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027-060-004
BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for -Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!!! (2) Y-TORMS\CompWnt Foran Tcvl.doc f AND WHEN RECOR:DEiI.Z4AIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records CoM Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:22PM 05 -Apr -2005 REC FEE 7.00 COPIES 2.00 Cheryl Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 4 in Block 85, as shown on that certain map entitled, "Map of Subdivision N0. 1 of the Palermo Citrus Tract, Butte County, Cal.", wick map was recorder in the office of the recorder of 4 -.he County of Butte, State of California, on February 28, 1888. Date S r S PROPERTY OWNERS: State of California County of ?, (.Ak Q On U - (,,i - be ore me, 10.E 0 C, ►Nl . I f' -U, t , /1 personally appeared [4eA, X'/%'Y! 11Qn.4 AK/ Pr/ /�Gc n 'O 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 hand and o cial seal. Signature Seal: ' TO$Hi4 M. RYMEL CgmmlWon # 1461649 'Notb�,puw - ccwomlo Butte Cou A.P. # My 027-060-004-000 - Comm. E>ai. Mnty ay 4, 2008 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF . 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.). PERMIT NO. P050526 OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 05/09/2005 APN: 027-060-004-000 Site Address: 2616 NORTH VILLA AVE PAL Map Index: Description: MHI, NEW SITE. (TIE DOWNS) Owner: MEDRANO RAMIRO & MAXIMIANA P 0 BOX 42 PALERMO, CA 95968 Applicant: MEDRANO RAMIRO & MAXIMIANA P 0 BOX 42 PALERMO, CA 95968 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article of thee Business and WORKERS' COMPENSATION DECLARATION /- I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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, 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. Date: Applican WARNING: Failure to secure workers' compen on 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: qo� �)o 9 "(� %-44 This permit is hereby issu; By: PERMIT EXPIR 0 S. F. $0.00 _54`47 - under the applicable provisions of the Butte County Code and/or ited above for which fees have been paid. 1C_/J Date. O� ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby Authorize nt representatives b � gof Butte County to enter upon the above mentioned property for inspection purposes. Print Name: dA11,01,4V gyJ&70 Signatw Date: JX Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ' BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" I CONTRACTOR I Name Address City Phone E-mail A Name Address City Phone 0 E-mail Ste ` r C) F, Orr,S !b 'tz _6 N L t7 O c N 0 r Class OWNER Name Last Name LA Address eCA Lo u (S irst Name Ave ' City State 0— Q . Zip qV (0 �`ll� ` Phone,. _ gs- iiJJ Fax Planner E-mail I CONTRACTOR I Name Address City Phone E-mail A Name Address City Phone 0 E-mail Ste ` r C) F, Orr,S !b 'tz _6 N L t7 O c N 0 r Class APPLICANT SIGNATURE X .01 For office use only: APPLICANT NAME Name _ Address 0t 9 `S V Q - City nin-t Slate a, Zip qgqi l�jo Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X .01 For office use only: Zoning j,4tr??,& Flood Zone Cross Street SRA e No Occ. Type Const. Subdivision Name Map Book Page Pt # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO 6�-652.�, BP BIN 4 LOCATION AP# 14 Property Address r -Eh Villa, Ave. I cjty ' Cross Street 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 Address Description or Scope of Work: m -. .ia x S-& Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. .. _ Received by Amo 400/L p oft C` _Bldg SRA Receipt #:' 1 ?,S4� Sheriff �f 7-,>f SMIP Other I I Dater _ 2&6IS 24Total I I REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETESUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plans 3 . r 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 6. Manufactured homes: (A) Dates installation inst, (B)go, (C) Floor Plan, (D) Tie down ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI�N 7 Count. Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Ill % r�r n�- ,l 1(6#0 4SSESSOR PARCEL NUMBER /1 A n6 "/ Proposed Building Use: Counter Technician: . Date _215 f/1 Items required in order to 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. O 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 A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, �V Floor Plan, (,j 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 O Hazardous Material Form anitation and site plan approval from the Environmental Health Department in ❑ Chico QAroville, as applicable. Other 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 ........................................... t. ❑ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. A� d ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Fore try plan approvaljL4aid. Sent by. - 24. y:24. Planning approval (A) Use: Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, _ Drainage ......................... tp26. NPDES Form............................................................................................. ' 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 Carrier and Policy. Number .......................................... 31. Owner Builder Verification (,,-,Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. S �S ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. TitlelStatement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone, -,5-_p&'/ S"' t7 Z C - nide and hold for pickup. - I have been informed of the above items and requirements for obtaining a building permit. Applicant.%r 1. Index p ermit application for the above items numbered:_. �• Check-Letter- ft. heck Letter 2. Additional items required Contractor, design, ow was advised of the above data by /phone, ❑ mail, ❑ counter, by Date: - - Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: _ Date: A'!, Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Dale: Yellow: Building Division E.H. USE ONLY 'Plot Plan Attachad . Roar Plan Attached Seem to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispose&- I Water S ly: Public Private Weli Clearance for - dwelling. Other Y)^ ��"old final for: Fina! clearance 0. K. for: NOTE: Environmental Health Specialist 8/96 Date AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 III! III IPI I ILII I !I 111161 II !!II I IN 106 1 JL 4BC31060 Recorded I REC FEE 7.00 Official Records I COPIES 2.00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Cheryl 12:22PM 05 -Apr -2005 I Page I of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT , FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 4 in Block 85, as shown on that certain map entitled, "Map of Subdivision N0. 1 of the Palermo Citrus Tract, Butte County, Cal.", w►ich map was recorder in the office of the recorder of the County of Butte, State of California, on February 28, 1888. Date S O PROPERTY OWNERS: State of California County of I�XL byi On L4 " s'-- C) "IS- me, personally appeared Melt, 1r71hi 4"01,4. mP,-�Yr�� r) 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 7"hand and ial seal. Signature ' Seal: ' TOSNA M. RYMEL V% Cgmm. lWon s 1481649 / Not6ry,Publlc - Cavomio A.P. # 027-060040000 Atte County 0 - Comm. E0es Nl Myoy 4.2006 9 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE DATE. RECEIPT # DATE REC. 1. BUILDING PERMIT FEES _ % 6 G—CiST �r --Balance Due ........................................................ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ SCHOOL DISTRICT FEES (paid at District Office) — s SHERIFF FEES (paid at Building Division) Residential.................................... _ — Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. _�Pg davelo m pa�t�c s 1 �Z 4 voi Residential ............................ x = # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. A cc 5. RECREATION DISTRICT FEES• J 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 17. SRA FIRE INSPECTION AND PLAN CHECK �f (paid at Building Division)A0. t? F ' 1 � 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) ee �10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. DATE Pursuant to Government Code Section 66020, you are hereby ndtffied that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Butte County Department of -Development Services °lv° 7 County Center Drive ° � ° Oroville, CA 95965 °yr�o ° -�,. ._.. ° (530) 538-7601 Telephone ° °� . ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: 11UA,0M- u �2MIJ 0 APN: 7 Building site address: 10,og rff 1�l u_A &C- Permit No.: ' I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGN TURE OF APPLICANT DATE Copy to Applicant/EH/File K:Fonns/BldgPennitwithoutClearances 020705 OQPSTMENT �UTTF 0 J 0 Doo Department of Public Works J. Michael Crump, LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRQ Project Description: ffi.- U u— ' ds Project Location and/or Parcel Number: r)� `7~ (06Q �J 4 By signing below, I, the project owner/owner's agent, certily that this project WILL NOT DISTURB 1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that. submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: _?ZL,4�z Title: /1 L/ )FIE Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 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 major labor and material for construction of this proposed property improvement: YES [X NO [ ]. 2. I HAVE [ V1 HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department ©f Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile FVli'� �,��.. .+ 711- '�,x Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their 'own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. U � Mic el C. Vieirq, C.B.O. Maager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number ®SOS 19 S District /� / � - APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads . and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: - la. Company Name: 2. Address: ( / !i I S A v _ Oro al, c /s-!/� ( 6 3. Phone: -S' 4. Assessor's Parcel Number: 027--b16e - po S. Location of Work to be Done or a �c • M. 6. Applicant's Signature J 7. Date: 4 !/ / CONTRACTO S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. If Driveway List Type: / 18. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ranted. " 20. Conditions 2-0,9" Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 21. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 22. Date Issued Gy 23. Expiration Date: 40"1 l" O 6 24. Surety: 25. Date Paid:1 / 26. Amount Paid27. Paid By: 28. Receipt No.: % Mike Crump, Director of Public Works By: For.County 29. Final Inspection Date: 30. Inspected By: ❑ CO ed - 0 Completed -Not O ❑ Additional omments Attached use only:: 31. Comments: Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week. Page I of 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at anytime. This pernit is to be on job at all times Mile the work is being done. 2. AA work shag be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibTity of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfin in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, undo the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. T. The Permittee. by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such IiabTrty is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, B. M excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shag not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shag be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shag conform to the percentage of compaction as stated below. Permittee shag notify foreman 24 hours before backfiging and/or paving. a The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shag be no less than ninety percent (905%) as determined by Test Method No. Card. 216-C of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (51 below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shag bear all costs and responsr'birdy for compaction tests. c The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shag bear all costs and responsibgity for compaction tests. 'Material for use as trench bacldig in any existing or proposed roadway section shag be sand, shag be place in 8" fifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shag be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shag be scored, or saw cut before benching. Minimum depth of cover over all underground fadlities shag be 30 inches, except drainage culverts. M Installations, parallel with roadway, shag be placed as dose to the right -0f -way One as possible. No portion of the backfig(s) shag be compacted by pondng or jetting. M pavements, arrbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road faaTities Impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shag be restored immediately upon baclkfiIiing or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. Ag surfacing materials of..roadways .and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing; and no less than two inches (2') of asphalt concrete over eight inches (8' of aggregate base, according to current California State Spedfications. 9. Whenever necessary to secure permission from abutting property owners. such authority must be seamed by the Permittee prior tq starting wodk. 10. The future safety and convenience of the traveling public shag be given every consideration in the location and We of construction. Permittee shag cause to be places, erected, and maintained all warning signals, lights. barricades. signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shag notify contactor as to the special conditions and requirements contained herein. Page 2 of 2' €s 4 G q,2, 7 � School District A.P. Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) / / o km MBuilding Department No. '% 14 �) �) Jurisdiction: City County Residential Development F—/ --I ®-"O No of Living Mobile Home Units Installation Lot No. Sq. Footage 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) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) Q.iLiin - n.�rErnnnf Ronrocnnf�fiva y Date District Identification No. for M m , ��1 �. Drw, ,School District certifies that 1(1n��(; !� !- 11 tQ. t m �►V� c� I' 1 r�tY1� (Applicant) v Vic \I A �o% N -v -e— S a (-A --S c) 8 (Street Address) ICity) has complied with the requirements of Resolution No. representing square feet. C4 . VL School District Paid by Check # Remarks: (Phone Number) c-0 (State) (Zip. Code) 0 by payment of $ 2926 \s FULLMmGATION t Date Notice: You may protest the Imposition of ttro fess Identified above by submitting a written protest to the District, In compliance wkh Government code section ssozo(a), within 8o days from the date foes are paid. Failure to submit a timely written protest wllrprotublt you from challenging the Imposition of dis tele In any court action. N, subsequent to the School District Representative signing thisButte County Schools Impact Fee Certification Form, the 8ehool District Is notified by the applicable Local Manning Agency that this project Is being reviewed under the California Environmental Quality Act (CEGA), this pojeet nay be subject to additional school fees to fully Migate.Its impact on the school dlstrict"a schools. White (applicant), Yellow (building department), Pink (school. district) feeform.xis I10/03)dmm BUTTE COUNTY DEVELOPMENT. FEE CERTIFICATION FORM kVEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �'�-��p0—(� Building Permit Number Property Owner (s) Project Location /A Subdivision Name New Development Alteration/Addition(s) _ f� Mobile home Assessable Sq. Ftge 6V2 Type of Residential Development (check one) Demo Permit (date issued Comments: Single Family -Detached Non -Residential to Residential Mobile home replacement Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD 0 CARD 0 PRPD ❑ DRPD certifies that: -k Me_�Yctu_o Applicant Name�Jhone Number ` Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District Representative K:\FORMS\BUILDING FORMS\park-rec standard form rev l .doc per unit for a total of $ �_ - Ol ) per sq foot for a total of $ Receipt No: /655 i s C®F FIRE SAFE REQUIREMENTS AP# PERMIT # 05- NAME ��� D ;� � Under authority of Public Resources Code Sec. 4290, the following checked items are required T by the Butte County Fire Department and made a part of this permit. These requirements are 11 J) minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards Pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to .conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. pq Grade. Not to exceed 16 percent unless paved. I T S Driveway Radius Pq No roadway shall have a horizontal inside radius of curvature of less than 50 feet E and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. pq The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 T feet radius. x pq Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. pq Width. All driveways shall provide a minimum 10 -foot traffic lane and T T unobstructed vertical clearance of 15 feet along its entire length. U pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in I' length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates pq 1. Gate entrances shall be at least two feet wider than the roadway E they serve. 2. The gates must be located at least 30 feet from the roadway and M shall open to allow a�vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. T T S r Setback for Structure Defensible Space C [X] Maintenance of Defensible Space. To ensure continued maintenance of D properties in conformance with these standards and measures and to assure Setback for Structure Defensible Space C [X] Maintenance of Defensible Space. To ensure continued maintenance of D properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for T in these standards, annual maintenance must be provided for by the landowner. r All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. F [ l 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. T [XJ Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or 1 removal to a landfill site approved by the local jurisdiction of flammable vegetation and T fuels caused by site development and construction, road and driveway construction. x Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ J If Building Setback is 15 to 30 Feet: ✓ Class A or B roof R ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — E ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: o ❑ Metal or no doors on side towardro p pe rty line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D T T ❑ Glass area not -to exceed 10% of wall area toward property line with insufficient U setback ❑ Siding from the following list: T o Stucco — 3 coat 1 o Hardi-Board or Plank o Masonry T o Masonry Veneer K o Metal o Other Butte County Fire Department approved materials [l E M E Date Signature T S SITE PLAN REVIEW APPLICATION Date: - - --C'i �'� A24 ;� � —LX") -y n , i Permit Number (if applicable) iE,�v - 05--0576 APPHCANTINFO,RMATION Parcel Size: q W aIA Owners Name: �rn ill, i��--(� 11 ;, Owners Address: Telephone No:: Situs Address: i o o-6 i Proposed Use: Residential ❑ New Single Family Residential Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt N ummie) ❑ 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): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE %,-,A � DEVELOPMENT SERVICES INFORMATION (For Staff Use)� jj Approved ❑ Conditionally Ap 'ved Resolve Problems Prior Approval 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.: _max Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (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 F1 Wiinor Variance El variance El Administrative Permit ❑ Detached Building Use Form ❑ Encroachment•Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Admowledgement Statement Toning: - �'� 2• �'(L� C Applicable Building Setbacks: Zomig Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other 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 IN Deeds: Date of Creation: Ift2� �Legal Access Provided: ❑ No ❑ Yes Deed of Reference: P6, V 8 — OC ,� 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: v Parcel Deemed to be legal Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust: control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of:which can be obtained from the Butte County Department of Development Services, Building Division" ❑ Engineered foundations are required. ❑ Class A roofs are required, ❑ Property owners responsible for roa n a x Summary of Specific Regttirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:\I nys\Building Permit Site Plan Rn icwl.dn Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING March 4, 2005 Ramiro Medrano 2499 Louis Avenue Palermo, CA 95966 Subject: Environmental Health Permit Application (APN: 027-060-004) Dear Mr. Medrano: The Butte County Department of Development Services, Planning Department, has reviewed the submitted permit, and require the following information to continue the review process. • Creation Deed: the deed that created this specific parcel. The document could be obtained at the County Recorders Office, or through a title company. Please return the document to Butte County Development Services, Planning Department. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. S' erely, Stephen Streete Planning Manager =/, 4R-21- 005 IS te is -Made th ;ith w .";-i ....... ...... .... ZW *,:state!: '.compared )esampnta A- that rsoo:,do,l Said written Lerk -L of tok, he as 23:38 MID VALLEY TITLE & ESCROW P.02 1,T nm 17 2=41 L I till �V, A Danieli Rp Mr, nt NF kobari 37 ; -lij '43 7H�_' T t,,p'irA' mt4iodioh. d"a th ji Zx. -qi orri a. ... .... - '4" l. -e . . Ita0d" dare NZ Butto`COuAtj-;iN;�-; all and .-siqrul or a' 'p rell id �3 ...To •have &rd. to hold to a got or. w P, V 1j.% M, rived* ''the! esdoW part nd.: t;o::,* 112o a L -A 0 aa6: n a SrA a ).v 0:t t 74� "C' Whbroof••th ir-t 'A rao Psi t r2i. I i tn4b*e: id, party". 21 ..... .... . anti�hor= 'at hev hsiA. and. seal' tho:d :and- r f ire t.ab,6v Y" s.WV t .......... f4o 0 Royo.e,' A qr. 4! 5, OuntjGOft Butte— y fA 0n Viis'. day-of.Yay 0, yoer.:'A"! ou a in .0 a.d.nd. nine ...... .. . W f said Park R and or as Putts County, n,;b a A., X� a -person.vhoeo n=6:Aa,ffubsvribs1 -1v 't Q av, duly f i Robert o�as Ir ra p iii dg id. ta,', m6 tb a 1, ba or ib ad, Ot a ri 1 0, E)Aroy 9. Robert 9i e• • At rney' n foot. a'. owif name. A. 5'. f XL I have here wit Whereof, .:iot my h and,, i'dimilctficial seal"'' _In no da y .this: rtif lost 0 a t; my,...of f 100 a oly,iof Chico, County: of, Butte, 1h a D if 1reL .04 above Notary' Public Park (Seal )+ In S to-. California. ' and for the County of Butt&,,S t- of Sears ?,%Rnham 00 May las 1900.,..a't;io pest 9 ,Recorded at the request -of A..M In Book 1101 page 402 of D64da, Butte CountV Record* soorder ---------------- -------------------------------------------- --- ------------------------------- emo LAnd &Water Company Y. F. Melvin. Palermo Land and This Indenture, made this 23d day of April, 1909, by and between 6 laws of the State of Calif or-nia, the Water Company, a corpora . tion organized under th party of the first -part, and U E. Melvin of Marshalltown in the State of Iowa, party of the second part. + witnesseth: That the *aid party of the first Part in consideration of the sum of ton (10) dollars lawful ]POneY Of the United States to it raid by the . party of the reor is hereby acknowledged has granted, bargained, sold, second part, the reoeiptwhe conveyed rnd confirmed and does by these presents grant, bargain, sell, convey and confirm y of the second Part &-jj to his heirs and astigns forever all that to the Paid part, led .6 1r.Z Grd I-ei--.9 in the County of Butte, certain lot, piece cr parcel or land situate, lyl State of Ce.iifornial and bounded And particularly deroribed as f011Owas W W"' Lot Four (4) in Block 61ahty five (85) of subdivision one (1) of the Pn1erMO 11 MAR -21-2005 23_39 MID VALLEY TITLE & ESCROW �',: t '""§'.v4I• Thi'•ih•:RUj"'"""'.r`,."'etI!,!'.'•','i �:. T.'"v"a'l.' ?fRtSAt., .mom Rarfceeai:i Z • f • `fEAr •,�• kwf.�• ;t v' ?+fit'�;h 1' x c - Y:i , f ,, x 'Praot ee' laivdown end fmmbered ohtthe of o ��` a!]� o, rt A o� .. ..: ..: .' ;. �:.-+:• q: <•• ..,':.'',,...: ,;ra.r en, � ?�';�'tn*.�.g�;. 9^��" Teri said Pale= c..,:.01trus iftot ott filo�in'•the office o! xis }eCtTe�,rderi� s`'` 4N said County.'f Butte, 6tate.ofs,CeliforAit "eoitt;'alailuiBr rpine atuq✓ioU (,9.. ', `t�... �' ,y7� uu iY✓,ri, . acres more or.leae.�:,.:.. T..r;.9y `7"'1a`C'�y'': •: t ` S,it�A't.+r' 1.�n�� �zri i !. i'?f st Tbgether with .-all.andi'alrtFytln :;t".a tea®entaytherod tasyann,{eri4`a r t• x enano•ie'�thereunto belonging{';os''iti siiyn►iae�`apperti y9 r, : Z.r.{i?ii'£ ..�M1.ti ';r'�';•1 ``'.4,•.<13,4i ;, ::.. _a'-•:='-- r.:j:r reversions • remainder and rerairtd e " rents .SaeuN and rpirof•ltre tete;ppt,y�. 'fit,* To have and to hold411,`enQ';einQulir,:io-.ea dips ie ;S�ast�tec.b.'wi21' t`' t'�t�la't�:;;. ,.• :.:t. r::, t .,r sppurtennnoes, unto the said party of:dAhe asoonQ par , sa 1%tofM1his }ieira.;etidm�rc' � > .. .-:S. ^fiP,rF 'txit:-7L7�.•.vvt•'.�..t't'-r"H�f.'.9M1.Efl1�, �t t, !�Y .P. ': ,4;: aasigns jorever. , ` s,`;� .a; 3 i 7g,? s •, rs:z r 7!t ;i."' %'"' a't+�Q ^t dolt v Subject however to.taxse for the fiscal year[�endirsR iTuneli 0i 4,1. 1 ;.. � ; :: lam; .+♦ :::"7rY(!.:'.�i'��i�.�M"i°tt•1,�11"-t�i%'i�K:tTve •t ��lr end tZq to excepting and reeervi,the par ty.;of;the first part, 'ite`:auQOieeoreeands u r" • 1 ' •. . ..r ..', .R;.''fwrrv,�fi;•'''r� ^i•<� F;eJ fit' L,�1�L((pp( 'FfK, .is, A,,.�.. •� h •:iso ' v 9.r7u'i)��';3::!.`: eei na 'the right* of wa th o h r. o♦ 7 the d<l�L'!sd rieUbefor a g ,' 1Yh y, rug er and upon; eleaxi'�rA 'h+" n i,•' ...... 'y.1TS'e+liv described for Vie purpas*'of'laglri 1;'ii mainU1n1mg,V1pk4M� ' oriett' iftg',W► jrG � -'- I ..:. ,. �:�:'.:phi...'.::G.::-an:".:'�....tiy:ly .:, :l,ti^lfiY:���Y •':i`:'ofr�.'�:':!F'.l':r;�: ?• �,}�`, rT�ti�,i'•r',v maintaining 4itohea,.:fltmee or"other;appliances IT or. ,eu1;�pp � t]iii, desoribed•and other lan°da, with water for irrigationor"a, or.purpaoee.�, �'�,'ZKi It is: fur th or:ag read :tiat .of,:ale�`e���op, itd�,ip•a` r,t`(,��� r• f�::✓.',..•., ' .. .,. .. .;:• '. '�': :1 j:•••.• ...,t.�::• :.L�,rlNl i''�a4, �...:�F::?b"1 Z.._:.:., .•`H or assigns, shall et an time Tr 6 , Y plant mea or virlN:or=ot2lexa►iei euliivnte iiid;`lars}I� �•�ti�ytti,� or any part thereof the par oft•the:firat art w1 ,,aV.,.. •- i�po �¢) ''�r"• `'' ►' �' - Y. 1T•tfurnleh aLlauoh.. int'onjo,n!�,.'�}•,. 'A '.:::-•,,. .. •,. p .f;7 .� 0 i�1t LH - -: m:luStyt �K1 R4i,it qa, of its mein ditches ne shell b0:moot oonvenient'to the, par. y o`t� the' f irat ptet; € ryt r: .,::• °'i =. .:.. •., ;: �:' ` '..Ns +yi .fit yt; T�tf"..:'Ci �•C: f', iy }:.. such water as m be neoeeear to, irr "' sY Y= agate euohYttre'ea vineb,orroul.tsLed-,o e �, F.: P .t:• .. '.SEC.",:?'rt'' ... .: .. ....:;�t,•4"F�!%.^Y!!,•tv.l..iaC..r1:': ,i,ti!:t %�t}.i.'1'.•t: ;4•R+:t.:•.�: not exoeading one miner's Inch -measured under four.. inchrf prieeur for reveryv seven (7) acres so ,improved or Cultivated, ':,-,:i,kt�4 p`b� rad+ F at,euch retia, se pay be fuzed by Liv► 1»' r'� the district in which s aid L►nds are situotod, or if riot so* is law.�thorl7`at_t1 r s ,•. r �"`Z v� the actual rates aetabliahgd and calleoted b the a firati art . y• party of.,.;p t .• .:.sx,,a;>iSFr'7is�r�•:-:::. . provided, howaver, that noth'inR heroin contained shall sake thq' art -,.of ttl lag water at such time or Limos ,,a�•..^.tom..;,tt,..:',;. p. first part liable for not furnish •. a as it may be; ..';•:;;_;,,,..,•... . unable so to do because of drouth, 'oreakage of pipes$, ditches or flumea,.pr','' , ':•;:..; ry oLher cause nC't within Ste control. In Mitneee Whereof, the party of the fire t part hna,"Gsuiad ate oorpolraL'e- _a.re name to be hereunto subscribed by ite officer'$ thereunto duly authorized, and Its corporate seal to be hereunto affixed the day and year first above written. (Beal) Palemo Land and Water Company, By R. A. Clark, President. By S. P. Dent, Secretary. Stats of California, ) )es City and County of San Franciaco. ) On this 2;1 day of April Sr the year one thouaand nine hundred and nine, before me, Y. D. Brown a Notary Public in and for the said City and County of San Francisco, State of C ' altrorn-la, residing t LT! e r e ln,Sworn, peroon' duly oommiasiened ar..d a11,Y appeared R. A. Clark known to me I to bt the Proalclent and S. P. Dent knorr to ms to be the Searetary of Palet 0 i i,anf' and Nater Company the corporation deat:ribed in the wit*.1r, instr mtent, and knarr. to me to be the persons who executed the within inatruae}'t on behsLf of the oorPoration therein named, and acknont,edged to me that such oorporation exeoutnd P.03 in ten par and sail Piet Cal: Cita Pale 5u T,4 MAR -21-2005 23:41 MID VALLEY TITLE & ESCROW P.04 'I. r•• r, r., a .. , <�S. ,,.. tyo. S:✓'''.r. � A: �.: iay!,•y. .l'l�':"'! 4'"= :'f. '.1 EU.t:%4T •"ri•.,r. ".y-+,e:q•: `ii ?a'' �}:6va t `-*' S'r OWN J;7' •. 3:.r. -' "rrt'•Af' : '�t•r I S'•r•w% •i' ,r' ,aR7i ,.y� :bi a.at.'. r'' •,;+'• y.. 6.r ,y.jrrr w:l {%'tel{i'. �.... ': �'_ y�u,. ill J` dJ�il?• ..1'�':' .};:': .r rno,: r•!1'i _ __ .:G:li.: 2:'.iir><:mly':i.....�., (• �f'eaaA.cw�.•a 1; • - .. '',';;�' - �trna:,::+ :thy- j:✓:. Yr. ��>+ ,. _ ;-i:, l..n l/itsteer l�ieraotI'hatie hereunto get r;;•;hand' attd'''effixeil ny'Aft'in16L ea41 aL a 02;Kl-Yj. euri , of,8en Francisco `Lhe'da :ard`- eor`'in*,,-.thie*'eertifioat6 first ab o'-.1tN';id40ityt&nd-Oo To tt f' ' Jai ' Ki -A Y�e71• L): �'' '� ' .. '!71r4h�. :jn�,�:t:!'� •. • � �:r,lnriti�'ui{ii•%iGi:oil. .•Y':1'!'t;.: . t -.1 ,' Y ,, .n' lii.•'111111.�00000, :...,•['. + ... '1' . otaPublio in and Y. D. --Drown r Y% ,_. 'r: �: �2}�i:' •-�Sq y..1:='::1.9:If►rl=!=:,1r •.rrt. .art ..d:� ... r; {:.t ,lL—_ Pkv 'the .. lit y:•axf+l .��'bf'i;^C7".y7h:; 01ty .and'7Couty of San Fro,neieco, etrwte'of. and foY ',i�4 ..1 .. veli `N:. i,'I' •I T r :1 r. . 1' , n� F . .2J J'r dt .1 ;:4"... a:'2:: •...... .. s':.•. '!;ti•, :,!' CalifOrnls• 'a•J.e_;;,.,' 'of• �,;:�:. i�^Upon mo tiion Director seconded by: -Director lfieeit was:'unariiioueiy ,.:., 'YoAfee,', r.Y`w.,w .^', .'ri:.i :�.,n �f �"A(••' '� .. � ;.. -. %.. ... ... ..,5.:: •. •.r'Ir(:151:•.:.-i::•.' ..•..,. ;�,;radolrade?`.7L'at'!Lhe ,Preeident'ind Secretary of. the'Comy&ny..are hereby .authoeixed.empow*rod and AM ^t:u. t d t ,til' _;,,.•w , Alf I' -direoted,tA sign, oivote,and deliver for-and'on behalf of -thi Oompmy*::'d'grant,;'bargain and 'April 85 Subdivis l the solS;; deed;'.:ofdate -23, 1909,' oonveying'Lot 4r.iin-Bio' of on of , +��tki2ih�f•:.i l,: n:2F,: ,,� �';:Jr, � .. .. _, - •Y,!u•?;�r,Mri'... � '.. Palom6:, a aoti,'Lo M;'E: Selvin� of Mdrahalltowa;' j; , �':hereby`'oerLlfy'that`• the above is' a full,':,truo"and correct' oo ,:i•z,ur :':'ReeoluLion'.paeeed at' n epeoial'meeting of the Board'of: bireo�ore of the Palermo°,Land and Coaati' Life Buildings 'Pine and Yater' Coepaty+� held` oti the'Comparpi'a: office in the west . Leideedorff?Streets San Francisco; Oalifornia,-on F li ay` -April 23, 1909 at.,ttwo o clook. P. M,, .. }.' .' .. ..:....., Y i : at,:which:'nil the Directors: were presentsaid meetingrxee celled ina`coordance,with)the By -Law of`eaid:. mpa�',,�u}x;`C, (leal) S. P. Dents+Seore,tary.' Recorded at the request of M, E. Melvin May 18, 1909 at 10 min, peat 10 A. M. in Book 110, page 403 or Deeds, Butte County Records. / Recorder ---------=-------------------------------• '--- ------------ 0---! -------- -- Palermo Lard and Water Oompary i \ 2 , A. S. Johnson. This In Lure, made this 23d day of April 90 , by and between Palermo Lana e-nd water Oompany, a corpora organized under the wa of the State of California, the party of the first pert, and W. S. Joh on of liar alltown In the Statc cf Iowa, party of the second part, Witneeasth: That the e d party the firat part in co^sidnration of the sun of ten (10) dollars lawful atone of the United Stat to it paid by the party of the second part, the receipt where o is hereby acknowledged has nted, bargained, Wald, ronvWed and confirmed and es by these preaer.ts grant, berpir., Be convey and confirm to the said party of a second Fart and to his heirs atvi APsigns forgive all that certain lot, risco or reel of land situate, lying and being in the County of Putt State of and bounded and partieuler'ly 1s_cr±bc' sa ibilowP,to wlbCrr Lot Three (3) in blollk Al-bV-rive (85) of subdivision ore (1) of tho elermo d/itrUP m1ract as laid dO.xr. and numbered on the official maP of said subdivieion of ea Palermo Citrus 'erect on fila in the off ioe of the County Recorder of the Paid County of Butte, State of California, containing ton and 06/i00 (ln•06) acre4 mors or Jere, r Together With all and Singulne the tenements, hereditaments and Vpurtnnynr.na I I TOTAL P.04 i t 3i ElFX i5T((? 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