRICT FEE(U
pat School District Office) (form available & an Checkj/'r-�^
3. SHERIFF FEES (paid at Building Divisi 3 6
Residential............ XQ!5v
=$ (
its
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.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #.
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
1�Sq.!Ftg�. Amt. 2
all. OTHER 5 � I '`' 1 4 .� %
At time of permit application, I was adv se fees are required to be paid prior to issuance of the permit. These fees
may be changed during t} a Alan c) ecki g �fh*p_above
cess.
APPLICANT
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit, No building permit will be issued until this
verification is received.
1. I personally plan to provide the�j or labor and materials for construction of the proposed
property improvement: YES U NO 13
• I HAVE Q," HAVE NOT ❑ signed an application for a buil
I have contracted with the following person (firm) to provide the proposed Cot for e proposed
�� n work.
NAME:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
GNED:
DATE:
NOTE. This Owner -Builder Verifuation is required by Section 19831 and 19832 of the
California Health and Safety Code. This verificationmast be: completed and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFORMATION �
Dear Property Owner.
An application for a budding permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" YOU are the responsible party of record on such
a permit. Binding permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection: -
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
/ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 102014 Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely '.
M1, 1 C. Vi ira, C.B.O.
ger, Building Inspection
NOTE: This Owxer-Builder Information is required by Section 19830 of the CaWornia Health anal Safety Code
OVER
ril
National. Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement BLESS THAN 1 ACRE)
Project Title:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware th t sub tting false and/or inaccurate information may result in
revocation of grading a / ,o;er p IM
or other sanctions provided by law.
Signed:
Title: CxeJ✓
Date:
._ f• 11. ` 4V _.
d BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM��' V
(One form per Building)
School District Denul Building Department No.
i
A.P. Number DA :!,0!50 "'04/0 Jurisdiction: City County
Property Owner
Property Locabon/Address
. t~
Subdivision
Residential Development E
Q
No oLiving Mobile Home
Units, Installation
Commercial/lndusti
z
Building Department
istridtIdentificatia
lei...
(Street Address)
0"i
Lot No.
......................... _..... .............................. :......................................
Q Sq. Footage
Addition/ 'Supplemental to
(Group R)
Conversion Permit #
*(No foundation Inspection)
:.................................................................... ..........................
Deed Restricted Sq. Footage
(Attach a signed copy of DeedRestrictionand Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
�eptative
r
� � s
Y16 I Gf School District certifies that
has complied with the requirements of Resolution No.
representing 2 -5, 40
square feet.
k- -)•<_, _
School District Representative
Paid by Check # /✓'
tis. # iRamark F Z. -
Roofed Areas)
Date
_ (Applicant)
- 71D2-
(Phone Number)
NO
(Zip Code) l�Q
r T f by payment of $ '7 0
AB 2926 i
U
Date
Notla: You may protest the Imposition of the fees idsndfled above by subrnflting a written protest to the District, In compliance with
Government Cods Section 66020(a), within 80 days frorrm,tlme dab tees are {►aid. Fdlun te submit a tlrrmely written protest wlll'prohlblt
you from chalkwW p the Impo�lflon of the fsesdln days,
court acdok.
M, subsequent to theSchool°Dtstrk!`R presknfative`'slpMrg 1Ms Bit Couky Schools Impact Fes Certification Form, the lkhool District Is
notllfed by it* applicablerLocal Planning Agency that this project Is being rwiewsd under the California Environmental Quality Act (CEQA),
this pro!•et maybe auble to a M lonal school fees to fully nmltlpete. it, Impact on tlw school district's schools. !
White (applicant), Yellow (building department), Pink (school district) feeform-xis (10/03)dmm
�>8� /LG�a���o
"� ,aara�il .'ICY ''
��-
�t
SU County
:ice:. • _.��'
LAND OF NATURAL WEALTH AND BEAUTY
": `-`:1Vlarch 23;2004
Charles Saxe
P.O. Box. 540
Palermo, CA 95968
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
RE: Site PlanReview for APN 027-050-040 (Lot #10, Cowden Sub)
For Your Information.
Exhibit "A" (Site Plan Review)
Enclosed is a list of conditions related to this parcel marked as Exhibit `B".
Please review all enclosures to be sure that the information is correct, and that you have
incorporated these requirements & conditions into the design of your project.
Should you have any questions please feel free to call me between the hours of 8:00 a.m.
and 4:00 p.m. Monday through Friday at (530) 538-6572.
Sincerely,
C?oseph Baker
anning Manager
Attachments.
SITE PLAN REVIEW APPLICATION
Date: 1 `Z-1 — AP# (:)171 — ll So o I Z)
Permit Number (if applicable) 0 Lj — 0_� 18
Bin Number A-11
APPLICANT INFORMATION Parcel Size: ► 3 A �-
Owners Name: AX G H A�2:C�G S
Owners Address: P 0rR_> 0 x SH 0 P i'1A- GQ(lr P CA L� 5 q fc' p
Telephone No.: 5 3
Situs Address: i LVG-P_ i3A72— %,- _
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
11 Septic
❑ Agricultural Exempt Building
❑ Other:
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
15 Well
❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
❑ Approved ® Conditionally Approved ❑ Resolve Problems Prior to Approval
® Site Plan Stamped Approved
By Date 2- 1
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
® SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: 0985D Index Date: -D O C>
❑ 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 El Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: P Q —
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
'50
Side
D
3 D
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
4
Appucame mevetopment >rees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑
Water Tender
...❑,.
Road Improvement
❑
Forth 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
Q Deeds:
:Date of Creation: Legal Access Provided: ❑ No El 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
Z Subdivision Map/Parcel Map: CO w EN so J
Map Date of Recording: 6-2-O— 8 (P
Lot: 18
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 1 O Q
Date of Approval:
Page: 6 7
Parcel Map/Subdivision Map/Use Permit Conditions
11 Comply with the following Conditions of Approval: IN Attached ❑ None
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
v
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves. and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
0
E
Uoevn A .,f t
Bob Cowden
TSM, AP$27-05-06
Mitigation Measures
1. Limit cut and fill to 2' maximum above road grade except
where noted on the TSM submitted May 2, 1986 and at
culverts..
21 •Reseed'all:;:exposed.soils on'cut and fill.
iy
..i. _ yq'' ���ti�kj y�lJa :.� ;.�. .r K.i•a+>it�^.='".z?.:'1T:.iiF:;; ..
r -y ` ;3A11�dwellsngstoa�be constructed and/or. installed to
z•,.` s r�resisIaterals forces
4. Install'CDF-approved drafting connections on all wells,}
pools or water tanks if required by CDF.
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OU
-4C19O7V Aa 6,'o A�a;Dk &Ye6l O1/672?11 Wa&-ze a71,Y,207
4eW- .4&� -..Z C 1,1 - _,o,
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a
REVIEW GUIDE
c kl�%_'' � .. : - o SINGLE FAMILY, DUPLEXAND
^M- _s MISCELLANEOUS ONLY
Owner. Le_ Building Permit Number: 1,1=
Plans Examiner: /-i�da �� � %�'n A. P. Number: x,2:7 —'I r6 ��
t
E'NERkL:
1Zoning requirements - (number of permitted living units).
11�Plsigned by the designer.
ans
�Proper description of work on the application.
Existing violations on the property.
Recorded notice of violation.
Buildin; permit valuation. a
PLOT PL . :
Complete parcel size and dimensions.
Setbacks, side yard, easements, etc.
Other buildings or structures.
Grading, fills andror drainage.
Flood hazard.
Special conditions on Parcel Map:
Noise Cj SR --k ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑
Federal Aid Rout_ and/or Federal Aid Secondary Route setback requirement
Building or utilities across lot lines (Lot merger approval by Butte County Land Development)
FLOOR PLAN:
4—Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3).
1001'0 of natural light and 5% of ventilation (Uniform Building Code section 1203).
Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet.'n= minimum net
clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20".
When %%indo%%s are provided as a means of escape or rescue, they shall have a finished sill height not more than
44" above the flcor (Uniform Building Code section 310.4).
Skti-lights (Uniform Building Code section 2409 & 2603.7).
Glazing in Hazardous locations (Uniform Building Code section 2406).
Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise perrifted in this
section. Kitchens. halls, bathrooms and toilet compartments may have a ceiling height of not las than 7 feet
measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1
All habitable rooms except kitchens shall have an areaof not less than 70 square feet and not less thaw 7 I&et in
anv dimension (Uniform Building Code section 310.6 .2 & 310.6.3).
3GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210).
ta
ater heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be
ed for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening int4o sbath
bedroom (U.; orm Plumbing Code section 509.0).
uel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedroom. to in
room. compartment or alcove opening directly into any of these (Uniform Mechanical Code set�i="4.5�
arage firewall separation - required on garage side including supporting walls and posts (Unilbt "n""ode section 302.4 exception #3).
nder no circumstances shall a private garage have any opening into a room used for sleeping purposes
Unifac-n Building Code section 312.;).'ood ;rove locat;on -Alcove - UlvtC section 205 confined space & 223 unconfined spacedt 304.2).
mok: detectors (Uniform Building Code section 310.9.1).
Page 1 of 2
Water closet clearances (Uniform Plumbing Code 408.5).
Shoan g tir companment minimum 1024 sq. i 30" circle (Uniform Plumbing Code 412.7).
V.
Bearing calls shall be supported on masonry or concrete foundations that shall be of sufficient size to support
all loads (Uniform Building Code section 1806.3).
STRUCTURAL DETAILS:
0:.;;' Braced call panels shall start at not more than 8 feet from each end of a braced Wall line. Braced wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not
exceed34 feet on anter in both the longitudinal and transverse directions NBC section 2320.4.1_) Braced mall
lines must be continuous throughout the structure.
A California licensed architect or registered engineer must prepare a lateral analysis for the area of the building
that do not comply with the Uniform Building Code. This must include the designer's `vet" stamp, signature.
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets
of calculations.
Clenxtory requiring balloon framing and/or engineering.
ottndation plans complete enough to construct building (Uniform Building Code Table 18•I -C7.
floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calculations if nccessary.
Garage door header size(s).
. Porch header size(s).
Typical header size(s).
Stud heights.
. High expansive soil - special foundation design required.
Retaining calls requiring design.
Cr3psam wallboard nailing inspection required.
If the area below the lowest floor .is fully enclosed. than a minimum of two openings are requirrd With a total
net anew of at least one square inch for even• square foot of area enclosed with the bottom of the openings no
more than one foot above grade. Alternatively, certification may be provided by a registered professional
engineer or architect that the design Will allow equalization of hydrostatic flood forces on exterior calls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction
design requirements must be sho%�m on the building plans.
eetric, heating, ventilation, plumbing and air conditioning equipment and other senice facilities shall be
designed and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
M SCELLAI\TOUS ITEMS:
Stairway details - landings, rise and run head clearance, handrails (Uniform Building Code section 1003).
Guardrails (Uniform Building Code section 509).
Brick or stone veneer (Uniform Building Code section 1403).
4. Exterior plaster- weep screeds (Uniform Building Code section 2506.5).
Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2).
Foam insulation - protection.
36" halls and stairways (Uniform Building Code section 1004.3.3.2).
Taro exits on three - story dwellings (Uniform Building Code section 1004.2.3.2).
Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).
Attic access and ventilation (Uniform Building Code section 1505).
Sound requirements.
Energy design compliance and supporting documentation.
-irCDF responsible area requirements.
WELDING PERMIT REQLIREMEN'TS:
1. ❑ SRA.
2. ❑ Flood elevation certificate.
3. ❑ Fire SprinUers required
4. ❑ Special Inspection requiremens.
5. ❑ Use Permit conditions.
6. ❑ Sub -Standard Housing lever.
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2004—Qu102aZ+69
Recorded
REC FEE
Official Records
I CuPIES
County Of
BUTTE
I
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Barbara
10:16AM 13 -May -2004
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:
:, n j
Date 6 - 7- Z
State of California
County of &44-e-
13.
00
3.00
P P T O S
E� LL
On 6-7-'Lo0-f before me,
34suv" d C.wuar ' iNt,el-
, ISO i�`�� pnbi,c
personally appeared Ci ,-lis ��x�. personally
known to me ) to be the person(s) whose name(s) is/is/aftsubscribed
to the within instrument and acknowledged to me that he/she/tMy executed the same in his/her/t4eiir authorized
capacity(ies), and that by hisser/their signatures on the instrument, the person(&) or the entity upon behalf of which
the person(&) acted, executed the instrument.
WITNESS my nd and official seal.
Signator < ✓ Seal:
LJAW--SM:1 7Klk R
COM
A.P. Off-% " OS �� ' C�� M-MY_Comm.
NOTARY=ORNIAAlT1`TEUNLY
Expims'Sipt.'26, 2006
r
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of Californ'
ss.
County of
On
personally
before me,
Date
CrD�a jfj Mi. #1316941
110TARY Ftf:a IC - CA; !F0PV1A
VEt,1Tjjf1A0,0'J? 'Y
my Gwim. �[.,, Ow. 21, 2Gl
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S1S 99°� fav a+n
of Officer (e.g., 'Jane Doe, Notary Publicl
Names) of Signer(s)
❑ personally known to me
droved to me on the basis of satisfactory
e" videl)ce
to be the perso*-rwhose name
subscribed to the within trument and
acknowledged to me th�/?
xecuted
the same in au is d
capacity(i�, and that by her
signature(�on the instrument the person (
the entity upon behalf of which the persopf<
acted, executed the instrument.
WITNES$,f/ny hand and officja-Val
Signature of Notary P6blic
OPTIONAL
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:
Document Date: Number of Pages:
Signe'r(s) Other Than Named Above:
Capacity(ies) Claimed by Signer
Signer's Name:
❑ Individual Top of thumb here
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney -in -Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
0 1999 National Notary Association - 9350 De Soto Ave., P.O. Box 2402 - Chatsworth, CA 91313.2402 - www.nationainotary.org Prod. No. 5907 Reorder. Call Toll -Free 1-800-876-6827
Order No. 00211296-001
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 B:
PARCEL 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "COWDEN SUBDIVISION", WHICH'
Mme' 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 1:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS 60 FEET IN WIDTH, SHOWN AS
KATIE COURT AND SILVER BAR DRIVE ON THE MAP 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..
EXCEPTING THEREFROM THAT PORTION LYING WITHIN PARCEL A DESCRIBED ABOVE.
PARCEL B2:
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 .
HARODL
L
SILVERTHORN, ET UX, TO GARY L. COWDEN, ET AL, RECORDED JANUARY O D L AS
INSTRUMENT NO. 85-19380 OF BUTTE COUNTY OFFICIAL RECORDS.
AP NO. 027-050-040
-n%
E.H. USE ONLY
MotFloat
PlaMa Attach
r�ooa �9ma Attached
Sent to S.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Ll -&4 ),j a5 61
Owner Location AP#
Plan Approved for: Sewage Disposal---.,,- Water Supply: Public Private Wel\
Clearance for dwelling. Other 3 13-t At�iLtn I)w)
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Dat
ENVIRONMENTAL HEALTH
MAR 1. -2 22,4
7 COUNTY CENTER DRIVE
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7;0
12-Y
SILVOR. BAROR IVE if l
APPROVED
Butte County
SITE PLAN I
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