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031-282-056
NOTES RESIDENTIAL PERMIT NO. 8 �LLO THF..R.M:4LIT0 AVE, OROVILLE Cont: ORSILLO CONST j NEW SINGLE FAMILY S b j. • SPECIAL CONDITIONS CHECKED BY, k SRA FLOOD CERTIFICATE REQ. +f. FIRE SPRINKLERS REQ. # SPECIAL INSPECTION ITEMS t VERIFY USE PERMIT CONDITIONS i SUB -STANDARD HOUSING LETTER K♦• t_t Tc7 Lf ' �I tC 2lM ftks til C—(4 Jz &t"\ S ► . OFFICE COPY Address( j �yTfZjY1q , �z� ! -)RWM t r r 1 GAS /%) Meter By Dat t?!_ 2-q ! 11( ELECTRIC Meter By�A� Datel-1R -a6 JOB FINALED (Date) � Signature - OK =Not OK = NotRealiMOBILE HOMES = Not Readyy 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ P' LW P LPG 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 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-Connectoe 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 Appriable . = Not Ready Date _hy�aa� OK except #'s IDENTIAL (Single & Duplex) Qi -R ain; Soils-Elec. Gmd.-/ /" Ftg. Depth t arage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks; Soils -Steel-/ /" Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped mwalls, Garage; Steel- Blockouts-Wra ed Or Hold Downs and Special Anchors 8. Piers -Fireplace Ftg.-Steel 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 PLUM G (Permit) OK except #'s r Htr.; Vent -Access -Combustion Air Baffle Water Pipe; Test & Anchor -Nail Protection 19 D.W V.; Test Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 21✓ est 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-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24 -,'--Fixture & Transformer Clearance -Ins. Protection pec. Receptacles Spacing -Lights & Switches at Doors . jSi%Boxes & No. of Conductors Stapled rfiex Installed Close to Edge of Studs & C.J. E ip. Ground made up w/Mech Fasteners -Bond Gas & Water 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 AI Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Gip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH LAICAL (Permit) OK except #'s 3 . ucts Insulation & Support V Fan, Exhaust above insulation 38'�CondSDsate Drain & Overflow, Size & Grade e -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 41��Lttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM (Permit) OK except #'s 4 Sills P per Materials & Anchors 42. all Studs -Nailing Spacing & Braces -Plates -Sound 'ng Walls over Girders & Floor Nailing Dr Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing Date FRAMI Continued) ers-Post Caps -Anchors -Connect lin oist-Rftr. Ties-Purlin-Roll Bra -Truss hting: Rtng. ireplace Ties or Type AFlue-Fireplace roat Clearance 50rAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 5 . 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. SjEco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59'Gl9ing Area -Glass Protection -Skylights -Plastic a+_ice - hear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Wa Is -Windows Date - G e'T Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date FIN (PI s) M except #'s W. Steps -Door & Sidelight Protection -Landings Me'Smoke Detector 66. F�u/rJn'�ace Vents -clearance -Comb, Air -Connector- ; (iaraae; Above Floor-Ducts-Mech. Protection W. G/F I. & Bath Fixtures & Tub Access -Spa Elg--. Trim & Subpanel, Breaker Sizes & Labels 70. Otairs & Rails K.Y. vireplace or btove, clearance -Hearth 72,121k. Outlets at Wood Panel, Int. & Ext. K' . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter Garage Fire Door, Swing -Landing -Closure 76. C. Duct in Garage -Damper W. Mr. Me.; Vents -Clearance -Comb. Air Connector-P.R.V. i ara e; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location W. 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 ❑ Yes 83. Following InstldJDrive O Yes O No/ftks O Yes O No/Planters O Yes O No 84. Wcco Brown -Finish Unit Disconnect, Electrical -Plumbing ge Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing @$!E erior Elec. Trim, G.F.I. Receptacle -Underground Vqpttilation Throughout House ass Protection W. orrections from Previous Inspections ,')f (, Q (p %Z< 2g t�Meters Tagged, Gas -Electric 913./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: 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. BPO51571 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under Issued Date: 09/02/2005 APN: 031-282-056-000 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. s Q� Site Address: 743 THERMALITO AVE ORO License Class : — IyL-- License Number) Map Index: Date -9'2 --OS Contractor: t.3 VVJ7-o32St I D Description: NSF (1828) GAR(775) 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 Owner: ORSILLO, STEVE Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 29 RIDGEVIEW LANE to its issuance, also requires the applicant for such permit to file a OROVILLE, CA signed statement that he or she is licensed pursuant to the provisions of 95966 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 530-589-4202 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: ORSILLO CONSTRUCTION, STEVE 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 such work himself or herself or through his or her own employees, 29 RIDGEVIEW LANE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-589-4202 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licenseq contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: ORSILLO CONSTRUCTION, STEVE 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code 29 RIDGEVIEW LANE -Z- o S S z T2s I (� Owner: OROVILLE, CA 95966 Date: 530-589-4202 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 542034 ❑ 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 required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: C Carrier: z, U(o a 9-61 4? Total Square Ft: 2603 S.F. Policy #: Valuation: $137,420.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to 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, 1 shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hef4by iss, a under a appable 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.) Resolutions t o w in icated bove f ich fees have been paid. Name: By: Daae:: V PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county d state laws retailing to building construction. I acknowledge it is unlawful to alter the substance any official form or document of Butte County. I hereby y to enter upon the above mentioned property for inspection purposes. authorize repre ttves of Butt4�lt Print Name: Signature: Date: 0 Owner 0 Contractor Agent for Owner ❑ Agent for Contractor 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: BPO51571 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 09/02/2005 APN: 031-282-056-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect. !' Q 3 Site Address: 743 THERMALITO AVE ORO License Class : — License Number T Map Index: Date: .Z`0S Contractor:S 1)L 01as1 IID Description: NSF (1828) GAR(775) 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 Owner: ORSILLO, STEVE Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 29 RIDGEVIEW LANE to its issuance, also requires the applicant for such permit to file a OROVILLE, CA signed statement that he or she is licensed pursuant to the provisions of 95966 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 530-589-4202 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: ORSILLO CONSTRUCTION, STEVE 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 such work himself or herself or through his or her own employees, 29 RIDGEVIEW LANE provided that such improvements are not intended or offered for OROVILLE, sale. If however, the building or improvements are sold within one CA 95966 year of completion, the owner -builder will have the burden of 530-589-4202 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: ORSILLO CONSTRUCTION, STEVE not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 29 RIDGEVIEW LANE _Z- o S� L T2s l 1 Date: Owner: OROVILLE, CA 95966 530-589-4202 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 542034 ❑ 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 required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: `.+ � � Carrier: z, q 6(g 4 9 � � Total Square Ft: 2603 S.F. � Policy #: Valuation: $137,420.00 Census Code: E3 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: SL,— 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. 211-2 CONSTRUCTION LENDING AGENCY This permit is h by is a under a app' able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions t ow, in icated bove f ich fees have been paid. `i 1 Name: By Date: L Address: / PERMIT EXPIRES ON: 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 d sffi tate laws relating to building construction. I acknowledge it is unlawful to alter the substance any ocial form or document of Butte County. I hereby authorize repre tives of Butte oun y to enter upon the above mentioned property for inspection purposes. 7�Print Nameq I Signature: Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor 614JP— $ _2 _7 f / 3 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION 015` 1'. r) j AND SUBMITTAL REQUIREMENTS ✓ // I 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 BIN # A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 1113, r'j7 Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** % 79 � -d OWNER Last Name �c� vt `IO J��Ds� Address 2-9 7j b(=Z \1 ( tN3 IF first Na s7eVE Addressf'T t ew LiekN City o?cxi HE State Zig?<-;9L.Lo Phone S�'G,� yZ02 // Fax �e7_ 42-0- E-mail Fax CONTRACTOR Name e e Oe-s:M0 5- Address 2-9 7j b(=Z \1 ( tN3 City wi NE State Zip�S_9(p Phone SF5C,_ i 12()2 "1 Fax G8c7_ j�Z()L4 ` E-mail Lic. 201q Class APPLICANT NAME ARCHITECT/ENGIN Name _EER j1 S�t.mN1el Q__ Address City Zi�l_71N,^/_ State Zip Phone S, ' F07 Fax E-mail Planner State License Number APPLICANT NAME I l./� —sk (to Name Sma e O9=1 Address Z9 "i4 VfEU) f t'J� City OF_C)V! I je 1i120Z State/ i� Zi�l_71N,^/_ Phone 58� l Fax � ! H 20q E-mail Subdivision Name Map APPLICANT SIGNATURE I \%v t ()6 t For office use onl : Zoning Flood nel,-' ISRAI Yes I No Occ, Type Const. Subdivision Name Map F07 Page Lot # Planner Dale Approved: OVER FOR SUBMITTAL KtUUIKtlVItN I a LENDING AGENCY Name >r t `Ee .� 13 1St 4- Address l \O\ W\EDLL lA't�C I oewl `D,ecription pr Scope of Work: V�E Y--- Sq. Fo elvSF ( (SZ-�� (-A,2 ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. cel d b Amount: t Bldg S24 fReceipt #: Sherifi SMTP Datq! n KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 L0 L0 C) Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile TO: FROM: SUBJECT DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecountV.net Plans Transmittal For Review Per Contract 6/22/2005 o�UTr Applicant: JORSILLO, STEVE Permit No: 05-1571 Project Type: N SF 031-282-056 100% 70% Plan Check Fees $ 1,113.57 $ 779.50 $ 1,113.57 $ 779.50 WILLDAN Fee $ 779.50 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 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: 1 1 1 ASSESSOR PARCEL NUMBER GS� Proposed Building Use:��/y� Permit Technician: Date: �5 /Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply - 1 . pply1. 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. 3 4. Engineered truss details and layouts in duplicate. No faxesl 7 2� 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 find 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-siqned by the enoineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent fog non-residential buildings _ ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Re mmi items needed to issue the permit. (May require additional plan review upon receipt of the following items.) (15:) m%ation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ( ❑ 6. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 1�., 19 Erosion Control Plan Required........................................................................ 0 �Z Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ .. 1. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 2 ` California Department of Forestry plan approval ❑ paid. Sent by - 24 Planning approval for (A) Use: (B)Parking: (C) Parcel Check:.t.... t? b ❑ 5. Contact Land Development about _ Improvements, _ Drainage ........................ CT26. 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.................................................................... Recorded copy of Agricultural Acknowledgment Statement ................................. Existing violations and/or expired permits......................................................... O34. Deed Restriction..........................................................::.............................. ❑ Legal description, ❑ M.H. Title, itle search, registration or MCO ......................... Other Other:OD When issued Telephone and hold for pickup. I have 6ee.n informed of the apov-e items and requirements for obtaining a building permit. Date: � 1(0.- 1. CU1. Index permit application for lhve ite fnber Plan Check Letter 2. Additional items required 8 ontra o designer, owner, was a is d of thA above data b ❑ ph ne,' 6 96il, counter, by Date: Co actor, 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, bDate: Plans reviewed by: Date: Plans approved by: Date. : Structural reviewed b Date: Structural approved by: Date: k� Note transfer by: Date: Yellow: Building Division 9. "Z • SITE PLAN REVIEW APPLICATION Date: 6, ,, A , AP#y s� 7 2 — ©.i .S V03 G - Zg Z a Permit Number (if applicable) / C 70 Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential it 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): Parcel Size: Email: 1 21e; , n ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel k ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A .__� 0 DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval .Site , an Stamped proved By Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ,W' - ❑ 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: i Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the Califomia 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: Ah4 CL—V 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 zo Side Side Street Rear ` Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 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: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ 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 ❑ 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: ❑ 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 the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4 of 5 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 PROPROSED BUILDING USE V /� 1. BUILDING PERMIT FEES --- Balance Due ..................... --- FEMA Flood elevation review ... $ I tpl0-3 (o --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES OY J W�e (paid at School District Office) (form available teX 3. HERIFF FEES (paid at Building Division) sidential............ X $360.00 =$ Units Co ercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES / (paid at Recreation District Office) (form available after Plan Check) v/ 5 RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $_4A CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ A. P. #� l ' DATE RECEIPT # DATE REC. 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 Buildi Division) 8. SMIP C i/ 9. OTHER �� \.Y ✓�. v -G 10. OTHER 11. OTHER At time of permit pplication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed du ' g the plan checkin prods. APPLICANT DATE �� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) a00 Department C o u n t y J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS TH4�d 1 ACRE1 Project Description: 'k-0-2,31 Project Location and/or Parcel Number: 1v S P OS_ By signing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed. soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: A WI LLDAN Ma s Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com July 28, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1571 Assessor's Parcel No: 031-282-056 Description: Orsillo NSF Willdan Project No: 14353-1738 Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies, sheets 1 through 5 dated 6/17/03 by Steve Orsillo Construction. ➢ Structural Calculations: Two (2) copies, not dated, by Jim Pursell, P.E. ➢ Truss Calculations: Two (2) copies dated 6/15/05 by Moss Lumber & Hardware. ➢ Energy Calculations: Two (2) copies dated 6/15/05 by Alvis Heating & Air. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. r W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. The information in bold text in the table below is not consistent with that shown on the permit application. Butte County may recalculate the building permit fee based on this information. Specific Use Type of Occupancy Type of Construction Stories 1" Floor S Ft 2" Floor S Ft Total Sq Ft - Dwelling R-3 V -N 1 1828 NA 1828 Garage I U-1 V -N 1 686 NA 686 Covered Porch I R-3 V -N 1 532 NA 532 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. gK el u r Plans Examiner Ricardo Guzman, S.E. Plan Check Engineer Cc: Alice Mefford, E-mail: amefford@buttecounty.net Steve Orsillo, 29 Ridgeway Lane, Oroville, CA 95966, Fax: (530) 589-4204 Jim Pursell, 2360 Baldwin Ave, Oroville, CA 95966, Fax: (530) 534-0902 Page 2 oft County of. Butte Permit Number 05-1571 W illdan Project .Number 14353-1738 RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Orsillo Heritage ' 29 Ridgeview Dr Oroville, CA 95966 7005-0028807 Recorded I REC FEE 13.00 Official Records I TAX 110.11N County of I Butte I CANDACE J. GRUBBS I County Clerk-Recorderl I I BW 09:0" 12 -May -2085 I Page 1 of 3 IIII III III I IN I III III I 11111111111 Space Above This Line for Recorder's Use Only A.P.N.: 031-282-055-000 and 031-282- File No.: 0403-1864893 (AM) 056-000 3 GRANT DEED i The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $110.00; CITY TRANSFER TAX $0.00; /�1J 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 liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of Oroville, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Douglas E Key, an unmarried man hereby GRANTS to Orsillo Heritage, a California.Limited Partnership the following described property in the City of Oroville, County of Butte, State of California: PARCEL I: ALL OF LOTS 6 AND 7 OF BLOCK 34, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF ° THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887, AND ALSO THE NORTH HALF OF THE ABANDONED ALLEY, BY ABANDONMENT RECORDED MARCH 17, 1975, IN BOOK 1974, PAGE 316, OFFICIAL RECORDS, MERGED INTO ONE PARCEL. RESERVING THEREFROM AN EASEMENT FOR INGRESS, EGRESS AND UTILITIES ACROSS THE WESTERLY 25 FEET THEREOF. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED APRIL 9, 2004, SERIAL NO. 2004-20101. PARCEL II -A: Mail Tax Statements To: SAME AS ABOVE A.P.N.: 031-282-045-0Q� VV Grant Deed -continued File No,:0403-1864893 (AM) Date: 05/05/2005 ALL OF LOTS 16 AND 17 OF BLOCK 34, AS SHOWN ON THAT CERTAIN OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECO OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ENTITLED, "MAP 1887, AND ALSO THE SOUTH HALF OF THE ABANDONED ALLEY, BY AB RECORDED IN THE RECORDED MARCH 17, 1975, IN BOOK 1974, PAGE 316, OFFICIAL RE ORNIA, ON JUNE 8, NORTH HALF OF ABANDONED PLACER AVENUE, BY ABANDONMENT ABANDONMENT NORTH IN BOOK 1 OF ROAD D RECO DS, AND ALSO THE ONE PARCEL. DEEDS, PAGE 87, BUTTE cn� o�u ry .,...._ _ RECORDED SEPTEMBER PARCEL II -B: AN EASEMENT FOR INGRESS, EGRESS AND UTILITIES, DESCRIBED AS FOLLOWS; THE WESTERLY 25 FEET OF LOT 7, AS SHOWN ON THAT CERTAIN MAP THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,ENTITLED, "MAP OF AND ALSO THE NORTH HALF OF THE ABANDONED ALLEY BY ABANDONMENT RECORDED MARCH 17, 1975, IN BOOK 1974, PAGE 316, OFFICIAL RECORDS. ON JUNE 8, 1887, RESERVING THEREFROM THE NORTH 40 FEET OF THE WEST DESCRIBED PARCEL II -A AS NO -BUILDING AREA FOR ROAD ACFEET OF CESS PU THE HEREIN PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED APRIL 9, 2004, SERIAL NO. 2004-20101, Dated: 05/05/2005 Douglas E y Page 2 of 3 rZI "� • A.P.N.: 031-282-045-0�0 Q Grant Deed - continued �, --.... (AM) Date: 05/05/2005 STATE OF Cl I .1, } 1 ss. COUNTY OF On / 5� before me, kIll ffi. T,/ U personally appeared L' , personally known to me (or proved to me bb the basis of sati actory 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. This area for olfciai notarial seal Signature My Commission Expires: Notary Name: Notary Registration Number:_ 0 i Notary Phone: County of Principal Place of Business: J\i KAP � C: ; DWELL wO'. Commission,!'!381097 It'r n C- i•!olc;ry Public - Celifornia '•�,V . corn:"). �_xp. r.tJ`✓, c,I,_?006,'^'�A Page 3 of 3 DIRECTORS Brad Taggart Division 1 Gary Allen Division 2 Edgar C. Thompson Division 3 Stanley J. Huston Division 4 Ernest L. Reynolds Division 5 THERNALITO IRRIGATION RSTRICT A R.ublic Agency August 31, 2005 Steve Orsillo Construction Inc. 274 Canyon Highlands Dr. Oroville, CA 95966 410 Grand Avenue Oroville, California 95965 (530) 533-0740 FAX (530) 533-9243 RE: AP 031-282-055 and 0-31-282-056— Mr. Orsillo, Gary Alt Manager/Secretary John Jeffrey Carter Legal Counsel Thermalito Irrigation District is willing and able to provide water and sewer service for the following properties AP 030-282-055 and AP 031-282-056 located on Thermalito Avenue between 6`h and 7`h Streets the Thermalito community, California, on satisfaction of the following conditions: 1. The District shall approve in advance in writing the plans and specifications for the water and sewer installation to the new dwelling units. All plans will be submitted in accordance with TID Improvement Standards for Water and Sewer Facilities. 2. The dwelling units will have their own sewer lateral from the TID sewer main to the.house. An independent meter will be required for each dwelling unit. 3. The water and sewer installation shall be completed in a good and workmanlike manner and shall be subject to TID Improvement Standards, inspections and acceptance in writing by TID's inspector. 4. Thermalito Irrigation District has no sewer or water easements on the property. Established 1922 This letter shall expire one year from and after the date hereof. Connection fees, which for a dwelling unit presently are $4,655.00 for a three-quarter inch water connection, and $3,157.00 for a sewer connection, shall be assessed at the then rate of the District at the time such connection are requested. Sincerely, Gary Al General Manager b// 11/ LbbS l.i: 1C 5,ib5tfy4Lb4 AND WHEN RECORDED NLVL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CEN rER DRIVE OROVILLE, CA 95965 SUI; mut b COPY of Document Recorded Sul -2005 2005-0040264 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generatc 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 c)q - t � _ d 57- State of California County of personally appeared ersonally 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/shc/tbey 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. WITIY][;SS my hand and official seal. i Sign re A.P. #03 I � 109D _ 6^0 63 , !ANGELA D. ;b1ASTELOTTO Commission Iii 8i 124 a Notary Public - Calitomia.?j Q Butte County telly Co.rrn. Exp. OCT. 22, 2006 ° 1R W, PARCEL I: , ALL OF LOTS 6 AND 7 OF BLOCK 34, AS SHOWN ON THAT CERTO MAP ENTITLED, "M OF THERMALITO., BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER-OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887, AND ALSO7NORTHOOK 1974, PAGE 316,HALF OF THE ONED ALLEY, BY ABANDONMENT ED OFFICIAL RECORDS, MERGED INTO ONE MARCH 17,19 19 , PARCEL. RESERVING THEREFROM AN EASEMENT FOR INGRESS, EGRESS AND UTILITIES ACROSS THE WESTERLY 25 FEET THEREOF. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED APRIL 9, 2004, SERIAL NO. 2004-20101. PARCEL II-A: Mail Tax Statements To: SAME AS ABOVE 07/11/2005 13:18 5305894204 SOC PAGE. 03 (AM) Date: 05/05/2005 ALL OF LOTS 16 AND 17 OF BLOCK 34, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887, AND ALSO THE SOUTH HALF OF THE ABANDONED ALLEY, BY ABANDONMENT RECORDED MARCH 17, 1975, IN BOOK 1974, PAGE 316, OFFICIAL RECORDS, AND ALSO THE NORTH HALF OF ABANDONED PLACER AVENUE, BY ABANDONMENT RECORDED SEPTEMBER S, 1924, IN BOOK 1 OF ROAD DEEDS, PAGE 87, BUTTE COUNTY RECORDS, MERGED INTO ONE PARCEL. PARCEL II -B: AN EASEMENT FOR INGRESS, EGRESS AND UTILITIES, DESCRIBED AS FOLLOWS: , THE WESTERLY 25 FEET OF LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887, AND ALSO THE NORTH HALF OF THE ABANDONED ALLEY BY ABANDONMENT RECORDED MARCH 17, 1975, IN BOOK 1974, PAGE 316,.OFFICIAL RECORDS. RESERVING THEREFROM THE NORTH 40 FEET OF THE WEST 40 FEET OF THE HEREIN DESCRIBED PARCEL II -A AS NO -BUILDING AREA FOR ROAD ACCESS PURPOSE. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED APRIL 9, 2004, SERIAL NO. 2004-20101. Dated: 05/05/7005 OOuglas E y Page 2 of 3 y; -TIZA 1 (5 I b BUTTE COUNTY SCHOOLS IMPACT.FEE-CERTIFICATION FORM (One form per Building) . School District Of o`i �l�X! I Building Department No. A.P. Number (�� \ • �D�• (� Jurisdiction: City County � \ Property Owner o � , \ Property Location/Address Subdivision. Lot No. Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # '• .(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage F New Addition (including, Exterior Roofed Areas) Building Department Representati a Date District Identification No. 060U 1415. r.0II__ ` F ov �� lR N i U n i1 School District certifies that S'� I D (Applicant) 1�ermal► jy_Q_ s` 9 Yc�2v.4 (Street Address) (Phone Number) Dr DV' (City) (State) (Zip Code) has complied with the requirements of Resolution. No. AD 5 by payment of $ representing O a b square feet.' B 2926 $ w umr_wn�N D< Date Paid by Check # Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the Col. lfomla Environmental Qua* Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). feeforrn.xis (3/05)dtnm BUTTE COUNTY JDEVELOPMENT FEE CERTIFICATION FORM Q FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 1 a�a • O Property Owner (s) 'Project Location /Address V Building Permit Number Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) /New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: S Building Department Non -Residential to Residential Mobile home replacement Multi -Family Dwelling verified by Assessor Department verified by Building Department -7P ) <� � � L� J,�(D - Date ❑ FRRPD ❑ CARD ❑ PRPD 0 DRPD certifies that: ;�T�^I nS&`1- H2 -0Z Applicant Name Phone Number_ State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District Representative Tr %% 1901"T ITT nn Ii __ tnn r 40%-.. a. -e.....,...4.-A f- ro 1 Ann. per unit for a total of $ /056 . U0 per sq foot for a total of $ Receipt No: 1