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031-190-032
031-190-032 36 ES ,LARRY �N C HARDNETT, O NEW SINGLE FAMILY i F NOTES '3 -aq'US Not hooLd 3 -."m —b S f U �,e Q L+—a-05 DPr Com.. �AlQA U ' S RESIDENTIAL F631=190 032 03-1936 PERMIT NO. WEST) =-LARRY — HARDNETT, ORCVILLE ' NEW SINGLE FAMILY SINGLE . SPECIAL CONDITIONS I _ CHECKED BY SRA FLOOD CERTIFICATE REQ. r FIRE SPRINKLERS REO. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS' r SUB -STANDARD HOUSING LETTER OFFICE COPY ..; h Address " 10E)Af l7`. ,y r "s �V _ ,•Ddb J `��r- , .r r' GAS / 6����U✓ Date Meter By ELECTRIC Meter By Date R - i 3 ,,t• JOB FINALED (Date) �Z—� ^�S• t Signature�QCCa-� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT Na (Rev�12/96)' ' APPLICATION AND PERMIT dJ ' / (� ASSESSOR PARCEL NUMBER 03 / / Z g;J ZONING,4k BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION DWNERS IUNG�DI. i / V i s • / ; %'D d� //E' CW / ! i! - CONT_RAAACTU ME�t TELEPHONE q J -/ i �) `. CONTRACTORS MAILING ADDRESS ... CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $053— 3 " ARCHITECT ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .54 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ �) BUILDING ADDRESs _/ / 17 /7l I)e'T — / Qj /r (! iC= 1 1, Energy Plan Checking Fee $ a / $ PERMIT FEE $ , � Lor No. r I. SUBDIVISIONS AMEC/ / _ PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFYTYPE Each Trap ill 7.00 4q— Solar or heat pump water heater 23.00 Water piping 15.115 Each as water heater or vent 15.0Gas OF WORK Addition ❑ Remodel ❑ Utilitiest❑. Installation ❑ Other,.❑ A Describe Work: / / �%7'% L l i l % i in stem 1 - 5 outlets 15.0New Buildin sewer 15.0 Mobile Home S G W @20.00 PERMIT FEE S -� ELECTRICAL PERMIT Filing Fee 20.00 Main Service . ' OR LESS / 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i`p,in, fullforce and effect. License Class r I v Lic. No. + G ��/ J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) `❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith'comply with those provisions. / X / / Date &A& ,TO liD _ Signar f Applicant - ❑ Owner © Contractor ❑ Agent I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. * 1 .n �.� % Service TO 46.00 NEW CONST. DWELDWELLINGMain EE NG OCCUCUP. 3.5,so & ACC. �TLET NOR EW CONST. NON•RESID. @7.50 POWER APPARATUTLEfUS a SINGLE oCIR. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.BAL @ .so Ex. Occup. DLIT rs a,6.) E p 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 -r'❑ Heating 15- Cooling / Hood 6.50 lvle50 Ventilation 3�. PERMIT FEE S -� Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ •HD HAZ. ..- D. EEs I P �' FLOOD CDF ..� PARC0. PD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolution$ t`oodo wcrk indicated above for which fees have been paid. / By e: f i i :�/ Date p/tl PERMIT EXPIRES ON f ' Date ReceiptNo. PC,( 17y'' "" alt 7Z gI-111,4WN'1I / �) 0 ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J=OK 0 = Not OK NotReady61e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location -Test -Easement Needed (Sketch) Carports; Windows -Doors 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Electric 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / /' Nat. or/ /" L "ft./ P LPG Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 7. Well Clearance & Disconnect Siding; Nailing -Veneer -Stucco -Mesh , 8. Utility Clearance Roof; Shthg-Roofing 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 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 #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh , 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card 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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Si Date J.114DE$FLO0K(Plans) OK except #'s 2.1ffg., , Soils-Elec. Grnd.-/ / Ftg. Depth 3 f rdge; Soils-Steel-Elec. Grnd.-/ / Ftg. Depth IV 4.L.ec)'Porches & Decks; S ' -Steel-/ /' Fto. Depth and ,7'. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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 -q-os;x rtor d 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. ater Pipe; Test & Anchor -Nail Protection . D.W.V.; Test Fittings & Anchor -Nail Protection 0. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23: Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date LEC C (Permit) OK except #'s 2. ure & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors i oxes & No. of Conductors Stapled 2 Romex Installed Close to Edge of Studs & C.J. 2 ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI ga Cu or Al 1. nge Circle/ 4ga4v-ar T-Uven Circ. / /ga Cu or AI I ulated Neutral O Yes O No ervice-Riser Conductors & Ground Main Disconnect 33. uip. Clearances Panels-Motors-Mech. Equip. . Clothes Closet Light -Shower Light -Spa Light 3 moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 38. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 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. Qearing Walls over Girders & Floor Nailing 4. Draft Stop in Walls (rat proof) 5. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing ngle & Duplex) V14 C_K" 4 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac. russ ting.-Rtng. 49. Fire a Ties or Type A Flue -Fireplace Throat Clearance ka,/) 5 is Access; Size & Romex Protection. -Draft Stop -Ins. Baffles / 51` IM indows or Exiting Doo�ll Ht. & Dims R ,_ 52. arage Fire Protectio aming-RC Channel a 53. Property Line Firewall & Openings 4. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 5 - n 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 ng Area -Glass Protection -Skylights -Plastic i 60. Shear Walls; Nailing -Bolts 6-1-46-n5/61. Byneffnterior/Exterior Wall Panels ., - 63. Infiltration -Walls -Windows .S Date ZZ I D and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa- 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; 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 0 Yes 83. Following Instld./Drive 0 Yes 0 NoMalks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Pr tection 91. C ction from Previ nspections . Gas t -Met rs T ged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF.BUTTE > BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date '� Inspector —/is►!/ 1 sc REV 4/00 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 t;�+r...,,..:---�`^:�s-+.-•v+.r-s:.,r••wCr ",rj,.�...,n�,' �.,�.s.'t�y.,,�•5�^.,a-.iK.:%��.+a�a�`«+++'z..e.--•+f�`�''"�L ` COUNTY OF BUTTEY'-'' ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES i 7 County Center Drive • Oroville, CA . (530).538-7541 CORRECTION NOTICE Ill��st 2 - 19 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address an Mould -be corrected. Please call for re -inspection when correction of work is com_Oated. - If you have any questions. pertaining to this matter, or need additional expiana ' ,please co tact a Building Inspector indicated below. ;f - i r Date `� ^ _ Inspector REV 2/05 Phone # �� _ 2004— AND WHEN RECORDED MAIL TO: 0028094 Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION Official Records I COPIES 4.50 7 COUNTY CENTER DRIVE Count Of I OROVILLE, CA 95965 1 q'j ` CANDACBUJ.�GRUBBS I lis Recorder I ROSEMARY DICKSON I Assistant I Lisa 12:12PN 12 -May -2004 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural pt:rposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date MAY 1 1 IM4 State of Calif n-ia-l�- County of L -P r� PRO; ERTY WNERS: ,/ () A "�,) AA�y On ��dUUV' before me, —TUW1 M /0/ 1114im J', A10 Mg �u personally appeared_ Lj�2/u1If pm."n8}ly known -to -me (or proved to me on the basis of satisfactory evidence) to be the person�4 whose name Wave subs,=ribed to the within instrument and acknowledged to me that he/executed the same in his/herir auth•)rized capacity(ies), and that by hisawngwir signature(w) on the instrument, the person or the entity upon behalf of which the person(o'acted, executed the instrument. WITNES m han official seal. P JUDITH M. WILLIAMS� COMM. # 1344684 Signature / Seal: NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY 0 q COMM. EXP. MARCH 23, 2006'8 A.P. 4_ D,3/— A.. w Description Order No. BU -209349-3 KB The land referred to herein is ,situated in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1983, IN BOOK 93 OF MAPS, AT PAGE(S) 36. APN 031-190-032-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES INCLUDING BUT NOT LIM[TED TO AN EASEMENT TO PACIFIC GAS AND ELECTRIC COMPANY, A CALIFORNIA CORPORATION AND PACIFIC TELEPHONE AND TELEGRAPH COMPANY FOR SERVICE TO THE GENERAL PUBLIC THE RIGHT FROM TIME' TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH GAS AND ELECTRIC FACILITIES BOTH ABOVE THE GROUND AND UNDERGROUND AS IT MAY DEEM NECESSARY OVER, UNDER, ALONG AND WITHIN THE STRIP OF LAND DESCRIBED AS FOLLOWS: THE 60 FOOT RIGHT OF WAY AND CUL-DE-SAC AS SHOWN ON PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 3, 1983, IN BOOK 93 OF MAPS, AT PAGE(S) 36, BUTTE COUNTY RECORDS. EXCEPTING THEREFROM ALL THAT PORTION LYING WITIIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)` ' APPLICATION AND PERMIT O3 ^ I S 6 ASSESSOR PARCEL NUMBER 03 - /4?Q_03a ZONING,4,0Z BUILDINGPERMIT OWNER �/� /J �` / G `J TELEPHONE �� 3 SO. FT. OCC. BUILDING VALUATION .OWN IQ(IIUNG�1VY-b w /s r,01111145,49� 1300 )e q15 -- 4066 CONTRACTUOjT�\tJfjlgL EUIrzt ELEPHONE _ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ r ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ �, j Plan CheckingFee $ BUILDING ADDRESS n /� i, Energy Plan Checking Fee 7 $7i Q r�$ PERMIT FEE $ , LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Z'Du lex ❑ Mobilehome ❑ Other p SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 / 5 Each as water heater or vent 15.00 / TYPE OF WORK / New 00 Addition ❑ Remodel ❑ Utiliti , Installation ❑ Other Describe Work: E Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 / Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service 20 OA OR LESS— / 23.00 A LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is,iny full force and effect. License Class is. /V -0 Lic. No. L� �� �) OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor ers' compensation provisions of section 3700 of the Labor Code, I shall folhwith comply with those provisions. X Date G O ,ezf3 Si at ryldf A66licant - ❑ OwnerCoC�I' ntrector ❑ Agent An O$FeA permit is required for excavations over 60" deep and demolition or constr of structures over 3 stories in height. rJ Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s O ADACC. 3.50 o , oNS. ( vBLDS. M NON- =R I.. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 O 1.000 FIXEDI Ex. Occu . ouTs AEssD.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolingliz� Hood 6.50 Ventilation PERMIT FEIE $Policy Mobile Home Installation Fee $ Energy Inspection Fee $of occ CONST. Tv $ T TALFEE$not HAz D Es I P D P EL This permit is hereby issued under of the Butte County Code and/or indicated above for which fees h By �(Q PERMIT EXPIRES ON the applicable provisions Resolutions to do work e been paid. Dt V �\e \S IDete ReceiptNo. pc Y7Y"—J62Z9Y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INAPECTOR GOLDENROD -APPLICANT OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD NG DIVISION Aunty Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO 6) APPLICATION AND PERMIT �3 X36 MDEn ©3)_ 1q0- 0 3 Z- BUILDINGPERMIT ���� STELaEP3MOHE� �� �. FT. OCC. BUILDING VALUATION �,1es a �0 3 o DAF50 ���� �, a 2 0 TELEPHONE 7 —A ssRucnox u]JDEA ��s uaan+e .DDaEes NtfECr OR EIir-m 16rECS -- ENOuHz- MAILJNG F.-ADDaess ej 77� 1 , �UCE?SE H0.H0. — USEOFSTRUCTURE X Duplec ' ❑ Mobilehome 13, Other sem+ TYPE OF WORK ew`Q' Add�on ❑ Remodel ❑ LM53S ❑ inegikron ❑ Other El esc��riibe Work 3&,L ISG A0— TYPE e. % OC) '7(-o7110L V-A/d- © G o" b,.,, r4r 11 FL6-0-D- X, D�ail� � Y7Y s1k, Jk Safte,r O 44Kt;r' 0 3 "5s> 2 L c7 0 114 1&m E Fire lac I " - Total Valuation S Filing Fee Permit Fee S G �� J 2D.00 Temporary Service ELECTRICAL PERMIT 3 —7 I Plan Checkm FeeS Msin Service ant EnwW Plan Checking Fee S 2-3 20" so +0MA S; OQ . v PERMIT FEE S 3.5a�- PLUMBING PERMIT on ADDLlS, Firing Fee 20.00 Each Trap Solar or heat um water heater I @7.50 23.00 Water p g 15. D 0 Each gas water heater or vent 15.00 Gas P Ing syztqm 1 - 5 outlets 15. D 0 Building sewer 15.D0 ��— mobas Home I S I G I W I@20.00 Fix Occu . OUTLEr DR SEs PERMIT FEE S.OD Temporary Service ELECTRICAL PERMIT Firing Fee 2 D. D 0 Msin Service ant 23.00 Z3 Main Service 20" so +0MA 46.DD MEN C01G1: ( DvvELlilo oecuP. 3.5a�- on ADDLlS, t ,gee. eLGs. I @7.50 (0 ' Fix Occu . OUTLEr DR SEs APPUNG. OR Er. Occup. o� m.) m S.OD Temporary Service 23.D0 Mobile Home Faclities 20.00 I isc. Wiring 23.DD PERMIT FEE S �� MECHANICAL PERMIT Firing Fee 20.01) Heating Coorm / Hood 6.5 0 Venfls5on 3 S'� PERMIT FEt: S Mobile Home Installation Fee S Energy Inspection FOB CD_KSTj. TO AL FEE $ % d H+IV D. FEES F�OgD CDF GEl HD I GSA This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do w4ork indicaled above for which fees have been paid} / JJ►V!n By Dale PERMIT EXPIRES ON COUNTY OF BUTTE-DE'ARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Dr.ve, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: War ASSESSOR PARCEL NUMBER 0311- /170 - /I L Proposed Building Use: j N � 3 eti -"le— Counter Technician: Date: (9/3 x/03 �'" Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets,, signedty the pnparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or Metal plans, all in duplicate. ❑ 7. al buildings: (A) Metal Building Pians, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Flood Elevation Certificate, wet -stained and signed, in duplicate ................................ Plot plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential btaldings......................................................:.. Detached Accessory Building Form Jelled out by the owner ..................................... Hazardous Material Form ............. .................................................................. Other Date Received By emaining items needed to issue the permit. (May require additional plan review upon receipt of, the following items.) 4. Fees as shown on the attached Schedule of Fees Due Sheet ......................................... AL IN 15. Statement of Intent for Non -heated and A/C Buildings ............................................. W. Sanitation and plot plan approval frau the Environmental Health Department in 7- IA . ❑ 17. City of Chico Plumbing permit.......................................................................: ❑ 18. California Department of Forestry pian approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: D (B)Parking: (C) Parcel Check: ❑ . Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for - required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder. Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑P er of Signature authorization..................................................................... l Zorded copy of Agricultural Ackrowledgment Statement....................................nufactured home utilityclearanc:............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone -53,3- and hold for pickup. I have been inf&med of the above items and requirements for obtaining a building 1. Index perrrAt application for the above it✓ms numbere / / Plan Check Letter 2. Additional items required _n _ Contractor, designer, <E;Was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by AZI - Date: Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter - y , Date: Plans reviewed by: Date: Plans approved by: �r _ -Date:— Structural reviewed by: Date: 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 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER 7 1,Je-5o. PROP OSED BUILDING USE 1 v e' J J 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES 0 id at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ I X $360.00 =$ 3 6� Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES V"t a 1 V (paid at Building Division) A.P. # a 3 /, 12 o - / 3 '1- DATE Cz_� M DATE REC. Residential (per unit)..... _ X �q # Umts Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (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 At time of permit may be changed ( APPLICANT C_ the above fees are required to be paid prior to issuance of the permit. These fees the plan cyecking process. DATE �_ 3 U- d Pursuant to Govefnmeyft C,/de 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) 4 School District BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) A.P. Number Property Owner Property Location/A Subdivision Jurisdiction: F--1 City Building Department No. County /OV' alb Lot No. 3 .................._.._.._............ ...................... :...................................... Residential Development EZ Q Q Q Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ............................................................................................... _..., Commercial/Industrial New „ Addidor 60 Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 040234 i l (-e, LU1 % Vn School District certifies that (City) has complied with the requirements of Resolution No. (� 59 D square feet. School District Representative Paid by Check # Remarks: (State) 106-90 Sq. Footage (Including Exterior R fed Areas) C Da Lt la4— (Applicant) 533 -5y (Phone Number) (Zip Code) by payment of $ . 1 9 0 IAB 2926 t�..._ .. FULL MMGA11_ON-10N MP-01-04— Date Date Notice: You may protest thha Imposklon of the fes Idsrrtl above by submitting a written protest to the DlstrK In compliance with Govwnine ht Cods Section 66020(a), within 90 days from the data fee we paid. Failure to subs* a timely written protest will'prohlbit you from challenging the Imposition of the %es In any court action. If, subsequent to the School District Representative signhV this Butte County Schools Inhpar t Fe Certification Form, the School District Is notlMd by the applicable Local Planning Agency that this p near. Is being reviewed under the Califorta Environmental Quality Act (CEQ4 this pr ml A may be subiect to additional school fess to fully ~*.its Impact on the school dlebkft schools. White (applicant), Yellow (building department), Pink (school district) feeformads (10/03)c4nm i DIR TQ�S Kenneth 'Redford Division 1 Robert H. Hartshorn Division 2 Edgar C. Thompson Division 3 Stanley J. Huston Division 4 Ernest L. Reynolds Division 5 THERMALITO IRRIGATION DISTRICT A Public Agency May 12, 2004 ` Larry West 30 Loma Vista Drive Oroville, CA 95966 410 Grand Avenue Oroville, California 95965 (530) 533-0740 FAX (530) 533-9243 RE: Sewer Will Serve AP 031-190-032 Hardnett Court Oroville CA 95965 Mr. Larry West, David :E. Bird ManagertSecretary John Jeffrey Carter Legal --ounsel Thermalito Irrigation District is serving water to this parcel. We will allow you .o connect to our sewer main for sewer service upon receipt of permit and hook up fee's. Currently, those fees are 51791.00. All connections will be in accordance with TID standards. Your contractor will have to obtain a County Encroachment permit. You will be responsible for the maintenance of your service lateral. This letter will expire one year from today.. If you have any questions or other concerns please call the office. Best Regards, Michael L. Edwards Compliance Supervisor DEB/eaa Established 1922 September 8, 2003 Larry West 30 Loma Vista Drive Oroville, CA 95966 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 031-190-032 Building Permit Number: 03-1936 Thank you for submitting the plans for your building project. The plans have been reviewed, ,and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. _X, ON -STRUCTURAL COMMENTS: r I don't believe you have adequate natural light and ventilation in your living room. PleaEe verify. My calculations show the house to be 1390 square feet. Please verify and revise the energy calculations to reflect the correct square footage. STRUCTURAL COMMENTS: Please show all braced wall panels on the plans, exterior and interior, along with the glethod of bracing and attachment. Max distance between panels is 25 feet. The rear of the house, because of -the. 8 foot.dec�, does not meet prescribed bracing requirements of the CBC. Provide a lateral analysis of the rear of the house by an architect or e neer. Have your engineer or architect write a letter that he has reviewed the trusses and they agree with his design. 41Y. -Truss H1 on the layout at the covered porch should read H1C, I believe. Please revise. Truss H1 over the kitchen and bedroom 3 are 2 ply. I believe they should be single ply. 0ele revise the truss or show bearing posts under each of them. how all bearing points on the plans for 2 -ply trusses, down to the footings. Have your ngineer/architect address point load footings over 5,000 pounds and show the footing on the ation plan. e your designer address note 16 on truss G1. e your designer address notes 15 and 16 on truss HG1. Have your designer address notes 14 and 15 on truss HG3. ave your designer address note 15 on truss HG4. Alternate braced panels require a foundation continuous across the building. Show this on your foundation plan where you have these panels in the garage. r✓Provide a garage door header size. 1 of 2 �Provide a truss that is loaded for the attic furnace. Tf you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. qlL;nda Simpson Philo Hunt, P.E. Plans Examiner Plan Check Engineer 2 of 2 In order to expedite the review of yoPLAN "VEW RESPONSE FORM ur plans, please complete the following info, this form is not complete, as to all rron items, rmation and return this form with your re -submittal coectiwe will not be able to accept your re -submittal for review. There must be a val response to every item requested in owplan correction letter. `By others' is not considered a valid response. Please indicate y 0 response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM Tn a rrnnv _.. _. _ _ ___ - >ESSORS PARCEL NUMBER 43' —tq6— 032- - 32 -• - ru+ry I rytUr%LETTER DATED: Sem, T,�3 AN CHECK ITEM # RESPONSE Br I L MMENTS: fdnr% cc,6 ' D �f `O � La Z KtSPONSE Br L, kVe-c7 /4 �VI-S H J MA -0. 2r- V,VV-i 03-1936 L "VIA/C, r++witiMLL �LAiS' SdfDluSNh �OlNTS pn/ l6� GL '7�1<i'�r 'TILGCSS Tie(,�ss C'<i�G s PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. Ii this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. 'There must be a valid response to every item requested in our plan correction letter. 'Ty others" is not considered a valid response. Please indicate your response to'each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME DATE I-Ae y MA'e- z rl zooms/ 4SSESSORS PARCEL NUMBER PERMIT NUMBER N UMUK LETTER DA RESPONSE BY: 'Fr'V 1.9-W firms [+/ # 3 e -14 CHECK ITEM # l2 L . -GvF—g-r— -h 9 -321.tsU U -Ir --S LOoP— iTION ON PLANS/CALCS: I—IZWs' 641-e�S :ATION ON PLANS/CALCS: �� ��yy�� �. o �%3 T ;r o RESIDENTIAL PLAN C , �-- REVIEW GUIDE o ..-..''�- •• -.. o SINGLE FAMILY, DUPLEXAND MISCELLANEOUS ONLY Owner. Uj Building Permit Number: 0,�5 " l Plans Examiner: ��adA �On)p.wrt A. P. Number: G ,iER.-kL: A. Zoning requirements - (number of permitted living units). Plans signed by the designer. Proper description of work on the application. 18xisting violations on the property. Recorded notice of violation. Building permit valuation. PLOT PLAN: Complete pawl size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading. fills andior drainage. Flood hazard Special conditions on Parcel Map: Noise Q SR_ -k ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal :did Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). scape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 2W. When «indo« s are prodded as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glaring in hazardous locations (Uniform Building Code section 2406). • Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted is this section. Kitchens. habathrooms and toilet compartments may have a ailing height of not Ids dm 7 feet lls. measured to the lowest oroiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not les than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. prage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters %%hich depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening ho a bath or bedroom (uniform Plumbing Code section 509.0). ucl burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedtoom. or is a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code recd o30�t.3). Garage drew -all separation - required on garage side including supporting walls and posts (Undbrnrt ng Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (l;nifor:n Building Code section 312.4). Wood stove location - Alcove - UMC section 205 confined space & 223 unconfined space & 304.2). Smoke detectors (Uniform Building Code section 310.9.1). Pagel of 2 fWatet closet clearances (Uniform plumbing Code 408.5). bpw,u compartment minimum 1024 sq. in 8 30'• circle (Uniform Plumbing Code 412.7). Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support RU loads (Uniform Building Code section 1806.3). UCTURAL DETAILS: A . Braced aall panels shall start at not more than 8 feu from each end of a braced Wall line. Brand wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on anter in both the longitudinal and transverse directions (UBC section 2320.4.1.) Br atxd wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the area of the building that do not comply with the Uniform Building Code. This must include the designees "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. ,,r3!Clerestory requiring balloon framing and/or engineering. Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C�. Floor construction details complete enough to construct building. Elevations and Wall construction details complete enough to construct building. 7 Roof construction details complete enough to construct building. Fireplace construction details and calculations if necessary. Garage door header size(s). ouch header size(s). -pical header size(s). . Stud heights. High expansive soil — special foundation design required. Retaining walls requiring design. G)ji= wallboard nailing inspection required. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net arra of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design Will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction design requirements must be shwm on the building plans. Electric, heating, ventilation, plumbing and air conditioning equipment and other sen'ice facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MNCELLANTOUS ITEMS: ti2Energy irway details — landings, rise and run head clearance, handrails (Uniform Building Code section 1003). ardrails (Uniform Building Code section 509). ck or stone veneer (Uniform Building Code section 1403). Exterior plaster— weep screeds (Uniform Building Code section 2506.5). fpitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). m insulation — protection. halls and stairways (Uniform Building Code section 100.4.3.3.2). ro exits on three.— story dwellings (Uniform Building Code section 1004.2.3.2). derfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). ic access and ventilation (Uniform Building Code section 1505). nd requirements. design compliance and supporting documentation. F responsible area requirements. BUILDING PERMIT REQL IREN ENTS: 1. ❑ SPLA. 2. ❑ Flood elevation certificate. 3. ❑ Fire SprinlJers required. 4. ❑ Special Inspection requirements. 5- ❑ Use Permit conditions. 6- ❑ Sub -Standard Housing lener. Pzce -- 'nf SITE PLAN REVIEW APPLICATION Date: AP# 03 I -- )'90— O S Z Permit Number (if applicable) 0 3 — 9 3 APPLICANT INFORMATION Parcel Size: A e - Owners Name: Owners Address: �D �� V► STS �-_ 0 201/1 LL� C A, S g (o Telephone No.: S3 3 -- SH 7 g Situs Address: }-1 At�Y�►J lT' �'f 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 Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) if Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date Page 1 of 5 e It ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: x • Flood Panel No.: O--) 9O C, Index Date: 6 —� ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------- ---------------------------------------------------------- —--------- ------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A — e 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 L Side Side Street Rear �j- 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 r Applicable Development Fees: Standard Fees Amount ❑ 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) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ No ❑ Yes ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: g--3- F>15 Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 911 Date of Approval: Page: 13 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 planfor 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 u Page 4 of 5 It 0 x 0 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. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 k 4 III)IIIIII�IIII1iIl��I�II�II�I'I�� AND WHEN RECORDED MAIL T0: �II10iE>4S Recorded 1 REC FEE 10,00 BUTTE COUNTY BUILDING DIVISION Official Records I COPIES 4.50 7 COUNTY CENTER DRIVE County_ Of I OROVILLE, CA 95965 BUT rE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Lisa 12:12PM 12 -May -2004 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date RAY 1 �� PRO, ERTY WNERS. State of Calif nia County of "Pa7 On .t 1 before me, ""�� 1114-41S-, /l'c�,MXZl y« personally appeared �;4/�j�c� jl��-� _ personally known -to -me (or proved to me on the basis of satisfactory evidence) to be the person" whose name is/a*e subscribed to the within instrument and acknowledged to me that he/she4hW executed the same in his/heW"r authorized capacity(•ies), and that by his// - it signature(s) on the instrument, the persono or the entity upon behalf of which the person(o acted, executed the instrument. WITNES m han official seal. JUDITH M. WILLIAMS? U - I 1 COMM. # 1344684 Signature � ��`—� / Seal: Q NOTARY PUBLIC -CALIFORNIA 2 BUTTE COUNTY 0 op ` COMM. EXP. MARCH 23, 2006 A.P. # Order No. BU -209349-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1983, IN BOOK 93 OF MAPS, AT PAGE(S) 36. APN 031-190-032-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES INCLUDING BUT NOT LIMITED TO AN EASEMENT TO PACIFIC GAS AND ELECTRIC COMPANY, A CALIFORNIA CORPORATION AND PACIFIC TELEPHONE AND TELEGRAPH COMPANY FOR SERVICE TO THE GENERAL PUBLIC THE RIGHT FROM TIME. TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH GAS AND ELECTRIC FACILITIES BOTH ABOVE THE GROUND AND UNDERGROUND AS IT MAY DEEM NECESSARY OVER, UNDER, ALONG AND WITHIN THE STRIP OF LAND DESCRIBED AS FOLLOWS; THE 60 FOOT RIGHT OF WAY AND CUL-DE-SAC AS SHOWN ON PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 3, 1983, IN BOOK 93 OF MAPS, AT PAGE(S) 36, BUTTE COUNTY RECORDS. EXCEPTING THEREFROM ALL THAT PORTION LYING V T ]IN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN.