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028-440-037
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 21 ORANGE AVE Owner: Permit NO: B08-0767 APN: 028-440-037 ROSSI, ANTHONY JR Issued Date: 05/09/2008 By KCG Permit type: MISCELLANEOUS PO BOX 504 Subtype: Remodel BANGOR, CA 95914 Expiration Date: 05/09/2009 Description: CONVERT GARAGE TO GAME RO (530) 679-0174 Occupancy: Zoning: Contractor Applicant: Square Footage: H M CONSTRUCTION ROSSI, ANTHONY JR Building Garage Remdl/Addn P O BOX 431 PO BOX 504 546 BANGOR, CA 95914 BANGOR, CA 95914 Other Porch/Patio Total (530) 589-4340 (530) 679-0174 546 FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Remodel -Residential $784.87 Total Charged: $863,77 Fees Paid: $863.77 Balance Due: $0.00 Receipt No: B7139 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License H M CONSTRUCTION 856334 / B / 03/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/09/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund policy Number: 713-0016186 Exp. Date:06/01/2008 -7— Contractors License Law.). (This section need not be competed if the permit is or on' a uillars ($100) or es— s ) El AM EXEMPT under Section B. & P.C. for this reason: ,�,� I� i CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LTJ ISSUED, 1 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'X� Q-1 05/09/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseir Owners Signature 01 Date provisions. X 05/09/2008 1 hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the rty owner or am authorized to on the roperty owners behalf. � � 05/09/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fo ame of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) MOwner F-]ContractorOR; DAgent for Owner [:]Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o o A FEE WILL BE REQUIRED AT TIME OFAPPLIC4I7ON Website: www.buttecounty.net/dds c0U i t PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last,Name d 5 / First Name I Fl-, -,L LA b -4 Mailing Address P.o. 130." so city - niZ State CA. Zp 9sqtq Phone,5-3Cc),:F Q J O1 -f- 41 Fax E-mail f=Fs�Q_ 1- (W APPLICANT SIGNATURE Lx-rN to PERMIT NO./1� �4lJ BIN # PROJECT LOCATION C52 -T5 -14 Property Address O,e A ^e v City A -i C - -o rz 4 WORKER'S COMPENSATION Policy Number Carrier Bhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. �p i �LOL I r ,Q.- At Z C-� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office ve o CONTRACTOR -Name t4 Address 0 0 -ve L13 ) City W u Cao Iz 0 55 S7 ate Zip Phone -30 - 3 zr - $1 Fax E-mail A lic: # Phon Class APPLICANT SIGNATURE Lx-rN to PERMIT NO./1� �4lJ BIN # PROJECT LOCATION C52 -T5 -14 Property Address O,e A ^e v City A -i C - -o rz 4 WORKER'S COMPENSATION Policy Number Carrier Bhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. �p i �LOL I r ,Q.- At Z C-� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office ve o ARCH/TECTIENGINEER Name Type Const. Address City 0 55 State Zip Phone zip Fax E-mail A State License Number APPLICANT SIGNATURE Lx-rN to PERMIT NO./1� �4lJ BIN # PROJECT LOCATION C52 -T5 -14 Property Address O,e A ^e v City A -i C - -o rz 4 WORKER'S COMPENSATION Policy Number Carrier Bhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. �p i �LOL I r ,Q.- At Z C-� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office ve o APPLICANT INFORMATION Name Type Const. Address 0 55 City state zip r4. c IL A F SFi Phon Fex S3 D ^ ` � - 01f- E-mail -rr 4-1-94 APPLICANT SIGNATURE Lx-rN to PERMIT NO./1� �4lJ BIN # PROJECT LOCATION C52 -T5 -14 Property Address O,e A ^e v City A -i C - -o rz 4 WORKER'S COMPENSATION Policy Number Carrier Bhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. �p i �LOL I r ,Q.- At Z C-� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office ve o Zoning FloodZone SRA 'Yes No Occ. Type Const. e Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C Ako 1.1c ,�5 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-0767 Date: 4/24/2008 Location: 21 ORANGE AVE. By: GLB Parcel Number: 028-440-037 Sub Type: Remodel Owner Name: ROSSI, ANTHONY JR Phone: (530) 679-0174 Description: CONVERT GARAGE TO GAME ROOM 506 SQ FT By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 4/24/2008 Butte 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) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http:Hmunicit)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0767 Location: 21 ORANGE AVE Parcel Number: 028-440-037 Date: 4/24/2008 Owner Name: ROSSI, ANTHONY JR Phone: (530) 679-0174 Description: CONVERT GARAGE TO GAME ROOM 506 SQ FT Signature of Applica% 4"6ZZ ,:, _ J Date: 4/24/2008 'Butte 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) 538-2140 Fax www.buttecounty.net/dds **PERMIT APPLICATION DATA SHEET** Reference Number: B08-0767 Date: 4/24/2008 Location: 21 ORANGE AVE By: GLB Parcel Number: 028-440-037 Sub Type: Remodel Owner Name: ROSSI, ANTHONY JR Phone: (530) 679-0174 Description: CONVERT GARAGE TO GAME ROOM 506 SO FT E] ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS F] ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 E] ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 E] ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions 0 ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 El ❑ Other: ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 4/24/2008 FILE SCHOOL DISTRICTS ❑ C] Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions 0 ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 El ❑ Other: ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 4/24/2008 FILE BUTT, COUNTY AN12 2000 DEvnOpmm- T TABLE OF CONTENTS SEMVICM-5 TOC ------------------------------ --------- --------------------- Project Title TONY ROSSI Date..04/22/08 17:55:00. Project Address........ ORANGE AVE ******* --------------- BANGOR CA. *v7.20* Documentation Author... BARRY RUBANOFF ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone......... 11 --------------------- Compliance Method.'..:..'. MICROPAS7 v7'.20 for 2005 Standards by Enercomp, Inc. -------------------------------------------- --------------------------------- MICROPAS7 v7.20 File-ROSSI Wth-CTZ 1S05 Program -TOC User#-MP2246 User -Barry R banoff Run-ROSSI TABLE OF CONT NTS Report FORM CF -1R......... FORM MF -1R......... HVAC SIZING........ Page I...... 1 6 ...... 10 CERTIFICATE OF COMPLIANT Project Title...... ... Project Address........ Documentation Author... E:. RESIDENTIAL COMPUTER METHOD CF -1R Page 1 TONY ROSSI Date..04/22/08 17:55:00 ORANGE AVE ******* ------------- ------- BANGOR CA. *v7.20* BARRY RUBANOFF ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........ . 11 -------- ------------ Compliance Method...... MICROPAS7 v7.20.for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.20j File-ROSSI Wth-CTZ11S05 Program -FORM CF -IR - User#IMP2246 User -Barry Rubanoff Run-ROSSI I -----------------------;------------------------------------------------------- --------------- _ ! MICROPAS7.ENERGY USE SUMMARY - ---------------------------- _ Energy Use' Standard Proposed Compliance = (kTDV/sf- r) Desi n Design Margin = Y --'-------- ---- - - g - -- ---- - - - - -- ---- - - - - -- _ ---- - = Space - - - - Heating!. ....... 32.91 31.05 1.86 = = Space Cooling ......... 16.93 17.06 -0.13 = Total 49.84 48.11 1.73 = *** Building complies with Computer Performance *** Water Heating not calculated GENERAL INFORMATION ------------------- HERS Verification...... .. Not Required Conditioned Floor Area..... 548 sf Building Type .............. Single Family Detached Construction Type .......... Addition Alone Fuel Tyne I ................ Propane Building Front Orientation. Front Facing 0 deg (N) Number of Dwelling Units... 0.19 Number of Building Stories. 1 Weather Data Type.......... FullYear. Floor Construction Type.... Number of Building Zones... Conditioned Volume........: Slab -On -Grade Area......'... Glazing Percentage......... Average;Glazing U -factor... Average•Glazing SHGC....... Average;Ceiling Height..... Slab On Grade 1 4932 cf 548 sf 13.5 % of floor area 0.4 Btu/hr-sf-F 0.42 9 ft CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 ---------------------------------------------------------------------------- Project Title .......... ITONY ROSSI Date..04 22 08 17i55:00 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7.20i File-ROSSI Wth-CTZ11S05 Program -FORM CF -1R I. User#-,MP2246 User -Barry Rubanoff Run-ROSSI I ------------------------------------------------------------------------------- r BUILDING ZONE INFORMATION ------------------------- Floor: t # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (Cf) Units le ioned Type (ft) (sf) Housewrap -------------- ----- --;--- ----- ----- ------------- ----- ------- ---------- ADD = New (Added) j Residence -548 4932 0.19 0.8 Yes Setback 2.0 Standard No OPAQUE SURFACES --------------- U- Sheath- Solar Appendix Frame Arealfact- Cavity ing Act Gains IV Location/ Surface Type (sf)j or R-val R-val Azm Tilt Reference Comments ------------ ----- - - ---- ----- ----- --- ---- --- --------- -------------- ADD - Existing 5 Door Other 20,10.500 0 0 90 90 Yes IV.5 A4 ENTRY DOOR ADD - New (Added) 1 Wall Wood 177 0,.102 13 0 0 90 Yes IV.9 A3 2 Wall Wood 61 0.102 13 0 90 90 Yes IV.9 A3 3 Wall Wood .17210.102 13 0 270 90 Yes IV.9 A3 4 Roof Wood 548j0.025 38 0 n/a 0 Yes IV.1 A18 PERIMETER LOSSES ---------------- Appendix Length: iF2 Insul Solar IV. Location/ Surface (ft) Factor R-val Gains Reference Comments ------------ --------------------- -------------- ---------------------- ADD - New (Added) 6 SlabEdge 52 0.730 R-0 No IV.26 Al 7 SlabEdge 4 0.520 R-0 No IV.26 Al FENESTRATION SURFACES Exterior Orientation ------------------ ADD -.Existing 1 Wind Front (N) 2 Wind Front (N) 3 Door Right (W) 4 Wind Right (W) Area U- Act Shade (sf) factor SHGC Azm Tilt Type Location/Comments --- ' ----- ----- --- ---- -------- ------------------------ 15.0 0.350 15.0 0.350 20.0 0.530 24.0 0.350 0.330 0 90 Standard F1/Vinyl/Operable Low E2 0.330 0 90 Standard F2/Vinyl/Operable Low E2 0.650 270 90 Standard R1/Vinyl/Wood Patio Door 0.330 270 90 Standard R2/Vinyl/Operable Low E2 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 - ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Project Title .......... ITONY ROSSI Date..04/22/08 17:55:00 -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7''201 File-ROSSI Wth-CTZ11S05 Program -FORM CF -1R User#-1MP2246 User -Barry Rubanoff Run-ROSSI -----------------------;------------------------------------------------------- Area Surface ( sf ) ADD - Existing 3 Door 20.0 4 Window 24.0 Area Mass Type (sf). ADD - New (Added) 1 S1abOnGrade 110 2 S1abOnGrade 438 OVERHANGS i --Window--- ------------Overhang------------ Left Right Width Height Depth Height Extension Extension ---- ------ ----- ------ --------- --------- I3.0 6.67 2.0 0.25 n/a n/a 6.0 4.0 2.0 0.25 n/a n/a THERMAL MASS I _ ___ Thick Heat Conduct- Surface (in) Cap ivity UIMC R -value Location/Comments =---- ------------- ----------- ---------------------- 13.5 28.0 0.98 1.80 R-2.0 Covered 13.5 28.0 0.98 4.60 R-0.0 EXPOSED HVAC SYSTEMS ------------ Verif ied Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type Systems'Efficiency EER or TXV Airflow Draw Capacity ------------------------------ ----- ------------- -------- -------- -------- ADD - New (Added) Furnace 1 01730 AFUE n/a n/a NoCooling 1 13.00 SEER No No HVAC SIZING Total Sensible Heating Cooling System Load Load Type ! (Btu/hr) (Btu/hr) -------------=------------------- ADD - New (Added) Furnace 1 8760 n/a NoCooling n/a 5.662 Sizing Location............ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer,Range............... n/a n/a n/a No No No Design Cooling Capacity (Btu/hr) n/a 6833 OROVILLE RS 25 F 70 F 102 F 75 F 37 F Verified Maximum Cooling Capacity (Btu/hr) n/a n/a CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER -METHOD ----------CF_1R----Page 4 Project Title ............ !TONY ROSSI Date..04 22 08 17:55:00 MICROPAS7 v7.201 File-ROSSI Wth-CTZ11S05 Program -FORM CF -1R I . User#jMP2246 User -Barry Rubanoff Run-ROSSI ------------------------------------------------------------------------------- DUCT SYSTEMS ------------ Verified Verified Verified Systemi Duct Duct Duct Surface Buried Type ,Location R value Leakage Area Ducts ------------- i I ----------- ------- ------- -------- --------- ADD - New (Added) Furnace INone R-n/a n/a n/a n/a NoCooling (None R-n/a n/a n/a n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ----� ----------------------------------- *** Items in this section should be documented on the plans, *** *** installed tolmanufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates a High Mass Design. This building does not Piave a cooling system installed. t REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL'COMPUTER METHOD CF -1R Page 5 Project Title JTONY ROSSI i Date .04/22/08 17:55:00 MICROPAS7 v7 201 File-ROSSI Wth-CTZ11805 Program -FORM CF -1R User#�MP2246 User -Barry Rubanoff Run-ROSSI ---------------------------------------- -------------------------------- .-- - �- ? COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This i certificate has been signed by the individual with overall design responsibility. i DESIGNER or OWNER ;DOCUMENTATION AUTHOR Name.... Company. Address. Phone... License, Signod . . Name.... Title... Agency.. Phone... Signed.. TONY ROSSI Name....iBARRY RUBANOFF OWNER/BUILDER Company.'Barry Rubanoff Address.1P.O. Box 1123 I Berry Creek, CA 95916 Phone ... ;530-589-4102 te) i ENFORCEMENT AGENCY Signed.. i_' i (date) i i i i I MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 6 -----------------------=-------------------------------------------------- ------------------------------------------------------------------------------- Project Title .......... ITONY ROSSI Date..04/22/08 17:55:00 ----- Project Address ........ IORANGE AVE ******* ---------------- 1BANGOR C.A. *v7.20* Documentation Author.... BARRY RUBANOFF ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone ........... �1.1 --------------------- Compliance Method ...... IMICROPAS7 v7.20 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7 20i File-ROSSI Wth-CTZ11S05 Program -FORM MF -1R User#-,MP2246 User -Barry Rubanoff Run-ROSSI ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturer's labeled R -Value *150.(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floorsT or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs j 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b. Outside air intake with damper and control, flue damper and control 2..No continuous burning gas pilot lights allowed 150(f).: Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual 150(8:): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3W, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 7 Project Title .. ;TONY ROSSI Date. 04/22/08 17:55:00 MICROPAS7 v7.20 File-ROSSI Wth-CTZ11S05 Program -FORM MF -1R I . User#-,MP2246 User -Barry Rubanoff Run-ROSSI I -----------------------7------------------------------------------------------- label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC)j, and infiltration certification 3. Exterior doors.and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES De- En- sign- force n/a er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified,by'the Energy Commission 1,50(h): Heating and/orlcooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(i): Setback thermostat on all applicable heating and/or cooling systems I 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas waterlheaters rated with an Energy Factor less than 0.58,must be externally wrapped with insulation - having an installed thermal resistance of R12 or greater 2. Back-up tanks forisolar system, unfired storage tanks, or other indirect -hot water tanks have R-12 external / insulation or R-16 internal and indicated on the exterior of the tank showing the R value 3. The following piping is insulated according to Table 150-A/B or Equation 150-AlInsulation Thickness: 1. First 5 feetiof hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines); piping insulated between heating source and indirectihot water tank shall be insulated to Table 150=B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 p91'/ meet requirementslof Table 123-A 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes alvapor retardant or is enclosed entirely , in conditioned space L� 7. Solar water -heating systems/collectors are certified by tyh�' :Solar Rating and Certification Corporation 1/T/ *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return-ai'r ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other -duct -closure system that meetslthe applicable requirements of UL 181, MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 8 Project Title ...ITONY ROSSI Date 04/22/08 17:55:00 ---------------- ------------------------------------------ MICROPAS7 v7.,20! File-ROSSI Wth-CTZ11S05 Program -FORM MF -1R User#=MP2246 User -Barry Rubanoff Run-ROSSI I --------------------- i ---------------7-----------------7----------------------- UL 181A, or UL 181'+B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used 2. Building cavities,,l support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platformsimay contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in thefcross-sectional area of the ducts 2 3. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unlessisuch tape is used in combination with mastic and draw bands 4. Exhaust fan systems have back draft or automatic dampers 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause m degradation of the material (✓ 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside.of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: ` a. At least 36 inches of pipe between filter and heater for future soler heating b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch 115: Gas-fired centralifurnaces, pool --heaters, spa heaters or household cooking:applianges have no continuously.burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) ` — 118(i): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)l: HIGH EFFICACY1LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as*outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 9 Project Title.......... TONY ROSSI Date..04/22/08 17:55:00 MICROPAS7 v7.20 File-ROSSI Wth-CTZ11S05 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-ROSSI I ------------------------ ----------------------------------------------- 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast 150(k)2: Permanently'inIstalled luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec.1130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided !that these luminaires are controlled by switches separate !from those controlling the high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified tl,o comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft2),;-OR are controlled by a dimmer switch OR are controlled by�an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always -on loption 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified airtight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or'to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) z 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. Lighting for parkinglgarages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high -efficacy luminaires OR are controlled by anioccupant sensors) certified to comply with Section 119(d) HVAC SIZING ------------------------ ------------------------ Project Title.......... Project Address........ Documentation Author... Climate Zone........ Compliance Method...... MICROPAS7 v7.20 User# - ---------=-------------- HVAC Page 10 ONY ROSSI Date..04/22/08 17:55:00 RANGE AVE ******* --------------------- ANGOR CA. *v7.20* ARRY RUBANOFF ******* Building Permit # arry Rubanoff .0. Box 1123 Plan Check / Date erry Creek, CA 95916 30-589-4102 Field Check/ Date 1 =-------------------- ICROPAS7 v7.20 for 2005 Standards by Enercomp, Inc. File-ROSSI Wth-CTZ11S05 Program -HVAC SIZING P2246 User -Barry Rubanoff Run-ROSSI ------------------------------------------------------ GENERAL INFORMATION ------------------- Floor Area ................. 548 sf Volume.j.................... 4932 cf Front Orientation.......... Front Facing 0 deg (N) Sizing 'Location............ OROVILLE RS Latitudle................... 39.5 degrees Winter outside Design...... 25 F Winter+Inside Design....... 70 F Summer.'Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F Interior Shading Used...... Yes ExterioIr Shading Used...... Yes Overhang Shading Used...... Yes Latent!Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shownfare only one of the criteria affecting the selection of HVAC equipment. i Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. a { Heating Cooling Description (Btu/hr) (Btu/hr) ------------' Opaque Conduction -------------------- and Solar...... ----------- 5601 ----------- 2078 Glazing Conduction and Solar..... 1328 2405 Infiltration!... ................. 1832 700 Internal Gain .................... n/a 479 Ducts....................... 0 0 Sensible Load... ................. ----------- 8760 ----------- 5662 Latent Load.' ................... n/a 1171 Minimum Total Load ----------- 8760 ----------- 6833 Note: The loads shownfare only one of the criteria affecting the selection of HVAC equipment. i Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. a 0 oo\ MET41 FLAS14rNG a U i (n a'x 6 Fi d M Al C, iG- � 05 /3 SAIF -4,P V,4 A, HA RP l L- i4 M ATC k-4 1,= x I c m DI evv .e 9� wt- ..do— A/ - A/ c E/LIN< .� M �! ti <10 s71N �I t AL1 34 x I i 18 31,0 I IJ,`J ii � � .•�•'' nom_ MET41 FLAS14rNG a U i (n a'x 6 Fi d M Al C, iG- � 05 /3 SAIF -4,P V,4 A, HA RP l L- i4 M ATC k-4 1,= x I c m DI evv .e 9� wt- ..do— A/ - A/ c E/LIN< W�•L L Y i ST: .� M �! ti <10 �I t AL1 34 x V,. 18 31,0 IJ,`J ii � � .•�•'' nom_ W�•L L Y i ST: ATTR COUNTY AR 2 2008 DEVELOPMENT SERVICES ",J L� coulv llpp�io �1�il AL1 i ATTR COUNTY AR 2 2008 DEVELOPMENT SERVICES ",J L� coulv llpp�io �1�il 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. apo6 IV76 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation 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. oZ ty --LNOr 0 �7 © 7 ZONING OWNER do�� T- ci-6o, t 0CS� PHONE NO. s�-� C? -0 OWNER'S ADDRESS s P O 6v t L�;-D,::-a I iZ t4fY 9-e At -q 6A1v&0K LOCATION OF BUILDING USE OF BUILDING A ¢34[L DJC D C �j:grzsJ s4 �lePs SIZE OF STRUCTURE /0 �,,�1 1s_' X -d tL_ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING4U00-0 ROOF COVERING FLOOR TYPE no oz e woo ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: / InfrnvrA [ FRON SIDES fhf�v REAR tnJ11/1wm 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 6 — 22 T 2 (--;' Signature of Permit Fee -$109.98 The above described AG Building is exempt from a building permit. E��: KD P Receipt No. �' ARC Manager Bu ildinji Division, Date -,� :2& White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Butte County Department of Development Services. IN O T E S 7 County Center Drive, Oroville, CA 95965 '. co (530).538-7601 www.buttecoLmty neUdds RESIDENTIAL APN: Permit No. Owner. 028-440-037 ROSSI, ANTIMONY Site Address: 2 T bRANGE AVE, BANGOR _ CONT: HM CONST Contractor. DECK & PERGULA, ' 1610 GAAAG Type of Permit: . 06-0402 CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: Ll•ir? : ���► r SIGNATURE: +=OK 0 = Not OK MANUFACTURED HOMES UAI t U PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fa11/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Tdst-Wrap . Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers Drawing MISCELLANEOUS DECKS'C0VERS°CARP0RTS`GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-De cal -En cis rs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bo7xes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide a` .h Drawing MISCELLANEOUS DECKS'C0VERS°CARP0RTS`GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-De cal -En cis rs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bo7xes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide = OK = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 22 Fin; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 F arage; Soils-Steel-Elec Grnd Fig Dpth. OFtg 55 DWV; Test Fittings & Anchr Nail Prtctn Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub•Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 63 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test , 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1l Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE (FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrrn-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Ins ultn-Walls-Ceilings 39 Infi I tration-Walls-W ndws 0 D� DATE JELECTRICAL 40 Fxtr & Trnsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 03 ❑ CU or F-1 AL AC Wire Sz ga ❑ CU or ❑AL 48 Range Circ ga ❑CU or❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ONO 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DA FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc T7 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loon 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ONO 87 Stucco Brown -Finish 88 AC Unit Dscnnc% Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns _ 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 9.8 Address Posted -99 Fire Sprinkler NOTES f RESIDENTIAL PERMIT NO. i ROSSI, ANTHONY 21 ORANGE AVE, BANGOR Cont: HM CONSTRUCTION ' a GARAGE /SHOP W/BATH SPECIAL CONDITIONS CHECKED:.' ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY # USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER y r%G� Vi%G%fj%Q r ry GarC JOB FINALED (Date) 4/- / o • C) 6 0." 4 r�% '. Signature �C-e' !�'" = OK =Not OK = Not Applicable MOBILE HOMES = Not Readyeady Date MOBILE HOME UTILITIES (Plans) OK except 0's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Specidl MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete, 6. Gas; Location -Test -Wrap;-/ P L'ft. / P Nat. or/ /" L "ft1 P LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -(/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS ]ate DECKS, S, CARPORTS, G ns) OK except ff's 1 g Requirements-Setba - asements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Sid' , Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing 1. ; Steps -Doors -Landings rT Braced Wall Panels Date /L / o Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date POOLS (Plans) OK except i1's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 -4- 1 -.. - - . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas-, MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify Its with Office Date . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS ]ate DECKS, S, CARPORTS, G ns) OK except ff's 1 g Requirements-Setba - asements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Sid' , Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing 1. ; Steps -Doors -Landings rT Braced Wall Panels Date /L / o Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date POOLS (Plans) OK except i1's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 -4- 1 -.. - - . J=OK o = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P• Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yana Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection �jwr 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. GI . Area -Glass Prot tion -Skylights -Plastic 60. Xear Walls; Nailin - olts �jwr Brace Interior erior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ans)_ OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Be rn Exiting Girl. -Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 83. Following InstldJNve 0 Yes 0 No/Walks D Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Ery Compliance Certificate -Other Certificates 9 O -Address Posted 96. Fire Sprinkler Date �Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060402 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: 03/27/2006 APN: 028-440-037-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 21 ORANGE AVE BAN Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: PERGOLA AND DECK (240) 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: ROSSI, ANTHONY to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 21 ORANGE AVE the Contractor's State License Law (Chapter 9 commencing with Section BANGOR, CA 95914 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 530-589-0174 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: HM CONSTRUCTION owner of property who builds or improves thereon, and who does PO BOX 431 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for BANGOR, CA sale. If however, the building or improvements are sold within one 95914 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 530-589-4340 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: HM CONSTRUCTION and who contracts for such projects with a contractor(s) licensed PO BOX 431 pursuant to the Contractors' State License Law.). BANGOR, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95914 Date:• -2 •o owner: � R 530-589-4340 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 856334 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect:: ❑ I have and will maintain workers' compensation insurance, as Engineer: ` required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation . insurance carrier and policy number are: Carrier: Total Square Ft: 240 S.F. Policy #: Valuation: $3,840.00 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 Census Code: 50 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 �7 forthwith comply with those provisions. Date: `'27 •O �. �� ^ ` .4.� abs � LIApplicant: I 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 per hereb ssued u er thd a • licable 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.) Resol ons to do, ork indicat d above r which fees have been paid. Name: By: Date: PERMIT EXPIRES ON: �3 —2 "0 Address: (Date) ❑ I 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 R 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 pu Print Name: .A PA � � o Y-`� \�.O a9 t Sign ure: Date: XJ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS . 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: wwvv.buttecounty.netldds "PLEASE PRINT CLEARLY"' OWNER INFORMATION Last Name RC3 irsl Name AN PL4(=) N A dres. �G A U /_ _ City GQ State • ztt C SII Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name 1-1 M n s Address Address Po O G 3 City A K G r' Sta� A zipeM Phone 3 � _ Fax E-mail State License Number Lic. # �3 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State . Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE rn X For office use only: Zoning Property Address C�le AU -' Flood Zone. Cross Street G SRA Yes o Occ. Type Const. Subdivision.Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT S cava Bp:- BIN P:.BIN It PROJECT LOCATION AP# G G G Property Address C�le AU -' City ?¢/1�60 Cross Street G 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 Descri tion or Scope of Work: ecic Vy Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Nath 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. Re Receipt1 Dater v Amount: Bldg SRA Sheriff SMIP Other Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 ' PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: !� (. �J�/-� Permit Technician: Date: Jfims required in order to apply for a penbit. All boxes MUST be checked OR marked NA in order to Spply. 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 A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other ai ing items needed to issue the permit. (May require additional plan review upon receipt of Oe fol/ wing items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Child a a able 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer ctr and site plan apr from the Ag Commissioner Sent by ❑ -17. Soils Report and/or Engineered Foundation required...................................I.. ❑ 18. Erosion Control Plan Required ..................................................... q of .. D . ...... 19. Fees as shown on the attached Schedule of Fees Due Sheet............ ........��, o� 0 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ / 22. California Department of Forestry plan approval 13 paid. Sent by: ............. ; 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ........... -. ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... lig, 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .............•............................. ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction ........ .................................................... ""........... ............... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 15al - IP,c5R 1 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: r% Date:��- 1. Index permit application for the above items numbered• Plan Check 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 Date: Contractor, designer, owner, was advised of the ab ve data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 6AAL_ Date: L l- 2 b Plans approved by: C,4A I-- Date: Z- 26.06 Structural reviewed by: Date: Structural approved by: Date: Note transfer by:A a� Date: 2 _b Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 E.M. usE OP41LY Piot Plan Attached Rooa Plan Alla h Sant to a.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 04vner Location AP# Plan Approved for: Sewage Dispo Clearance for ' dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Suppler: Public Private Well Environmental Health Specialist Date 8/96 ar�ment of Public Works UND DEVELOPMENT DNISION Storm Water IAanagement Proorarn . •_ �J e J: Michael Crump, Director 7 County Center Drive �0. Ocoville, CA 95965 0 iJ ; j (530) 538-7266 p�UC* Wo��S (FA.") 538-7171 National Pollutant Discharge Elimination SySien+ (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Piollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN I ACRE J. Project Description: Project Location andlor Parcel Number: f 4 By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that L therefore, do not need to apply for a Construction Soon wha r oIl >n f; -ora the State of California Regional Water Quality Control Board. projects multiple site build -outs of less than one acre but when combined with t b Pq�t from the Sal tate more than one acre of disturbed soil will require a Constructilon Storm 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: Butte County.Departrnent of-DevelopSemCes x.1.1 7 County Center Drive 00 ° ` ° 1� Oroville, CA 95965 ° (530) 538-7601 Telephone - 00'. (530) 538-7785 Facsimile U 141 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: 9 I need to submit applications for septic andlor 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 re uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and. clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: .o Applicant Name: Mi L IC d -2V A Q P L N APN: L2,Z=�Z112 -- c22S 7 Building.site address: yZJo l`i(L= �/lE /�AA1�o,�> 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: SIGNATURE OF APPLICANT. DATE SITE PLAN REVIEW APPLICATION Date: 3 AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: (- 76 ac., Owners Name: v Owners Address: �- ��J O� �" �9� 07 7 �� Ll Telephone No.: q �� Situs Address: �m-e- 0% . v Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home IN Residential Accessory —0,M04'i.e d ycl/�_ ❑ Permanent Second Dwelling ❑ Temporary. Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel • F1 New Industrial F1Industrial Addition ❑Industrial Remodel Other + ❑ Septic ❑ Well ❑ Agricultural Exempt Building -❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMMTION (For Staff Use) Approved ❑- Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By C�a Date G� d 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) 4,1 SRA - (CDF to determine specific requirements) J ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: V • Flood Panel No.: 66607Gl 0 Z5_D Index Date:2&© O ElSacramento River Reclamation District (Approval must be obtained from the C ifornia 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: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 00 r Side 51 3 a' Side Street Rear 1 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 Applicable Development Fees: Standard Fees Amount ❑ Fire' ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees A ❑ 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: y 30 Iq (p Deed of Reference: - 7 Parcel Frontage on Publicly Maintained Road: Complies with Counly Standards for Deed Creati Comments: . Legal Access Provided: ❑ No Yes Legal Access Required ❑ o ❑� Yes ❑ No 12 Yes, Road Name: i:❑ No ❑ Yes Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Paae 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile ' homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ' Y ❑ Class A roofs are required. ❑ Property owners responsible for roa Paee 4 of 5 0 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:\Larrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 yy v TRIVEST LAND CO., Boundary Line Modification, AP 028-200-005, 014, 017, 019, 028, 030, 032, 036, 9 037, 057, 058 and 05.9, request to modify the boundary line between 38 parcels resulting in 34 parcels ranging from 5.1 to 2.7 acres, located on both the north and south sides of Avocado Road between Dunstone Drive and Oroville-Bangor Highway. Dunstone area. Engineer: MHM Inc. CONDITIONS: 0\6 New lot or parcel lines shall comply with setback, requirements of applicable zoning and building �•'® ordinances. /2) Deeds and plats shall be submitted to the Department of Development Services for checking and approval prior to recordation and shall contain the notes specified below. Provide documentation, from a title company of the applicants choice, verifying that nay deed of trust fV, ,� affected is partially re -conveyed or modified to reflect the boundary line adjustment and to prevent the creation of any additional lot or parcel. 4Record with deeds, documentation verifying payment of taxes as specified in Subsection (b) of e Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of t I¢ Title 7 of the Government Code, commencing with Section 66492. e cO a4f Prepare a plat showing approved boundary line modification. j2c�S l2 Record plat with deeds if one or more of original lots or parcels was created by map or shown on a l record of survey. If a record of survey is prepared to show the boundary line modification, recording of a plat is not required. Deed Note (To be placed on any deed to effect boundary line modification) The purpose of this deed is to effect a boundary line modification as approved by the Butte County Development Review Committee on The above described lands are to be combined with and become a part of those lands as described in the deed to as filed for record in Butte County Official Records at Serial Number , Book Page No additional lots or parcels are created hereby. The scope of review of said boundary line modification was limited as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. Plat Note (To be placed on any required Plat) - This plat does not constitute a legal description of the lots or parcels depicted and does not show all easements of record on or affecting said lots or parcels. NOTE CONCERNING ALL COUNTY CONDITIONS OF APPROVAL: "Minor changes in the above conditions may be approved administratively by the director of Environmental Health, Planning or Public Works upon receipt of a substantiated written request by the applicant and only as to those conditions originally recommended by their respective departments. -A minor change is a change determined by such a director to be in substantial compliance with, or to accomplish the purpose of, the condition as originally imposed. All other changes are deemed to be major and shall require a formal application for amendment". SITE PLAN REVIEW APPLICATION Date: -' ®'' t - AP# 2-8 _ 1-11-1 Permit Number (if aPP1icab1e)0 q - (25"?% 1 Bin Number ?2> -- APPLICANT INFORMATION Parcel Size: i 7 Owners Name: p(2�V A 1C, , 02 (�'►'� �2-�� �A2.fs-D �� Owners Address: GFX S ('al �' �34a1� ii-m�- e—A CIS9) Telephone No.: ;poi " d B! F> "Email: P gDH 2.AJ C4 -A 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 Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other Septic ❑ Well Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IN Approved ❑ Conditionally Approved , ❑ Resolve Problems Prior to Approval 19 Site Plan Stamped Approved By Date Page Iof5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attac ed) • Flood Zone: • Flood Panel No.: ) D 2.9 Index Date: Ll ❑ 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) ❑ Oroville Enterprise Zone 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: — S Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 t: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front p C Side Side Street Rear So 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 t: ?i. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* - ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area Thermalito Urban Area ❑ 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: �p Date of Creation: �r 3� C� Legal Access Provided: ❑ No is Yes Deed of Reference: ) 3 7 r iy Legal Access Required El E]Yes Parcel Frontage on Publicly. Maintained Road: ❑ No Yes, Road Name: OR p4P Complies with County Standards for Deed Creation:❑ No Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice 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 P- -j. Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 tine Department of Pu he Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ F Page 4of5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 I ' S Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUIL-DING PERMIT 24 HOUR INSPECTION #: (530) 538-763x6 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51640 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/15/2005 APN: 028-440-037-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 21 ORANGE AVE BAN License Class : License Number: Map Index: Date: Contractor: OWNER -BUILDER DECLARATION Description: DETACHED SHOP/GAR W/BATH, NON I hereby affirm under penalty of perjury that I am exempt from the HEATED (979) 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, of repair any structure, prior Owner: ROSSI, ANTHONY AND JOAN M to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PO BOX 504 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any BANGOR, CA violation of Section 7031.5 by any. applicant for a permit subjects the 95914 applicant to a civil penalty of not more than five hundred dollars ($500).): 530-679-0174 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not . intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ROSSI, ANTHONY AND JOAN M such work himself or herself or through his or her own employees, pp provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 504 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 BANGOR, CA sale.). 95914 11 as owner of the property, am exclusively contracting with 530-679-0174 licensgd contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HM CONSTRUCTION ❑ I am Exempt under Article 3e Business and Professions Code PO BOX 431 � Date: - Owne . BANGOR, CA 95914 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 5330-580-58 9-4340 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 856334 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: �Icertify that in the performance of the work for which this permit is Total Square Ft: 979 S.F. ej issued, I shall not employ any person in any manner so as to Valuation: $23,496.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CDale: trjo Applant: 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 r y This permit !yfiereby i§sued nder t appli bid provisions of the Butte County Code and/or Resolution to do w indi ated a ve fo i fees have been paid. / I( I hereby affirm that there is a construction lending agency for the �/ � (J performance of the work for which this permit is issued (Sec 3097. Civ.) Date: Name: By. PERMIT EXPIRES ON: 4'� � �� 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 official form or document of Butte County. I hereby authorize represent lives of ButteCountyto enter upon the above mentioned property for inspection p oses. Print Name: (y % �5 S ( �//1 Signa re: 1,12 Date: /! I -/n I Owner ❑ Contractor ❑ Agent for Owner Cl Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT S GNATURE X For office use only: OWNER Last Name y—) 4 IFF4t Name , 055 I I No City L? nl� C) Address Zip Phone City -01 O t1 ce Fax Stete, Zip S / PhonS�0��7c? Fax E-mail PF e c -t- AU &,0.4 c APPLICANT S GNATURE X For office use only: CONTRACTOR Name M 4 Address SRA City I No City L? Zip State Zip Phone E-mail Fax State License Number E-mail Lic.# Class T ��36 APPLICANT S GNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State . Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT S GNATURE X For office use only: APPLICANT NAME Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT S GNATURE X For office use only: Zoning JH Flood Zone Cross Street AVA C SRA s I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT 6�, BP BI f) LOCATION AN qQ — Q 3 7 Property Address 91 0 V City C� O Cross Street AVA C WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: C v s4 r CA_ C., Sq. Footage k --1 Cl ❑ 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. Re eived by% Amount: % ' Bldg ao S. Receipt #: Sheriff V-31 13 SMIP Other !nk �Total Page 1 of 2 REV 2-24-05 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 inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: "U-5S� ASSESSOR PARCEL NUMBER G- � / Proposed Building Use: Y Permit Technician: Date: "� G Items required in order to apply for a pQ t. Alboxes MU be checked OR marked NA in or to apply. 1. Site plans, 3 or 4 sets, sign d- 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 �O 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other at lnt'� msneeded to issue the permit. (May require additional plan rEview upon receipt of the following items.) anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ Fire Sprinklers............................................................................................ O 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑Erosion Control Plan Required........................................................................ �. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City�of Biggs......kh ........... 23. California Department of Forest plan approvalepaid. Sent y: �r - 24. Planningapproval for AUse: BParkin C Parce....V.... �� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ -16 26. NPDES Form.............................................................................................. ❑ 127. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. \❑ 33. Existing violations and/or expired permits......................................................... �I 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone _'� %� and hold for pickup. I have beeinformed of the above items and r4quirements for obtaining a building permit. :al Appl cant- Date: 6 -1.3 -o 1. Index errfiit application for the above; "s numbered: Plan Check Letter o� items required Contracto 41esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, b Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co t , by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed b Date: j Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PRO ED BUILDING USE 4('19VkA / 11 / -n 0 1. BUILDING PERMIT FEES --- Balance Due ..................... $ ��� --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. ERIFF FEES (paid at Building Division) Re 'dential............ X $360.00 =$_ Units Co rcial (sq. ftg.)..... X $0.03 = $_ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) / 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP��� / 9. OTHER 10. OTHER 11. OTHER A.P. #� DATE ' S RECEIPT # (/ DATE RE C'V� 'SIN�i 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 changedthe plan checking process. AP DATE r�,I_ 3 k 0 Pursuant to Government Code Section 66020, youefre 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. 3/05) Department of Public Works N. 0-M)�'r;_ % C o u n t y o f B L1 t t e LAND DEVELOPMENT DIVISION J. •Michael. Crump, Director Storm Water Management Program 7 County Center Drive \� ' c0 U (y Oroville, CA 95965 A �5 (530) 538-7266 �LIC WOF (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE Project Description: A-- Project Location and/or Parcel Number: 0 A',( C/ �^ S2 .�� By signing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB / 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project' that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. 1 Signed: Title: Date: 1�11 j'b� Butte County Department of-Developnent �Selvxces °�`'TT�0 7 County Center Drive ° �. Oroville, CA 95965 530 538-7601 Telephone 'Q ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit 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: a I need to submit applications for septic andlor 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 proces's 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:Gr/L APN: a S! y O 03 Building site address: (_Z� ,4', Permit No.: 9 p 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: ATURE OF APPXICANT -Ot� DATE E.H. USE ONLY 'riot Plan Attachad lloas Plan Atuchad Sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa L Water Supply,Public Priva e Well� Clearance for dwelling. Other :Se p -,4Q l 6t I le l �r ! `, Hold final for: Final clearance O.K for: NOTE: 2 `-. Environmental Health Specialist 8/96 Date s.• 2005-0042037 Recorded I REC FEE 28,00 Official Records I County of I CNORMB COPY 1, But#e I When recorded return to: CWACE J. 6RUBBS I County of Butte County Clerk-Recorderl - I Department of I LY Development Services 02:3tPM 19 -Jul -M5 I Pane i of 8 Building Division IIIIifIIllilllllllllll1011llflll�I 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use (rev.5/04) Owner Name: Anthony Rossi (shop) Building Permit No: 05-1640 DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 12th day of July , 2005, Anthony Rossi hereinafter referred to as owner(s), is the record owner of the following real property: 21 Orange Ave, Oroville, CA 95914 and Assessors Parcel Number 028-440- 037 , and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and:- -- IV. . WHEREAS, Building Permit No. 05-1640 was applied for on June 23, 2005 by the.owner in accordance with the provisions of the Butte County Code and the California Building Code; and. V. WHEREAS, the use allowed by Building Permit No. 05-1640 has been reviewed and approved for only the limited purposes set forth below; and ge" VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 05-1640 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 05-1640 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: sleeping or cooking. This structure shall not be used for commercial purposes. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, Yvonne C Director, DS V. and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 05-1640 DATE: 7— / tq , 20 Of Owner Signatur . Pri or Type Name of Above r Owner Signature: Print or Type Name of Above Yvonne C ristop Director, D This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. I STATE OF CALIFORNIA COUNTY OF BUTTE On J u i.y 13, �ooS Public, personally appeared Yvon 6rChristopher, Director Depa ment Development Services SS. 'Ore me, +M �"�tL..L.4.J , Notary personally known to me to be the persorj(Wwhose name.W- s/awsu bscri bed to the within instrument and acknowledged to me that .beishe/ibey executed the same in.Jzis/her/ibetr authorized capacityu0s) and that by .Ws4her/their signature(s-�-on the instrument the person(- or the entity upon behalf of which the person,(,s-acted, executed the instrument. WITNESS my hand and official seal. L COM"*" 0 1567051 WMft tuft - My Comm. DOW AW b, re (Seal) ,FOR A VALUABLE CONSIDERATION, receipt of w 'ch is hereby a knowledged, O.A. Ventures LLC, hereby GRANTS to Anthony Rossi, ]r. and 3oan M. Rossi; husband and wife as joint tenants the following described property in the uninoorporated area of , County of Butte, State of California: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING A PORTION OF THE SOUTHWEST ONE-QUARTER OF SECTION 21, T18N, RSE, M.D.M., DESCRIBED AS FOLLOWS: COMMENCING AT THE 50UTHWEST CORNER OF SAID SECTION 21, THENCE NORTHERLY ALONG THE WESTERLY LINE OF SAID SECTION 21 NORTH 2002'37" EAST 956.59 FEET TO A POINT ON THE SOUTHEASTERLY RIGHT OF WAY LINE OF THAT CERTAIN COUNTY ROAD KNOWN SAS ORANGE AVENUE; THENCE NORTHEASTERLY, ALONG SAID RIGHT OF WAY LINE NORTH 57039'08" EAST 1313.06 FEET TO THE TRUE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING CONTINUING NORTHEASTERLY, ALONG SAID RIGHT OF WAY LINE NORTH S7039'08" EAST 500.00 FEET; THENCE LEAVING SAID RIGHT OF WAY LINE SOUTH 32°20'52" EAST 765.00 FEET; THENCE SOUTH SS032'36" WEST 135.00 FEET, THENCE SOUTH 29-52-35-- WEST 9-52-35"WEST 425.00 FEET; THENCE NORTH 31042'01" WEST 968.09 FEET TO SAID POINT OF BEGINNING. Dated: 04/25/2005 O.A. Ventures Mail Tax Statements To: SAME AS ABOVE f ` 2005-0025934 RECORDING REQUESTED BY Recorded I REC FEF 13,00 Mid Valley Title & Escrow Company Official Records I TAX 510.40 County of I MOIliAQDI 10.E AND WHEN RECORDED MAIL TO: CAKDACE J. fiRUBflS I Anthony Rossi, Jr. and Joan M. Rossi Recorder 1 21 Orange AvenueAasiR Bangor, CA 95914 Assistant I Kath 02:04M K- lay -2805 I PageyI of 3 Space Above This tine for Recorder's use Only A.P.N.: 028-440-037-000 File No.: 0403-1828719 (AM) `3 GRANT DEED ' The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $510.40; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of Gens and/or encumbrances remafnfng at time of sale, r X I un[ncorporated area; [ ] City of , and ,FOR A VALUABLE CONSIDERATION, receipt of w 'ch is hereby a knowledged, O.A. Ventures LLC, hereby GRANTS to Anthony Rossi, ]r. and 3oan M. Rossi; husband and wife as joint tenants the following described property in the uninoorporated area of , County of Butte, State of California: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING A PORTION OF THE SOUTHWEST ONE-QUARTER OF SECTION 21, T18N, RSE, M.D.M., DESCRIBED AS FOLLOWS: COMMENCING AT THE 50UTHWEST CORNER OF SAID SECTION 21, THENCE NORTHERLY ALONG THE WESTERLY LINE OF SAID SECTION 21 NORTH 2002'37" EAST 956.59 FEET TO A POINT ON THE SOUTHEASTERLY RIGHT OF WAY LINE OF THAT CERTAIN COUNTY ROAD KNOWN SAS ORANGE AVENUE; THENCE NORTHEASTERLY, ALONG SAID RIGHT OF WAY LINE NORTH 57039'08" EAST 1313.06 FEET TO THE TRUE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING CONTINUING NORTHEASTERLY, ALONG SAID RIGHT OF WAY LINE NORTH S7039'08" EAST 500.00 FEET; THENCE LEAVING SAID RIGHT OF WAY LINE SOUTH 32°20'52" EAST 765.00 FEET; THENCE SOUTH SS032'36" WEST 135.00 FEET, THENCE SOUTH 29-52-35-- WEST 9-52-35"WEST 425.00 FEET; THENCE NORTH 31042'01" WEST 968.09 FEET TO SAID POINT OF BEGINNING. Dated: 04/25/2005 O.A. Ventures Mail Tax Statements To: SAME AS ABOVE f A.P.N.: 028-440-037-000 � G1ZJ��t Robert T. Marciniak Anna M. Marciniak STATE OF t �� COUNTY OF Grant Deed - continued V2nrk4. e --S L 4-C File No.:0403-1828719 (AM) Date: 04/25/2005 MarqLtte L. Marciniak On �29�05 — ^ before me, o personally appeared L, Rr0Pv . personally known to Me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that 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 TOWA W t L CQrnndalon t 14876av Notay RA*C • Ca6romlo Butte County MyCarni. EWkW Moy4. 2008 This area for offlwi notarial seal My Commission E7 ires: Notary Name: D��_ �V� Notary Phone: Notary Registration Number: County of Principal Place of Business: Page 2 of 2 CALIFORNIA NOTARY ACKNOWLEDGEMENT' APN No.: STATE OF California )SS COUNTY OF Butte ) On S - 2 - 0 5" before me, Angela D. Mastelotto, Notary— personally appeared 14 bgat T- A4a,-zcivctar--- , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the wlthln 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. Signatur ANGELA D. MASTELOTTO My Commission Expires: 10/Z2/ �, Commission #1381124 CL Notary Public -California v Butte County My Comm. Exp. OCT. 22. 2006 Notary Name: Angela D. Mastelotto Notary Phone: 530-533-6680 Notary Registration Number.1381124 County of Principal Place of Business: Butte NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) On I9 � '�v- before me, �n n (Gih-e , Notary Public, p sonally appeared 1/17Rn� Ross: Jrz personally known to me or proved tome on the basis of satisfac ory evidenc to be the person(s). whose name( i are subscribed to the within instrument. and acknowledged tome that he she/they executed the same i his her/their authorized capacity(ies), and that by is her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. , WI ES ha and official seal. ' mm . )NOW .dSi 6' Signature f1 ANN P. rNaMI NG COMMUM #F 15550 Motor,, PUM : Ccs STATE OF CALIFORNIA ) &M CW* SS. MVC0MM&0ftJ 26,2W COUNTY OF BUTTE ) j / On C, C I '�5 before me, ,�%1/n . �'Jt°���/� , Notary Public, pe sonally appeared %%ISS , c /Culp f7j, OSS i , personally known to me or roved to me on a basis of satisfactory evi enc- to be the person(s) whose names is re subscribed to the wit in instrument an acknowledged to me that hetshe hey executed the same in his their authorized capacity(ies), and that by hi er heir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Signature Yvonne ristop Director DD gJun26.20 NKINNGG C1l 550 AC 53 WM43M q WKA :)ftA f& OEM 3 - ~ OWO*SMA ,W.-Mvi m 1.3 MWA Qil&o9p IT, qws.as MA MAV'nrvAon1 "° 0 ma NOTES IVZ A- RESIDENTIAL PERMIT NO.—, 028-440-037 MARCINAK, ROBERT ti vZ ORANGE AVE, BA.IGOR Cont: GREENE ROOFING NSF W/ ATT GARAGE a im — F OFFICE COPY 1 Address 'Ll 06,A)%J9e GAS 2i 7— ;? , I� Meter By Date ELECTRIC o Meter By Date L 51 � SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 65. p1 c7/w JOB FINALED (Date) �" Signature za r • - atf; f a im — F OFFICE COPY 1 Address 'Ll 06,A)%J9e GAS 2i 7— ;? , I� Meter By Date ELECTRIC o Meter By Date L 51 � SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 65. p1 c7/w JOB FINALED (Date) �" Signature za J=OK 0 = Not OK . = NotReadya61e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / /' Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8: Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date 1. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 { Date PERMANENT END SYSTEM (ONLY) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. 1. Zoning Requirements -Setbacks -Easements Electric 8. 2. Footings; Size -Spacing -Marriage Line Siding; Nailing -Veneer -Stucco -Mesh ' 3. Blocking Ext.; Steps -Doors -Landings 12. 4. Gas; MH Test -Demand -Valve' ' 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 `•r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors + 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 \_J J=OK 1 ` 0= NotAp OK RESIDENTIAL = Not Applicable . = Not Ready / Date UNDERFLOOR (Plans) OK except #'s ,2!Ft ., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth y,rGarage; So Is-Steel-Elec. Grnd.-/ /" Ftg. Depth FtgePorches & Decks; Soils -Steel-/ /" Ftg. Depth j. J 5.'Smwalls, Main; Steel-Blockouts-Wrapped Downs and Special Anchors (Single & Duplex) �r 9! D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLU_ABINGIPermit) OK except #'s to tr.; Vent -Access -Combustion Air Baffle 1 Vater, &e; Test & Anchor -Nail Protection 1 t"�W Test Fittings Anc -Nail Protection Shower Pan; Test, First Floor -Tub Access VP 21. Test Tub & Shower, Second Floor -Tub Access 2 Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date j l?t Date / / Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date ELES}TRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 2% Elec. Receptacles Spacing -Lights & Switches at Doors 2 Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge 9f Studs & C.J. 2pjEquip. Ground made up w/ ch Fasteners- Bonotas & Wagr ?,9�.12 Appliance Circui-s in Kitchen & Conductor Size GFI "80-Lbfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 3 . Range Circle/ M /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes Cl No 32 -Service- Riser Conductors & Ground Main Disconnect 33 -Equip. Clearances Panels-Motors-Mech. Equip. -a$-Clothes Closet Light -Shower Light -Spa Light ,V/Smoke Detector Datef(l% �, Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3 C. Ducts Insulation & Support 3t/,Vent Fan, Exhaust above insulation 3 Condensate Drain & Overflow, Size & Grade Se Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date )1.6- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4 Sills Proper Materials & Anchors 4.2/Walls Studs -Nailing Spacing & Braces -Plates -Sound 4 Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Inz 0 ✓1i . Fire Stops, Furred Ceilings -Stairs -ha r Tubs 4 Headers & Beams -Size & Bearing . Date FRAMING (Continued) ±r a ers-Post Caps -Anchors -Connectors 4 . ng. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. fireplace Ties or Type A Flue -Fireplace Throat Clearance,1�r/` 5 Atti Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 rm. Windows or Exiting Doors -Sill Ht. & Zmensions G rage Fire Protection Framing -RC Ch el 53ZProperty Line Firewall & Openings 5 xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits !Tz2tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. _Plywood on Roof Overhang -Attic -Vents -Rafter Outriggers Siding -Nailing Veneer -8117tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5V GI ing Area -Glass Protection -Skylights -Plastic r Walls; Nailing -Bolts /tIA�,9race Interior/Exterior Wall Panels v 621. Insulation -Walls -Ceilings 63. Infiltration-Walls4 ws Date'5 Card B-1 Date L% Card B-1 Date IVI Card B-1 Date Card B-1 Date FINAj4PIanbj OK except #'s 641 F2*.1Steps-Door & Sidelioht Protection-Landinos 65!S oke Detector 66 Furnace Vents -clearance -Comb, Air-Connector- .WGarage; Above Floor-Ducts-Mech. Protection B.peroom Exiting 6 G.F.I. & Bath Fixtures & Tub Access -Spa 69 lec. Trim & Subpanel, Breaker Sizes & Labels "--7&-etatM& Rails 7 ;replace or Stove, Clearance -Hearth 72. fzlec. Outlets at Wood Panel, Int. & Ext. 73. jKit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7e,pec. Outlets & Receptacles at Kit. Counter 75,. Zarage Fire Door; Swing -Landing -Closure 7 .Z.C. Duct in Garage -Damper 7,T. Wtr. Htr.; Vents -Clearance -Comb. Air Connector -PRIM. / Garage; Above Floor-Mech. Protection 701.0' Plb.; Elec. & Mech. Equip. Listed for Location 7 Elec. Receptacles in Garage (F.F.I.)-Romex Protection 0 nsulation-Foam-Looked in Attic 8 1/Puard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth ;,f'earance Looked under Floor 0 Yes 8V =ollowin Instld./Drive 7'Yes 0 No/Walks O Yes 4 No/Planters D YesrAo 8 jatucco Brown -Finish QX A.C. Unit Disconnect, Electrical -Plumbing 86,,"I'ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. )Xater Well, Disconnect, Electrical, Plumbing 8 . kterior Elec. Trim, G.F.I. Receptacle -Underground 85/Ventilation Throughout House 9V Glass Protection 91K Cquectigp0rom Previous Inspections `L 147 %� . Gas st-Meters Tagged, Gas -Electric 9 . Water & Sewer Connected -C/O to Grade -HD Approval 9 ./Energy Compliance Certificate -Other Certificates Address Posted "'96—Fire Sprinkler Date i ? Or -Card B-11, ate Card B-1 Date Card B Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Rpr 21 05 07:•18a L'OERKE INSULHTION C0.,INC 530891856 PON MCEff ff=�-M �} 0 WIT r., M ir:' S WERIOR WALL 5. SLAB FMR l R (RmV� Vit; a,-," -•�j tT'..{u_Tw ^l. =,m -. APR -21-2005 THU 07:10AM ID: 2.4 f� BUTTE COUNTY ?% DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040871 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' 09/09/2004 APN- 028440-037000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 21 ORANGE AVE BAN Date: Contractor. Map Index: Description: NSF(2243)GAR(548)COV(826) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MARCINIAK, ROBERT &MARGUERITE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she•is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or P.O. BOX 459 she is exempt therefrom and the basis for the alleged exemption. Any BANGOR CA 95914 violation of Section 7031.5 by any applicant for a permit subjects the 679-1878 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) REDHRANCH@ALO.COM ❑ 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: MARCINIAK, ROBERT &MARGUERITE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of g that he or she did not build or improve for the purpose ofowner Zs of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am empt uyider Artic f the B siness a d Professions Code Owner: Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Cl I have and will maintain a certificate of consent to self -insure for License #• workers' compensation, as provided for by Section 3700 of the ' Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 3617 S. F. I certify that in the performance of the work for which this permit is Valuation' $172,163.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. VDate: P — *r99 Applicant: �aq 0 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject aemployer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of ( /y^ '�lI/�S lYC(jr/ compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte Coun7yC/dq?nr1/or Resoluf s doanrork indicat above r w 'ch tees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)aly Name: Date: A11MIT EXPIRES ON: a Address: ❑ I 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 8 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 Co nty. I hereby authorize reptat' es of Butte County to enter upon the above mentioned property for inspection purposes. Signature: Print Name:�cJ� �7 ��'' Date: v 0/C J2 mer 13 Contractor 13 Agent for Owner 0 Agent for Contractor ����t�� �rY7+-risit'w.."�St+i. r .r-., •'r4- �•-Y �ti- r^�r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, Cki95965 P14one (530)538-7541 Fax (530)538-2140 PJE/RMIT APPLICATION DATA SHEET_ OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: It s• e'duired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .r: 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ;it 1 Hazardous Material Form 15. anitation and site plan approval from the Environmental Health Department in ❑ Chico Oroville, as applicable. Cl 6. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.......................................................................................... 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by g d � 19. Soils Report and/or Engineered Foundation required................................11 ......... ........ ❑ 20. Erosion Control Plan Required........................................................................ ...... I 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. C= tom. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval pVN. Sent by: ..... I....... 24. Planning approval (A) User (B)Parking: (C) Parcel Check: ❑ / 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................ Y. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... _1V 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 40 L4 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. d estriction......................................................................................... ❑ 37. Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. -Other: ❑ 39. Other: -- When issued Telephone y1i� - i) �( 7�)�-171 )0ef-C .and hold for pickup. have been ' ed of the above items_" and'requireinents for obtaining a building permit.,,-�r -I ►- ...• ^Applicant: ) 11 r r L). 1. Index permit application for the above items numbered:alp I 2. Additional items re d Contractor, designe owner was advised of the above data by ❑ phone, O mail, co b Contractor, designer was advised of the above data by ❑ phone, ❑mail, Plans reviewed by: Date: Plans approved by: Structural reviewed y: Date: Structural approved Note transfer by: Date: Yellow: Building Division Date: e�l`J' wr Plan Check Letter y KM Date:/A d,&ct-- y Date: O Date Date: L9j E. . SE ONLY a �^ Plot Rea Anechod Floor 61en Atuchad�_ Sam to B.D. I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# \ Plan Approved for: Sewage Disposal—Water Supply: PuTI is Private Well Clearance for dwelling. Other. 3 -- a- P—I/ � Q Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Dat National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of gradin _ and/or other permits or other sanctions provi ed by law. Signed: e Title: Date: COUNTY OF BUTTE O�o871 DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES % OWNER "V l� �v A.P. # D �✓�� 3 l PROPROSED BUILD IN USE S DATE RECEIPT # DATE REC. BUILDING PERMIT FEES / --- Balance Due ..................... $ 1 - /_ �ep �� - --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ . SCHOOL DISTRICT FEES OCQ 4 (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEESaid at Building- (P g Residential............ X 360.0 $ �%- Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES r4$510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE '(paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER nowsy 55'0-sMOW152,110 At time of permit a lication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be chan urm a plan checking proc ss. APPLICANT ) ` -� DATED 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. 2/2003) flan �.x—T 4\ OSS Y. 2,0 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 1.a School,Disbict Building Department No. A.P. Number M14' "17 Jurisdiction: city =='C�Ounty Property Owner Property Location/Address Subdivision Lot No. Residential Development ........ . ................. . . ............................ ...................................... I Sq FootageC5?19 47'�� No ol"Living Mobile Horne 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) Commerciallindustrial.....- '§q, Footage, New /I Addition cz Including Exterior Roofed Areas) ilding Department Representative Date District Identification No. 050078 o% �V\ School District certifies that )rAn (Street -Address) RoLer e,- V- C'I f)'k � (Applicant) blz7l. 027� (Phone Number) (State) (Zip Code) has . complied with the requirements of Resolution N6. DS_ by payment . of $ representing square feet.�"26 FULL MM GATION to District Repi;OseA tive, Date Paid by Check # Remarks: No dc You may protest the Impositlon at the fen Identilied above by submitting a written protest to the District. In compliance with Government Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest will'prohlbit you from chal"Ing the Imposition of the fen In any court action. If, subsoquwd to the School District Representative signing Oft Suits County Schools Impact Fee Cardficalion Form, the School INstrict Is atill by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this Project may be subject to addkWW school fees to fully midgets. He Impact on it* school distrieft schools. White (applicant), Yellow (building department), Pink (school district) fteform.xls (t0/03)dmm RECORDING MQUESl'ED BY Mill VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIN. TO; ROBERT AND MARGUERITE MARCINIAK IANNA M. MARCINIAK 10 ORANGE AVENUE BANGOR, CA 95914 ORO -C A - P.. N .. 028-140-03 7 Recorded Official Records Countf DINDAM J. SRUBBS Reorder. CRY DIOMM Assistant 09 - *W = 3 I R€G FEE ISA@ I TAX 57.20 1 NOMM 1&60 1 Barbara I Paged of S _Space Abuve 'Phis Line for. Recorder's Use .Only - Order No.: 212.I81MA1M GRANT DEED - Escrow No THE UNDERSIGNED 0 ANTOR(s) UECLARE(a) THr1T UUCUMENTARY 'rfLt\NSFER TAX IS: COUNTY $57.20 [ X J computed on full value of property conveyed, or ] computed on full value less value of hens or encumbrances remaining at time of sale, X J unincorporated area; [ J City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, 212181A1AM �F HENRY '1'. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHMA A.. RUNGE DIVING TRUST hereby GRAN.T(S) to�� _ IRIOBErR-T-T. 1L ARvLldAK-_and",IYIARGUERITEL . IYlARGINIAK, Htw`baad landlWifefAND)A_ NNA_4M' ! MARCINIAK,:amarri.ed.wom�l>R;_as tier sole ar�d sepalcate property; as JoinvTenants:_ the following described property in the unincorporated area of the, County of Butte State of California; SEE A'I`TAC.RED LEGAL DESCRIPTION SITE ATTACHED CONSENT TO POINT TENANCY THE HENRY T. RUNGE, 1R. AND CYNTHIA A. RUNGE LIVING TRUST By: HE , Y T. RUNGE, JR_, TRUSTEE Document Date: June 24, 2003 STATE OF CALIFORNIA )SS COUNTY OF Butte ) Oa July 28, 2003 before me, Michelle A. Miller, Notary Public personalty appeared Henry T. Runge, Jr., Trustee personally known to me (or proved tome on the basis of satisfactory evidence) to be the "on(s)whose name(s) is/are- subscribed to the within ins"ment 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 persons) or the entity upon behalf of which the person(s) acted; executed the instrument. WITNESS my hand and official seal. . - iA LL.E A1-MLL:ER Signature AWOon,1951456. O NoWly PA*iio __ .1 torais U -:gam _,. MV OdUrit►t: lE;atp APFi t5,:20os _;: Mail Tax Statements to: SAME AS ABOVE or Address Noted..Bclow-._ O.B.-1 OWNER -BUILDER VERIFICATION 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. I personally plan to provide the '°r labor and materials for construction of thero ose property improvement :'YES �" NO E3p p d 61 HAVE 13� e HAVE NOT d 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: ) 44 - ADDRESS: �v 11T COY. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACT'OR'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 PRONE TYPE OF WORT{ SIGNED: PROPERTYOWNER: N.i1,�::amu NOTE. This Owner -Builder Verification is required by Section 19831 and 19532 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. OVER IBI — I " OWNER BUILDER INFORMATION Dear Property Owner: An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If youplan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income talc withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract 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 budder" building pemrit, 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner guilder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The budding permit will not be issued until the verification is returned. 7 'Y' I 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. YW Is Owner Builder Information is required by Secdon 19930 of the California Health and Safety Code OVER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 CORY of Document Recorded 19 -Apr -2004 2004-0022335 Has not been compared with original 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: *-- 0,lqy--li O -erW3 % � C- ''�3 ga" tl'L�„D Date State of California County of 8.Ai4 e, PROPERTY OWNERS: .•_ kZ), wee-46vo On L/-15t-'-LOO-t before me, personally appeared �Nr.�iGy ctf4 __personally 'tawwn-tmne (or proved to the on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that IWAe/they executed the same in his/her/their authorized capacity(ies), and that by Itis/Iter/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 ha and offici seal. Signature 41"4, Seal: JAMES IAMAR<:KINSER COMM: #1771— LIC . CALFORNIA A.P. # 8 ? - 4 y i� > 7 i canm Lr, se 28, 2006 APR -30-2004 08:56A FROM: Y TO:5382140 P:1/5 LAW /V CLARA-TIGN OI'- TI- E FS'1FARLY-SIg�W,.r+T OF T7 Ag� RESTRICTrM COVENa M'g ,, z OF FORD AND FOWLER' SUBDIVISION Jr.BUTFF I / THIS DECLARATION is made on the =.day of ��C�bx _� Trivest Land Company, Inc., a California Corporation, herernaller !mown as , Declarant". '• 1 • WHEREAS, said Declarant is the owner'. of that certain teal property situated in the County- o€ Butte, State OfCaliforeia--deseribed 6 follows: See- €xhxtrzt- st attached hereto. 2., MMREAS-,-said.I2ecLa=LCiesires-.to.-sub}ect..said_hereis>after-.describcd-real-propetty to, certain restrictive covenants for the beiiefit of said Declarant and other parties who may hereafter acquisl- said- real- pcopertY ur mW: parcel thereof-. 3. NOW THEREFORE, said Declarant hereby declares that all of said hereinabove describe& real property is held- rad sha}l be sofa; conveyed; leased, occupied and let subject to the following restrictive covenants between hire and the ptuthwers thereof and between said purchasers, their heirs, successors and assigns, to -wit: 4. MINIMUM IMPROVEMENT STANDAgDS No- clwelling,contamag-less than F40Q-squam-fe -of RgOrspace, exclusive of any roofed or unroofed porches, terraces, garages, carports, or other outbuildings shall be. erected on any parcel. In addition, any dwelling must have an enclosed garage of at lease- 400 squam feet- cidwx- tutwhe& or- dctachrd. All • dwelling- unw%,.-inct ading_the- garage. shall. ))have- a-concrete--pedmeW fi undA o,� Exteriors of all dwelluug uni's am to be finished with natural materials or stucco. No structure shalLexceed-_moi--stories--ie-height-urtleu-o0=v4wappm ed-by-titc- Architectural Control. Committee. 9 cu— APR -30-2004 08:56A FROM: 70:5382140 P:2/5 7,.IADE RESTRICTIONS enterprise conducted--for--pmftfshau- T . rude, craft, commercial or tnanufaeturing rp only be allowed wiWtnrprior Eons�-�-�'itecttual Control Committee and compliance, with all County permits. B,-ParcelQv4lers max have ordinary domestic animals for their personal use. Said permissible w1inrals will of all times be kept enclosed In c1�a n Mir 43 to prevent their. -leaving. the prcgr lses except in the care of a responsible o' said animals will be kept said -maintained on the �wsance or noxious condition in orderly auanner �to prcvent-dte-occUDV= Y or do kennet-� . paid subdivision. There will be no swine, goat, poultry, g eommerc.W operation. TEMPORARY STRUCTURES nits.. a or othee oi:tbuildurgs..erected. on-anx parcel or parcels No basement, tent, shack, g 8 • constntction of a residence. No shall at any ame_ rte- rued @s (iving, quarters during dwelling shall be occupied until completed, both- i nterior-and-exterior,. No outside toilet Will be constructed on any parcel. Properly installed -commercial nallX maintained on a reasonable regular basis wi portable toilets which are prufessroll be 4owFd during construction only. Cine. travel-ttsiter, or recreational vehicle, not to exceed 30 feet in length, may be used-as� a temporary living accommodation foc-a-period--nat-.to_,exce"d. ft.agonths while the permanent_dwelling-ntut is under construction. Upon- congAction-of eOnst met'tort of .the pumas eat dwelling unit, one such vehicle may be parked on the parcel but it may not be occupied. 7_ C:OMPLEilOi`t- OF-EONS-TRUCTiON Constructioaa of any imp rovemerrts, -once cornmettced.. shall be pursued diligently to complet-ion..Improvements not so completed or upon which construcdu�dhas- enot 8sed for-, 120 consecutive days or which have been-' Y. o,.t WHy-.d_;4!rqY withirn- a reasonable- period of time small be deemed nuisaaccs. Dc `llaaraatete e r awe aJonn at the of parcel owners may.remove any such nuisance or rcpai� CQ°aP cost of the owner of'such-nuisance. APR -30-2004 09:57A FROM: TO:53B2140 P:3/5 CfJMOL. COMM=E nwdum'itly the Architectural Control Comruiuce shall be eompoacd of lames R. Scott and Qhn Miohael. SQtith_ Iathe_event,-of the_resignalion-o�deat eparty of tirerrr-the- remainder of said Comnjittec may appoint anew member. After such time as 75% of the lots-_are-transfcaed.to- ownem other -than-ftjvest-Land-Company, Inc., the lot owners will select an Architectural Control Committee to carryout The intendo.n of.dh s Dw1aration: 9. ARCHITECTURAL CONTROL` No structure shall be erected, placed, or altered on any parcel wail the grading and cuastructio-wplaus_and--specifieatiGns-And A Plan- sbowing-the-location-of`the-structure and any others on said parcel have been submitted to and approved, in writing, by the Architectural- Cd Cornrnittce as to quality of workmanship and materials, color, harniony of external design with existing sttrttFture,_ood locatiou_ With_respect to topography and finish grade elevation. Upon failure by the Architectural Control ComtWttee or its desigpated'representative to approve or- disapprove of suclr-pl&n-wtd-specif-mado=-wid&r 3p- days after the same have been properly presented, appruval thereof will be deemed to have been mallet . provided-tbc proposed -co=' * uclion complies with all the provisions of the Declaration. 0. TREE REMOVAL Nc* tree-.rnea ur nb four. (4Y -inches- or-utoie in diarttetcr-at-&-track-beighrof four (4) feat Shall be removed from any lot without the prioreonssent of the Architectural Control Cohun;ttec - Uader-no cururnstances shall any trec(s) be removed from a lot until construction plans have been approye4 for, and construction has )Ze&uu Qu said. loL Act!_ premises-withia--said- sdb&vision-shall--at-Q}t-tunes be kept and maintained is a clean and orderly manner. no trash, garbage or othet waste materials shall be dumped or kept thereon --excepting in sanitary containers to be emptied and disposed of at regular intervals and .all_ the, premhes within-said-subdi-Kisioa-.shall-not- bo- o-fkasi-ve to -tile, owners or occupants of other property within the subdivision. No owner shall burn brush, weeds, trash, household or any other refuse without a valid burning- pernit-issucd-by- ft-Catifornia-Department of Forestry and/or any other local agency deemed respozpible for.thc.isssuance _of such txcanits. 40 wreckce[—a1=doacd-or-d6m=hg -vete or-velcles-trot- in -use maybe stored --o>• kept on premises except where stored in fully enclosed buildings. I RPR -30-2004 08:57A FROM: TO:5382140 P:4/5 J T-ANKS--ANDLTRASH_REC -XTAJ= getarrkr-orrar* -parcel Argl--be-scrccoed-frorrt-view. Every--meeptaele-for, trash, rubbish, or. garbage shall be so placed and be kept as not -to be visible from street except at the times when mtuse collections are made. SEIBACK& No-sttmturc- shall- be buik-closer than 20 feet_of-any prapcAy_ line_ withauttlie-written approval of the Architectural Control Committee. 14.- - QL.D_B.UILDING No old building can be moved to -or placed on any portion of said subdivision without the written-pchnission-ofthe-Architectural-Coetra,Corm iuee. ' 1S. ROOFS. All roofs shall be restricted to wood shake or shingle, We or heavy composition shingle or a quality roofing material approved in writing-by-dwAichitEEturaLConma, Cuntntiucc. Said roofs will have a minimum overhang or 18 inches unless otherwise permitted, in writing, by the Architectural Control Cotntnittee. 16. , EFFECT AND-DURAT1OR OF RIrSTRICTIONS_ . , - These restrictions, conditions, and covenants are expressly declared to run with the land and shall be binding upon all parties herelo and' ali purchasen-ef ram-property--and-their~ successors in interest provided, however, that the violation of any of the covenants shall in no tuaruter affect any bona fide mortgage, deed of trust or other credit- sectarity-0543,, now,,or m,ay hereafter,beRlaced upoq said property and the violation of the terms hereof shall in no manner cause loss or forfeiture of such property to such security hoLder_. Except as- atheMse provided- h=iN any- pion -or -persons .o_wniag_-aaK property. widh n` - said subdivision shall have the right to prosecute at law or in equity any proceedings which mW be appropriate against any person or' persons vaolatkC or fai iWW11:;11:11Lill�� w4h,,any of the restrictions, covenants or conditions hereof; and to maintain against any such person any action for injunction, damages or other relief which may be proper in the_ manner,..including_attome_y!s.f APR -30-2004 08:57A FROM: TO:5382140 P:5/5 •.16-IOr41 RY any lime in the future, any or all of these covenants may be changed, added to, or deleted upon 5 %o.vQte.. of the current. owrkcrs of the lots . 18_ S�GNS -All signs must conform to Section 713 of the California Ste.te Civil Code. 19. VARIANCES '171e Architootural Control Committee may grant reasonable variances or adjtutments fxQm.the prQvisLons_ in, this peclacatio�t Evhere literal QppliFation-theceof results in, unnecessary hardship and if the granting thereof will not be materially detrimental or, injurious to-owiiers-off other pareets; provided --however; tib the granting -off -such variances is not in violation of Cowlty codes. 20_ LIABTT,,I CY • .- Notwithstanding the approval of the Architectural Control Committee of pians and specific3tioos orIts- uupcction_of.ttic,-vuorl-iu_progress, neither it, th—Doctarent-nor-any, person acting in behalf of them shall be responsible in any way for any defects in any plans- or- specifications -or otliet-rnate6s3l--submkted--te-the-£oou$ittee,, nGr- for-any-dr-kas-, in any work done pursuant thereto. Each person submitting such plans or specifications shall be solely responsible for the sufficiency thereof and the adequacy of the rrnpLl?.KeIr1Cr1LT.-COnSIA-cttcl lhleretp,_ . Zlte_ Alf ch:ite4tuLaL Control Committee i5. a vQltiQta[y. Fornmittee and its purpOsE is to maintain standards for the benefit of all :pioperty owners or to outside parties for their actions -and -decisions. t�de-� hw1u&s-deetsiomafbr-gmntiog_.of_variances-onfor, failure to disapprove plans or for failure to pursue violations of the Covenants C.`omditionsarrd-Restrictions. Property-ownemare-hcreby-torhold--harnrless-dam., Architectural Control Committee individuals for their actions in serving on the Conuniacc_ Trivest.Land-Eoinpaiiy, Inc. eqo rw . aia m arc bc1ng rccvrdcd o meca the lcpl dcx4ipd9n mmidod Jmr e. 1091 so ScAsl No. 914190. 5 „Jm aes R. Scott ,OF.r;=,�-r- d. A 111, 11 1: : 1 ii I I N Firgo Sr/41/L aef-AIL, Arr PArJD AAIL Aft' '=9 A Y -791 0,- 7- Ju vV) iu t4L. v�C � ��o V llgnahtne rs '=9 A Y -791 0,- 7- Ju vV) iu t4L. v�C � ��o V llgnahtne I NING DRASION - BUILDING PLAN APPROVAL use Date: Parking: Landscaping: -------- - Other Signature: '5 �CLL Sl k_6� I I"1 L Bu�_TE COUNTY BUILDING CIM.,7" OPROVED' 'Of.. 0402 -L-1.6-06 C,-) Iv I NING DRASION - BUILDING PLAN APPROVAL use Date: Parking: Landscaping: -------- - Other Signature: '5 �CLL Sl k_6� I I"1 L Bu�_TE COUNTY BUILDING CIM.,7" OPROVED' 'Of.. 0402 -L-1.6-06 C,-) ........ .... 0. r,4. e. 6-79- 01-T L 0 RAM 1 cqlpre,ss L'/e /3 lock 11 I + Rim A r W/ti1CP APPROVED Butte County 07 Environmental Hep1th 5 t , T�A e,) 0 fa w 0 X ccr-sc- P1 x IV) L* 4\-, L r" L yn L.< P.T. wLglmfsd^ heAA A lie I 60 0. 1 -0 3C fJ�aR BUTTE COUrveTY BUILDING DIVISION APPROVED + Rim ✓ r W/ti1CP APPROVED Butte County 07 Environmental Hep1th 5 t , T�A 0 fa ccr-sc- P1 L* L r" L yn L.< P.T. wLglmfsd^ heAA 60 0. 1 -0 3C fJ�aR BUTTE COUrveTY BUILDING DIVISION APPROVED � It I ILI 7p 4 OAF vzf �"-7 ENRONMENTAL HEALTH JUN 7 CaNTY CENTER DRIVE ALWLTH 4 JUN 7MUNTYCEMME Pl4tV 7 APPROVED Butte Counf,, rk"nvilrOrMental WeAlth V-De*jNTes Ignature f-4 '7 O