HomeMy WebLinkAbout027-340-011Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.net/dds
ADMINISTRATION " BUILDING " PLANNING
August 3, 2006
Leslie Wilmunder
1525 Pennsylvania St.
West Sacramento, CA 95691
Re: Administrative Permit for Temporary Travel Trailer, ADM 07-01
APN 027-340-011
Dear Leslie Wilmunder:
Enclosed is your validated Administrative Permit No. ADM 07-01 to allow a temporary travel
trailer on property zoned A-5 (Agricultural -5 acre parcel). The property is located at 194
Reginald Way., Palermo, CA 95968
Should you have any questions regarding this matter, please contact this office between 8:00
a.m. and 4:00 p.m., Monday through Friday.
Sincerely,
Tina Bonham
Office Specialist, Senior
enc.
cc: - Building Division (y)
Larry Painter (GIS)
♦l'
BUTTE COUNTY
ADMINISTRATIVE PERMIT FOR TEMPORARY TRAVEL TRAILER
Assessor's Parcel Number for Site:
Street Address of Site: / L� �e c..T
Applicant's Name: tj i
Applicant's Mailing Address: ,S z J I?e- M h Luc,' 5 f 61j, S,-0-fiv
Applicant's Telephone Number: / 3 J 2, - `-
Building Permit Receipt Number: (p (� %,S %
(Show copy of Permit signed and issued)
Date Sewage Disposal Permit issued: 0 4'/— / � — OG
(Show copy of Permit signed and issued)
I certify that the above information is correct and that I have read Butte County Code
Section 24-300-C (on the reverse side of this application.)
' i�- Z,f-
Applicant s Signature: v Date: �
TO BE FILLED IN BY PLANNING DIVISION
Date Application Received:
Zoning Verified by /-7
Permits Reviewed by vii? ,�3
r
'Associated Building Permit #
Administrative Permit #
Planning Approval by
Date Approved: C2/
f'
File: "Administrative Permits"
Date revised: July 20, 2004
K:\Planning\FORMS\APPLICATIONS\ADMINISTRATIVE PERMITS\Temp. Travel Trailer.doc
Ii
.Nov 1,4 2006 13:31 PACIFIC MODERN HONES INC. 916-685-1006 p.1
i4ovember 13, 2006 _
Orman Pacific Modes H16 'Mee
RECEIVED
I
PO Box 670 NOV 14 MM
rM Oro -ye, rA 95159 4
c b e e 2 het Wihnattder lSteaidsase
Inspection clarifitatkM
e a n c t as r >s ! To whM it WaY ®arlcarn:
Ijis letter is to clivify this SmV beadft as -built, with a single top Plato above is
suffteietit with the fbuowistg Twiramnanu 1
as g i a a a :®ljSe Mg'TC28 strap at both -of t&e front a=®rs of the Frage along the
n 131vd top platt3,
)? 2 $tmcis `
air 02kr. CA 9562
X16) 53�-93i! }
116) 935-0260 (Sax) �
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lormna Scheel
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grad N.4o r, P.E.
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= Sagervlw.,, I
.
sea Marchant, la•S•
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6f you have aay guwasti=% plemse call Steve Smith
Owner: !.Ind!`ri+✓i✓Dt'2.
REVISION: BPI
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1APN: 027 3q o - 0) 1
FILE COPY
BUTTE COUNTY
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APPROVED
NOV 14 2006
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USE MSTC28 STRAP AT 807H
FRONT OUTSIDE CORNERS OF
GARAGE. AT FRONT ATTAC14 140
OF STRAP SPUT BETWEEN TOP
PLATE AND GARAGE HEADER.
BEND REMAINING le OF STRAP
AROUND CORNER AND ATTACH
TO TOP PLATES.
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.
BP061581
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: 08/02/2006 APN: 027-340-011-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 194 REGINALD WAY PAL
Date: Contractor:
Map Index:
Description: NSF(3027), GAR(740), COV(447)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exemptfrom the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: WILMUNDER, LESLIE H.
to its issuance, also requires the applicant for such permit to file a
1525 PENSYLVANIA AVE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
WEST SACRAMENTO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
.95691
she is exempt therefrom and the basis for the alleged exemption. Any
(916)372-2423
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: WILMUNDER, LESLIE H.
owner of property who builds or improves thereon, and who does
1525 PENSYLVANIA AVE
such work himself or herself or through his or her own employees,
WEST SACRAMENTO, CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95691
year of completion, the owner -builder will have the burden of
(916)372-2423
proving that he or she did not build or improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: C D S CONSTRUCTION
and who contracts for such projects with a contractor(s) licensed
2001 WEST CAPITAL AVE
pursuant to the Contractors' State License Law.).
WEST SACRAMENTO, CA
❑ I am Exempt under Article 3 of the Business and Professions Code
0(.0 -
Date ' -01 Owner:
95691
916-244-5050
License #: 828087
WORKERS' COMPENSATION DECLARATION
1 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.
❑ 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
otal Square Ft: 4214 S. F.
Policy #:
Valuation: $221,667.00
���,,,,
�q I certify that in the performance of the work for which this permit is
Census Code:
IV" issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700'of the Labor Code, I shall
forthwith comply with those provisions.
Z-.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is�����-
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
interest, attorney's fees.
a5
45U 0 l
code, and
CONSTRUCTION LENDING AGENCY
This permit is hereby issu under - 0e applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
for this is issued (Sec 3097 Civ.)
Resolutions to c o -r 'cated abo a for which fees have been paid.
performance of the work which permit
By. Date:
Name:
G
PERMIT EXPIRES ON:
I
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 pur es.
f /f
Print Name::' h' /% Ldf IM (411'd e, V— Signature:
//�
Date:
C" Jgwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
Es. C. nwiomg Fermi 0 i- io-ver Ny
j,3%Q •$3
IIZ3
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERV C
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 •
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION
Website: www.buttecounty.net/dds
22lT7 "PLEASE PRINT CLEARLY"
CONTRACTOR
OWNER INFORMATION
Last Name
Address
irst Name
CC ✓. L( y
C� A I
City
Address .4
Zip S6ct
u
City
(,-I/ 53.6' 02b0
StateZip
C4
Fax
E-mail
Lic.#
Classy D
E-mail ,
C nd
P se
-I a - D-
Fa /� 7 S' 112
E-mail
CONTRACTOR
Name ,,,
Name
Address
Address
CC ✓. L( y
C� A I
City
State
Zip S6ct
O C C_ I IAO
G�
(,-I/ 53.6' 02b0
Pho e
Fax
E-mail
Lic.#
Classy D
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
NoAmla-,f JGh ev
Address
CC ✓. L( y
C� A I
OAKS
State C A
Zip iS,6 2 8
q4 e
S'36 - 9585
(,-I/ 53.6' 02b0
ail
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name
1 Flood Zone I, N
SRA I(Yes)l No
CC ✓. L( y
Address _
City
Map Book
State A .
Zip 9S6 9/
Planner
Date Approved:
Phone/
6
7a- O-4 a
FaxL9/� a- 45)/2,
E-mail ,
C nd
3 3 lob 1. E`1
APPLICANT SIGNATURE
X
For office use only:
Zoning
- 5
1 Flood Zone I, N
SRA I(Yes)l No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMSIBUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP ()C01%
BIN #
bom
PROJECT LOCATION
AN 2—. 11
Property Address
ITI o_l Wa
City
fafe�w•D
Cross Street
WORKER'S COMPENSATION
Policy Number Qt4 C&
Ij
Carrier D9 S5 �
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
Page 1 of 2
Description or Scope of Work:
Sq FT- Living 3 •1 Garage v7yo Open Cov W7
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by �, Amount: L�•�� Bldg
II 11 '1�2N •") $ SRA
Receipt #: � St,'p()
ahecolws
Sheriff
SMIP
Date�� Other
r •�a. � �.�
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 A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bidgs: (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 ana'site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
❑
4.
5.
NPDES Form. ., L i
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
r_17.
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
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
COUNTY OF BUTTE-DEPARTMENTO%F DEVELOPMENT SERVICES -BUILDING DIVISION
f 7 County Center Drive, Oroville, CA , 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ! ((n (f P r ASSESSOR PARCEL NUMBER U� 6-� 'olo V
FUN.
sed Building Use: N�1 D��('P �1 1 Vl Permit Technician: \.V Date: �D'2q -�J`i�
required in order to apply for a permit All xes MUST be checked OR marked NA in order to apply.
1. Site plans,or 4 sets, signed by the preparer of the plans.
❑ 2. Complete pins, 3Pdeails
4 sets, signed by the preparer of the plan
3. Engineered plansr 4 sets, with wet signature on plans ANl 2 ets of stamped and signed calculations.
( 4. Engineered truss 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 A/C for Non -Residential Buildings.
❑ 8.' Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
du li e.
❑ 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 en-gineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ �, 11. Hazardous Material Form
_fel 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Raining items needed to issue the permit (May require additional plan review upon receipt o_ f t Hollowing items.) t�
gyp'' I rA 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chicood& Oroville, as applicable
❑ 15. Fire Sprinklers ........ :...................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17.- Soils Report and/or Engineered Foundation required ...........................................
❑j^ 1 Erosion Control Plan Required....................................................:...................
utt . Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ Ci of Chico Plumbing 9 Permit....:...................a4...............................................
❑ 21. Ste, plan and business license approval from �'e 91 of Biggs ..............................
22YCalifomia Department of Forestry plan approval'C7 paid. Sent by:
23. Planning approval for (A) Use: �.(B) Parking:;., (C) Parcel Chedc:.. ........ 7A q D
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
o/ 25. Fire Marshall Review (commercial projects only). Sent by ......................
26. NPDES Form.............................................................................................
❑ hiyak27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ................................•..........
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑/ 31. Letter of Signature authorization....................................................................
C� 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other.
❑ 37. Other.
When issued Telephone -(q 160)"E 2 -Z9 2,3 QW11M and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant (;. _,�.., A. / / C-. _ \J Date: 06-.';2q- O C;
1. Index permit appin for the above items numbered:Plan Check Ter
2. Additional items r64uired
Contractor, designer, owner was advised of the above data by phone, ❑ mail, ❑ counter, by Date:
Contractor, designea advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the aboved to by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: T__t_ Date: • 'r I Plans approved by: Date:
Structural reviewed by: Date: 4 JStructural approved by: Date: 71
Note transfer by: Date:
Yellow: Building Division
E.M. USE ONLY
} Plot Plan Altedred
2t. -`� ' Fbor Plan Attached
Sent to SD/DS /
TO: Building Division = Development Services i
k
FROM: Environmental Health
SUBJECT: Sanitation Clearance
--3V -- l>
Owner Location AP#
Plan Approved for: Sewage Disposal:Water Supj4K Public
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental HE
Building Clearance 9/2005
Z -- L6
Date
Well
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
Owner
App Date
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
WILMUNDER APN No: 027-340-011 Permit Type: Bilitalm Subtype:(Iffl+iA
i
6/29/2006 Permit No: BP 061581 Permit Desc:New
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION
Plan Check portion of Permit Fee .
2 FEMA Res Flood Elevation Review $109.98
3 SRA* Yes Fire Plan Check - Non -Refundable $95.00
(State Responsibility Area) Building Inspection $109.98
NON-REFUNDABLE portion of fees due at application
$3,569.83
$1,427.93 $2,141.90 Balance of Building Permit Fee
0
$95.00 $204.98'
$109.98
$1,522.93
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,632:91
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $6,513.18 y 06$2,141.90 - (4(,,
$22.17 y5fn4fn3 g -0 (a
RECEIPT DATE Tech/Asst
6/29/06 Kourtni
4
5
6
7
7a
8
9
10
Balance of Building Permit Fees (from No. 1 above)
SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system)
Additional Plan Check Fees (NON-REFUNDABLE)
Other*:
Other*:
IMPACT FEES - RESIDENTIAL*
JPer Dwelling
Per Dwelling
Applications After 04/15/06
MFD
County 1 4249.11
3183.54
3238.
Chico Urban Area 6146.23
4538.82
5648.
EI Medio Fire District 3249.97
2385.76
2422.
North Chico Specific Plan
A SR -1, SR -3, SR-1/PD 8801.091
7395.041
8486.
0 R-1 8897.091
7491.041
8582.
ti R-2 8390.091 698,4
R-3 7604.091 619E
Processing Fee is automatically added to impact fee total
WATER TENDER FEE (Not collected when Impact Fees Apocabio Enter Bat.#
DRAINAGE FEES*
CHICO STORM DRAINAGE 770 Butte Creek
MASTER PLAN 1 1771 Comanche Creek
New construction, vacant
land, on 1 acre or less -
Enter 1 or less acre value
772 Little Chico Creek
773 Big Chico Creek
774 Lindo Channel
775 SUDAD Ditch
776 Mud -Sycamore Creek
777 PV Ditch
8075.40
7289.40 RECEIPT DATE Tech/Asst
1 $100.00 $4,349.11 � � �
$200.00 V
1
$6,275 RECEIPT DATE Tech/Asst
$8.893
10a More than 1 acre, existing buildings - fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
11 THERMALITO DRAINAGE AREA 1 $684 Maximum
Per each new living unit on existing lots where full drainage fees have not been paid
11a Temporary Dwelling 1 $136 At time of building permit
It $136 annual renewal fee for first 4 renewals. Not to exceed $684.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check
is completed for applicant to take to respective district office.
12 SCHOOL DISTRICT FEES* I Oroville Elementary 091
12a RECREATION DISTRICT FEES' Oroville
At the time of perTii 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
checking process.
Applicant: Date: 66 ` a9 '- 6 6
Pursuant to Government code ection 66020, you are hereby notified those Items followed by an ""may have been imposed on your project. You have 90 days
from the date of approval ofiJhA poriect or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Cod&Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506
COPY of Document Recorded
7 -Jul -2006 2006-0034842
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION Has not been compared withoriginal
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 BUTTE 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 discomfortfrom normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
:5Q -Q- A+t'ac-kc k
Date 715 0f
State of California
County of j c,,C rteoA
On -Tv
PROPERTY OWNERS:
1, e✓ S /; e. /� 4l� �� � �� � r C;`„�l H 1, . i•J;1.� H � !�-
before me,
personally appeared es h e- ti . IBJ,' mu"i ,^ r"Jk C. +\d N l.• ,W VA, A P -r personally
known to me (or proved to me on the basis of satisfactoryevidence) to be the person(s) whose name(s)-Ware subscribed
to the within instrument and acknowledged to me that 4e/she/they executed the same in his/her/their authorized
capacity(ies), and that by hWMr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and officia l.'
Signatu Seal: NDREW SANCHEZ�
COMM. # 1563554
2 NOTARY
PUBLIC -CALIFORNIA
SACRAMENTO COUNTY] COMM. P. MARCH 22; 2009A.P.# 2/
n'+
the following described property in the unincorporated area of , County of Butte, State of California:
PARCEL I: LOT 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "LOFTUS SUBDIVISION
MAP", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON AUGUST 22, 1986, IN BOOK 104 OF MAPS, AT PAGE(S) 18
AND 19.
THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND .
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS
RECORDED OCTOBER 2, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92- 45375,
BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE
THERETO WITH THE SAME,FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT
LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND
AGREE TO THE TERMS OF SAID DECLARATION.
PARCEL II:
AN EASEMENT 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, ON OVER
AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH IS MORE PARTICULARLY
DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, TOWNSHIP 18 NORTH, RANGE 4
EAST, M.D.B. & M.; THENCE SOUTH 630 15'23" EAST, 419.40 FEET TO A TANGENT CURVE
CONCAVE NORTHERLY, HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 520 30' 26",
AN ARC LENGTH OF 137.46 FEET; THENCE NORTH 640 14' 11" EAST, 249.28 FEET TO THE
CENTER OF A 50 FOOT RADIUS CUL-DE-SAC; THENCE NORTH 750 33'38" EAST, 523.62 FEET
TO THE END OF THE HEREIN DESCRIBED CENTERLINE.
PARCEL III:
NON-EXCLUSIVE EASEMENTS FOR ROAD AND PUBLIC UTILITY PURPOSES OVER RAIL
BRIDGE ROAD, MEETING ING PLACE, MACKINTOSH AVENUE, AND REGINALD WAY, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "LOFTUS SUBDIVISION MAP'.', WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON AUGUST 22, 1986, IN BOOK 104 OF MAPS, AT PAGE(S) 18 AND 19.
EXCEPTING THEREFROM_ ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I,
DESCRIBED HEREIN.
Effective January 1, 2006, a change was made to notary acknowledgments that requires the verbiage
be exact. Civil Code Section 1189 (a) has been changed to read as follows:
CIVIL CODE § 1189 (a) Any certificate of acknowledgment taken within this state shall be in
the following form:
State of California
County of 9,.4� )
�a��/Z Wv
LfcOn � Zpv G before me, /Indy LS , f�)N_0L)_4Tn cn�/� , peEso
IV "(datt�� r L >� , PV/ t In 14 �� (here insert name and title of the officer)
appeared ,pei N o y c . W> <-)'0AP v g�Versonally known to me (or proved to me on the
insert name(s) otperson(s) signing
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 my hand and official seal.
Signature ZV� (Seal)
(officer)
U RUDY A. RINDLISBACHER 3
COMM. # 1604226
.s . NOTARY PUBLIC -CALIFORNIA
Most common reasons for rejection by the Recorder: BUTTE COUNTY 0
Title of Officer missing Comm. ExPIREs SEPT. 3, zoos
Acknowledgment contains "in and for said County and State" or other,verbiage not allowed
,ON
Butte Cou ityDepartmel7t of-Developxzielit Sel-�nCCS UrrF°
7 County Center Drive 0
oroville, CA 95965 o
(530) 538-7601 Telephone 00 = y
(530) 538-7785 Facsimile UNT
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.
v 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
a 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 regulatoryentities 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: L. e S f I e- 14 APN:
Building site address: 2�i h c,-1 d L Permit No.: �5
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:
�
DATE
SIGNATURE OF APPLICANT
T T °�
pp �� �': Illi �O
5 O
� .
1 0
0 0
Acetic W0
Department
C o u n t 1,
J. Michael Crump,
Director
of
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 II
Construction Storm Water Permit and Storm Wa'ter Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Description:�Cyyt'1 er
Project Location and/or Parcel Number: 0). -7 - 3 `7'y — 0 t 1
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
Title:
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2006-0034842
Recorded I REC FEE 13.00
Official RRyecords I
CaButteof COWURRED COPY 1.00
CffiftCE J. GRUBBS I
County Clerk-Recorderl
I
1 DD
01:51 07 -Jul -M I Page 1 of 3
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, `
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
5 Q- Q- A+t 8k cr he a
Date 71510f 0f PROPERTY OWNERS:
State.•of California )
County oF,. y '-A' C V'P'V^ `"\� )
On before me,
A
personally appeared LeSbe.'{�mvv\&(r r,4
known to me (or proved to me on the basi?bf4,ptisfactory
to the within instrument and acknowledged to a
capacity(ies), and that by 4Whor/their signature(s) on the
the person(s) acted, executed the instrument.
WITNESS my hand and official al.
Signatu
A.P.# 0Z-7 -140 '0'�-()
wide cn e) to be the person(s) whose name(s)-Ware subscribed
4w/she/they executed the same in -die/her/their authorized
tistr4ment, the person(s) or the entity upon behalf of which
Seal: 9N O M# 1563554 EZk
Z 0
NOTA UBREWLIC CALIFORNIA
SACRAM COUNTY
�a COMM. XP. MA 22, 2009 -
Effective January 1, 2006, a change was made to notary acknowledgments that requires the verbiage
be exact. Civil Code Section 1189 (a) has been changed to read as follows:
CIVIL CODE § 1189 (a) Any certificate of acknowledgment taken within this state shall be in
the following form:
State of California
County of f-V� )
On ZO o G before me, W 14Oy A-. RJ �yO L )J'3� c d T/� °V° ��pef sonaIly
(date (here insert name and title of the officer)
appeared 4 Pyt-w ci N o , w. e_,M��o g4ersonally known tome (or proved tome on the
insert name(s) of person(s) signing
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 my hand and official seal.
Signature(Seal)
(officer)
.. RUDY A. RINDLISBACHER 3
0 COMM. # 1604226 9
NOTARY PUBLIC - CALIFORNIA
Most common reasons for rejection by the Recorder: BUTTE COUNTY 0
COMM EXPIRES SEPT. 3, 2009""
Title of Officer missing
Acknowledgment contains "in and for said County and State" or other verbiage not allowed
a
the following described property in the unincorporated area of , County of Butte, State of California:
PARCEL I: LOT 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "LOFTUS SUBDIVISION
MAP", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON AUGUST 22, 1986, IN BOOK 104 OF MAPS, AT PAGE(S) 18
AND 19.
THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND .
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS
RECORDED OCTOBER 2, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92- 45375,
BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE
THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT
LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND
AGREE TO THE TERMS OF SAID DECLARATION. - ,
PARCEL II:
AN EASEMENT 60 FEET IN WIDTH. FOR ROAD AND PUBLIC UTILITY PURPOSES, ON OVER
AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH IS MORE PARTICULARLY
DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, TOWNSHIP 18 NORTH, RANGE 4
EAST, M.D.B. & M.; THENCE SOUTH 63° 15'23" EAST, 419.40 FEET TO A TANGENT CURVE
CONCAVE NORTHERLY, HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52° 30' 26",
AN ARC LENGTH OF 137.46 FEET; THENCE NORTH 640 14' 11" EAST, 249.28 FEET TO THE
CENTER OF A 50 FOOT RADIUS CUL-DE-SAC; THENCE NORTH 750 33'38" EAST, 523.62 FEET
TO THE END OF THE HEREIN DESCRIBED CENTERLINE. -
PARCEL III:
NON-EXCLUSIVE EASEMENTS FOR ROAD AND PUBLIC UTILITY PURPOSES OVER RAIL
BRIDGE ROAD, MEETING PLACE, MACKINTOSH AVENUE, AND REGINALD WAY, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "LOFTUS SUBDIVISION MAP", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON AUGUST 22, 1986, IN BOOK 104 OF MAPS, AT PAGE(S) 18 AND 19.
EXCEPTING THEREFROM ALL -THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I,
DESCRIBED HEREIN.
BUTTE COUNTY (DEVELOPMENT FEE CERTIFICATION FORM
xFEATHER.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) Building Permit Number �
Property Owner (s)
Project Location /Address
Subdivision Name , Assessable Sq. Ftge
Ty/single
Residential Development (check one)
Famil -Detached Single Family -Attached
New DevelopmentFamily
-Detached
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:
Bui ing Department R a e Dat - '
❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that:
Applicant Name
/5 0'25' ?C�nns(i4h2,:.2i
Mailing Addr ss
�1037a-aWl
Phone Number (I --
• Sa��ti�Q�J
City
State
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @. $
Square Feet @ $
Remarks:
Paid by Check No: Paid by Cash:
I , l ` (i Y7 rel
✓
and Park District Representative
per unit for a total of $ (AP
per sq foot for a total of $
Receipt No:
Zip
Al
C
BUTTE COUNTY SCHOOLS IMPACTTEE CERTIFICATION FORM
(One form per Building)
School District D Building Departme . nt, No. 06 — 6clr/
A.P. Number 077- 340 - 0 1 jurisdiction: -city =;tCourftj
Property Owner
Property Location
Subdivision Lot No.
Residential Development q. Footage
No of Living Mobile Home Addition/ *Supplemental to (Group. R)
Units Installation Conversion Permit #
*(No foundation
inspection) 1
...................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document),
Commercial/industrial 0 0 Sq. Footage
New Addition (including Exterior
Roofed Areas)
Building Department R6prese—nfifive` Date
District Identification No.
(MSchool District certifies that
(Applicant)
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with #ierequirements of Resolution No. 0 5-0 16 o ci by payment of $ c . t.
- representing square feet. B 2926 $
fULL MITIGATION $
School District Representative Date
Paid by Check # Remarks: lk*6
3 o a -i to -
N0000: You may protest the Imp z osMon of the fees Identified above by submkdng a written protest.to the District. In compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees In any court action.
ff, subsequent to the School District Representative signing this Butts County Schools Impact Fee CoMesdon Form, the Schooli Dbrtrict is
notified by the applicable Local Planning Agency that this project Is being rwlawsd under the California Environmental Quality Act (CEQA),
this orolect rnev be sublect to additional school ties to hdlv milkaft Its Impact on the school dftWs'schools.
White (school district), Yellow (building department), Pink (applicant). feeformxis (305)dhim
6,di ~ t
SITE PLAN REVIEW APPLICATION
Date: 1 �s ' AP9 �� -6.
Permit Number (if applicable)�.t>
APPLICANT INFORMATION Parcel Size: .S
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer_
❑ Multi -family
Mon -residential
❑ New Commercial
❑ Commercial Addition,
❑ New Industrial
❑ Industrial Addition
Other
® Septic
❑
Agricultural Exempt Building
❑ Other.
Brief Explanation (if necessary):
i
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionallyroved ElResolve Problems Prior to Approval
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
I00 -Year Flood Plain: (See attached)
o Flood Zone: X
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 handoiM
Use Requires:
❑ Use Permit ❑ Minor Use Permit
ElWmDr Variance [I Variance
El Administrative Permit
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning.-
Applicable
oning:Applicable Building Setbacks:
Zoning Code Streets & Highways Fire Prevention Subdivision Map
Front ,
Side
Side Street
Rear 5 1
Height �� f
Waterway N/A N/A N/A
❑ Setbacks drawn on site Plan, ®CDF approval needed for encroachments into
SRA setbacks.
M
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑. Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ 'Other
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area ,
❑ Other (per map)
# Check with school district to verify actual fee if pre -application review.. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
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:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel E] 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
IM Subdivision 21P el Map: LoFry
Map Date of Recording:
Lot: Book:_
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Parcel Map/Subdivision Map/Ilse 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 ma
El
0
a
x
u
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
C:1l,arrysSuildmg Permit Situ Plan RrAmI AM
NBTEs:
// INOSE MwrwMr OF T,VE NEREQV J'NOIYN AMICWI?TY L•OBE[EO
'60'R/lvEP UE' ARE,NON•ftCLUJiYE PUBL/C ERSEMEN7S FOR
/NGRESS € ECRESS E P[BL/C YT/L/TY FY/RF17lfES ARE R7 BE
RCJLRVEp /N DEEDS j ARE NCRfOY OFFERED Aw LEO/!AT/ON 7N
QUITE COUNTY
t) ALL %O' RUE. -j6," 'R/W f RUE. iA7 ONS OF TN/J PROPERTY
4RE 7O BE REYEO 70 Re RTT. /N TNEL1EELif
4) 7W-- NONAWMEO AREA OF O7f ?-4..4,/O, A/d ARE USA$[E
SEWAGE O/SPOSAL AAM".
3) WATER' W6d4S FOR LOTJ 7J,4 /4 MUTT BE LOCAreO AM/A,MUM
OF /00' $ f/AC OF THE [�'AALE JfWAW O/JMSAL AREA AJ PER
NOTE AR a .4L70YE
6) WELL J•/TES ON (07Y /O r// MUfT BE W/TN/N THE NA7LNEO
7) AREA 4 AV WAIM
7Nf R04PV/N TNH 37/90/VN/ON 6VEQE A/07OF3/GNFOORCON-
AeCeP F.0 TO COMPLY W/7N 9TdNOdR/J9 FpR ROO?5 R7 BE
4CCEPTEO 9Y INC COUNTY FOR MO/N7ENANGE.
A/W f9a5 O.R. 9/
:i,c ii ,',!� , J
NW COR.SK.?SI I jG14 A'Cl-( ;UE
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LJ. J6Y5 (RJ /OC /Vi
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S � � .
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AC.
� 24940 O.R. /dd/
l
^7 IV 1777 a. R. /d7
• 75'TawER IQ / o+•, / /4' e/[E. Pi• u /'s °.orew .is°w'r/- . �j E -
L /NE EASEMENT; �� LOT /$ •L1JEf AN dP
945 aR T23 M1 - L-n[v.n - I rr.
p ( 7.75 AC.-l-_-�/[
L 071 ^ "77 O.R.
ti 1./�• /4a• c.soAr. LOT /3 B
$ t Y 3 S.o/ ACir7uAs` Z
LOT
LAT /2'
5.01 ACI
1 .37°i1'M'2
/O'RlLE. R•i<s'c.e/.rE'j '1 N07°t4'14"W i
JEE NOTE s'Z i yy
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JEE NOTE </
2977 O.P. /67
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SO/ AC.
JEE NOTE Z
NEO COR JEC fA
fn l' 6C. [J. 4702 (RJ
JET "RE84R LJ4t0z
[.3.4102
0FD %q CORNERR ORNER AS SHOWN
/R`1 9c M4P5, Y�•74
SC6>4 fS p7RTOFJUBN9-
PACERMO C¢TR![t TRACT
FO. Y(' RlEAR LJ.Ot0t /R/
_-9AS/s AF 4&f9/PLA,—Cf
TNR BASU OF@fAR/NGS FOR TY4f JURYEY /J TNI
NORTH L/NE OFJECT/ON Li - PER/RJ BETWEEN
THE FOUND MONUMEN7S AJ IA N.
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SUBD/V/S/0 MAP
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(RJ REPLAfEO. THE U.V/A/CO�PPO.PATEO gllEq OF ,QL?TE COUNTY
C'oL/FOR/V/A
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designe d constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
Agricultural
or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
lace used by the public.
ASSESSOR PARCEL NO� `*�
ZONING �.
OWNER J �I •
PHONE Nf3.y � � / � ��%Z�
OWNER'S ADDRESS ,� &gzjlj��, a ' Cf t
LOCATION OF BUILDING � � ^ pa"�� �
USE OF BUILDING T i M
SIZE OF STRUCTURE
0, X Lgi®0 So. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME (STEE CONCRETE OTHER (Specify)
TYPE OF SIDING,�
ROOF COV �G
_
FLOOR YPE
G r �e--
ESTIMATED COST OF CONSTRUCTION
$)D®, �0
AG Buildings shall comply with the I Imum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows: f
�1
FRONT SIDES - REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date 3 ` ?. `� ® S
ermit Fee -$109.98
Receipt No.
I
J
Signature of Owner )a�
The above described AG Building is exempt from a building permit.
C ^ I kl-901) I PARCEL I P.D. I ROOFING I ISSUE
Manager Building
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
Date <-�
r -AM s-
PLANNING DIVISION - BUll.giNv PLAN APP OVAL
_., O5.
Use: _„ Date: _-1 ' Q
-Panting: Landscaping: .
t
Other.
Signature:
O..
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ArN
t IW
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Da
y. 10A 10,
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