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027-250-042
AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0062921 Recorded I REC EEE IO.QO Official Records I County of I COWORMED COPY 1.00 Butte .I CANDAM J. GRUBBS I County Clerk-Recorderl I SA 02:37PM 17 -Oct -M I Page i 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: Date A) --0.5 PROPERTY 3;w�I- Z,06-e 2e-.e-- I UU 1 dv /A Die.- Je3cL$ Mu,r4-irp-z— State of California ) County of , ) On I before me, J. Brown, Notary public personally appeared�JM'Q h-0 _ W"I b( ,CA -I� � f A >e. permwa- y Aamwrt'tv�e (or proved to me on the basis of satisfactory evidence) to be the person;() whose name, is/.are subscribed to the within instrument and acknowledged to me that he/sbe4hey executed the same in hisfher/their authorized capacity(i@s), and that by his/heWtheir signatureg) on the instrument, the personeo or the entity upon behalf of which the person(�yacted, executed the instrument. q.c WITNESS my hand 4wFof�ye'al eal. .- {. J. BROWN UCOMM. # 1551500 NOTARY PUBLIC-CAUFORNIA O Seal: BUTTE COUNTY U J. Brown, Notary Public COMM. EXP. FEB. 10, 2009 ; Signature A.P 2- Order Number: 0403-1749564 Page Number: 7 LEGAL DESCRIPTION Real property in the unincorporated area of the County of Butte, State of California, described as follows: PARCEL I: LOT 7 OF BLOCK 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF PALERMO CITRUS TRACT', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889, ON WALL. MAP NUMBER 5. TOGETHER WITH THE NORTHERLY 30 FEET OF ALMY AVENUE LYING ADJACENT AND NORTHERLY OF SAID LOT. SAID ALMY AVENUE BEING ABANDONED BY INSTRUMENT RECORDED MARCH 8, 1911, IN ROAD BOOK 1, PAGE 50, BUTTE COUNTY RECORDS. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR UTILITY PURPOSES ACROSS THE FOLLOWING PARCELS: A) THE NORTHERLY 10 FEET OF LOTS 5, 6 AND 8, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. B) THE SOUTHERLY 10 FEET OF LOTS 1, 2, 4 AND 5, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. C) THE EASTERLY 30 FEET OF LOTS 4 AND 5, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. D) THE WESTERLY 30 FEET OF LOTS 5 AND 6, BLOCK 134 OF THE SUBDMSION DESCRIBED IN PARCEL I. E) THE SOUTHERLY 10 FEET OF LOT 5; BLOCK 134 OF THE SUBDMSION DESCRIBED IN PARCEL I. F) THE EASTERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. G) THE WESTERLY 10 FEET AND THE NORTHERLY 10 FEET OF LOT 4, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ACROSS THE SOUTHERLY AND WESTERLY 30 FEET OF LOT 8, BLOCK 135, AND THE WESTERLY 30 FEET OF LOT 1, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. APN: 027-250-042-000 Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 r� ►� r1 r� _ r� Recorded I REC FEE Official Records I County of I CONFORMED COPY Butte I CANDACE J. 6Rl1BBS I County Clerk-Recorderl I I LV 09:23AM 10 -Oct -2005 I Page 1 of 2 10.00 1.50 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: J � A�Qk0— Date Ze _ 7— G 5— P OPERTY OWNERS: State of California County of 6"--kJC- 2-L On Oc-4 ,,�I, f 200 before in personally appeared 3:jl hc.r' f 6 AJ41/6r/b MG'q'-j'r' au4 i5'rl+kc:, 4 mUu•"D .pe"Qually -4mewa4a-me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)-is re ubscribed to the within instrument and acknowledged to me thatthe xecuted the same in their authorized capacity'es and that by 4i4he /their ignature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand nd official s /Z A.P Seal: JAMES LAMAR KINSER i COMM. #1377185 ® NOTARY PUBLIC - CALIFORNIA • BUTTE COUNTY F a My Comm. Expires Sept. 28, 2006 Preliminary Report Description Order No. BU -197586-3 AM The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: THE WEST HALF OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER AND THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. APNS 027-360-107-000 AND 027-360-108-000 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING 30 FEET SOUTHERLY OF AND ADJACENT TO AND 30 FEET NORTHERLY OF AND ADJACENT TO THE SOUTHERLY BOUNDARY LINE OF THE NORTH HALF OF THE NORTH HALF OF THE NORTH HALF OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. a 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. BPOS2262 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/05/2005 APN: 027 -250 -042 - the Business and Professions Code, and my license is in full force and effect. : License Class License Number: Site Address: 2979 ALMY AVE PAL Map Index: Date: Contractor: Description: nsf (1188), cov (160) OWNER -BUILDER DECLARATION 1 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: MARTINEZ, -JOSE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4917 VIRGINIA AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA. the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of thg Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 530-321-7872 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).): el 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: MARTINEZ, -JOSE Code: The Contractors' State License Law does not apply to an 4917 VIRGINIA AVE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA. provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one 530-321-7872 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 the Busin a Professions Code Date: .1 — 5- Owner: `� License #: WORKERS' CO PENSATION 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: Total Square Ft: 1348 S.F. Policy#: Valuation: $79,780.00 �p 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, V -7/ (`�/ 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. J Date: O 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 i ereby issuedr the ap licabl 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.) Resolutio to do work indj d above f r w ' fees have been paid. /r-2-- BY: �� Date: Name: / 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 cu nt of Butte County. I hereby authorize represen lives of Butte ounty to enter upon the above mentioned property for inspection purposes. Print Name: Lr W f'Y1P `7 Signature: Date: -Owner 0 Contractor 0Agent for Owner El Agent for Contractor 4 9__;� 19K.s� n�UTr BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS py. p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834n ' o` `-- _' "�'' p OFFICE #: (530) 538-7541 V `\ A FEE WILL BE REQUIRED AT TIME OFAPPLICATION v` CDU N�y \ Website: www.buttec•ounty.net/dds "PLEASE PRINT CLEARLY" APPL!,PA19 SIGNATURE X For office use only: OWNER INFORMATION Last N ` First N f , Address r City /'V r / c State Zip Phon Fax Fax E-mail Lic. # APPL!,PA19 SIGNATURE X For office use only: CONTRACTOR Name _ ; - V Address Address City Yes State Zip Phone Zip Fax E-mail E-mail Lic. # Class APPL!,PA19 SIGNATURE X For office use only: ARCHITECT/ENGINEER Name _ ; - V Address Address City Yes State Zip Phone Zip Fax E mail E-mail State License Number APPL!,PA19 SIGNATURE X For office use only: APPLICANT INFORMATION Name�- _ ; - V Flood Zone Address G r Yes City C/) / State/,vv Zip Phon2 e � Fax E-mail Page Lot # APPL!,PA19 SIGNATURE X For office use only: PROJECT LOCATION Zoning _ ; - V Flood Zone A SRA Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Date Approved: PERMIT NO. BPD" �Zb BIN # OVER FOR SUBMITTAL REQUIREMENTS U KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open 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. Received b . Amount: Receipt #: Date:— 9� ��SRA- Sheriff SMIP Total REV 8-12-05 PROJECT LOCATION AP# _ ; - V Property Address 4'4� A Cross Street ,Y e5 Aar - rWORKER'S 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 OVER FOR SUBMITTAL REQUIREMENTS U KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open 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. Received b . Amount: Receipt #: Date:— 9� ��SRA- Sheriff SMIP Total 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 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. ❑ 5. Statement of Intent for Non -heated and AIC 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 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. 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 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. ❑ 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 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 KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 N N N L0 C) CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile TO: FROM SUBJECT: DATE: WILLDAN Scott Rutherford (530) 538-7160 O�UTTFo 0 0 0 0 CDU% srutherfordebuttecountv.net Plans Transmittal For Review Per Contract 08/23/2005 Applicant: I Martinez, Jose Permit No: 05-2262 Project Type: INsf 027-250-042 100% 70% Plan Check Fees $ 915.42 $ 640.79 $ 915.42 $ 640.79 WILLDAN Fee $ 640.79 Copies Attached: Qty Chk EPApplication Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other It, ri COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV:S►ON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /;j fn rJ ASSESSOR PARCEL NUMBER ^, �+ �- 2 --� Proposed Building Use: / ' S Permit Technician: L• --LP Date: 2 �\ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �`EJI %v 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) 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 / INJ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Rem 'nm items needed to issue the permit. (May require additional plan rc-view upon receipt of the following items.) (� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicabli ❑ . Fire Sprinklers............................................................................................ O 17. - Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 1 . 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 Cit _y0fj3iggs,...... 23. California Department of Forest plan approva paid. Sent 0�....`!a 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:..��..... b ❑25. Contact Land Development abou _ Improvements, _ Drainage ........................ �/ NPDES Form............................................................................................... 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 .......................................... �) N 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... D 31. Letter of Signature authorization................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... 0 34. Deed Restriction........................................................................:..I.............. ❑ ❑ Legal description, ❑ M H. Title, title search, registration or MCO ......................... r Other: ❑ 1 37. Other: Q When issued Telephone<k L� l Z/ 9 7Z and hold for pickup. I have been informed of thefabove items and requirements for obtaining a building permit. Applicant: _ Date: f ") ; �- ^IS �J " 1. Index perrliiirapplication`f r t e above items numbered: Plan Chea Letter 2. Additional items required 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 Dale: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: i I 1 11 A A Date: = Structural reviewed by Date: Structural approved by: t Note transfer by: Date: Date: I Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT S19RVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530:1538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER Xl_� PROP OSED BUILDING USE A/ S 1. BUILDING PERMIT FEES/3-73 (?--- Balance Due ..................... $ --- FEMA Flood elevation review ... $ -- ttional plan checking Fee .... $,o,/J /' 2. SCHOOL DISTRICT FEES o !ly1 L`'C lc (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) C ercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. REC ATION DISTRICT FEES U� td at ecreation Dis 'ct Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ RTH CHICO SPECIFIC PLAN (per dwelling) Zoning '6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) WAT TENDER FEES BATTALION # 0.00 (paid at Building Division) SMIP —7 9 9. DRAINAGE FEE 10. OTHER 11. OTHER A.P. # Z 7' —Z__ .-D Y 2 .DATE r' 2 �_> RECEIPT # DAT-- REC. U)q L4` -- �- 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 during the plan Oe�;log process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Butte CountyDepar-tment ofDevelopH1e1�t �erMes vzr�° 7 County Center Drive ti. ` a Oroville, CA 95965; o (530) 538-7601 Telephone °�,= may° (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: =I �fAPN: © 2 Building site address: 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: -U.5 GNATURE Jf APPLICANT DATE y Copy to Applicant/EFUFile K:Fonns/BidePermitwithoutCleaances 020705 0 -_ - gin c�-M.�l •i�i-`i ...>4.• 5�1+��`'~ �}i �?�t'••�r.; 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 rgajor labor and material for construction of this proposed property i�ZIME ent: 'YES [ V ] NO[ ]. 2• 1 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: i 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: 2 2 t12 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. Butte County Department of Development Services ADMINISTRATIO14 ° BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile .' .�;�:-.._ �-�tc: �"-„'^timet+.--'Zis>=� �''L--„�'�''.`:-.r.��.•• ti.,�...'�-yk'rvr�S�.�M1=y, 3'..i. `:•ti5•1`ov-11a1`''•✓;. Dear Property Owner. o N o \o �-�- of An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder” you are the responsible 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 Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as -contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these.matters. The building permit will not be issued until the verification is returned. U. v)etri U.S.U. Budding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code_ •:?r � l'r:Si;�'; f l� • 4 l 4 •� 0 U Nay AUC W�F+�S C o u n t y J. Michael Crump, Director e of Public 'works o f B Q t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National. Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS TH�11d 1 f4CREJ Project Description: /VS Project Location and/or Parcel Number: 02Z 7r 25-cl!)--0V2 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. 4 Signed: Title: Date: w AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 17 -Oct -2005 2005-0062921 Has not been compared with original BUTTE COUNTY COUNTY RECORDER. AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date ,�`� ' 7—(� 5 PROPERTY OWNERS: State of California� q ) County of ` On before me, J. Brown, Notary public personally appeared h -P AoRal KA U I i i "CZ permw9ty- -knDTM-tu- ffe (or proved to me on the basis of satisfactory evidence) to be the personO) whose name, is/are subscribed to the within instrument and acknowledged to me that he/she4l y executed the same in hisRrer/their authorized capacity(ies), and that by his/herltheir signatureA on the instrument, the perso" or the entity upon behalf of which the person(�acted, executed the instrument. t� WITNESS my hand al eal. U ;tom c J. BBR"MN� Q - OMM.# 1551 NOTARY PUBLIC -CAU FORMA O Signature r7Seal: g BUTTE COUNTY n COMM. EXP. FEB. 10, 2009 J. Brown, Notary Public A.P. # W Order Number: 0403-1749564 Page Number: 7 LEGAL DESCRIPTION Real property. in the unincorporated area of the County of Butte, State of California, described as follows: PARCELI: LOT 7 OF BLOCK 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF PALERMO CITRUS TRACT ; WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889, ON WALL MAP NUMBER 5. TOGETHER WITH THE NORTHERLY 30 FEET OF ALMY AVENUE LYING ADJACENT AND NORTHERLY OF SAID LOT. SAID ALMY AVENUE BEING ABANDONED BY INSTRUMENT RECORDED MARCH 8, 1911, IN ROAD BOOK 1, PAGE 50, BUTTE COUNTY.RECORDS. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR UTILITY PURPOSES ACROSS THE,FOLLOWING PARCELS: A) THE NORTHERLY 10 FEET OF LOTS 5, 6 AND 8, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. B) THE SOUTHERLY 10 FEET OF LOTS 1, 2, 4 AND 5, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. C) THE EASTERLY 30 FEET OF LOTS 4 AND 5; BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCELI. D) THE WESTERLY 30 FEET OF LOTS 5 AND 6, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. E) THE SOUTHERLY 10 FEET OF LOT 5; BLOCK 134 OF THE SUBDMSION DESCRIBED IN PARCELI. F) THE EASTERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. , G) THE WESTERLY 10 FEET AND THE NORTHERLY 10 FEET OF LOT 4, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ACROSS THE SOUTHERLY AND WESTERLY 30 FEET OF LOT 8, BLOCK 135, AND THE WESTERLY 30 FEET OF LOT 1, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. APN: 027-250-042-000 Mid Valley Title & Escrow Company t SITE PLAN REVIEW APPLICATION oa._-7: �So _ oqa_ �l 30 0� AP# Date: � �osZ Permit Number (if applicable)- C) APPLICANT INFORMATIO�NParcel Size: (� Owners Name: ' ° ' a r4-1 K-2 o pq' Owners Address: `lq t-1 1 l Gl AS1f-p— d�bq Az CA- V?( -6 Telephone No.: S 3 3a I - -7 ��- Situs Address: C t A-.1 Y -e/2 Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: - - - Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved'] Resolve Problems Prior to Approval go Site P4an Stamp,4Approved' Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) nMSRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: • 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: J Applicable Building Setbacks: Front Zoning Code 20, Streets & Highways Fire Prevention Subdivision Map 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. Page 2 of 5 N Applicable Development Fees: Ll� Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area'— Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By €e • Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ' ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: �ltc e ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel 0 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 F-1 Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: :.e Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust -emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ❑0 Page 4 of 5 Butte County Department of Development Services PAUL MCINTOSH, INTERIM DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 30, 2005 Jose Martinez 4917 Virginia Avenue Oroville, CA 95966 Subject: Building Permit 05-2262 (APN 027-250-042); New Single Family Dwelling Dear Owner/Applicant, The Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application, and requires the following revisions to your site plan, or information in order to continue the review: aion Dee ❑ Site Plan Resubmit — Follow Requirements ❑ Erosion Control Plan ❑ Setback Conformance ❑ Watershed Protection Zone ❑ Front Yard ❑ Side Yard ❑ Subdivision Map Note ❑ Rear Yard ❑ Off -Street Parking; Development Standards ❑ Special Setback or Parcel Limitation ❑ Parking for Specified Use ❑ Federal Aid Road/Arterial ❑ Lot & Landscaping Requirements ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑North Chico Specific Plan — Erosion Control ❑ Fire S rinklers* ❑ Notification Only — No Action Required El Other: * Fire Sprinklers, and the SRA setback are not requirements for the Planning Division approval, and this notification is for injurmational purposes, however, will be required prior to the issuance of building permits. The requested information, or notification, is described in the included attachments. You will also be given some brief direction, on the following page, of how the information should be submitted or returned to the County. Should you have further questions please contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601, or the appropriate Department/Division identified in the handout. Sincerely, Chris Tolley Assistant Planner Enc. Parcel Creation Deed A creation deed is the deed that created a piece of land, into it's current configuration. This process is commonly called a subdivision. Prior to March 4`h of 1972, a parcel of land could be divided by a grant deed, and gift deeds were recognized until February 9`h of 1993. Note: documents that create real property are not limited to grant and gift deeds. Staff is required to review each division to ensure that it was created in compliance with the State Subdivision Map Act, and Butte County Code. A creation deed is required to determine that the legal description matches the current configuration, the parcel meets applicable zoning requirements, and that the parcel has the appropriate access to a publicly maintained road. The exact date of creation and type of deed will also be verified. Please locate the documents and submit it to the Planning Division at: Department of Development Services Planning Division 7 County Center Drive Oroville, CA 95965 . Note: You can obtain this document at the Office of the Recorder (25 County Center Drive, Oroville), or work with a title company to locate the appropriate deed. \ w / W I LLDAN 2399 Gateway Oaks Drive, Suite 210 Serving Public Agencies Sacramento, California 95833 916/924-7000 fax 916/924-3644 www.wilidan.com December 1, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-2262 Assessor's Parcel No: 027-250-042 Description: Martinez -NSF Willdan Project No: 14353-1871-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheets 1 through 10 not dated by Jose Martinez and two (2) copies 8x11'/2 Details and Specifications Attachments, (18 sheets) * Truss Calculations: Two (2) copies dated 6/29/05 by Longfellow Lumber Co., Inc. * Energy Calculations: Two (2) copies dated 6/25/05 by Barry Rubanoff The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. 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. i. �I WI LLDAN 2399 Gateway Oaks Drive, Suite 21 C Serving Public Agencies Sacramento, California 95833 916/924-7000. fax 916/924-3644 www.wilidan.com APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: { • Part 2, known as the California Building Code (CBC). . • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Specific Use Type of 1 Type of Stories Total Sq Ft Occupancy Construction s , Dwelling R-3 V -N 1 t 1188 Covered Porch R-3 V -N 1 i 160 - 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. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. I SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no. deferred -submittals. All Sincerely, ry _- w" 'r, i.• � � ,. , Richard Essenwanger Plans Examiner II Thank you Cc: Alice Mefford amefford@buttecounty.net Jose _Martinez, 4917 Virginia Avenue, Oroville, CA 95966, jmariaguadiana@goldcountrycasino.com f . I • I t Page 2 of 2 Butte County 05-2262 k Willdan 14353-1871-M.PC2F BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No: ��d5-2 A.P. Number ©Z -7— FS -0 d`f Jurisdiction: City �unty Property Owner41/+427 Property Location/Address Subdivision Lot No. ........................................................................................ Residential Development Q Q Q Sq. Footage No op 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 Sq. Footage New Addition (Including Exterior \ / Roofed Areas) �/ 12-S� -0'6 Buildin6. Department Rgprespntative Date Identification No. (City) District certifies that (State) (Phone Number) 9590 � (Zip Code) has complied with the requirements of Resolution No. D �,, q• (�� by payment of $ f square feet. Uv School District Representative Paid by Check # / Remarks: B 2926 $ �i 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(x), 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 Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Ad (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school disfricrs schools. White (school district), Yellow (building department), Pink (applicant) teeform.xis (3ffi5W m BUTTE �PUNTY (DEVELOPMENT FEE CERTIFICATION FORM , ,6 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0. CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 02 7Building Pen -nit Number 2 2 Property Owner (s)• l�ll-�T-7/ J �= Project Location /Address Subdivision Name. __ Assessable Sq. Ftge / TfResidential Development (check one) New DevelopmentSingle 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 ) verified by Building Department Comments: 0 FRRPD ❑7C�X70PRPD ❑ DRPD certifies that: " Applicant Name Phone Number Vf,�<,r < Mailing Addresv City State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit fora total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: / 3 Paid by Cash: Receipt No: /S-310- Recreation and Park District Representative W E. Plot Plan Attached Floor Plan Attached Sent to BE bf TO: Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for ^/ dwelling. 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"11 T 1�1 IT21 — E FV I L Owner Name t Address / Phone No. V,'14/,A,'A Alt- cyle', IY Ic jam Site Location v Contact: Name Phone FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.0(r USES: zi0' 1 y�, wEll VV The attached envelope and approved plans -must be at the job site for all inspections. Enclosed in the envelope are the following items: Residential orNon-Residential Construction Req Title 24 Energy Calculations Engineered Truss details Structural calculations ZCDF Fire Safe requirements _ Flood Elevation Certificate Special Inspection Sheet Air Quality Management Dist, Rule 207 Form /00 A# L1,v� ! R'-Jkr jVAy % I yLo x 3.� fns: I "• ^.. FINS DEPT. of FORESTRY as c,_,b iaed J%'v:J �- rcv^;: c.i:,ti conditions lie 1 Date STR �u��i�. a�`�^L.9r 1'�• :VY w.�.b • �. J.TV,..'•O/r �� Fr. F7 TF r "T"; VES Ia:� ELWi:=..�E:i CIS^ OF ST Ut r-OR A 2 FT 4VE OVERH NO. e e 40 G60 �i .e The 2001 CBC, CMC, CPC, 2004 CEC, and 2001 California Energy Efficiency Standards as amended by Butte County apply to this project THIS PROJECT SHALL COMPLY WITH ALL CALIFORNIA DEPARTMENT of FORESTRY (CDF)l � y-- REQUIREMENTS SCO �� OIL 1 1 z i r Jos&/yAe ICAIF z l t f J• l,r• 8,,k 17 f'# � 2S" ' . DEC 01 ZO�g Z)' k y f/ousr- proP os EGA PLANNING DIVISION - BULDING PLAN APPROVAL UM: Date: I& • Parldng: LandsraP v S!gr>me. . /60 � 1 i 4 l f f � O x • � O i '�.� t i � � ..�. , , � . , ` . | . ^ ` ' . ' ! ` / . / . ' ' U U . �1 r l j. 1J i j + 9 1 sjz----- Li IT yy� 1�y xy° ' r'ANY WOOD FIRED DEVICE MUST COMPLY 3 oX6 4 �N ► "- Da ® AIR QUALITY MANAGEMENT DISTRICT2. Sa�e�ULE207 - RESIDENTIAL WOOD COMBUSTION. FOR MORE. INFORMATION SEE ATTACHMENT _ it R CONTACT THE DISTRICT AT (530) 891-2882 Qh. Q- 1 X go e a /Oxz / ' �d'�''� I t�/ S 2'x6 10)(10z6rtp (jr�✓Q, 1 � o c. �f�1 04'4'� � 0 �2xGg SMohic DEct�c�er MMS I X4r r2�"Xir' Inl R, ° fz y y Z Di z�xt° Q' Y' Va-1 d 3y6� 1 �- ' • t ;Q D ' os • • t m6 �' o / x _� x w N A-tt�� `AA r �VN4z u ��o Rrp►t-- wtt� Co�N-rc! DSS �% y ■ J N p . J zCyrrPr�Fa,f+rrwJ: �s 30 Ib �=� I �" / r L psi r=Nb Y" R tq rNs� a xN; wplr Ty lz He wt/ �s �� .,te r- A,,e Cf- r�sQ 60Ty . f sly ►r' r .fit% Gd,►.l�s 8/ � y i�Inb w GXL %Oxi o Pai„rFl:,q 4K12- t 7 -hl PlY Sint 1��R P9 jz/$07a7ro.- _�7 -- Ooa 6/E tx 9 �" 6 _ 2X� Po..y-a✓A�% ryxY�lisY� 'aP r �Pf Gr'R 9" FlcorJoi,r 1 t(f, , X ll% ANCD►`-` (rte /r, � 2 / ;rr%':• l- �, r,,,s. i 5 /� �r-v.•.�r-. =l. l'-ftP ~ 'tip ^^-__.'�_"^ - "L� t-: i'I� l.'• r I r'. I>. . Y /� l•C1�,�n� ! fY:lr►l � r i i � I:'1 ' 2 f/ r 4 /! F a zia' t yg' 372 / rThe attached envelope and approved plans must be at the job site for all inspections. Enclosed in the envelope are the following items: Z. Residential or Non -Residential Construction Req. 49 Title 24 Energy Calculations Engineered Truss details Structural calculations CDF Fire Safe requirements Flood Elevation Certificate Special Inspection Sheet Air Quality Management Dist. Rule 207 Form 1 /190 trrN� a c/2-0 X 3.' - SVol o rood X60 - - v--- l , The 2001 CBC, CMC, CPC, 2004 Fasteners for pressure -preservative treated an CEC, and 2001 California Energy tire -retardant treated wood shall be hot - !!!dipped zinc coated galvanized, stainless steel, Efficiency Standards as amended by silicon bronze or copper per CBC 2304.3. The Butte County apply to this project builder Is responsible for compliance with the t proprietary hardware manufacturer's specific #{ requirements for corrosion -resistance. THIS PROJECT SHALL COMPLY WITH ALL CALIFORNIA i %1 t4 --'o "Vi DEPARTMENT of FORESTRY (CDF) ! / 1p REQUIREMENTS _ �lO —� f;'�- �rl..� lO�i I j /0 '> s /jrod _ --- . S� /ylAr.dE z PLANING DIVISION - BUILDING PMN APPROVAL Ute• Dare: ! c0l-1 • OS" te- s�� Ottt� Rt _ S.ryon 1 '` 160 � '�3 posE 0. 6, A. %�aP DEC.fg Zr 01 2005 ZD BY i _ -- C ' DEI T. - i. FORESTRY of i conditlona C. jritu*a Date h FT. F7 I V5 ) r CL�r OF ST �L^ "T' r -OR A 2 FT VE OVE8'141y' o { rThe attached envelope and approved plans must be at the job site for all inspections. Enclosed in the envelope are the following items: Z. Residential or Non -Residential Construction Req. 49 Title 24 Energy Calculations Engineered Truss details Structural calculations CDF Fire Safe requirements Flood Elevation Certificate Special Inspection Sheet Air Quality Management Dist. Rule 207 Form 1 /190 trrN� a c/2-0 X 3.' - SVol o rood X60 - - v--- l , The 2001 CBC, CMC, CPC, 2004 Fasteners for pressure -preservative treated an CEC, and 2001 California Energy tire -retardant treated wood shall be hot - !!!dipped zinc coated galvanized, stainless steel, Efficiency Standards as amended by silicon bronze or copper per CBC 2304.3. The Butte County apply to this project builder Is responsible for compliance with the t proprietary hardware manufacturer's specific #{ requirements for corrosion -resistance. THIS PROJECT SHALL COMPLY WITH ALL CALIFORNIA i %1 t4 --'o "Vi DEPARTMENT of FORESTRY (CDF) ! / 1p REQUIREMENTS _ �lO —� f;'�- �rl..� lO�i I j /0 '> s /jrod _ --- . S� /ylAr.dE z PLANING DIVISION - BUILDING PMN APPROVAL Ute• Dare: ! c0l-1 • OS" te- s�� Ottt� Rt _ S.ryon 1 '` 160 � '�3 posE 0. 6, A. %�aP DEC.fg Zr 01 2005 . " ' '^ , � , . '° . ^ . . ' . ''' n v C1 0 -V-Q)'� yoY4 - QD ® ® ® ® r _ ' r -ANY WOOD FIRED DEVICE MUST COMPLY 3 °x6 ® AIR QUALITY MANAGEMENT DISTRICT ' a L KULE 207 - RESIDENTIAL WOOD COMBUSTION. x 2 sa�� ® 3 FOR MORE INFORMATION SEE ATTACHMENT Y b R CONTACT THE DISTRICT AT (530) 891-2882 yo��o ' (,•�wva+a,,.1 tD0'S 3 )( e i /0 x Z �sd�•'� hl �%SI ti,(�� S 1! 2x6 IOXiO A49 r, 1 So �� i 7 Q / L` Calc. 711m, FliAl s 27 SMoktc IJECtrAr � t IWMI~ 19,%9 00 y`y°ZI Kos/ o'o ��x4� 't' x saes • c Q °X Ixpop- Kn E�tt� cauAn / IVB X/fy DECO 1 2005 v x �C 3 2.0ye, Cc,•.�� i�i�%ylts � L 0�� S�F��-,.•fir• � . PrE PA 5 R 3:r�� tai s�l� /''"' Oooea/,- LX6 2)(4C PoNy t/✓A// Yb V 1 Z`� ,ryXY Pas i C O.!' LPA IiZ /g'i NT r Pwt��� s C l�S� T-% _f 12,, ►� 77- �g Ab X/D j1,Sl� OV1 1ro(T� !2/;pro•_• <;�rr�� ► 5 !lf L 1z" 2x6 O,G, IK12 .ac�Frs iff, Oooea/,- LX6 2)(4C PoNy t/✓A// Yb V 1 Z`� ,ryXY Pas i C O.!' LPA IiZ /g'i NT r Pwt��� s C l�S� T-% _f 12,, ►� 77- �g Ab X/D j1,Sl� OV1 1ro(T� !2/;pro•_• <;�rr�� ► 5 !lf L 1z" O'rA� N96 " s N . "r A/M. Y t ENVROWEIGIAL HEALTH CST 1005 7 COUNTY CENTER DRIVE i . APPROVED ! Butte County i Envi o mental F ' Date Signature = it /few, y Ale- � rfAe 1 e ! . 1 &C % E