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HomeMy WebLinkAbout035-080-023035-082-023 05-0297 ORS11 10 STEVE !2VW6' ' A—ST, OROVILLE Cont: STEVE ORSILLO CONSTR NSF MASTER fi01-79 ORSILL.0, STEVE 24 FO A STRE-ET, OROVIU,r - Cont: GR , ITNE RCOFING SF N NIAS : rER01-79 r-/ llf it z i R 10 il A N,; ll cc W -P 6dM6drA Z�t a �. NOTES r G o ` — RESIDENTIAL 2 PERMIT NO. _+r035-082_u23T , 05,0305 n j ORSILLO, STEVE ' A S"CR.r L.T, OROVILLE is Cont: GREENE R00FING � NSF MASTER O]-79 1 } 1 ' SPECIAL CONDITIONS CHECKED BY r, SRA q FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. j` SPECIAL INSPECTION ITEMS }} VERIFY pf USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS I Meter By Date G� ELECTRIC 2 ti Meter By ' Daisy i JOB FINALED (Date) Signature vo m 1 i 1 06/28/2005 TUE 12:52 FAX 530 894 2475 CHICO INSULATION Z002/002 INSULATION CERTIRCATE Job Naber: Cfttrattor/Owner Name Job Address (ztre�dty, �Wsfty, County Subdivision Name Lot N to -mber DRSCRMjQN0FWSLALLATj0N 1. R 9 OF Broad Naas ....... ... Thidmess Ondws); . ... .... Thermal 1111tillan,= lcwva�i�r 2. CEILING or Blanket 71g.cl(negs Loosc IM frypc: ....... Brand Minimum Installed WeigbM:::.—*M*-:I.b rdInimmeachea fdanafkamm-s Witsilled weight per square foot to WhW-ve, Tlicrmal Resistance 3. F-XIDMOR -WALL Fraw Typr A. Cavity Insulation B. Exterior Foam sheadd" Thickness (1113afty" .........:."'::.:':::• 4. RAISED &c Bit PerimuCter InsdMAN Depth M Braad Name: Thermal Resistance (IK-Valft): Brand Neer .. ........... Thermal Resigtaum ... ...... .... .......... . ........ Brand N=c. ..... .. Thermo! Resistance (R-Vahee}: . . ... ....... Draw Name: .......... ..... Thermal Residam (R-Valpo Brand ....... Tbenad Redman ...... RMARA110N I hereby certify that the above imhow w" indaW in the building at the above twadm in conforgamm with the current JrNWV VfLdewcy Mdxdm,da for residential bandMiW (rgde 24, Part 6, California Code of Regulations) as indicated an the c" ......... . . :e�e of comp" Item Number's SVafiart diad Date f -- %-'00A> Installijag Subcontractor (Co. Name) or CAN". Contractor (Ca Name) or Owner Item Nwnberfs Sicastilre and Daft 11n,"Jug Subcoatractor (Co. N&=) or . Gmeral Contractor (Co. Name) or Owner J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete - 4. Water; Location -Test -Easement Needed (Sketch) + 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG MISCELLANEOUS Date 7. Well Clearance & Disconnect 1. 8. Utility Clearance 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 Braced Wall Panels 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch POOLS (Plans) OK except #'s 11. Cert. of Occupancy Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 6. 1. Zoning Requirements -Setbacks -Easements 7. 2. Footings; Size -Spacing -Marriage Line 8. 3. Blocking 9. 4. Gas; MH Test -Demand -Valve 10. 5. Electricity; MH Test 11. 6. Water; MH Test 12. 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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date ' Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Nol Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDFiRFkOOR (Plans) OK except #'s 2 -'FA., Main; Soils-Elec. Ckpd: /" Ftg. Depth ge"Ptg., Garage; Soils-Steel-Elec. rnd.-/ " Ftg. Depth 4.— g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped 6a! Hold Downs and Special Anchors -fi— Slab, Steel -Wrapped -8-- P' rs-Fireplace Ftg.-Steel Ue"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 / 32' Seritice-Riser Conductors & Ground Main Disconnect Closet L Detector A -400 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH&AIICAL (Permit) OK except #'s /361 A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation CoRd—ensate Drain & Overflow. Size & Grade / 39' Fuw6ce-Vent-Access-Comb. Ait-Return Air Vent 115 Outlet / , 46. Attic AEcess & Platform if Furnace in Attic Date a and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4t- S' roper Materials & Anchors 4 . W Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) 41x. Flu -Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Joist-Rftr. Ties- Purlin-Roll Brac.- 4e1. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 56—Atter Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 3. Pronertv Line Firewall & Openinas 59— Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Date , DateZ' 0, 05�arcl B-1(Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Siding -Nailing Veneer 17. Water Htr.; Vent -Access -Combustion Air Baffle Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access lff.g9jer Pipe; Test & Anchor -Nail Protection 60. 10' D W.V.; Test Fittings & Anchor -Nail Protection is > 61. Shower Pan; Test, First Floor -Tub Access 21. je<Tub & Shower, Second Floor -Tub Access 63. Gas Pipe; Sixe & Anchors Date Q9 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Dat Card B-1Date Card B-1 Date Card B " Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. fixture & Transformer Clearance -Ins. Protection EL - Receptacles Spacing -Lights & Switches at Doors 2r Size Boxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. 297 E ip. Ground made up w/Mech Fasteners -Bond Gas & Water ae'.'-2h,ppliance Circuits in Kitchen & Conductor Size GFI qWbfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes Cl No / 32' Seritice-Riser Conductors & Ground Main Disconnect Closet L Detector A -400 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH&AIICAL (Permit) OK except #'s /361 A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation CoRd—ensate Drain & Overflow. Size & Grade / 39' Fuw6ce-Vent-Access-Comb. Ait-Return Air Vent 115 Outlet / , 46. Attic AEcess & Platform if Furnace in Attic Date a and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4t- S' roper Materials & Anchors 4 . W Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) 41x. Flu -Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Joist-Rftr. Ties- Purlin-Roll Brac.- 4e1. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 56—Atter Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 3. Pronertv Line Firewall & Openinas 59— Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights- Plastic 60. Shear Walls -Bbfs is > 61. mac erior/Exterior Wall Panels . Insulation -Walls -Ceilings 63. Infiltration -Wall - indows Date Q9 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA (Plans) OK except #'s t. Steps -Door & Sidelight Protection -Landings er e Detector Furnace Vents -clearance -Comb, Air -Connector - In arage; Above Floor-Ducts-Mech. Protection room Exiting 66- G.F Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fir *ce or Stove, Clearance -Hearth 7 - Outlets at Wood Panel, Int. & Ext. i ixt. & Appliance: Ground-Air-Gap-Cookina Clearance ZA!Eleq_Qutlets & Receptacles at Kit. Counter ZS.—JO'rage,Fire Door; Swing -Landing -Closure in in Wage; Above Floor-Mech. Protection Ifec. & Mech. Equip. Listed for Location ler/. Receptacles in Garaqe (FF.I.)-Romex Protection C8jY)jtfsulation- Foam- Looked in Attic Guard -Rails & Deck Construction -Post Caps U,/Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cle2r6ce Looked under Floor ❑ Yes O No . 84. SL+Cco Brown -Finish (WA.qMnit Disconnect, Electrical -Plumbing 867 Vep1s.Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings WalerWell, Disconnect, Electrical, Plumbing 08—E for Elec. Trim, G.F.I. Receptacle -Underground . Vent' ion Throughout House 3i!gprrections from Previous Inspections Gast -Meters Taaaed. Gas -Electric & Sewer Connected -C/O to Grade -HD Approval Certificate -Other Certificates 96. Fire Sprin Date Card B- Date Card B-1 Date (C2 J%� Card B-1 i.� 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 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BP050297 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/17/2005 APN:O35-082-025-000 the Business and Prof ssions Code, and my license is in full force and effect. License Class; License Number: Site Address: 2466 A ST ORO �— —OS—Qt OaSi1 u. Date: (.�' � contractor.�� Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(1294)GAR(532)COV(102) MASTER Contractors' State License Law for the following reason (Sec. 7031.5 #01-79 LOT 17 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for, such permit to file a Owner: ORSILLO HERTIAGE, LP signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 29 RIDGEVIEW LN 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 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 95966 applicant to a civil penalty of not more than five hundred dollars (8500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ORSILLO CONSTRUCTION, STEVE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 29 RIDGEVIEW LANE sale.). OROVILLE, CA 95966 Q I, as owner of the property, am exclusively contracting with 530-589-4202 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). Contractor: ORSILLO CONSTRUCTION, STEVE ElI am Exempt under Article 3 of the Business and Professions Code Date: Owner: 29 RIDGEVIEW LANEOROVILLE, WORKERS' COMPENSATION DECLARATION CA 95966 I hereby affirm under penally of perjury one of the following declarations: ❑ ' I have and will maintain a certificate of consent to self -insure for 530-589-4202 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 542034 is issued. ,0' 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policynumber are: Architect: `���- Engineer: Carrier: . Policy ❑ 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 otal Square Ft: 1934 S.F. become subject to the workers' compensation laws of California, Valuation: $98,654.00 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. Census Code: 2 -'� l -1 — O s Dale: Applicant:3- WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one J hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 66 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutio t -do vyork Indicated ab v for Which fees have been paid. 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.)JS BY Date: / Name: l Address: PERMIT EXPIRES ON: Date O 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 & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr entauves of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ?--- 12-e-- Signature: Date: ' '• ��' `.� -- 2c�a s ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pp 1 BUTTE COUNTY CST 17 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER La t Na e Adrime n," Stat (Q Pho5-R 9 -) 2,61F `t Ci (t E-mail ARCHITECT/ENGINEER CONTRAC OR N e C)pStlIC) U i Address Zip City Fax to Zip Phon Book Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name��— Address City v' State Zip t 1 I Phon,S5A Fax E-mail We License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property 46(Address e Flood Zone Cross et %LOO K_ SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP©'5_0Z1 BIN # LOCATION Property 46(Address e Cid' n _v, C (� Cross et %LOO K_ WORKER'S COMPENSATION Policy Number' I -7 Carrier e If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: _C1 `7 Sq. Footage�� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: (% Bldg v` �? SRA Receipt,# � L/ � Sheriff I SMTP 7 Other Date: Ji Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-B.UIL-olM`.G..I V SION / 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: CSL. U gj­ �_e ASSESSOR PARCEL NUMBER 0,5 Z ®!� Proposed Building Use: N 5r / / Counter Technician: ef&-> Date: \I_tems required in order to apply -for a permit. All boxes MUST be checked OR marked NA in order to apply. T`] jai 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. I ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. , ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. !! ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate I ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ' ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner. Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Fores ry plan approval ❑ paid. Sent by: Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form.............................................................................................. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ................................. .....:............................. 3�Recorded copy of Agricultural Acknowledgment Statement..........'.'*.* tatement................................. 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone ���7 �, and hold for pickup. I have been informed of the above items an a irkments for obtaining a building permit. Applicant:_ te: 1. Index permit application for the abov items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun er, y Date: Plans reviewed by: Date: Plans approved by: '+� Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division J r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OWNER. P/2-S&LLC� PROPOSED BUILDING USE N 5 SCHEDULE OF FEES DUE f s t67- / A1^ ell. BUILDING PERMIT FEES rI --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ %Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES e(pa*at District Office) RIFF FEES (paid at Building Division) / J� Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... Sq. ft. 4. URBAN AREA FEES Residential ............................ x # Units Commercial (Sq. ft.) ............. Sq. ft. _JZ5. RECREATION DISTRICT FEES — x x $0.03 = $ Amt. Amt. 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) A.P. # ®3� DATE �- 7�0 RECEIPT # DA`EE REC. I3v 9. CSA 87 TRAFFIC FEE 500.00 (paid at Building Division) 10. 'OTHER �� ° ' �`� ' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Z —7 —D Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) O�QPRT�ENT OA, .6VTTF I o c ° c °� 11@C/p �iW0 Wppt'65 Department .0 o u n t J. Michael Crump, Director Public f B u t 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 [LESS THAN 1 ACREI Project Description: '; ul � r Project Location and/or Parcel Number: 3 = ®8' Z a 2'�to+ 17 - By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Z_ - ( — O �> Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 1� I a !Nl'A/VOO T TE f�IiENUE. E g A sTREET- I A,-," 7' ,. 1 E b 4 S '!14 /3!9 laI6 IS 14O� 20 19 IA 21716 i Is 14:�10- - 12 11 {:! b b E sm 60 W4 •.'f. f4 g f f Rf ff ff r'O 4 44Ig4 4t � 4t ff f} 00 SE 7 e 9 to t a i ! r. 14 ACV, -1 T TE aSra ---,.L, /w /. ao :t I? !6 IS /4 13 /E fl Lo 16 fS 14 13 i2 I1 ` /ate ,s so Ol4 I I as 44F �Ry 44 4-i A.a Qf 4.R1-4 S 6 %! B 1 .� I I S g 1 7 8! 9 I l0 a 7'O. 19 fB 17 I S f3 I 4¢ i Ira 1 I 12 I — I I ! I I 17 i )a i �._ J-- k { )S 14 I 13 ' 12 11 h -- 6a e wa O STi9EE�" b 6a R F 44 4 PAST � o CLOoy �� ��, i2 a! y z ` 3 a y � � "° ° o o Io 1 e � t 'i • � V /92.8. ,• � � � I�4 f % � a '9 `tu " 1 2 ;' 3 `4 � � (° " CoU,✓7'X //FCI7ROEiP. /S>O>s'iv .yn�>ri.+..T. i. e,..... - RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: ORSILLO HERITAGE, LP 29 RIDGEVIEW DR OROVILLE C9 95966 2��4—m�76�63 Recorded Official Records CountyBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 17 -Dec -2004 REC FEE 10.00 TAX 42.35 Barbara Page 1 of 2 Space Above This Line for Recorder's Use Only A.P.N.: 035-082-010-0 File No.: 040321645698 (AM) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $42.35; CITY TRANSFER TAX $0.00; X11. I SURVEY MONUMENT FEE $ iiiNNNVVV 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, DEBORAH J. SMITH, a married woman as her sole and separate property, AS TO LOT 16, and RONALD E. SMITH, a married man as his sole and separate property, AS TO LOT 17 hereby GRANTS to ORSILLO HERITAGE, LP the following described property in the UNINCORPORATED AREA of Oroville, County of Butte, State of California: LOTS 16 AND 17, IN BLOCK 20, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF EL MEDIO TRACT, SUBDIVISION NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 12, .1922, IN BOOK A OF MAPS, AT PAGE(S) 15 AND 16. Dated: 12/02/2004 V Ar NO 7.jr RONALD Mail Tax Statements To: SAME AS ABOVE A.PA : 035-082-010-0 Grant Deed - continued File No.:0403-1645698 (AM) Date: 12/02/2004 STATE OF C4 } } ss. COUNTY OF BUTTE } On DEC. 7TH 2004 before me, 9NGELA D. MASTELOTTO.,U personally appeared DEBOR9H J SMITH SND RO 4,LD F SMITH personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) 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. I WITNESS my hand and official seal. This area for officiaj notarial seal re My Commission Notary Name: Notary Registration Number: Notary Phone: County of Principal Place of Business: ANGELA D. MASTELOTTO a Commission #1381124 n v Notary Public - California Butte County MY Comm. Exp. OCT. 22, 2006 Page 2 of 2 { . 1 INS P Z Mid Valley Title & Escrow Company 2295 Feather River Blvd., Suite A, Oroville, CA 95965 (530) 533-6680 Fax - (530) 533-3018 ORSILLO HERITAGE, LP December 21, 2004 Vacant Lot on A Street File No.: 0403-1645698 (AM) Oroville, CA 95966 Re: A Street, Oroville, CA 95966 Dear Valued Customer: The above referenced transaction was recorded on December 17, 2004. Enclosed please find the following for your records: (Keep these instruments in a safe place as some of them cannot be replaced.) Our Check in the amount of $817.75 representing your refund • Final HUD -I and/or Closing Statement Copy of Interest. Included Only Note for $38,500.00 Payment Book PLEASE TAKE THE TIME TO READ THE FOLLOWING INFORMATION REGARDING PROPERTY TAXES. The fiscal year begins July 1 and ends June 30 of the following year. The first installment of taxes is due November 1, and is delinquent December 10. The second installment of taxes is due February 1, and is delinquent April 10. If you do not receive a TAX BILL one (1)'monthrp for to the delinquency date, a written request for same should be made to the County Tax Collector. Be sure to include the Property Address and/or Assessors Parcel Number with your request. Where lenders impound funds for payment of taxes, they usually secure the Tax Bill. If checks are included in this package, please negotiate as soon as possible. Should you have any questions or need further assistance, please contact the undersigned. Sincerely, AMIMA__ Angela Mastelotto Escrow Officer 0 AM/MT Page 1 of 1 SITE PLAN REVIEW APPLICATION (-7- 2vc> 03 = 092 — 00-5 Date: 2 � AP# Permit Number (if applicable)(��� 0 2 C( -7 Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: Sfeve di-S,j/D Residential ® New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel -Traileu ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): f ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) i Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By v Date Page 1 of 5 7 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: • Flood Panel No.: p -7$ �—P Index Date: Y– 20 - >—Oae ❑ 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- F1 ermit❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �Cn 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 N 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 ❑ 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 I, Subdivision Man/Parcel Map: Ct,RAE/JZ::�D-FEZ Map Date of Recording: /,� 22 Lot: t 'I ❑ Use Permit/Minor Use Permit Permit Number: Book: /Z Page: �� Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑1 Page 4 of 5 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone, (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING February 17, 2005 Steve Orsillo 29 Ridge View Oroville, CA 95966 Subject: • Building Permit 05-0297,95-0305 (APN: 035-082-023); D Street Dear Mr. Orsillo: The Butte County Department of Development Services, Planning Department, has reviewed the submitted permit, and require the following information to continue the review process. • Creation Deed: the deed that created this specific parcel. The document could be obtained at the County Recorders Office, or through a title company. Please return- the documents to Butte County Development Services, Planning Department. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sincer y A/K/22phen Ser Planning Manager BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District A.P. Number Jurisdiction: city Property Owner Property Location/Address ft�am 0 Building Department No. County Subdivision Lot No. Y. Residential DevelopmentSq. Et -1 ......... . Footage No of'Uving Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # ........................................... ..............*(No foundation Inspection) Commercial/Industrial Now Addition Building Department District Identification, No. L, A q - )L Deed Restricted Sq. Footage i (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) T i Sq. Footage_ (including Exterior Roofed Areas) Date V -a j 'J �p C;7te vv,., School District certifies that %J JX 6YISI(k 4M (Applicant) f (Street Address) 5919' 4 (Phone I k . I f' L\e - — Icity) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. School District 2926 FULL MMGATION by payment of $ Date Paid by Check # Remarks: 0 3 7- 6 Nofte: You may protest the Imposition of the fess Identified above by submitting a written protest to the DislirIM In compliance with Govsmnent Code Section 66020(a), within 90 days from the date is" are paid. Failure to submit a timely written pn*W wtli'protdbh you from ch@IW*Ing the Imposition of the fees In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Fore, the School District Is notified by the applic" Local Planning Agency that this project Is being reviewed under the California Environments! Quality Act (CEQA), this project maybe subject to additional school fses to fully midgals.fts Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/03)dm.m BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s)y 0 6 Property Owner (s)� j Project Location /Address j"1 u cP Subdivision Name 7 Assessable Sq. Ftge 1 �� Type of Residential Development (check one) -New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building Permit Number 05 U ,�7� N 21 Building Department ep esentative Date 0 FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: �� t Ns tA(-3 -_ I - Applicant Name Phone Number Mailing Ad ss City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: rir—oM N Remarks: Dwelling Units @ $ Square Feet @ $ _ Paid by Check No: Paid by Cash: on and Park District K:\FORMS\BUILDING FORMS\park-rec standard form rev Ldoc per unit for a total of $ per sq foot for a total of $ Receipt No: 1 UL J4 _ �__� � I � j 4f4 ( -.7- - -r- t+ r r- • r ' I 3 cd G f umm te r ' I -lakeOrovlle,_Ca O11 Phone, 530.589-4ZO2 1. ' j �► x+ Pa ei 0 871-8370 ' License SN 420 )ci /(-e m4it�,Vt� *�/ PERMIT NO.: 22-05 r Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: March 9, 2005 Applicant: Steve & Vickie Orsillo Applicant Address: 29 Ridgeview Oroville CA 95966 Applicant Phone No.: A Street, Oroville CA 95966 Property Locations(s): E1 Medio Sub #2 Lot 17 Blk 20 A. P. No.(s): 035-082-023 Fees due: $3,617.00 total due as of 3/9/05 New single family dwelling. Application for service approved: J � �ROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Lake Oroville Area Public Utility District release to close permit: Date: By: Date: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CONY of Document Recorded 17 -Mar -2005 2005-0014895 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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 Count, 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. County All that real property situate in the of Butte, State of California, described as follows: Date: 3 /1�D.S� PROPERT RS: State oftalifornia ) County of 13u t�- ) On 3lG lo before me, �Y T rW e (/t f)6 �� y personally appeared �5TV-1� 01e5) )1 D q.-..Jd y � LEi D a -s l d personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. v C/ Si nat L44dscea,,l` g ure: A.P., 1CARYJ. Bi DWELL c Commission #1381097n o Notary Public - Califomia� U � Butte County d My Comm. Exp. NOV. 08, 2006 ' � .�, 0 1 NOTE TO RECORDER: DO NOT RE(Y)RD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT A.A. -1 Instructions for recording Agricultural Statement of Acknowledgment: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) Order No. BU-217075-3 AM Description - - The land referred to herein 'is situated in the State of California; County'of Butte, and is described .as follows: LOTS 16 AND 1r 7, IN BLOCK 20, AS SHOWN ON THAT CERTAIN MAP ENTmLED, °OFFICIAL, MAP OF EL MEDIO TRAGI, SUBDIVISION NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF TIE RECORDER OF TBE COUNTY OF BUM, STATE OF CALIFORNIA, ON JUNE 12, 1922, IN BOOK A OF MAPS, AT FAOB(S)15 AND 16, APN 035-082-010-000 (PORTION) ENCROACHMENT PERMIT County of Butte Department of public Works 7 Count Center Drive Orovilie, CA, 95965 Phone (530) 538.7157 Ext 2016 Fax: (530) 5394356 Download Forms: www.butt=unty.net/publitworks/forms.html NOTIFY COUNTY 24 IdOURS BEFORE WORK IS TO BE DONE Pcrmit Number Dtsttict Phone (534) 539-7157 Fad. 2016 "PLICATION r WF, the undersigned, h=by apply to the County of Butte for an enmachment permit to do tht: fallowing work under or over the County r rd highways. all in accordance with County ordinances rad gentrAl laws All informlion except siptnat= Must be typed or ibl rented Applin!Name Qla�mP0yt NO; 125�1ia v�, 'tllo •us +u AddttrSs: -LA .—' �' 4. Ass=jt� 'f � Num Phone: C% (1 a ©z Location of wort to be Mac Applicant's Vgftatum 7. Data r o —^ CONTRACTOR'S INFORMATION ! ContraCtot Shaine t 1_ Fax 1. Contractors LiwtseNuTaber.( 13. Cerufiwtc of Iasurance: Yes 1A No_ 0 4. Contract s S rut _ , 1 142. Data Signc6: a K-1 TVPF. Or' WORK TO BE DONE VoIV, u vuiu s. u v. .....-.... rlFJ.tc.trt.t 1 ur.�� x �L r complianm with the about request; and subjco to atl terms, conditions (mcludin� those on patanr �c F of this pit forst) and special conditions written bdoW, amwon is hgox untA.' ap 0.Corrditiahsi &(�-_ hrdcrxround Service AIWI (U.S.A.) roust be notified two Woking days prior to a)y cxcMtion. M227.2600 1_ D All -York shall conform to accompanying= Detail 0 flans D Special Conditions O 2. Date Issued 23. ftiration Dart: 24_ surcty: S. Date Paid: O f 26. Amount Faid: 27. Paid By, r 21. Rtrceipl dike Crump, Director of Public Works :Kte 17 WepntT 31, At'. if pumits rue faxed to any numbs beodts (53D) 534 E'd 9seir BES OEs By: By D Completed - OK ompletcd — Not OK O Additional Comments Attached 56, they can be delayed op to one week. s-4.jolq o i l qnd 00 a%-4ng e60:60 so LT .new LOCATION: c DATE: 3 /�y �d5� Q t r&SS TF-orn 147 9 T FOREMAN: MIN. DISTANCE_ DISTRICT: A -57 _ PERMIT#: _ SPEED LIMIT OF ROAD) 0 DRIVEWAY LOCATION: DISTANCE TO NEAREST INTERSECTION: GHT DISTANCE GVtOOD O POOR IF POOR - RECOMMENDATION TO IMPROVE: O CUT BANK ❑ REMOVE VEGETATION (TEMPORARY) * OTHER (EXPLAIN) ADJACENT TOP -0 QFLAT 04 r0&G, PA( ❑ CUT SLOPE FT. ❑ FILL SLOPE FT, ❑ CURB AND GUTTER ❑ AC (TIKE ❑ EXIST. DIST. � TO EP FT. RA_INAGE RECOMMEND -AT O NONE O SWALE CULVERT MIN. DIST. FT, EDGE OF EXISTING PAVEMENT (EP) 2 ca z 12' MIN. 24 MAX. AREA TO BE r PAVED IL R/W 10' MIN.. NOTE: IF GREATER THAN IO% UP OR DOWN REFER TO ENGINEERING. MAX, 1 FOOT VERT, RISE OR DROP PER 10 FEET HORIZ. DISTANCE —� MIN. DEPTH TO FT. EP DIAMETER he p? IN. LENGTH 20 FT. EXIST. DIST. MIN, ❑ OTHER (EXPLAIN) 2% DIST, NOTE: PAVEMENT TO EXTEND AT 2N CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. MIN. DEPTH N. T. S, PRIVATE DRIVEWAY FIELD REVIEW Mq'�--1g ro REVW4V AS oP 03.-11-05 otic vt9'�S J�719•�i0�r2 .s - � vt a 5P1?.t "*&v. G t k ,2,p afe ea I ix4c3 b'd 99Eb BES OEs smioM oijgnd 00 a%%nH e60:60 SO Li Jew BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BP050305 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date the Business and Professions Code, and my license is in full force and 03/17/2005 APP: 035-082-024-000 effect. License Class; License Number, Za � Site Address: 2480 A ST ORO Dat&11' OS Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale 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, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of -/ sale.). Fa I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not Apply to an owner of property who builds or improves thereon, 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 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy nu ker are: Carrier: —t -i— Policy #: IP `I ❑ 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 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: 1 T 1p �1 —2-0 o Applicant: ��— WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), 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 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 Civ.) Name: Address: Map Index: Description: NSF(12394)GAR(532)COV(102) MASTER #01-79 Owner: ORSILLO HERTIAGE, LP 29 RIDGEVIEW LN OROVILLE, CA 95966 Applicant: ORSILLO CONSTRUCTION, STEVE 29 RIDGEVIEW LANE OROVILLE, CA 95966 530-589-4202 Contractor: ORSILLO CONSTRUCTION, STEVE 29 RIDGEVIEW LANE OROVILLE, CA 95966 530-589-4202 License #: 542034 Architect: Engineer: )tal Square Ft: 1934 S.F. Valuation: $98,654.00 Census Code: 4a �S 3. 3 D, This permit.is hereby issued under the applicable provisions of the Butte County Code and/or Resoluti s do work indica ed abo for hich fees have been paid. ) r By , Date: / ®v PERMIT EXPIRES ON: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 0 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represe atives of Butte Cou y to enter upon the above mentioned property for inspection purpo Print Name: Q�L t 2 `` Signature: Date 1 � "Zo 6 .Cl Owner ❑ Contractor AAgent for Owner ❑ Agent for Contractor B. C. Building Permit U1 -11J-1.14 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE k: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY* OWNER tiles ' e_ est Aetd pG 1 de `_Ccj LA—) 2 Stat Z9 cl to Pff(?p -47- 2- C Fax-5sq _ a® E-mail CONTRACTOR Naeye, Address City e Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone5,6 0;d� _ l 1 _ l� Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address0Q Flood Zone rossStreet Fr+ it I^ oo t<-- CWORKER'S SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL KtUUIKtMtN i a PERMIT NO. BIN 9 LOCATION Property Address0Q City rossStreet Fr+ it I^ oo t<-- CWORKER'S WORKER'SCOMPENSATION Policy Number I LO 4.S_ 11. 9 Carrier Si /1 If hiring anyone other than license contra tors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: I \ a,. I -, j q Sq. Footagev, f,�j a 0( � 3� C ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. Received by: Amount: B dg a' SRA Receipt #q : � I Sheriff (� (_�I/ SMIP Other Date: �716 Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SER,VICES.-BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 97�7- ASSESSOR PARCEL NUMBER Proposed Building Use: N SF U'" !/-j%L'/2_ ;"',Q/" ?o ter Technician: � Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. IN 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. Cl 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. O 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 1 Sanitation and site plan approval from the Environmental Health Department in O Chico ❑ Oroville, as applicable. (!6",.,'Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by O 19. Soils Report and/or Engineered Foundation required ........................................... ........ \O 20 Erosion Control Plan Required........................................................................ ........ p Fees as shown on the attached Schedule of Fees Due Sheet .............................. O 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forest y plan approval ❑ paid. Sent by: _- 24 lanning approval (A) Use: o(B)Parking: (C) Parcel Check: \❑^ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ' 27 Encroachment Permit for driveway from the Public Works Dept ....................... l 28. Pre -Inspection for required ....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... O 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :..................... ........ Recorded copy of Agricultural Acknowledgment Statement ................................. -F�- 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... O 37. O Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone nj tp t r� -� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: � ±!��.1M a%, 7, \\ _65a: o:) - %-- 0 S-- 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, ❑ counter, by Date: I Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, O cou y Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewedb Date: Structural approved by: Date: I Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE �6 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION OT . 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. PROPOSED BUILDING USE �" 7' MAnT&L"'Q I —7 017 fk�rBUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ...................................... evised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES 'd at District Office) 3. SHERIFF FEES (paid at Building Division) �1 Residential .................................... x$360.00=$ Units Commercial (sq. ft.) ................... 4. URBAN AREA FEES Residential ...................... x $0.03 = $ Sq. ft. - x =$ # Units Amt. C mmercial (Sq. ft.) ............. x = $ Sqft. l / Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE A.P. # l°J�, �Df5 Z—O� DATE RECEIPT # DATE REC. p_",�-2100.00 (paid at Building Division) 10. OTHER I `7 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT f �-7 DATE ` ^� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner . (Rev. 6/00) ,- 0 6VTTF ,� %° f!'' . °° o < 1 oc �\ ° — . °I ��� 5 LBt,IC WORD Department .0 o u n t y J. Michael Crump, Director f Public Works o f B u t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN 1 ACRE1 Project Description: + 1 t `Project Location and/or Parcel Number: -a- By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title:e Date: O .� Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 e PART or• r/v E' �' � G L C - B/{O.y L G J� �rq�,�T� y� � Op• ativ�Te.nair �: W kW1YooT7-,E- 76,.4 f>'liENUE. a f a 4f t f f wo 4f'.I- s s6 .9 to +c��^•� /iv. a 1 S 12 i 11 10 19 I I% 116 ,s 14 13 IP 111 Is iLl rre h � b g A sTi9EET. b � r. 60* N• 4}D7. 6o f4 f4 i f ff s� f c 4*41 1 E a 4 .s 6 '7 I$ 9 ►o W ` 1, 14 13' ILI !1 10 .► a .•ap !9 18 t7 14 13 12 11 p� • .�a so eta b o g � B STREET. g g y 60 ++ 4 �¢ 4� 44 }• ¢ b ' 9�4 f-q� ft• ea .7-t. f+ 44 'F4 44144 4< 44 q J z a a s s a 9 /o I ii f 8 1 3 l e 9 f0 O v Bt/ r rE A9/Y EL A9E0/ O TiPAG.T � y (.. v Q S"rJs2NYK/ O ` `1 /�/Pt 020 !s14 18 17 !s IS 13 l z 11 n `v V +r tv 19 !8 17 16 IS /4 13 i /2 11 k �/PG • C STi9EET. L t g ,m?� 60 aR4 yc f ff f' ? 4f �. 4 00 'R4 }4 aR} q4 4.i 4aaf .F .R ✓ANS I L s 4 s s J! 8 10 ♦m r9 I lei 1' la t IS I+ "'LIZ i 11 Be < f I } ' iy 4. D b e'e 4f 40 f 4.t t f f. 4+C ff F/GEO �9S oFiPECO/�� .�rT �3 .r/iruTEr ^ 4,4e 4} -af a< 44C ir.f so o u o 9 � 4 7 g y . 10 v '7w.4b r ar•r.o....7 s. /.9 .v. .► i.� ,. / I � 19 I 12 I 11 f -a h � b g A sTi9EET. b � r. 60* N• 4}D7. 6o f4 f4 i f ff s� f c 4*41 1 E a 4 .s 6 '7 I$ 9 ►o W ` 1, 14 13' ILI !1 10 .► a .•ap !9 18 t7 14 13 12 11 p� • .�a so eta b o g � B STREET. g g y 60 ++ 4 �¢ 4� 44 }• ¢ b ' 9�4 f-q� ft• ea .7-t. f+ 44 'F4 44144 4< 44 q J z a a s s a 9 /o I ii f 8 1 3 l e 9 f0 O v Bt/ r rE A9/Y EL A9E0/ O TiPAG.T � y (.. v Q S"rJs2NYK/ O ` `1 /�/Pt 020 !s14 18 17 !s IS 13 l z 11 n `v V +r tv 19 !8 17 16 IS /4 13 i /2 11 k �/PG • C STi9EET. L t g ,m?� 60 aR4 yc f ff f' ? 4f �. 4 00 'R4 }4 aR} q4 4.i 4aaf .F .R ✓ANS I L s 4 s s J! 8 10 ♦m r9 I lei 1' la t IS I+ "'LIZ i 11 Be < f I } ' iy 4. D b e'e 4f 40 f 4.t t f f. 4+C ff F/GEO �9S oFiPECO/�� .�rT �3 .r/iruTEr ^ 4,4e 4} -af a< 44C ir.f so o u o 9 � 4 7 g y . 10 v '7w.4b r ar•r.o....7 s. /.9 .v. .► i.� ,. / PERMIT NO.: 21-05 Lake Oroville Area Public Utility .District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: March 9,, 2005 Applicant: Steve & Vickie Orsillo Applicant Address: 29 Ridgeview Oroville CA 95966 Applicant Phone No.: Property Locations(s): A Street, Oroville, CA 95966 E1 Medio Sub #2 Lot 16 Blk 20 A. P. No.(s): 035-082-023 Fees due: $3,617.00 total due as of 3/9/05 New single family dwelling. Application for service approved: PUBLI Inspection(s) made and successful test(s) observed: Location: Lake Oroville Area Public Utility District release to close permit: Date: By: ,E AREA DISTRICT Date: .0 i y,)"x ENCROACHMENT PERMIT County of Butte Depailinent of Public 'Works 7 Count Center Drive Oroville. CA 95965 Phone (530) 538-7157 Ext. 2016 pax: (530) 5384356 Download Forms; www.buttewunty.net/publicworks/forms,html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE PcmiitNumber DisCriet Phone (530) 538-7157 Ext. 2016 ' t APPLICATION I W)' the undcrsignrd, hdtby apply to the County of Butte for m mcroathrotnt permit to do the following work under or over the County roads td lti was, all in a=rdance with Countyordinances and enerat laws All informaionn�ieQxcc si rr must be d or I 'b rioted Apple t' Nva l�U yNUPCz %ZIMSrl�o Co�� l ��lJ Address: Z r � v t, w L� >?-- Photic: �$ -1 • ��ta .7-- 4. Assc� 1paauon of Work to be Done (J 5� Applicants Sigaatnm 7. Datc: CONTRACTOR'S INFORMATION Contractor's NamcAM , ^—ripe'..� Asfdrsas `��� _ �L�Jti..i 7. Phonc 1 I.) arc �' 81 t L a a Z. Contractor's l.ieenso N cr L� 13. Certifwie of ]asuranca Yes No: ❑ j —A .11 Ti- 14a Date Signed: i T TYPE OF WORK TO BE DONE 6' PlraseCbctkCurb: ❑ Gutter: ❑ Sidewalk ❑ 17 1' Other Work - Nsedba 19. Plans Attached: ED 'Yes ❑ No PERMIT GRANTED i compliance with t above rcAvost, oad subitct to all ttnrrs, conditions (mcluding thdtd air pat 2 of chis permit fmm) and special conditious written below. etmissinh hueby rnWcd 0. Conditions lnderground Stxviee Alert (USA.) must be noti5ed two working days prior to any excavation. $00-227-2600 1. ❑ All work shall conform to accompanying: Detail O Plans ❑ Special Conditions D 2. Date lssvtd_ %a 23. ExprAbon Date: 3 /%'�4 24. Surety: -' 5 , 5. Data Paid: r 26. Amount Paid: v L 27. ?aid By: �. 28, Rctcipt No.:.,� 2 vlike Crump, Director of Public. Works ty: 29. Final laspct$oa Dox 30. hoc 4 By: © Completed - OK O Completed — Not OK O Additional Comments Attached 0-QnrT 31. Comments: tote: If permits ale faxed to ariy number bc,ides (530) 538-4356, they ran be dciaytd up In one WUL T- d 99eb BES 0ES s-4.toM o t T qnd 00 a,41ng R60:60 SO LT .reW . LOCATION: -�It DATE: Gro .,.► FOREMAN: MIN. DISTANCE: DISTRICT: S _ — PERMIT#: SPEED LIMIT OF ROADWAY %15 0 DRIVEWAY LOCATION:. nmelX4!' DISTANCE TO NEAREST INTERSECTION: GHT DISTANCE WtOOD ❑ POOR. IF POOR - RECOMMENDATION TO IMPROVE: ❑ CUT BANK o REMOVE VEGETATION (TEMPORARY) D OTHER (EXPLAIN) EDGE OF EXISTING PAVEMENT (EP) z w 1 12' MIN. AREA 24 MAX. TO BE PAVED R/W 10' MIN. AQA ENT T PO We FLAT a r$ -I -�-tfi . O CUT SLOPE FT. ❑ FILL SLOPE FT. 1Ell 0 CURB AND GUTTER O AC DIKE NOT£: ❑ EXIST. DIST. I TO EP FT. IF GREATER 7"HAN 103' UP OR DOWN DRAINAGE RECOMMENDATI NS REFER TO ENGINEERING, 0 NONE D CULVE CULVERT MAX. t FOOT VERT, RISE OR DROP MIN. DIST. FT. PER 10 FEET HORIZ. DISTANCE MIN, DEPTH TO f _____FT. EP DIAMETER %IN. EXIST. DIST. MIN. 10% LENGTH FT. DIST. ❑ OTHER (EXPLAIN) Z% NOTE': MIN. DEPTH MAX, I0� PAVEMENT TO EXTEND AT 29' CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. N.T.S. ° PRIVATE DRIVEWAY FIELD REVIEW o 1 RLIA30 AS or 03-11-05 �c vat A ve a s�t Q Z ' d 9sEb BES OEs smioP1 o t j qnd o0 ming eso : so SO Ll Jew AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 17 -Mar -2005 2005-0014894 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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 Count}, of Butte, State of California, described as follows: Date: 3 /D 4s� PROPERTY RS: State of"California ) County of 1.3uI44'—_ 1 On 3 iU oS� before me, jli4 '/ personally appeared )10 ,4� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. ,..`.� WITNESS my hand and official seal. KARYJ. BIDWELL Commission #1381097 0 9Notaiv Public - California 0 Signature Seal: v Butte County C?My Comm. Exp. NOV. 08, 2006 .K A.P. - fL-4t1. r. ' L3 r - NOTE TO RECORDER: DO NOT RE(_'ORD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: A.A. - I I . Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday -Friday) .a Description Order No. BU -217075-3 AM The land referred to herein 'is 'situated in the State of California; County'of Butte, and is described .as follows: LOTS.16 AND 17, IN BLOCK 20, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF -EL MEDIO TRACT, SUBDIVISION NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUN13 12, 1922, IN BOOK A OF MAPS, AT PAGE(S) 15 AND 16. APN 035-082-010-000 (PORTION) 4,0 SITE PLAN REVIEW APPLICATION Date: - �� ' 2Gb AN o 3 S - 00 2 - 0 23 Permit Number (if applicable) o - D 305- Bin Number APPLICANT INFORMATION //Parcel Size: <��/Owners Name: &e �'�y& Owners Address: Telephone No.: Situs Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary -Travel -Trailer, ❑ Multi -family Y 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 ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A 4 (t'" DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) PM Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 10Sit f lan Stamped Approved By Date Paize 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ched) • Flood Zone: • Flood Panel No.: O $ s 19 Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) 7 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: P— A-1 L" e) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 0 �i rA Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 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 2of5 0 �i rA Applicable Development Fees: Standard Fees ❑ 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) Amount Formula r 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 Deed of Reference: Legal Access Required ❑ No 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 ❑ Yes ❑ 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 14 Subdivision Map/Parcel Map: E -t- "50 -TO TKAr-?- 92 Map Date of Recording: Imo( Z Z Wck- 2,0 Lot: ❑ Use Permit/Minor Use Permit Permit Number: l2 Date of Approval: Page: /37-G6 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4of5 x x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 ws Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING February 17, 2005 Steve Orsillo 29 Ridge View Oroville, CA 95966 Subject: Building Permit 05-0297, 05-0305 (APN: 035-082-023); D Street Dear Mr. Orsillo: The Butte County Department of Development Services, Planning Department, has reviewed the submitted permit, and require the following information to continue the review process. • . Creation Deed: the deed that created this specific parcel. The document could be obtained at the County Recorders Office, or through a title company. Please return the documents to Butte County Development Services, Planning Department. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sincer y A� J� phen Streeter Planning Manager . FA c t PLANNING WASION - BULDING PLAN APPROVAL Use: Date: Parking:- L ping: Other. Signature: I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School Districty Y 1 4� l Building Department No. A.P. Number baay-a/Jurisdiction: City ©County Property Owner Property Location/Address �t�w�) Subdivision Lot No. :.........................._ ............ ...................... :..........._.......................... l' / Residential Development Q Q Q Sq. Footag���T No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # ................................................................................................_...� *(No foundation inspection) . Commercial/industrial Building Department 0 New a Addition District Identification No. L -ok 00 Deed Restricted Sq. Footage , (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage - z (Including Exterior Roofed.Areas) Date tC le,,,,_ School District certifies that 0 y, It (Applicant) (Street Address) (Phone Number) CAA S q •� 5 (City) (State) (Zip Code) Sb has complied with the requirements of Resolution No. '� - O �( --(`F by payment of $ representing :.Ql square feet. School District PtAB 2926 $ FULL MmGATION $ Paid by Check # �`�� �-� Remarks: 6 3 05 Date Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), wf do 90 days from the date fees are pald. Failure to submit a timely written protest wlll'prohH* you from challenging the imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the Sotmool District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA) 1 this prol c may be subject to addwonal school fen to fully mftlgate.Its Impact on the school di bkft echools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/031dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM OfEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 0 CJS Uf6 - U Building Permit NumberG-S'b-365 Property Owner (s) CV_0'� ) Lb, Project Location /Address Subdivision Name -New Development Alteration/Addition(s) Mobile home Assessable Sq. Ftge Type of Residential Development (check one) Demo Permit (date issued Comments: Single Family -Detached Non -Residential to Residential Mobile home replacement Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building -Department 6-6 Building Department Pepre entative Date . ❑ FRRPD ❑ CARD 0 PRPDDRPD certifies that: � Applicant Name Phone Number M Mailing Mi City State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Z 0i Square Feet @ $ Remarks: Paid by Check No Paid by Cash: and Park District Representative K:\FORMS\BUILDING FORMS\park-rec standard form rev Ldoc per unit for a total of $ per sq foot for a total of $ .� ©qP °6_CD Receipt No: IU& 9 qSjl.0 Zip