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HomeMy WebLinkAbout027-090-047t `A P .� t� �•F 1 ,.�{ jp , f �,R , a A ,t Nf 027-090-047 05-0743 1'RANCO, LESA 27 G Z SOU -1.1-1V LA, 1 ILL Cont: TP.UITT GRO 1P Ni:W MH PEILM r \ _ 027-090-047 05-2406 BOETTLE, FRANCO, LESA 2762 SOUTH VILLA, PALERMO ^ Cont: TRUITT GROUP DECK 027-090-047 06-1007 DOTTY, DONNA 27625 SOUTH VILLA, OROVILLE Cont: BLUE HAVEM POOL(MSTR 01-517) 41 LAND DEVELOPMENT SHEET ENCLOSED jj 2 f 10 t 911, �( BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061007 B. C. Building Permit 01-16-04 pg 1 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: 05/10/2006 APN: 027-090-047-000 the Business and Professions Code, and my license is in full force an(d� License Clas License Num�be/r: I effect.O� UL 1 Site Address: 2762 SOUTH VILLA PAL Date: �6Contractor: J ��R (TG�J �.� Map Index: Description: POOL MASTER 01-517 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and. Professions Code: Any city or county which requires a Owner: DOTY, DONNA K permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a MAKELA, LANA L signed statement that he or she is licensed pursuant to the provisions of . FRANCO, LESA D the Contractor's State License Law (Chapter 9 commencing with Section PO BOX 5756 95966 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 Applicant: BLUE HAVEN POOLS Code: The Contractors' State License Law does not apply to an DIVING LADY INC. owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 275 FAIRCHILD ST provided that such improvements are not intended or offered for STE 100 A 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-899-8445 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 Contractor: BLUE HAVEN POOLS not apply to an owner of property who builds or improves thereon, DIVING LADY INC. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 275 FAIRCHILD ST ❑ 1 am Exempt under Article 3 of the Business and Professions Code STE 100 A 95973 530-899-8445 Date: Owner: License #: 718849 / 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 Architect: is issued. Engineer: ❑ 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: A I V Total Square Ft: 0 S.F. Policy #: 3 -- g 8 02_ Valuation: $0.00 Census Code: LII 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 p� forthwith comply ith�thoose provisions. I Date: l7d �- Applicant: ✓✓✓ WARNING: Failure to secure workers' compensation 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 reby i ed unTthpllc-4abl�rovisions of the butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to do wor indicatewes have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By. Date: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represeata ives ofButteCounty ttoen er upon tAe above mentioned property for inspection pur os/%S. ya Print Name: e h V I- 4v-, Signature:Mb V`� v" V 1 Date: t o'Z 0 ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" NER INFORMATION Last Name first Name V Address X1--7 UUvv City 6 (LSU _ U 1�. State Zip 9, Phone 3 l og I Fax E-mail For office use on y: ARCHITECT/ENGINEER CONTRACTOR Name Address Map Book Address l� City C t Phone State Zip ��13 / Phone a 9 p Fax E-mail Lic. #�--1) � �l q Class For office use on y: ARCHITECT/ENGINEER .-Name-- Type Const. Address Map Book City Lot # State Phone Phone Fax E-mail E-mail State License Number For office use on y: APPLICANT INFORMATION Name Type Const. Address Map Book City Lot # State Zip Phone Z� Fax E-mail For office use on y: Zoning Flood Zone SRA yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. B •1Ov� BIN # PROJECT LOCATION AP# o Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier Al 141-A If hiring anyone other than license contractors, a cerf cate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 4 _. _ ...._ __ .... Description - _S Pe of_Work: __...______ GU 6 Sq FT- Living Garage Operi Cov ❑ 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. II Regeived_bar, Amount: P )-- Bldg I I Page 1 of 2 Receipt #: Date: ; REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED, ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5.. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual; (B) Marriage line info, (C) Floor Plan; (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plaris, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestriplan approval (if required). ----❑---- -- 4. - NP -DES -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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a pen -nit 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 fequest 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 KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 �a 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: �G L� ASSESSOR PARCEL NUMBER 0 1 ' G � U 6 L -t' I Proposed Building Use: �l)� V 1 Permit Technician. Date: v 4' GCo Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in Aorderto apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑, 4. Engineered truss details and layouts in duplicate. No faxes) ❑ 5. Letter from Engineer or Architect for truss,design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in 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. Hazardous Material Form 1 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Re aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ . ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. o/ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. t 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ C ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 1 26. NPDES Form.................................................................... ......................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. ­­ ..... * ...... ­­­ ...... tatement................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 3 . ❑ Legal description,[ M.H. Title, title search, registra ion or MCO ......................... Other: T Gn ` 6 G '� onrA 7. Other: c( � When issued Telephone ' o ` 1� and hold for pickup. I have been informed of the ab ve itms n uirements f r obtaining a building permit. P Applicant: Date: 914/0 18 1. Index permit applicq ion for the above items numbered: nn- Plan Check L tter 2. Addit' nal items required 0 designer, owner, was advised of the above data by phone, mail, ❑counter, by Date:D4 4-oco r, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: C4 Plans approved by: Date: Structural reviewed by: Date -V Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 eL. TO: FROM: SUBJECT: Owner Building Division = Development Services Environmental Health Clearance n Approved for: Sewage Disposal learance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environrtfental Health Specialist Building Clearance 9/2005 E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to BODS / U.,1�� Location AP# Water Supply: Public Private Well \` Date n Butte COuI1tyDepartmeiit Ol DeveIOlD17Ieiit S'el-wces °guTT 0 7 County Center Drive ° y::,'` ° �. Oroville, CA 95965 ° aG ° ' ° (530) 538-7601 Telephone C% y ougt (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pennit 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 an: 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 re�uire 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: /Sav! V v T Building site address: 6�, Permit No.: [ have read, understood and accept the terms and conditions as expressed herein submission of the above -referenced building permit application and my signature belo SIGNATURE OF APPLICANT DATE K:Form-JBIdgPermitvithoutC]rarances02O7O5 nq D indicated by my z/o 6 Q P0,TMEN-r °,6VTT�°�\ Department of Public Works ;r - �j�y. ° �� C o u n t y o f B u t t e O O ' LAND DEVELOPMENT DIVISION ;� J. Michael Crump, Storm Water Management Program ` O O � Director 7 County Center Drive lJ N Oroville, CA 95965 Avetic Wo��9 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Construction Storm Water Permit and. Storm Water Pollution Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: r--Uf\ Project Location and/or Parcel Number: ox� J O Phase II Prevention By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I 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. I Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. B. C. Building Permit 01-16-04 pg 1 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 `) effects . O 18 ! v Liveu ` l LiceNumber: nClass : nse r�ww Date. d vConlraclo,: B IIXQ. _ OWNER -BUILDER DECLARATION I - ereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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.). ❑ under Article 3 of the Businerss�a Professions Code &Exem DateOwner: �'" 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 #: ❑ 1 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 provisigns of Section 3700 of the Labor Code, I shall forthwit�mply wi those p�io� Date: .� Applicant: ' WARNING: Failure to secure workers' compensation 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 Butie County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of nyoffiiciiaall form or n f tte County. I he eby authorize representZtisof B tt County to ter u n the above men ned property for inspection p �fx� /doo(cu/S Print Name: ✓- Signature: Y v Date: 26 ontractor ❑ Agent for Owner ❑ Agent for Contractor ❑ Owner ��Q B. C. Building Permit 01-16-04 pg 1 Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: n Do .0R0_\i 'L) -e-) C:fl 95.5.E Recorded i REC FEE 10.80 1 ,00 Recorded Records I TAX 55.80 tJ�1 County of I Butte I CINAM J. GRIBBS I County Clerk-Recorderl I I KL 010:46M 16 -Feb -2886 I Page 1 of 2 DOCUMENTARY TRANSFER TAX $....g.�j.,.�'" .......................... ..... SPACE ABOVE ........ USE ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Signature of Declarant or Agent. determining tax — Firm Name h i P, l� o aq-- a 90- 047- ItO GRANT DEED FOR A VALUABLE CONSIDERATION, ret:eipt of.which is�Ftereby acknowledged, j_,S9i#9C-D,a �i,_JVIR�rl~ •` IpNtAlyj t��?p ccc�lreC"iC' ASi 3 s"h �uncarld c,caomG. 1 hereby GRANT(S) toy �,.. Aid fl E Ni L , o� u n'm0..rr t eco Loo mmn c�, N k ZPapp-Atico the real property In the City of. ; rIMIt C County of ; State of California, described as ukiNCO' PORAYED c Lr -e o o - Dated nom- 2-- 42lG�lG✓�2C-�'i MAIL TAX STATEMENTS TO: °•. SHERRY L. GUIFFREDAj COMM. ;I:1251019 (5..p NOTARY PUBLIC -CALIFORNIA SACRAMENTO COUNTY } +trruFl ` COMM. EXP. JAN. 22, 2OU41' (This area for official notarial seal) 1002(1/94) ) STATE OF CALIFORNIA )ss. COUNTY OF`�C'm, On before me, L personally appeared -L. - ,c, A= –b • T ' kv- C� personally known to me(pr n nyr Phi to meLn'the ba iso wfiggoevidence) to be the persons) whose name(subscribed to the within instrurr�gnt and acknowledged to me that heey exec ed the same in hi heir authorized capacity(ies), and that by hi heir signa- tures) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m nd and official se Signature�� MAIL TAX STATEMENTS TO: °•. SHERRY L. GUIFFREDAj COMM. ;I:1251019 (5..p NOTARY PUBLIC -CALIFORNIA SACRAMENTO COUNTY } +trruFl ` COMM. EXP. JAN. 22, 2OU41' (This area for official notarial seal) 1002(1/94) 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 April 19, 2005 Lesa Boetto P.O. Box 5757 Oroville, CA 95966 Subject: APN — 027-090-047 Dear Ms. Boetto, The Butte County Department of Development Services, Planning Department, has reviewed the Environmental Health application for the proposed septic permit. This property was originally created by the Palermo Citrus Tract #1, which is an antiquated subdivision and created the roads and right of ways only. In order to ensure that your property was created legally by deed, we need a copy of a Creation Deed dated prior to March 4, 1972 and includes legal access to a publicly maintained road. After this date, The State Legislature enacted regulations that became effective which required the filing of a map for any division of land for the purposes of sale, lease, or finance. Since your property is located in an active agricultural area, it requires an agricultural buffer of 300' on all sides of the property. At this time, the Agricultural Commissioner needs to review your site plan and consider your proposed site plan, since it does not reflect this 300' buffer. In order to do so, this unusual circumstances form must be taken to the Agricultural Commissioner's office and they currently charge a $65/hour fee. Unfortunately, the Department of Development Services does not have the capability at this time to accept this fee and therefore, we are asking that applicants make their payment directly to the Agricultural Commissioner, along with your site plan and unusual circumstances request. Their office is located at 316 Nelson Ave. in Oroville, or can be contacted at 538-7381. Until I receive the approval from the Land Development Division of Public Works to verify an appropriate Creation Deed and from the Agricultural Department for the proposed site plan, I cannot approve the Environmental Health application. Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincerely, Q� A. ���2��-tel � Streeter Planning Manager Cc: Chico Environmental Health BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department; 7 County Center Drive; Oroville, CA (530) 538-7601 Name: Phone: Mailing Address: E -Mail address Assessor's Parcel Number: - - Reason you believe you qualify for the unusual circumstances exception: Owner or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: ......................................................................................................................................................................................... For Agricultural Corn missioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/1/03 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PBPOb24060. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 09/27/2005 APN: 027-090-047-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 2762 SOUTH VILLA AVE PAL effect. 2 License Class: License Number: Map Index: Date: Contractor:—+r,14' - lJ"W Description: DECK- OPEN(340) 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 Owner: BOETTO LESA D Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior P O BOX 5756 to its issuance, also requires the applicant for such permit to file a OROVILLE, CA signed statement that he or she is licensed pursuant to the provisions of 95965 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 Applicant: TRUITT GROUP 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 417 STIMPSON ROAD such work himself or herself or through his or her own employees, 95965 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one (530)521-6449 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 Contractor: TRUITT GROUP and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves the and who contracts for such projects with a contractor(s) licensed 417 STIMPSON ROAD pursuant to the Contractors' State License Law.). 95965 ❑ I am Exempt under Article 3 of the Business and Professions Code (530)521-6449 Date: Owner: License #: 771326 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 Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. TCI 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: �wv/ Total Square Ft: 340 S.F. Carrier:P+� Valuation: $3,400.00 9-)a- y�Q3 Policy 3t: Ob !7 Census Code: ❑ 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. b S Date: Applicant: WARNING: Failure Vs4ecure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of +/ / '\ Cv compensation, damages as provided for in Section 3706 of the Labor LC�CJ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued underUtheanable provisions of the Butte.County Coda anrt/or I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated awhich feeshave been paid. performance of the work for which this.permit is issued (Sec 3097 Civ.) _ C' Name: �((Ci BY Date:7� PERMIT EXPIRES ON: � Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 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 th my authorized agent of the owner. I a ree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of y oficial form or document of Cou I hereby authorize re enntatives of Butte unty to enter upon the above mentioned property for inspection purpos � Print Name: Signature: Date: / /J, [� S 0 Owner ❑ Contractor ❑ Agent for Owner gent for Contractor COUNTY OF BUTTE -DEPARTMENT OF 6EVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET >Oe-- T7ZD� OWNER:jr / �~ ASSESSOR PARCEL NUMBER 2 L Proposed Building Use: PL-,nlz / /O Permit Technician: �"r J Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /V-, 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. IV 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form �p /A,/ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Re(naining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ .bl 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... Erosion Control Plan Required........................................................................ 2( Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 0 23. California Department of Forestry plan approval ❑ paid. Sent by: �❑, 24. Planning approval for (A) Use: A 4-(B)Parking: (C) Parcel Check:.... 2- a-o� �❑ 25. Contact Land Development about -Improvements, -Drainage ........................ 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: 2 q ^� When issued Telephone `' 3 �U J 6 / / and hold for pickup. -03- I have been informed of the above items and requirements for obtaining a building permit. Applicant" ZrDate:: �/ 7 42 1. Index p rmit application for the above um /items nbered: Plan Check Lett r 2. Additi nal items required surf=designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Dale: Contractor, designer, owner, was advised of the abovp data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: TP Date: O - Plans approved by: r7j-A0 Date: os- Structural reviewed by: Date: Structural approved by: v Date: Note transfer by: - Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PRONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER �`��� cep PROPROSED BUILDING USE 2Lti C �F O 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P. It 02%-4C) q 0 —0 DATE RECEIPT # DATE REC. �_'.2��OS 7. WATER TENDER FEES BATTALION # 200.00 (paid at Building Division L 8. SMIP 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit app tca ion, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed ddring a plan checkin rocess. APPLICANT DATE //714!s� Pursuant to Gov mment 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. 7/05) Butte County Department of'Developrnent Ser k3rr�° 7 County Center Drive ` Oroville, CA 95965 (530) 538-7601 Telephone c0U144 (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 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: APN: 0,�7 — D F6 d z_f Building site address: �7loa- S ;,tAn 1); 0 w At- P 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: lf7/2S GNAT F A LICANT DATE y Copy to Applicant/EH/File KForms/BldePermitwithoutClearances 020705 eparfir e of Public Works n t o f B u t t e LAND DEVELOPMENT DIVISION or Storm Water Management Program J. Michael Crump, Direct 7 County •�'�,� ® Center Drive '.�� • 0o u" / Oroville, CA 95965 (530) 538-7266 CLI(FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THA1�d' �tCRE Project Description: X3 �! e, Project Location andlor Parcel Number: a 290 — L) By sigiiing below, I, the project owner/owner's agent; certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of.California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: SITE PLAN REVIEW APPLICATION Date: AF9 cin, — cH, �5_ '% J (�/ �/ '� 4 0 l Permit Number (if a licab OR KA> APPLICANT INFORMATION Parcel Sizer Owners Name: AvI/Owners Address: cv�I) Telephone No.: c D U -' Situs Address: Proposed Use: Residential ❑ New Single Family Residential Single Family Addition ❑ Single Family Remodel Mobile Home (�,, t Residential Accessory kG0�'d� ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic Agricultural Exempt Building ❑ Other. Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 5`10-65,7 10 i Approved ❑ Conditionally Approved ❑ Resolve Probe c rr�j� Approval ei4e •Dl.... Cif-....... nr� A e�xi�•no n� �✓1��``— � l 9/(/ `� �0� ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: - 11 ❑ 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.: 07 S"G " Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclam tion 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) ❑ Ch man/Mulbe ap rry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit . El Minor Variance El variance ❑Administrative Permit ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural AclmowIedgement Statement Zoning: /4-6- Applicable 4-6 Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front c2o, Side 5 , Side' Street Rear s� Height Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula Subdivision Map Special Fees e• . ❑ Water Tender ❑ Road Improvement ❑ North Oioville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit, Parcel Created By Deeds: Daze of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal'Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: W -o Z%; q1 dzxd ❑ Parcel Deemed to be legal . ❑ Verify Legal Parcel ❑ Verify Legal Access APProvide 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 & C4 3 ❑ Use Permit/Minor Use Permit Permit Number: Book: Page; .3 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 Departnent specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development . Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division."' ❑ Engineered foundations are required, ❑ Class A roofs are required. ❑ Property owners responsible for roa u u Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C'U-xTyslBuilding Permit Sits Plan Rev mI ADC C 0U/,�/- ileceived BUTTE COUNiY APR 26 X005 9 Q AGRICULTURAL BUFFER NOTIFICATION ANDIOR cA��UCTtfF�`�� UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Phone: Name: `Qr) _0 57(� -� �-%►�� G Mailing Address: Q1� 5:7S 0 1)i' E -Mail address /v Assessor's Parcel Number. Z� d I� 6`�7 Reason you believe you qualify for the unusual circumstances exception:�CzL er Agent's signature Li/.a% /0's Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with.this form Refer to the Site Plan Submittal handout for specific requirements .......... ....... .................................................... Internal Dept..Contact Info: other ElEnv. Health ❑ Planning [I Building Phone: Contact Person: _ _ . _.._. ........................................ .......................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS(Building lul Exception Recommended Exception Granted with the F_J[] Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: ��sc� S�3�t,c�a•ZLS�Sl 11- s L (�� 1 L� a -0 bs S Agricultural Department Signature Date: e 0 YIvIC 7/1/03 Butte County Department of Agriculture Request for Services: PLANNING / BUILDING PROJECT REVIEW Effective August 24, 2004, Butte County Ordinance No. 3880 section 3-69, k, 4, address the fee schedule for agricultural related planning project review: "All planning applications that are referred to the Agricultural Commissioner for review or when an individual or business requests review by the Agricultural Commissioner will be charged at an hourly rate of sixty five dollars ($65.00) per hour with a minimum of thirty-two dollars and fifty cents ($32.50) for one-half hour. Any. additional or subsequent review of planning matters by the Agricultural Commissioner shall also be charged at this same rate." Name: LAS 13®e�o tmco /eAfll grn�� Phone No.: _ 3i6 — 34,r1 7 _ Business name (if applicable); Address: +zoy- 5-15t, city & St.; oFou: ll -e_ zi p: Name or Scope of planning project (include any documents or maps to facilitate review): APN number. Consultation regarding the results of the review and any related documents will be provided by prior arrangement or appointment. The charge(s) for project review and mileage will be due at time of service or may be billed if approved by the Agricultural Department. The totals are as follows: Hr's labor @ $65.00/hr $ Mileage @ .30/mi $ Total Charges $ I agree to pay the Butte County Department of Agriculture for Planning/Building services provided in accordance with the Butte u ty ordinance No. Z3880 ,r Signature./lam c / Date: J / ' �, ry li iii ;: '^ i r - : • �.� _.` .`. tiro^ ii .:•- ,�v � .�4+�.'�� - ".�1�77� �,. + � - ,V E.. '--- -- '•-+� � ��] '�',-1 -�• � ill ;•j4, ,Ec"'.�'� �i -.y ; •r, --�:r7� �, _ �, � I � l `i RAONddV N lSiAI,Cl Maine �UARIES 3&- MIN. o t r " a m rnM rpn • 6 � ;y oo Tie x Ell a s cl _ T x •�z N v •n A.o � ��r- rt MAY - in ' = m n ti IL .. MAX. O i yp 2-4 45 w ill W mol ,Q -1 rn 1 11 oL� Z ' ��i�NPJ1URAtl <El6HT -s ��� 1 1 ' j1 rz i � ■ Ll � `rz 1m � 6" �- R EE36"M[R. STA[ MAK. N `, rn Yti• I p O e • �3 `-1 N O 71. Z) R rrl o 'er M lb rt" x rq 65. — N T �4 vTrF Department of Development Services ° Building Division 0 7 County Center Drive o oroville, CA 95965 �f9M '�.= o (530) 538-7541 (530) 538-2140 FAX. BUTTCONT BUILDING DIVISJOjAq APPROVED HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11 � min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 4' Max. -IT 36" Min. Top of 4_ Mx - Top of Deck 1y Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags. M.B. Pier posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier inln concrete 0 C Intermediate rails a' Max. spacing shall preven the passage of a 4" diameter sphere. 4' Max. 3-12 Mar 1 .12Mia t HANDRAILS 1-va • 3-1/2 pp ' Marc 2-12' 1-12• 3-12 • Ma:c 1-va m 2.12 - 1 -12' Mia _ Handrail TV height 34"-38 a•- s•Min. r ---t Nbt Acceptable 9 -Min Girder 6'Max P ost An approved post cap connection or connect girder & post with 1/2' plywd gussett & 3 -.16d nails top & bottom 3-2x12 6" Min. Stringers r ' 12 x 12 footing B" Min. embedment Attach stringer to sill plate with 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2 - 1/2" di a, thru bolts required Min. 2x pressure treated sill plate Department of Development Services Building Division 7 County Center Drive Oroville, CA.95965 (530) 538-7541 (530) 538-2140 FAX . GUARDRAIL DETAIL HANDOUT BUILDING D9VIc,-1C,,N APPROVE Nailing shall comply with Table UBC 23 -II -B-1. , Lumber shall beat least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4' Max. T4-36" Min. v Top of Deck SIDE VIEW a' Max. Min. 2x pressure treated ledger Min. 2 – 3/8" x-'' lag bolts or screws. —1 A TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 UBC.xIs Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. Top of 3/4" clearance Joist to the edge of --4--the wood member joist Min. -2 - 1/2" dia. thru bolts required. GUARDRAIL An approved post cap connection Girder or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 6" Min. ------------- 12" x 12" Footing 8" Min. embedment TYPICAL PIER FOOTING r . E.M. USE o - Y Fat Flan Attached Floor Flan Atnac"d San% to B.D. TO: Building Department O� FROM: Environmental Health SUBJECT: Sanitation Clearance J Owner ✓ Location AP# Plan Approved for: Sewage Disposal W Y er Supply: Public Private Well Clearance for dwelling. Other - ex-)aQ 1.,e I- ca a` fo K 3 5� .lac C.� Hold final for: Final cleance O.K. for: NOTE: _7 Environmental Health 8/96 NOTES ;'r RESIDENTIAL. PERMIT NO. _"0_2-7-_ 090-047 05-0743'. FRANCO, LESA :X- SOUTH. VILLA, OROVILLE Cont: TRUI'. T ROUP N -EW MH PER A FND OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER --Z 7 27 6 �_ 1 `S 03 �l N C�� ) z V -o ('03 ) -'LDco�2 ILO o �'l JOB FINALED (Date) / `l:7- Signature .!G J=OK 0 = Not 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/O -Concrete 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 Date 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 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 Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date PERVANENT END SYSTEM (ONLY) 6. ming Requirements -Setbacks -Easements 7. Fgat(ngs; Size -Spacing -Marriage Line 3 locking . I -A-a'as, M est -Demand -Valve Health Department Approval 5. Elec tty; MH Test Plumb.; Cir. Test -Water Supply Test 6. Water; MH Test Light Niche 7. Water and Sewer Connected Enclosure; Fencing -Alarms 8. Gas and Electricity Tagged 9. Exits Card B-1 Date Card B-1 10. License Decals Card B-1 Date Card B-1 11. Verify #'s with Office Date Card B- Date Card B-1 Date -Gard -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 8-1 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 i 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 J=OK 0 = Not OK - = Not Applicable . = Not Ready T r r RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -8lockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes Cl No/Walks ❑ Yes O No/Planters ❑ Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. P050743' PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/31/2005 APN: 027-090-047-000 the Business and Professions Code, and my license is in full force and effect. /n� / . License class : License Number: 132 6 Site Address: 2762 SOUTH VILLA AVE PAL Date:' S S Contractor—trvdl &z'zlti�% Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: new m new site perm fndn (1776) 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: BOETTO LESA D to its Issuance, also requires the applicant for such permit to file a P O BOX 5756 signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 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 penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: TRUITT GROUP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 417 STIMPSON ROAD provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of (530)521-6449 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: TRUITT GROUP and who contracts for such projects witha contractor(s) licensed pursuant to the Contractors' Stale License Law.). 417 STIMPSON ROAD ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95965 (530)521-6449 Date: Owner: License #: 771326 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 Architect: ( is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: lfzr .A -e.. C12=in. 7bl5. R -'Id Total Square Ft: 1776 S.F. 01 y 00100 3 Policy #: _ Valuation: $115,440.00 ❑ 1 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall D forthwith comply with those provisions. �� S Date: 3• . �J7 V pplicant: WARNING: Failure to secure wers compensation 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 3708 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is eby issue nder a appli le pro isions of the Butte County Code and/or 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.) Resolution o do work i tate bove for hich f s have been paid. By Dale: Name: l PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Q' Notification in accordance with Section 18827.5 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 stale laws relating to building construction. I acknowledge it is unlawful to alter the substanc of ny official form or document o ulte County. I hereby buthorize reZentatives of Butte County to enter upon the above mentioned property for inspection p7&_"_ Print Name: Signature: C Date: S//d .� Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor 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: �4 PARCEL NUMBER o 9l • Proposed Building Use: VV/`!V 1 " I I 1 f--A.J`(4 )ermit Technician: Date: Items required in order to apply for a permit. All boxes MUST be 'ec ed OR arked NA in order b apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. elT. 8. Manufactured homes: (A) Installation manual, including marriage line info D Floor Plan, 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.loor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form iri;. 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other e . iining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable5 ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ' 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑, 22. Site plan and business license approval from the C y'of Biggs ..... ..................... SI/V 23. California Department of Forestry plan approval It[ paid. Sent b . 24. Planning approval for (A) Use:(B)Parking: (C) Parcel eck:...... ❑ 25. Contact Land Development about Improvements, _ Drainage ........................ .:ff, / 26. NPDES Form............................................................................................. -41W 27. Encroachment Permit for driveway from the Public Works Dept ........................... Ij 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ �� 31. Letter of Signature authorization.................................................................... -L" 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... E5 35. aLegal description, ISM.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone � �% 3L,99-7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ��-' Date: -3 / 1. Index permit application forf� above items',13'u• mbered: 1P 2 Plan Check Leyer __2_AAdWon.aI items required esigner, owner, was advised of the above data by phone, ❑ mail, Cfcounter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑`counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: t Plans approved by: Date: Structural reviewed by: _ Date: Structural approved by: Date: Note transfer by: _ Date: Yellow: Building Division y�4 E.H. USE DNLV t slot Ran Attached Roar Ran Atnschad Sam to B.D. I TO: Building Departrne.nt FROM: Environmental Health SUBJECT: Sanitation Clearance C -ff - - Oq a 212,er �-� A �, -Z) /-:4— -- 2,�� . Owner Location AP# Plan Approved for: Sewage Disposal AWater Suppl Publi Private Wel Clearance for dwelling. Other Hold final for: '\. J:n24 Final clearance .K. for: NOTE: nvironmental Health Specialist 8/96 44 :_lJ Date SIM 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 OWNERCO�YiC� PRO ROSED BUILDING USE t 4 ' " 0, — BUILDING PERMIT FEES --- Balance Due ..................... Additional Fees Due........... $ -- Ravieali plan (`hnrlrina vpP 0 v: A.P. # �-� DATE RECEIPT # DATE REC. C _ 16 e_o # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. \5. RECREATION DISTRICT FEESCJY 1Lz' (paid at Recreation District Office) foM� aavva labje�after lan eck 6. THERMALITO DRAINAGE D&rRiCT FEES $510.00 (paid at Building Division) s�K 7. SRA FIRE INSPECTION AND P AN CHECF E -$89.99'(paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone ... Zone # Units Commercial (sq. ftg.) ......... Sq. Fig. 10." 0. THER� 1 ` \ . 15 X =$ Amt. X =$ Amt. ion) t t 77 (��7 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d ng he plan checking process. /% APPLICANT. :KA,;�- '5� —11 L01 Pursuant to Government Code 9egN6n 66020, you are Ifereby 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) w BUTTE COUNTY SCHOOLS IMPACT FEEICERTIFICATION FORM (One form per Building)' 0912 - School District cy— &,rl , Building Department No. A.P. Number U Gi U' U� Jurisdiction: City County Property Owner ((P`rro%perty Location/Au SLIb'division Residential Development Q ,IJ No of Living Mobile Home Units Installation Commercial/Industrial Q Q Addition + - Bii Iding DepartMent Represenfative� Olt ,- District Identification No. a�chool (Street Address) C'rz.� vj - (City) , y has complied with the requirements of Resolution No. representing Ji'7_710 square feet. i School District ReoresentativeV Paid by Check # ( Remarks: Lot No. Addition/ �Supplemental to -` Conversion Permit # *(No foundation Insoed y `j 0-v I Sq. Footage ' �D (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Aieas) 31aa•(OD Date O�S 1 77 1) District certifies that �•f (Applicant) (Phone Number) � (State) (Zip Code) os-- `2 o by payment of $ 3.,. % �. �'� 2926 = FULL MRIGATION $ Date I Not w You may protest the Imposition of the tees kiantilled above by submitting a written protest to the Distrkt. In compiler / 'j! th j �- Go 6rnrft rt Cods Section 66020(a), within W days from the date fees am paid. Failure to submit a timely written protest it I pQblt YOU ;Aq n chNkmping the Imposition of the fen In any court action. ✓/'� 0. subsequent to the School District RepreesrMatlw signing Oft Butte County Schools Impact Fee Certification Form, the School District Is notlllad by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA� t this project may be sublset to additional school fees to fully millgate. its Impact on the school dlsbieft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm A• Y-. BUTTE COUNTY DEVELOPMENT FVE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 0;'�' C)9'0 Building Permit Number Property Owner (s)-�C���> Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home 6 -dl -16 Assessable Sq. Ftge l--�l Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department Demo Permit (date issued - ) Comments: .Building Departm�n`�Representative 0 CARD ❑ PRPD ❑ DRPD certifies that:. verified by Building Department "(YN �Y-vj Y-� .-.Date _.......- Applicant Name Phone Number A 02L02 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 KAFORMSWILDING FORMS\park-rec standard form rev Ldoc per unit for a total of $ r��& .CIU per sq foot for a total of $ Receipt No: IU Y.3 1 . Q!Q't pSME -r ac /I�VTTF o \ ° 0 0 (J t41 AUC WCF� Department C o u n t J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase Il Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 9 ACRE1 Project Description: _t�nS4-ra.► ( sL)l't!3�e I, pal 1 � Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WIILL 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. V I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 0 Less than l Acre NPDES & SWPPP Compliance Certification Butte County. Storm Water Management Program ' Revised 5/24/04 Butte CounlyDepartment ofDevelopment Services °vTrF° 7 County Center Drive ' ° ° Oroville; CA 95965 0 ,.. o ° (530) 538-7601 Telephone °a= (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: Qeap APN: Oa Building site address:6 A 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: GNATU OF APP ANT DATE Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 020705 v CDF FIRE SAFE- REQUIREMENTS AP# o? 7 z2 `1 --171PERMIT # 05- Q9 NAME C.eXXM O 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. F 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. Driveway Radius R Pq No roadway shall have a horizontal inside radius of curvature of less than 50 feet 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 feet radius. R 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 T length, shall provide a turnout near the midpoint of the driveway. Wherea 1 driveway exceeds 800 feet, turnouts shall.be provided no more than 400 feet apart. R 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. E 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. N Fl -e LS Setback for Structure Defensible Space [x] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. 1. 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. [) 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Buildinq Setback is 15 to 30 Feet: ✓ Class A or B roof ✓ Enclosed eaves [) If Building Setback is Less Than 15 Feet — ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: o Metal or no doors on side toward property line with insufficient setback E3 Interior automatic sprinkler system per NFPA 13D ❑ Glass -area not to exceed 10% of wall area toward property line with insufficient setback o Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer . o Metal o Other Butte County Fire Department approved materials [) Date Signature C D F R E Q U I R E M E N T S d d-, x 101, ci I uc-; APPROVED Butte County E • ironrTntal He at Signa-W—re-- 05--0-74-3. BUTTE COUN'TY BUILDING DIVISION APPROVED 441110 45- tp.7Y.- 0 r __ SLS p P r4 S � '?C)IX)-u� BUTTE O BUILDING DIVISION 1/2% 3 1/2" - EXPANSION ANCHOR (4) REQUIRED CONCRETE PAO INSTALLATION 1/4- GRIPPER PLATE (4 REQUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4 - DOLT WITH NUTS • (4) REQUIRED 01 1�2" SCH 40 PIPE RISER WITH 01/2 'ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 44 PIPE STAND WITH TWO 01/1° ADJUSTER HOLES Q ABESCO ABS PAO X1503 -� t8 1/2' 31wo- ,, .F�FZ4f�� 1 i 1' 3/4" DIA. x 18" L0 - 1/2"x 8" LONG (4) REQUIRED ANCHOR BOLT 3/8' CAD PLATED BOLT. NUT & WASHER (4) REQUIRED , , OT I D.C. \ FLUSH TQM B) REQUIRED POURED IN PLACE 16x16xl2 CONCRETE FOUNDATION INSTALLATION 36" MAX TO BOTTOM OF PAO 01/201 3" C.R. LOCK PIN WITH 01/8" BRIDGE I PIN LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION IlOtu-I= Tf1rQ18 SGT: 1RDE TIM R HOMamm— ft LEN= OF UMM OF F OC• 1KUMKlt OF TUF-1 RE>DWRED M11Y11Eit OF 1Ni-1 REQUIRE SW U WIDE UNRS REQUIRE (4) E—Z Tit PADS. GUS GUARD TUF—i PIERS ARE TO AE PLAOED AT APMXWYATMLY EQUAL UiIERI'ALS AMNO EACH FRAME RAIL rt219R10 o TUF-1 PERMANENT FOUNDATION SYSTEM STATE APPROVAL 10012PACTRO FONNDATIONsys" l bTf[ANDBAPalTOODR, ebQIT04i ti!!1 APPA+OYBD BtTBt817t 7+0 00'R�L'!'BDIRil1� APP1l00At. D 08B NOT AVEKNIM M APf 1lM AW OMISSIONS OR DMTION VROTL RX IMMEM0 Of APDL CA8]AWASlAWRAHDXBGOLATLDIIR etitl of OdiRxdl w"WOMMAJ//V/ I C t i WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of- 3 1\ • � W �a ❑ D itys QQ CS W g aDC ❑ 00 O A oLV 0 00 a � � gZ M to 0��� �► 06 Z ❑ ❑ coag � O Vi �� 8 W V/ � 4�^ �NQO: iii � � •� s W to rl x _ Mr iQ y�/ /� Q m yXit c S uoA L cow z. �i -'N1O zoo milli I tW�� oW f%f WfA ZI~V AI S^� .0� y off. Be o .. i • u Wy Oen ��� ca G .ter os'u W U Cam v F IES + Nita 7 H g Cc, gW n O. 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NUT I Yx l vis" " s��p CBOE RUSH WITH OTTO ISR STEEL AT -1,A ,/4- STAND BASE . i- ABESCO ABS PAD 0503 CHASSIS FRAME 1/4" GRIPPER (2) REQUIRED TE � 4 1/4 GRIPPER BASE 1/2:�� SOLT WITH 3N 4■ NUTS (4) REQUIRED 01 142" S.H 40 PIPE RISER WITH y1/2 ADJUSTER HOLES AND 3/B" THICK TOP PLATE or 01/2' SCH 40 PIPE STA HOLE WITH TWO Q ASESCO ABS PAID 0303 STEL FRAME n x S o COACH 'C' FRAME• 2" CHANKEI S/4"x1-t/4= TEK SR (2) REQUIRED 1/e GRIPPER, BASE 1 LT (2) REQUIR e A307O 3/6'x 6"x G" STEEL PLATE 1/2' A307 60L1 (2) REQUIRED / 1 10.00 39" MAX I x -•- TO BOTTOM o OF PAD I 10.00 01/2'x 3-C .R. LOCK PIN WITH /1/e' BRIDGE PIN �yr 02/18 HOLE (TV) AMWL A TOP VIEW OF TllF-1 PE_� FOU NDAT{ON SYSTEM AN US GUARD OOMPAW 5851 FLAN - P'ERKIIIS ROAD SPARC (RAS ro,CA 9SO FAX: (916) 353-5207 1 /SoGRIPPER PLATE r _ u COACH will FRAME 1/4'x1-1/4" TGC STS (4) REGUIREO 0:0 RIPPER 1(4) REQUIRED BOLT 4 B" 1/2" Du. HOLE (B) PLACES TOP VIEW . A1oM1fl1f0lIB��L'1�1� M N Imam! WNW AwismamIAM WAYNE T. POLVADO, PE-LISTIN3 No. F94249 SHEET i c1-3] AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE. CA 95965 Recorded 1 Official Records I County of I Butte I CANDACE J. SRUBBS I County Clerk-Recorderl I I 010:25A14 31 -*ay -2005 I REC FEE 10.00 CONFORMED COPY 1.00 NL Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code. required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See Attached Legal Description Date_ 1 't , 2 p n S PROPERTY OWNERS: Lesa Boetto Franco State of California County ofspcx�p'n'e m ino On 2':�> , 2©0,n S -a3 -o5 personally appeared LR So, - ersonally known to me or proved to me --O-)' the basis of satisfactory evidence) to be the pe hose nam subscribed to the within ms rument an ckn wledged to a that sh t rexecuted the same in er t r authorized capacit#s) and that by 1 ' e >tr signatureo n the instrument, the person�or the entity upon behalf of which the person )acted, execute the instrument. WITNES my hand and official seal. Pt ;a�j Signature TSeal: ": ELIZABETH D RAHLF z COMM # 120476 NOTARY PUBLIC CALIFORNIA SACRAMENTO COUNTY A P. #_ 027-090-047 o Comm Exp OCTOBER 19 2008 p A qb DzscRIPTION THE LhND PJM BRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY. OF BUTTE, AND.IS DESCRIBED AS FOLLOWS: PARCEL I: IAT 3, BLACK 64, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 1 OF PALERMO CITRUS TRACT" , WHICH MAP WAS RECORDED IN THE OFFICE' OF THE RECORDER OF THE COUNTY. OF BUTTE, STATE OF CALIFORNIA, ON 17, 1888. PARCS3. II : - A NON-EXCLUSIVE EASEMENT 60 FEST WIDE FOR ROAD AND PUBLIC UTILITIES PURPOSES LYING WESTERLY OF AND ADJACENT TO, AND RUNNING PARALLEL LT1TH THE EAST LINE OF -LOT 4 AND IAT 3, BLOCK 64, AS SHOWN ON THAT CAIN MAP ENTITLED, "SUBDIVISION NO. 1 OF PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE E3BR CORDE 17, i F FROM THE THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON s NORTH LINE OF SAID IAT 4 (BRING THE SOUTH LINE OF SOUTH VILLA AVENQR), TO A POINT 65 FEET SOUTH OF THE SOUTH LINE OF SAID LOT 4. SAID EASENENT INCLUDES ��DS BEING TES SOFOOT RADIUS DE -SAC; 'THE RADIAL DTHSRLY TERMINUS OF POINT, OR CENTER OF SAID THE CENTRRiSNB OF THE ABOVE DESCRIBED EASENENT. EXCEPTING T`HEREFROIK ALL THAT PORTION LYING WITHIN THE BOUNDS. OF PARCEL I, DESCRIBED HEREIN. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I Countyy of I Butte- " 1 OPME J. 6RUBBS I County Clerk-Recorderl I I 01:04PM 07 -Oct -2005 I REC FEE 10.00 COPIES 2.90 CONFORMED COPY 1.00 SA Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LESA D. BOETTO REAL PROPERTY OWNER/LESSOR PO BOX 5756 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 2762 S. VILLA AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95938 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY ICOUNTY STATE ZIP 05-0743 530 538-7541 NUMBER �LDZG PERMIT NO. TELEPHOim 19NE G URE OF LOCAC AGENCY OFFICIAL &7 Yals DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION MOUNTAIN HOME 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 2765A/B/C 64'X 247 64'X 10' CAL120061/2/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-090-047 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. ORDER NO. BU-156926-3 1 DESCRIPTION j THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY ; OF BUTTE, AND IS DESCRIBED AS FOLLOWS: i PARCEL I: LOT 3, BLOCK 64, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 1 OF PALERMO CITRUS TRACT", i S WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF I: , CALIFORNIA, ON SEPTEMBER 17, 1888. rr„' • PARCEL II: �'t'.�'1"'� � '•;`, A NON-EXCLUSIVE EASEMENT 60 FEET WIDE FOR ROAD AND PUBLIC UTILITIES PURPOSES LYING WESTERLY OF AND ADJACENT TO, AND RM-KING PARALLEL WITH THE EAST LINE OF LOT 4 AND .LOT 3, BLOCK 64, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 1 OF PALERMO CITRUS TRACT", WHICH MAP WAS ;;�. ", .,•. 4,- .ir2j RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1888, FROM THE NORTH LINE OF SAID LOT 4 (BEING THE SOUTH LINE OF SOUTH VILLA AVENUE), TO A POINT 65 FEET SOUTH OF THE SOUTH LINE OF SAID LOT 4. SAID EASEMENT INCLUDES A .50 FOOT RADIUS CUL-DE-SAC; 'THE RADIAL POINT, OR CENTER OF SAID CUL-DE-SAC BEING THE SOUTHERLY TERMINUS OF THE CENTERLINE OF THE ABOVE DESCRIBED EASEMENT. f EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF N PARCEL I, DESCRIBED HEREIN. QU NDATION-SYST-EMA,y- CERTIFICATE OEO;CCUPANCY BUILDING PERMIT NUMBER: 05-0743 Address or location of unit: 2762 S. VILLA AVE., PALERMO CA 95938 Legal Description of Real Property: AP#: 027-090-047 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LESA D. BOETTO Owner's address: PO BOX 5756 OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: CAL120061/2/3 SERIAL NUMBER OR V.I.N.: 2765A/B/C MANUFACTURER'S NAME: MOUNTAIN HOME YEAR: 1978 OFFICIAL APPROVING INSTALLATION: (./M�� va�111 DATE: l0 -& -0j PHONE: (530) 538-7541 H.C.D. 513C ARNOLD 6CMWARZENEf3GER, Governor - STATE OF CALIit)ANIA • eUSINEBs, TRANSPORTATION AMD NOUF MO A6ENC�' DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT d 'Ips nivlslon of coda, and Standards Title Search a� Date Printed : 02/17/2005 i Decal #: Manufactu Tradenam Model: Manufac d Date: Registration R: First Sold On: LAA6721 MNT HOME HK 09/26/1978 Serial Number 2765A 2765E 2765C Registered HUD Label / Insignia CAL 120061 CAL120062 CAL120063 Use Code: Original Price Code: Rating Year: Tax Type: Last ILT Amount: Date ILT Fee Paid: IL? Exemption: Length 64' 64' 64' JOHN MARLOW EVELYN MARLOW (Tenants in Common 7259 LOWER WYANDOTTE OROVILLF, CA 95965 Last Tide Date: OU20/I994 least Reg Card: 01/20/1994 9nTdT-n ester Into: Price $32,951.00 Transfen Situs Address: 7259 LOWER WYANDOTTE OROVILLE. CA 95965 Situs County: BUTTE inactive Decal/DMV: DMV SK9849 Open Escrow: MID VALLEY TITLE PO BX 1068 2295 FEATHER RIVER BL OROVILLE, CA 95965 Escrow File No: TO FOLLOW Pending Bayer: LSSA BOGGO FRANCO I)ealer Name: TOM'S MOBILE AND MOTORS Escrow Opened On: 02/01/2005 Expires on: 06/01/2005 Title Searches: NQD VALLEY TITLE PO BX 1068 2295 FEATHER RIVER BL OROVILLE, CA 95965 Title File No: 1793022 *** END OF TITLE SEARCH *** 991 AKT LPT NONE Width 12' IT IV 02/23/200S 14:35 MID VALLEY TITLE ORUVILLE t0,3010'e I'lu. r_I r P.04 M ID VALLEY TITLE ESCROW FEF -23-200501 faoae at 716ftwm -IN Aw '"w no & Comm Aimm "w amw AL r doM IW 166022-3 MAM Imo rim liars Na 1 pOc s a. AD IA m recoFew 111111 To i deck 20. aa offset" Babordlo a LFAA a. 9DErro comae.* of , I P.Q. 50116756 Hutto I GROVUJ,-- CA asm 0680106 2. -ammo I ve a MMMMMY TRANSM TM $12M M" TAX STATEMBn 111k GRANT 0920 AM a1'1t•as�11 FOR A VALUNU QM54W.MTM. 1'6080 Of WNM 4 FWmV 90*0110M PAUL_ M. SANTION1 and UOUMES L SAMN1. husUnd PW wift UMA 0.60 n u410dl WORM to no "" .0 016 wwwwa an of go = ATTACHED WGAt DESCRIPTION Dated --bkw=bcr-8-19W 3TAT9 CW CAUFORT44 =*TV OF WOO on lbwarber 12, 1996 COMO I,» --.0KUv&-T$v P--Aty 49"Ared Wim" shown Ir, r%.- ic- ruvos to mo M. II..1 oxim vivitsirc, 3ol W*dM=l la 00 ljr? ; F.. 10 fto Sim hwl'unwi in 0,0 IMI he Vw Irv, C.9wo1I he Y ki 01" I'll, 0, '"ntute(al on IN.. w6onisj U, I" 011.9w vooft tv%%, al ~ Ih9 lomlop-:-) mnoo - cwq* IM051.,�9m VAYNE6 4yh*.--4 �---i CACAO Goal \— ilgnalW I \21 - Ral-if 1!41 f( — rw 40o_-O-Mlif-IN i. Dr%V JCffirFAj I cl Lru-' 02/23/2005 14:35 MID UALLEY TITLE OROVILLE 4 533010-1 5. 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NU. dZ) F.05 TOTAL P.05 `I ❑ APPROVED ® CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: kAIJ VePAA Date: 16 Genefa/Information Owners Name: p of � 0 k eL<-/ L- Owners Address: Building Site Address 9 AP#: Parcel Acreage: �p i y /� (46T - Enterprise 46 Properiylnformapon Permit Tvr)e: ❑ Agriculture Building ❑ Commercial ❑ Industrial [].Mobile Home ❑ SFD ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic Well El O' Zone District:ADate of Zoning Ordinance /��, General Plan: MDR D R Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement a No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan TA No ❑ Yes Violation Area IN No ❑ Yes ❑ Residential Accessory f0 --� --) 5 Specific Plan N No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone 18 No ❑ Yes, check use Floodplain jj No ❑ Yes Zone: 1 , Watershed Protection Zone No F] Yes Proposed Use Complies With: General Plan Zoning Pr000sed Use Requires:❑Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: []No. ❑ Yes Applicable Setbacks: Panel Number: 0 7 51 1� C— ❑ Accessory Building Use Zoning Code Street & Highways Fre Prevention Subdivision Ma Front Side —7 Side street Rear Height Environmental Health Issues: Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Created by: ❑ Deeds Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed 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: t�'� L G�-�L'h � C� 1-t-n✓y � T � � c��- IV C� .. Map Date of Recording: // VVA Lt N, B Lot: ��j Block: (p Book: Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/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 EHD requirements. ❑ Other General Comments: Z SITE PLAN ...... ... .. ..... _..... _.. _... .. .. _.. . . i......' .. ....:.............i .. i......' ....i.....;...................: .. .. . .i......' ...i..... i......' .. ..i...... �. .i... .. .. .. ......i....j.....}...;....i... .. j......, .. ............. .. .. .. f .. .. .. .. ...... .. .. .. .. .... ....i ......... -._ - I.. .. .. .. .... .. .. .. .. .. .. .. .... ..:ti, ...i... ..AP .. .. .. .. .. �'� •_ ......' .........' ._ ......' .. ._ .. .. .. .. .. i�.". .. .. .. .. .. .. .. ...... .... r�: �c....o...... 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Name 1 �C� (�oe�-�y ►-r,�>tie / Phone No. i--" Location. Name Phone -a')0-r?�y� - OcW�n2M-- FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 14 V r- -- - ,ates.to, be sett -closing .and Vet down,GUNITE twice:dail -t. t3 QBLUE HNNIEN POD41 Sinoe t 954 t I (�$ BLUE HAVEN OFFICE: .l EX ES ;f i f BUTTE COUNTY 13UILDING DIVISION APPROVED GENERAL POOL SPECIFICATIONS! fTemn-# 6 0 d SUR. PERIMETER: A lel AREA: 0 MAXIMUMPOOL CAPACITY: POOL DEPTHS: TURNOVER RATE: Hrs. EXCAVATION DECKING t Front r �t Type Shuttle Color MJ Remove Dirt vJ' 4�, Risers No Remove Stump(s) Footings 1O Remove Fence Mastic AID Replace Fence Drains KY1 Remove Concrete t S.F. Sawcut Concrete Ft. EQUIPMENT Filter Type Sita STEEL Pump HP Vt`.• 2 So 1 So Expansive Soil Steel Patterns Smart Box Yes wa PLUMBING Smart Pure Yes No Filter Run Ftg: Smart Light Yes . --- -. Return Lines YC S P -Trap _ B/Wash Line �� 500 W Light Yes Smart Vac II W No Gas Line &?b Ftg Drill Drive----&& Heater BTU h1O Nat Pro Div. Board tjh ELECTRICAL Slide NO Run By Ftg Water Feature GUNITE Love Seat PLASTER Swim Out KID Color Ext. 2nd Step R. B. B.�J3 in, X Ft. SPA N aye R.B.B. 00 in. X Ft. Size In Out Plumbing Run COPING Type COU -NOL: CU' Dam Wall Length Number of Jets SLE- Blower Hp -Yes_ No Type S Remote Model # Spa Dam Spa Side Switch Yes No Accent Tyle iJ Smart Light Yes No 100 Watt Light Yes No BUYER nitials • Approve aboveis�ecification • Approve equipment location j • Understand that decking shown is for illustration purposes only and under t they are t rec 'v ' square feet of deck. Signature' Date �T Prepaired Especially For: } Donn& t� 1 044 i. 0 —76 4-k Vjj Street 0� l Q 0�0�( 1(e City Zip Home Phone +'-+ T r Work Phoned-� Designer r ► Q 1 Job No. LV 1JIV IIGlil Mapsco No. AWAVAW ..... . ..... 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