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027-110-029
'027 I i0-029 s' - (,5-0427 SG—� PEN COnt:'OWNER�'C:' ;NEW SINGI E FAMILY ' a F a 0 0 OZ.S J �•! � � ♦ "tet �• t� ..j.4' f: `i.:.Tr .:�, �t � 027 Y 110-1 Summar`ys� Sheet'�for Land Division SID onald* "Crosysacountre Rd:', .Palermo`' r w#; Fp p ° G kl . 1 - 4 FE 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. BPO50427 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 02/21/2006 APN: 027-110-029-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 7394 CROSACOUNTRE RD PAL License Class : License Number: Map Index: Date: Contractor: Description: NSF (4556), GAR (728), COV (97)OPEN(451) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CARTER DAVID SHAW ETAL permit to construct, alter, improve, demolish, or repair any structure, prior CELENTANO JENNIFER STARK 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 3260 GRUBBS RD the Contractor's State License Law (Chapter 9 commending with Section OROVILLE, CA 95966-9330 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: CARTER DAVID SHAW ETAL Code: The Contractors' State License Law does not apply to an CELENTANO JENNIFER STARR owner of property who builds or improves thereon, and who does 3260 GRUBBS RD such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE, CA 95966-9330 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 Contractor: 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.). ❑ 1 am Exempt under Article 3 of Business and Professions Code C0 Date: ,2`Owner: �✓ �« License #: WORKERS' COMPENSATION DECLARATION ereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: ANDERSON, DAVID Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 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: Total Square Ft: 5832 S.F. v% Policy#: Valuation: $349,522.00 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 GIT/ become subject to the workers' compensation laws of California, ✓1Y and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: — —/2A 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 permi ereby isoed undorpe appli able provisions 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.) Resoluf s to doh r indicate ove f hich fees have been paid. By: Date: Name: PERMIT EXPIRES ON: "t� -7 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 5L W C'aY4-2✓ Signature: Date:—J 21—Oi Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 d4�� j � A q4783, (o� BUTTE IfOUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 / ' f BPO -5-0 OFFICE #: (530) 538-7541 "� y A FEE WILL BE REQUIRED AT TIME OF APPLICATION �� �I BIN # qWebsite: www.buttecounty.net/dds 1 L) "PLEASE PRINT CLEARLY" 40 OWNER Last Named ' V 4-Q- V_first N e c Address 'U49_ City l StatZip City Phone _ s _1/0 Fax 3 _ l0 8 a E-mail ©yoF d4,24 ARCHITECT/ENGINEER CONTRACTOR Name Address Address Zip City zg / 6 / State Zip Phone S�teJ ice Nu bar Fax E-mail Lot # Lic. # Class ARCHITECT/ENGINEER Name D C Address Address State Zip Sl zg / 6 / Phoneg7 / CJ Fax E-mail S�teJ ice Nu bar APPLICANT NAME Name � O Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X D For office use only: API /10 Zoning — Flood Zone I X I SRA r Yes No Occ. Carrier Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION API /10 Pro erty Ad ress �3G1 �y City Cros : tree J S ❑ Structure Built without Permits ❑ Proposed Change of Occupancy WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: �s �5s6 �728) �a. q7 Sq. Foota ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: / r y d61 g � n V SRA Receipt #: �'� Sheriff SUP Other Date ,,/, 6 p _ (J Total Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Ur . _. . . 1 .� - . , -, ^ 13 L0 O County Department of Development Services CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: I 1 SUBJECT: M DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford cDbuttecounty.net Plans Transmittal For Review Per Contract 2/14/2005 Applicant: Icarter, Shaw Permit No: 05-0427 Project Type: NSF/Gar/Cov APN: 1 027-1107029 100% 70% Plan Check Fees $ 1,993.46 $ 1,395.42 $ 1,993.46 $ 1,395.42 WILLDAN Fee $ 1,395.42 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other r _ _.. f Y _ • i'.�. .'. rte-. nr- r �(��-^-1,.� .M.+-..- ....r-,�,i. ._.'1:n ♦� 1.�.�..'��. .. .. •. � �..� 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: CA-xf- C-7�>_ , g4" '`t' ASSESSOR PARCEL NUMBER 027-//0-020/ Proposed Building Use: / v S� Counter Technician: -7 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. f fJ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . l �J 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. \ O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. rtj 4. Engineered truss details and layouts in duplicate. No faxes! \ ❑ 5. Letter from Engineer or Architect for truss design review. 1� 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14 Hazardous Material Form Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. �9� N 16. Other A=zpP rA 11 0T77L- Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ................................................... `❑_ 20. Erosion Control Plan Required........................................................................ ........ e. Tees as shown on the attached Schedule of Fees Due Sheet .............................. O 22. City of Chico Plumbing permit....................................................................... 23. California Department of Forestry plan approval paid. R96ty� T ....c.....f> F- Z 24. lanning approval (A) Use: *(B)Parking: (C) Parcel Check:_ !\❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... `fir N�2& NPDES Form............................................................................................. 2� ncroachment Permit for driveway from the Public Works Dept ........................... ❑ Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... \ O 3 Worker's Compensation Carrier and Policy Number .......................................... �C�`I 1:.Owner-Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ' ❑ 36. Deed Restriction......................................................................................... Q 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. 1 have been informed of the above items and requirements fb a or oinmg a building p6rmit. Applicant: 'r 1. Index permit application for the above items numbered: W) . Plan Check Letter 2. Additional items required Contractor, designy, owner, as advised of the above data by It'phone, ❑ mail, ❑ counter, b Dat Contractor, designer, r, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date : -,g Structural reviewed b : _ Date: f Structural approved by: Date: Note transfer by: Date: --U300 Yellow: Building Division /Y!�• t�e as6i'' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. ���^✓' ` ���L / 5�� PROPO D BUILDING USE BUILDING PERMIT FEES 6a --Balance Due .....................................................:.. $2990 --Additional Fees Due ............................................ $ V dditional Fees Due ............................................ $ vised Plan Checking Fee............00L DISTRICT FEESd at District Office)RIFF FEES (paid at BuildingDivisio) 60 Residential .................................... x $360.00 = $� Units A.P. # DATE 2 / 7— RECEIPT # DATE REC. &ANV6 a vgvvdo Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. mercial (Sq. ft.) ............. x =% Sq. ft,,y_ /S- tRpt.A4.4// oble, *5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FE PQ' 4o OW ritf $510.00 (paid at Building Division) 7. ZSRAFIRE INSPECTION AND PLAN CHE c 0tpatd at Building Division) Ll 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 1 OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. R APPLICANT DATE _/ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant. 3rd Copy - Owner (Rev. 6/00) Butte County Department ol-DeveloprnentSerplces 7 County Center Drive Oroville, CA 95965 538-7601 o o (530) Telephone (530) 538-7785 Facsimile OUR 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: jj Applicant Name: �/�Q 4)&i�'T_ Ja- Building site address: APN: 0;1-7 — ) I ® -- 0,;? 9 Permit No.: /�/1>0516-12112-7 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: SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/B1dgPermitwithoutClearances 020705 �� 5 �L/C WDR� Department .0 o u n t J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: :�C` _ Title: Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm.Water Management Program Revised 5/24/04 111101111 i Illi I111i11 II III01 11111 ia461 15—�� i 525Es AND WHEN RECORDED MAIL TO: - BUTTE Recorded COUNTY Official Records I COPIESE 2°00 BUTTE COUNTY BUILDING DIVISION 2° BEd County Of I 7 COUNTY CENTER DRIVE MAR 18 20051 BUTTE OROVILLE, CA 95965 CANDACE J. 13RUBBS 1 DEVELOPMENT Recorder I SERVICES ROSEMARY DICKSON I Assistant 1 Myles 10:36AN 18 -Mar -2005 I page i of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a buildin'g 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: PARCEL A: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 8, 1981, IN BOOK 83 OF MAPS, AT PAGE (S) 41. AP # 027-110-029 PARCEL B A 60 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PUPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 8, 1981, IN BOOK 83 OF MAPS, AT PAGE (S) 41. :] Date Q- State of California County of BUTTE PROPERTY OWNERS: Ll yU�/ (_(fir �'{'.y \ / j On MARCH 16, 2005 before me, MARY A. THOMPSON, NOTARY personally appeared SHAW CARTER AND JENNIFER CELENTANO personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m hand and offik' I seaL r J Signature / J �/ i Seal: MARY A. 'THOMPSON............... rr Commission #1351470 a_ Notary Public-Calitomia :. U Butte County A.P. # Q. ' � - I � � � _- 0 2) 9 A My Comm. Exp. APR. 15, 2006 tom% /Vf To whom it may concern, I Shaw Carter give my mom Marcia K. Carter permission to represent and sign my permit application on 2-11-05. Thank You Shaw Carter I �WILLies Serving Publ,DA�N March 23,.2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax: (530) 538-2140 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1436 Jurisdiction Job No: 05-0427 Applicant: Shaw D. Carter Description: Shaw Carter NSF Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: • Plans: Two (2) copies sheets Al —All, D1 -D2, E -1-E2 dated 11-25-03, by David G. Andersen. • Eneru Calculations: Two (2) copies dated 11-28-03 by Serena E. Brown. • Truss Calculations: Two (2) copies not dated by Design Assistance. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES " Unless noted otherwise, all comments are based on, requirements of the 2001 California 'Building Standards Code found in the California Code of Regulations, Title 24: v! • Part 2, known as the California Building Code and abbreviated herein as "CBC". ; • Part 3, known as the California Electrical Code and abbreviated herein as "CEC": • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS CODE ANALYSIS Our plan review revealed the following information. regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Specific Use Type of Occupancy Type of Construction Stories I" Floor S Ft 2 "d Floor S Ft Basement Total Sq Ft Dwelling R-3 V -N 2 w/basement 2165 1171 1230 4556 Garage U-1 V -N 1 '728 0 0 728 Cov. Porch . R-3 V -N A 97 0 0 97 Deck R-3 V -N 1 451 0 0 451 - CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS ° Our plan review reveals no.deferred submittals noted at this time. s, SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC` 1.701. ; Michael LeBeau Ricardo Guzman, S.E. Plans Examiner Structural Plan Check Engineer Cc: E-mail Alice Mefford at: amefford@buttecounty.net -Shaw Carter 1875 Feather River Blvd, Oroville, CA 95965 Fax: (530) 533-1082 David G. Anderson 6402 Skyway, Paradise, CA 95969 Fax: (530) 872-8963 Page 2 of 2 1 lh ialdan x4353-1.436 PCl.1' 1 Butte County 05-0427. BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) School District &1-20 w 6ar-- /' / 6 �11 Building Departmtoo. 0.!5 A.P. Number o Z % - I D Jurisdiction: 0 City County Property Owner Property Location/Address 7 31 V A- z-- IV -r4 t Subdivision Lot No. Residential DevelopmentQ Q Q Sq. Footage 70 No o Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # '(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial 0 Q New Addition Building Department Representative .: District Identification No. 060168 orov;)kj �A YNi JY\ School District certifies that ( aAr4 r Sq. Footage (Including Exterior Roofed Areas) 2--/�-/-,6 Date (Applicant) 731) Cy- us,Cuv>>n�f, �� 530-310—g30 9 (Street Address) (Phone Number) 1))coy,451Ute (City) I (State) (Zip Code) has complied with the requirements of Resolution No. representing 3 square feet. �) C�-�V-046 4'--�_ School District Paid by Check # Remarks: by payment of $ 9 t Ck -1 - I ID jFI3 2926 $ ULL MITIGATION $ Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees aro paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cw Mcndon Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fans to fully mitlgatfa Its Iaet on the school distrlcrs'sehools. White (school district), Yellow (building department), Pink (applicant). feefone.xls (305)drim BUTTE LINTY (DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) a 27- //0-0 Zq. Building Permit Number �Pd _5'0 C/2 7 Property Owner (s) ��_ Project Location /Address `_7 3`'I Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling' Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) vveniied by Building Department Comments: Building Department Representative nate ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: -361 9 Applicant Name Phone Number , . , �-- A tlib tv 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: per unit for a total of $ Z06(0. -UQ per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: Recreation and Park District Representative Da e 0WT Fo ENCROACHMENT PERMIT ° ° °County of Butte'Department of Public Works ° y° ° °/ 7 County Center Drive Oroville, CA 95965 U 9 4c W� Phone: (530) 538-7681 Fax: (530) 538-4356 All information except signature must be typed or legibly rinted Permit #: \✓0117 NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel``/o Number (Required):OW - 116 ' Property Owner's Name: PROPERTY Phone: Property Address: j=�►J�ct2�,AS`s LtitJ�i— OWNER Mailing Address (If Different): Work will be ❑ Contractor ❑ Property Owner Contractor's Name: performed by: Phone: Address: Fax: WORK Contractor's License Certificate of Insurance currently ❑ Yes ❑ No PERFORMED BY Number: on file with Deoartment7 Applicant is: ❑ Property Owner ❑ Property Owner's Agent ❑ Contractor ❑ Other: I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. Signature: Date Signed: Road affected: Time and Duration of Encroachment: ❑ Permanent Encroachment ❑ Temporary: From To LOCATION Type of Encroachment: ❑ Driveway ❑ Roadway ❑ Culvert ❑ Fence ❑ Pipe/Pipeline ❑ Sign/Billboard ❑ Other Site Plans El Yes E] No Attached: PERMIT IS: ❑ GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) andspecial conditions written below, permission is hereby ranted. 1. ❑ Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. ❑ Other Conditions: PERMIT CONDITIONSM`� �y �t�^ a���7�5� Ll < I op t L (To be filled in by County) Date Expiration Surety: Issued: Date: Date Amount Paid Check Receipt Paid: Paid: By: o: No.: Mike Crump, Director of Public Works . BY: Road District: Inspected By: Inspection ❑ Completed - OK ❑ Completed — Not OK - For County Results:❑ Additional Comments Attached Use Only Comments: Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week. Form: 200506EP Pagel of 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be closed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein pernitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. c The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as close to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding orjetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2") of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Officialrded Records 7.00 I COPIESE 2,00 County Of BUTTE I CANDACE J. GRUBBS I Recorder ROSEMARY DICKSONAss I stnt le 10:36AM118aMar-2005 I PagesI of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL A: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 8, 1981, IN BOOK 83 OF MAPS, AT PAGE (S) 41. AP # 027-110-029 PARCEL B A 60 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PUPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 8, 1981, IN BOOK 83 OF MAPS, AT PAGE (S) 41. Date 3 _16, /!),r> State of California County of BUTTE PROPERTY OWNERS: L 2.Y 621e1n +an o On MARCH 16, 2005 before me, MARY A. THOMPSON, NOTARY personally appeared SHAW CARTER AND JENNIFER CELENTANO personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the. person(s) acted, executed the instrument. WITNESS m hand and of r' 1 seal Signature J Seal: THOMPSON ' g MARY A. U— Commission #1351470 :,al IL Notary Public -Califomia U Butte County A.P. # (),17•- 9 My Comm. Exp. APR. 15, 2006 I4 •"�A�;�,.�v"��� �� �ER= � I�:IL��1Z4 �t�I�'IhCA.�']��I�O:�1, Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [A] NO [ ]. -. 2. I HAVE [X: ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: I a - 2 d — 02,Zj NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department ®f Development Services ADMINISTRATION * BUILDING "GIS PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: i An application for a building pen -nit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their"own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ly, Mic el C. Vieir4 C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Revised 1/16/07 December 18, 2006 oQ�oS IV ' Refer to APPROVED PLANS for a additional notes and information F " o�$o a ' for this project H TqT OF CAL • Q4µ } BUTTE COUNTY „ `BUILDING DIVISION. Prepared by: Wegener Engineering'Group 1/2�47?4,J Mark Wegener, PE r ' ` w 6402 Skyway Paradise, CA 95969 WEGENER ENGINEERING GROUP 6402 Skyway, Paradise, California 95969 (530) 877-4049 Fax (530) 876-0585 January 17, 2007 County of Butte Building Division Department of Development Services 7 County Center Drive Oroville, CA Attention: Site Inspector Re: Permit No.: BP050427 APN: 027-110-029 Field Repair Dear Inspector: This correspondence is in response to numerous owner -approved field changes effecting the original lateral design provided by others: The owner has brought to my attention a total of (9) areas effected by field changes. These areas.are addressed individually in structural calculations provided by this office (stamped and wet signed), dated 12/18/06 and revised. 1/17/07. Revisions in the field have been reviewed by me, including the field installation of threaded rod holdown anchors using a Simpson 'SET' adhesive anchor system. All field modifications made within the effected areas noted in the structural calculations are approved by the undersigned as satisfactory and in general compliance with the,original design intend. If you have any questions please feel free to contact me at (530) 877-4049. Sincerely, Mark Wegener, P.E. Wegener Engineering Group 1 BUTTE WuN If BUILDING DIVISION APPROVED Structural Calculations for Shaw Carter Residence Field Repair 7349 Crosacountre Road Palermo, CA APN: Butte County Revised 1/16/07 December 18, 2006 Prepared by: Wegener Engineering Group Mark Wegener, PE 6402 Skyway Paradise, CA 95969 0 Wegener Engineering Group Project. Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By: mw Ch: Sht. Basis for Design: Structure is a two story, wood framed, single family residence. Design herein is to address miss -placed holdown hardware for various alternate braced wall panels. Residence is currently under construction. Structure was designed using the Braced Wall and Alternate Braced Wall Method. References: 1. 2001 California Building Code (CBC). 2. Building plans by David G. Anderson, Architect, Paradise, CA. 3. Simpson Strong -Tie Catalog C-2006. Loads: Roof: LL: 20.0 psf 3.2 psf (roofing) 1.5 psf (plywd) 3.3 psf (framing) 2.8 psf (ceiling) 1.0 psf (insulation) 1.5 psf (misc) 13.3 psf USE 14.0 PSF Floor: LL: 40.0 psf (residential) 1.0 psf (flooring) 2.3 psf (plywd) 2.8 psf (framing) 2.8 psf (sheetrock) 1.0 psf (insulation) 1.5 psf (misc.) 11.4 psf USE 12 PSF Walls (exterior): 5.0 psf (stucco) 1.7 psf (framing) 1.5 psf (insulation) 2.2 psf (sheetrock) 1.5 psf (misc) 11.9 psf USE 12.0 PSF Walls (interior): USE 6 PSF 9 I Wegener Engineering Group Project: Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By: mw, Ch: Sht:-Z, Lateral Loading: Seismic: V = [2.5Cal/R]W = 0.1636W where: Ca— .36 (Seismic zone 3) Soil type (assumed) = SD I =1.0;R=5.5 F (ASD) = 0.1636/1.4 (W) = 0.117W Wind: p=CeCggsI = 11.7 psf to 15', 12.6 psf 15' to 20' where: Ce=0.62 (exposure B to 15', 0.67 15'to20') Cq=1.3 (method 2) qs = 14.5 psf (75 mph wind speed) I = .1 .0 (misc.structure) W►ti� � 7�f I N S M 'o ' Paradise Design Cullabarative John Randa!!, Plannei Da\ Andersch, Arrhitett' m 64;kPBlack.nlh.cOnc� Parad!scCA9;iMi!)IS3Q1 7i ;x91.2 'o ' ..it t -i q.. rn ......... ....... . 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'!'S T r ° # 1 l f L 7 "{ 1 � r`+�"kP � �A �`' d. 1 .)` i !� •� fF.rlil i �''1 i �., � � I1 i'J -s. � !w'' is '7 j ` s zr, •'?.`.+� � � � i i��.. .� � ! : r j 1�� i �rh , � j'r z ��tl .y ,,{•� 5 A i Wi i r F i F z ,., ., z'r lZ;+ s� V •3 ji r'SY i Y'� 4K 3, a-7 �_ r r � <y �, ''-� .7 > � t 4 ! 4 "'�.'. a'• it�3.�,5•r -.r J f�. 5f l � ; �•u .. L y�,a i' � �r, r -t>: Szt'dr•F}�°�.�j; p +� a• �'} ,�l ���a yyzx � �',,r X i f���p t � ,Sr �.T t •it` r' � � "'� t '"�. as sk � ?1 � t 1'�• v o-,�i. J _ ' �. � � ' �• r1'L"•,;p-,;",y�� 'Jr�r r s ` f •idy d _ .1 �%'� � 7 ] `r i rli! a' S o V ,. 11 tCY rSr�.r 3 1 r9 J yv r t'rr� � AM Ey[�yrg�/�, 1 Il 'e2 TS�4+" _ 11 l �f it (� ur r �,'�,���t. �� a, �.�.-�7 _ �-•'+-� J r...; >t ,:� .,a - Jd` �� {III^��� ,�(1 �.i moi. +• "+i WIS Rv y~ ist �rdJ,�`�..�,►V .. .�,x4 t }1y, tt o R's4',�Y'.'^ii+ 5, rs �s _�,-r!• v •�y. n r, r r 7{ M1 r ., . MSL t .. . t..� ... F ., ..7 ..'`'• ` ,° ` '. .I F?)1 ar Wegener Engineering Group Project: . Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By: mw Ch: , -7 I I Sht:'I ,C-2TYL'-s--p . E�a `7-T1e- -V'4Z,-Tl '"KIW." i,ozi, . . . . . . . . . . T AhNI1,411. / . . . . . . . . . . . . . Tuf EQ Naw.MIA. 11 62 ,C-2TYL'-s--p . E�a `7-T1e- -V'4Z,-Tl '"KIW." i,ozi, Wegener EnLyineerinLy Grou Project: Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By: mw Ch: Sht: Iq7 Tzt5.F','j iz- AQP' C`�TL,1 �i tv�L �1 !�►v�� •• � ' Q DTZ p�C�.� t a � 7- to McaTjAr CID Wegenet Engineering Group Project: Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By mw Ch: Sht: MA PHD2—SDS3 10'-0" MAX C DBL 2x KING STUD CMSTC 16 (OVER PLYWD) W/ 16d SINKERS @ 3" OC W/ 4x BLKG 48" TYP 3/8" CD PLYWD SHEATHING W/ 8d @ 6" & 12" CONTIN PLYWD SHIM AS REQUIRED FOR TIGHT FIT• (TYP) (2) 5/8" 0 BOLTS HD2A `5 - 3/4" 0 x 5" CLEAN HOLE W/ 5/8" 0 ALLTHREAD ROD W/ SIMPSON "SET" ADHESIVE ANCHOR SYSTEM 36" (]CC 1722) SEE NOTE #1 (E) FTG STEM (E) 1/2" 0 AB NOTE: 1. IF CONC CURB HAS BEEN PROVIDED AS SEPERATE POUR EXTEND ROD AN ADDITIONAL 5" BELOW CURB. MODIFIED ALTERNATE BRACED WALL PANEL i Wegener Engineering Group Project: Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By: mw Ch: Sht: I C-r'l STG I to phik2JE .f T�i�IoI,J IrJl►-�ixa,�� ST�zrT�i cnle� ►ZY>� C°g- chT> d Wegener Engineering Group Project: Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By: mw Ch: Sht: 1E5 ILw-�al �) As to.eD CE;7 —vs:- Zs+z�z3s LJ17_ lZ' o ell LJ►-r�' TT L' Z IV w, -DML, Wegener Engineering' Group Project: Shaw Carter Residence - Field Repair Date: December 18, 2006 Location: 7349 Crosacountre Road, Palermo, CA By: mw Ch: I Sht. I jo ,\IL--- UoL tx n OF 16d E (FACE NAI -KG W/ (6) 16d TYP THRU 1' 0 HOLE ® AS —SDS3 MAY USE (E) 1/2'0 AS W/ LER NUi W/ 5/8'0 ROD OR (N) 0 ALLTHREAD—THIS LOCATION ONLY. NOTE BELOW) " 0 x 5' CLEAN HOLE 5/8' 0 ALLTHREAD W/ SIMPSON 'SET" ESNE ANCHOR SYSTEM 1722) SEE NOTE #1 NOTE: 1. IF CONC CURB HAS BEEN PROVIDED AS SEPERATE POUR EXTEND ROD AN ADDITIONAL'S' BELOW CURB. 2. ® 3/8' PLYWD SHEATHING W/ 8d 0 3" & 12" EA SIDE. Tension Loads for Threaded Rod Anchors in Normal -Weight Concrete Rod Dia in. 01M) ' Drill Bit Dia. in. Embed Depth in. 1* CriUlial Edge Dist. in (min)" Critical Spacing Dist, m. ' , (min) Tension Load Based on Bond Strength_ " `, . Pc> _2000 psi.(13;8 MPa) Concrete Pc ">, 400D p$i,(27 6 MPa) Concrete, �. i ' Tension Load r r: Based on Steel Strength' A307 A793 OR B7 F593 LL (SAE 1016) (SAE OR B7 (A3045S)' Ulhntate Ibs::(M) Std. qev lbs, (kN)t �'' Allow ' Ih`s.:(Mj ,Uitimate .lbs .(IiN), Sttl Dev -tls..(kN)" Allow: r:lbs."(kl4)' Atlow Ibs.,(M)- Allo r : lbs.,(kN) Allow, !bs`. (kN)` 1 3/4 2 5/8 7 1,900 485 475 1,900 475 3/8 (9.5) 1/2 44 67 178 8.5 2.2 2.1 .5 2.1 2,105 (9.4) 4,535 (20.2) 3,630 (16.1) 3 1/2 89 5 1/4 133 14 356 10,200 45.4 119 0.5 2,550 11.3 10,280 45.7 97 0.4 2,570 11.4 4 1/2 6 3/4 18 10,613 84 2,655 10,613 2,655 114 171 457 47.2 0.4 11.8 47.2 11.8 4112 (12.7), a` 518 2.118- 54°: 3,3/16, 8] "8 112, :'(216)J 7;216.. 32.1 1,163 , 5.2 11805 8.0 '7,216 32.1 __,(8.0) x(16 7 ._a ) 4 . 8 080 (35x9) .. 6 470 (28.6)x1 411,/4 108 6. 3/8 162 _ 17- ; 432'._ 17,700 ` q78 529 2.8 4,425 19:71 18 400 8 788 �i.� 3 5 ' 4 600"3,750 20 5 6 .. 152 - 9 229 " 24' e.' ,.. 61A 18,556 82.5 e _ .853 •.. 3.8 4";640 20.6: 18;556 :'2 5 4,640 20.6 2_1_/2 3 3/4 10 6,780 315 1,695 6,780 1,695 ,-. 64 95 254 30.2 1.4 7.5 0.2 7.5 3 3/4 5 5/8 15 4,190. 4,875 5/8 (15.9) 3/4 95 143 381 18.6 21.7 5,875 (26.1) 12,660 (56.3) 10,120 (45.0) 5 127 7 112 191 20 508 26,700 118.8 1,121 5.0 6,680 29.7 32,200 43.2 964 4.3 8,050 35.8 7 3/16 10 7/8 28 3/4 7,515 8,200 183 276 730 33.4 36.5 9 3/8 14 1/8 37 1/2 33,402 1,198 8,350 33,402 8,350 238 359 953 148.6 5.3 37.1 048.6) (37.1) - 314+ > 718 p 33/8"' 86 S 1/1'6 29). 13 1/2 343 15 45,6, 68.8: 2,621 11.7 3,865 17:2 115:4 56 8 8-117,21-,5" _� a 3,865 8 460. '(37.6) ' a "` CY 18;230 )` (61:1) 12;400' (55.2) ' `5 1116 129 ,._' -"7 5/8" i 194 '20. 1/4' 514 =- 7,195 32.0 » t T ,e7;245 (32.2 6 3/44 171 10 1I8s '. 257 • 27 < 686 42 100' 187:3 L 1,945 (8.7)' 10;625. ?(46.8);__ 42,480 r< 89.o .1 575",x, .0 :.10 6M0 (47.2)* .., 9 229 13 1/2 (343)'` 36 914. p 11,220 =.49:9 ... 11,2851' 'll 1/4` 286:,. 16-7/8, :429 45` _,, 1143 47 634 21,M '606 ".., .2.7 , T1; A 0 W N Load Adjustment Factors for SET Adhesive in Lightweight Concrete: Edge Distance, Tension and Shear Loads Load adjustment factors for critical and minimum edge distances have been determined by testing. The following tables have been created using linear interpolation. How to use these charts: 1. The following tables are for reduced Edge Distance only. 2. Locate the anchor size to be used for either a tension and/or shear load application. 3. Locate the embedment (E) at which the anchor is to be installed. 4. Locate the edge distance (Cac,) at which the anchor is to be installed. 5. The load adjustment factor (Q is the intersection of the row and column. Edge Distance Tension (fe) Edge Dia. E 13/4 3/8 31/2 2118 1/2 4114 21/2 5/8 5 Dist. C..' (in) C' C.I. fan�a 25/8 13/4 0.65 51/4 13/4 0.65 31/8 13/4 0.65 63/8 13/4 0.65 3314 13/4 0.48 71/2 13/4 0.48 13/4 Cv Cm�n fcn�n 0.65 0.65 0.65 0.65 0.48 0.48 2 0.75 0.68 0.71 0.67 0.55 0.50 21/4 0.85 0.70 0.78 1 0.69 0.61 0.53 21/2 0.95 0.73 0.84 0.71 0.68 0.55 23/4 21/2 --T3-/4 1.00 0.75 0.90 0.73 0.74 0.57/ 3 0.78 0.97 0.74 0.81 0.59 31/4 30.52 0.80 1.00 0.76 0.87 0.62 31/2 „� �. 0.83 '" 0.78 0.94 0.64- .6433/4 33/4 0.85 0.80 1.00 0.66 4 0.88 0.82 1.00 0.68 41/4 0.90 0.84 0.71 41/2 d 0.93 s 0.86 _, 0.73 4 3/4 - 0.95 0.68 0.88 0.56 0.75 5 0.89 0.98 0.72 0.90 iP° 0.77 51/4 0.95 1.00 0.76 0.91 0.63 0.80 51/2 1.00 0.81 0.93 0.82 53/4 0.85 0.95 0.84 6 0.89 0.97 0.86 61/40.99. 0.94 ` P0.82 0.89 61/2 0.98 1.00 0.91 63/4 1.00 0.93 7 0.95 7 1 /4 M1.00 7 0.93 0.98 7 1/2 0.96 7 112 6. Multiply the allowable load by the applicable load adjustment factor. 7. Reduction factors for multiple edges are multiplied together. 8. Adjustment factors do not apply to allowable steel strength values. 9. Adjustment factors are to be applied to allowable Tension Load Based on Bond Strength values or allowable Shear Load Based on Concrete Edge Distance values only. Edge Distance Shear (W 1. E = Embedment depth (inches). 2. C. = actual edge distance at which anchor is installed (inches). 3. Cu = critical edge distance for 100% load (inches). 4. Cmn = minimum edge distance for reduced load (inches). 5. fc = adjustment factor for allowable load at actual edge distance. 6. f. = adjustment factor for allowable load at critical edge distance. 6 is always = 1.00. 7. 61n = adjustment factor for allowable load at minimum edge distance. 8. fc = furan t [(1 - fuam) (Can • Cmb) / (Ca - Crain)]. Dia. 3/8 1/2 5/8 Edge E 13/4 31/2 21/8 41/4 21/2 5 Dist. Can (fin) Cv Cm�n fcn�n 2518 13/4 0.25 51/4 13/4 0.25 31/8 13/4 0.20 63/8 13/4 0.20 33/4 13/4 0.15 71/2 1314 0.15 13/4 0.25 0.25 0.20 0.20 0.15 0.15 2 0.46 0.30 0.35 0.24 0.26 0.19 21/4 ,s 0.68 1 0.36 1 0.49 0.29 0.36 0.22 21/2 --T3-/4 0.89 1 0.41 1 0.64 0.33 0.47 0.26 1.00 0.46 0.78 0.37 0.58 0.30 30.52 0.93 0.42 0.68 0.33 31/4 „� �. 0.57 1.00 0.46 0.79 0.37 31/2 0.63 0.50 0.89 0.41 33/4 0.68 0.55 1.00 0.45 4 0.73 0.59 0.48 4 1/40.79 d s 0.63 _, 0.52 41/2 - 0.84 0.68 0.56 4 3/4 0.89 0.72 0.59 5 0.95 0.76 0.63 51/4 1.00 0.81 51/2 : 0.85 53/4 - _ 0.89 6 0.94 ` P0.82 61/4 ' . 0.98 :. 61/2 1.00 634 7 7 0.93 7 1/4 0.96 7 112 1.00 1. E = Embedment depth (inches). 2. C. = actual edge distance at which anchor is installed (inches). 3. Cu = critical edge distance for 100% load (inches). 4. Cmn = minimum edge distance for reduced load (inches). 5. fc = adjustment factor for allowable load at actual edge distance. 6. f. = adjustment factor for allowable load at critical edge distance. 6 is always = 1.00. 7. 61n = adjustment factor for allowable load at minimum edge distance. 8. fc = furan t [(1 - fuam) (Can • Cmb) / (Ca - Crain)]. 71, IS Op 1 l:)al!.,p-Iv .(Iosj,?PLIV 'D P!AP a t ': ----- --------- If V:� 5 RL :7 41 : ��•` rte: 4�1 V� ....... ..... -A 2 Paradise Design Collaborative John Randall. Planno- - David Anderson, Architect 5439 black 61K c I)rj\,: - Paradise. CA 95%6 (530) k7 M12 jr TZ, v q It 2 Paradise Design Collaborative John Randall. Planno- - David Anderson, Architect 5439 black 61K c I)rj\,: - Paradise. CA 95%6 (530) k7 M12 I P,�iadlse Desrgl) Collaborative 1 John Randall, ['laiiue! David Anderson, ArcL'ilecr 4;0] Bin l: Llin Ui n' - Pm';idu1)5969e. CA �9b) VW) Fiji 5912 . .... .. . .... ... . F. . ! 4 1. 41 vd, -- ---- - ----- .in t r LL== 66 .......... 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"( / ( �'ls 4� It n M1 �•J F' .l IIll ,:I 'v1"`ii"-. ;F..��.'' I'=�j'..'— '.�f •.l �i �. ,f.�14}'. ;;t .. t t f °its I ti �, � li{_ f 71( ix R ti <i nv .. � ,� -7` y ..._._�„'�� } :. 'ted. L �. F� i . � � 'Z`�� :. � M / ' l,, >•c� •r F IA �. •c. r C f t; r r rMN a � - �� l i.. r �:,n.( x �"r _/ r.(� :. _ �+ t �• r - ! X s v t-�5�r<, � 4� sj f h � < •'� / ti• . v$ }F - �- I i � Z �8�, al t y + ti:, ^i' `' T ,t .. r XnA r iti '' � tt 1 � . •� ., +� ''k�" �Yr�i: 3.!I ' .�tty�,. � y,. � {)fic v� rE:rv's.! ��i fnk/�+a'�L�� s -�;ci ll•�y ° .�: �� � y -s 'l, .�y4� ETs�� `�• _ .tpf �ey4� vv � v .I. < s�•S a �1 aJ{;� `' tc.v :a'•s 17jIi,� r a. � 5 t f aJ h ,l �y y7lfrr§.�� vs r. -,S'`� eF at•� �. 14., � V` •.I �y�v�A 1/..�J .,,�„e�,,,,; ,�>��x-TMti'°5',`',xq,� � � ' -, �' 1 • i , f I i � i 'r,'!tii4'Z.L3 iQ�SI v:a i7rS?=-'.LRfi)4:cj ata�:;ci:1,:r I. 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Architect. 6402 Piu 'dise, callro! -nia 95969 fi firl— by David G. Anderson. Architect Z4 jllr�- O-Wo 6402 Skyway, Paradic, Cathfo ifla 959G9 1 41 firl— by David G. Anderson. Architect Z4 jllr�- O-Wo 6402 Skyway, Paradic, Cathfo ifla 959G9 Teicphoni i5W,872-75AW Ced 1, 62 yD2; I d,by R�4 David G. Anderson, Architect 6402 Sty •A ay, Paradise, Cali fm ma 95969 TeJcphonZ-i53018,Z75S() Ccf1(53())52M2JJ E 4 SITE PLAN REVIEW APPLICATION Date: &le q/ j6-- AP# liZ e9 2 7 Permit Number (if applicable) i�7T'69y2 -7 Bin Number e' APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: Residential in New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary- Travel -Trailer - Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial' ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ' Brief Explanation (if necessary): Oti6E V ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form El ',Applicable ❑ N/A r . DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problem's Prior to Approval k 71an Stamped Approved By Date Page 1 of 5 /I ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: )C • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------- --------------------------------------------------------------------------------------------------- --- ❑ Detached Building Use- Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:_ (le ) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. 1. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ` Side Side Street �•. Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. 1. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire n _ ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Amount ---------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender r ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) kPaIMENNIMw * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ No ❑ Yes ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 I# Subdivision ME/Parcel MaR: Map Date of Recording: Lot: 2 Book: 0 83 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: (tj y ( 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 j ❑ Automatic fire suppression sprinkler systems. shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves ? the parcel. i ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the.Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑0 Page 4 of 5 I!;;, n C is 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. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 "`'�� J ���nv�ti� �a�• W � �� F� QWr � how Wv iu� Cb �� •\o`Kuv b y Q + 7 ioa `L' H cr` pZ n4 .0q'�YJ6L M,vL.9 /Pl eGBN l} r pON CI m cz•nn :ob'Een � Q Apr O i i r ,F _ ,aD' _ � i 465 \ _ _ K_ • I p ra W e sae v d• � \ u 2 M oe Vi N! N e N�„SE,bT.e69N � Q 0 a ej N ♦ N + � Ij V� e � WW o Z 0 @ h e • e3 e � � 3, \ 4 8 � �t+sxA� � V 3 �oaW�n I N N R ,YL'L/ M//S,bL.beN R ::,R Cv ., I- E.H USE ONLY 'Piot Pian Anech Roos Men Attached Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa4_,r_. Water Supply: Public Private Well Clearance for dweilina. Other _`l�, B �}. 5�4 2b I di it Hold final for: Final cleararnLcr O.K. for: NOTE: C -As --fl 11 J A A C, Environmental Health Specialist 8/96 Date S,� No c SUMMARY SHEET FOR LAND DIVISIONS FILE COUNTY OF BUTTE BUILDING DEPT APPLICANT DONALD .S t _ cT. A T.R. -ADDRESS P.O. 'Box 122.6. Orovi l le CA - 95965 OWNER Same = .PROJECT DESCRIPTION TENTATIVE PARCEL MAP LOCATION_ 4 parcels located on the west side of Crosacountre Road, approx. 1050 ft south from its intersection with Grubbs Rd. Palermo area. ASSESSOR'S PARCEL NUMBER(S) 27-11-29 ZONING A-5 GENERAL PLAN AQ.-Resi PROJECT CONSISTENT? YES GENERAL PLAN CONFORMANCE REPORTMav'26, 1993 LAND CONSERVATION ACT'CONTRACTS? NO DATE APPLICATION RECEIVED June 8 1993 AGENT/SURVEYOR/CIV.IL ENGINEER Ron Graves & Associates ADDRESS P.O. Box 986 OrovilleCA 95965 DATE PLANNING DIRECTOR'S REPORT PREPARED ENVIRONMENTAL DETERMINATION AND DATE CATEGORICAL EXEMPTION - DATE FILED NEGATIVE DECLARATION - DATE ADOPTED MIT.NEG.DECLARATION - DATE ADOPTED ENV.IMPACT REPORT - DATE CERTIFIED STATE CLEARINGHOUSE NO. DEVELOPMENT REVIEW COMMITTEE HEARING DATE APPEALED BOARD ACTIO APPEAL HEARING DA COMMENTS FOR PLANNING DIRECTOR'S REPORT ASSIGNED TO RECEIPT NUMBE LD 1005 (11/92) DIS � - I'll .., - 1, . .I -I I el 1, 411 , I , . . .1 . . - . I , , 1�. , � 1, , 'I . I . , - , , I I , I I , � � . 0-11011 - I I 10 I- V1 __lz_ -1 - .,---. . �) I - I!' I- 0 it _ - ___�/_ 1p Yloll 11;7 1 -0 11 I J�)__ I It . - - 1. 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