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039-230-005
.\n -i rJ ..� ENCROACHMENT C-0 �' dI —�' DATE FERMI PERMIT#97-0549 5 039-230-005 LEACH, Beppe 9767 Fimple, Durham Cont: Bunge Electric Ele Ser Ch/-SF 11%4;oJG // 0 039-230-005 PERMIT#97-0781 LEACH, Larry & Beppe 9767 Fimple Rd., Chico Cont: McClelland Air Cond. l �/ HVAC/SF 039-230-005 04-2915 1LUKOWICZ, GREG �f RD, DURHAb r� RrW "l tom/ 4)T 7-fIMPLE Cone UNKNOWN V NEW SINGLE FAMILY 1. 039-230-005 05-0079 I LUKO W ICZ, GREG 9767 FIMPLE RD, DURHAM Cont: PRO CONST DEMO EX SF,q. 1.30,(5 edCK� j� M NOTES (t RESIDENTIAL 1. I 04-2915- 0 5- - 4-2915^ oS- bo -79 -�� � SF SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ.' FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY y USE PERMIT. CONDITIONS s SUB-STANDARD'HOUSING LETTER L .OFFICE COPY I f i, Address f GAS Meter By - Da�E� ELECTRIC2/ Meter By ! Datt 0, JOB FINALED (Date) *< Signature PERMIT N( 039-23G-005'- -----"' ILUKOWIC?, GREG 1 -W�6-7'FIMPLI RD, DURl-IAM Cont: UNK\ O WN NEW SINGLE FAMILY I 04-2915- 0 5- - 4-2915^ oS- bo -79 -�� � SF SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ.' FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY y USE PERMIT. CONDITIONS s SUB-STANDARD'HOUSING LETTER L .OFFICE COPY I f i, Address f GAS Meter By - Da�E� ELECTRIC2/ Meter By ! Datt 0, JOB FINALED (Date) *< Signature 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 DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance 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. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- 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 - =NotAApplicable RESIDENTIAL (Single & Duplex) p . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 3. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth CAE2. 4. 5. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Stemwalls, Main; Steel- Bloc kouts-Wrapped 1 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pi rs-Fire lace Ftg.-Steel 9. W.V.; Fall -Fitting -Test -2 Way C/O-Sewe est 1 F, Gas Pipe; Size Anchors -Yard G aping; Size Test 11 ,i2 ater Pipe; Test -Anchors -Regulator -Service Test ) 0, X" is Underground C ensate Drain & Overflow, Size & Grade P ums & Ducts; Clearance -Material -Su s. go"Girder4ills-Anchor Bolts -Joists -yes s 15. AwAs & Ventilation X� 16. Insulation Date,", , Card B-1 Date Card B-1 Date Card B 1 Date Card B-1 Date PLU N rmit) OK except #'s W tr.: Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection n,4W D. ..; Test Fittings & Anchor -Nail Protection '67-0 hower Pan: Test. First Floor -Tub Access 21. Tub & Shower, Second Floor -Tub Access 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 ELECT L (Permit) OK except #'s re & Transformer Clearance -Ins. Protection le eceptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. E . Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 30,816f Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Date FRAMI Permit) OK except #'s roper Materials & Anchors W S s -Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) S• Fi;rp6ops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA 32. ServicerRiser Conductors & Ground Main Disconnect 79. E . Clearances Panels-Motors-Mech. Equip. 4 !0hes Closet Light -Shower Light -Spa Light Smoke Detector 82. A_ cess; Size & Romex Protection -Draft Stop -Ins. Baffles Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH CAL (Permit) OK except #'s ,94 -'Ext. A.0.,Ducts Insulation &Support 11.13�Vents 3 en n, Exhaust above insulation �97WIter C ensate Drain & Overflow, Size & Grade 57. . F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 58. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI Permit) OK except #'s roper Materials & Anchors W S s -Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) S• Fi;rp6ops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA G (Continued) 79. H ers-Post Caps -Anchors -Connectors 4 g. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. Fir,ce Ties or Type A Flue -Fireplace Throat Clearance 82. A_ cess; Size & Romex Protection -Draft Stop -Ins. Baffles B Windows or Exiting Doors -Sill Ht. & Dimensions g•2Z W! -Garage Fire Protection Framing -RC Channel 53. Pry Line Firewall & Openings ,94 -'Ext. rs-One 3' -Check Garage 3rd Story, 2 Exits 11.13�Vents S3irs`Width- Headroom- Rise- Run- Land ing-Fire Protection �97WIter Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 6 ace Interior/Exterior Wall Panels Date's .(j —Card B-1 Date Card B-1 Date'7,,A4,ite"Card B-1Date Card B-1 Dae FINALAPlansl OK Acept #'s Ext. Steps -Door & Sidelight Protection -Landings ft oke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Broom Exiting G. I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels S airs & Rails 7 . F eplace or Stove, Clearance -Hearth 7 Elec. Outlets at Wood Panel, Int. & Ext. 79-1< Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance I . Outlets & Receptacles at Kit. Counter Ll ara2e Fire Door; Swing -Landing -Closure Duct in Garaqe-Damper / arage; Above Floor-Mech. Protection FIPFl& Mech. Equip. Listed for Location y{-y-L—'�. v 79. Elec. Receptacles in Garage (F.El.)-Romex Protection 80. ulation-Foam-Looked in Attic Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes O No/Planters 0 Yes O No 84. S cco Brown -Finish A C. Unit Disconnect, Electrical -Plumbing 11.13�Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings �97WIter Well, Disconnect, Electrical, Plumbing 89!Ylxterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 9 ss Protection 911-�00/_ections from Previous Inspections s Test -Meters Tagged, Gas -Electric 92�*er & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Address Posted 96. ire Sprinkler Date I , /()L Card B-1 t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Manufacturer Insulation Fact Sheet This is CertainTeed Corporation Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 Iins ulSafe 4 CertainTeed C11 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW il The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application:i R -VALUE BAGS PER 1000 SQ. FT. at MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: t Contents of bag should not cover more than: (sq'ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 j 0.986 22 49 29.6 34 !i 0.800 1872 44 26.4 38 ; 0.712 163/4 38 22.8 44 1', 0.615 143/4 30 18.0 56 1 0.485 12 26 15.5 65 11 0.418 102 22 13.1 77 jr 0.353 9 19 11.1 90 . +}' 0.301 73/4 13 7.7 129 i, 0.209 5'h 11 6.6 151 It 0.179 41/4 - R -values are determined in accordance with ASTM C 687 and 51�1'i8. Complies with ASTM C 764 as Type 1 insulation. Z. t THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. Based on a design density of 1.6 pcf/25.6 Kg/m3. R -VALUE BAGS PER 1000 SQ. FT. i MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sqi ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 ( 0.967 7'/4 22 27.2 37 j, 0.733 5'h 16 19.8 51 �j _ 0.533 4 15 17.9 56 jj 0.483 3s/8 14 17.3 58 k, 0.467 3'h ti READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family.size. If you buy too much insulation, it will cost you more than what you'll save on fuel. - r • 1' To get the marked R -Value, it is essential that this insulation be installed properly. 0 • CertainTeedM HE � Builders Statement �nsulSafe 4 Fiber Glass Blowing Insulation P c. vv\ 40 Homeowner Name / Jobsite Name Installer/Contractor (sign) Builder (sign) Inspected By (sign if required) Company Name Date Company Name Date Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be. less than: Cin.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 16'/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 1 7.7 129 0.209 51h 11 1 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02003 CertainTeed Corporation 10/03 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 ) BAGS USED BATTS/ROLLS (✓) CEILINGS WALLS / FLOORS / THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02003 CertainTeed Corporation 10/03 D t1 � •�Lam.Ce* rtific-ate 6 T Confonnant.-..,e- Certificate :052736 - THIS IS T. CERTIFY that the glued laminated timber prflducts identified with a coile:•; ve mark of Engineered Wood Systems (FWS) were manufactured in accordance with the applica ;i� standards and associated specifications indicated below. ANSI Standard A190.1-1992, For Wood Products - Structural Glued Laminated Timber NER' 466 Glued Laminated Timber Combinations And "GAP" Computer Fmg.ram For Determining Design Stresses ' AITC'117-93 - Manufacturing, -"Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT 1S HEREBY CERTIFIED that the APA. EWS trademarked structural .giued laminated tit? ; Er members were produced in a rnanufaetu:ring facility subjec,� to regular audits in accordance with the ;,gineered Wood Systems .(EWS) Quality Assurance Program.. Routine audits include insp coon of the manufacturing. process and evaluation of the in -plant QA.program with adequate sampling to vDni* y conformance to industry. standards for lumber grade and giueline bond quality. c ZL/00 t� rrs Z SEAL C"),_ op s ,�o� S i*fe A 76 7 /<'oGd by Thomas G. Williamsci. i Executive Vice Presidw.it ENCrnrFERFp >+00D SYSoEjrn 1 s a r iieei c.'Pn,auo� of AAA _ 711E ENu1NEEAEPWOODASSOC1hT1Un 70715oum �91h Saeei - PO. Box 1170(3. Tacoma.• WA QeL, pjUO T^J.pho;,.: (253) 565-3600 • Far Numbef. (753) 565.7265 Job Tnss _ ... Truss TYPO OfY �Y ' VUGRENES - IWKOWICZ : • a a :.: ir-;R18p1 FIMP0630. • Et MONO3RUSS � 3 1 Job Reference t,ongtelbw U bq R8 ,' Inc., CMoo. Ca. 95928.7434. Greg Asher 6.000 s Jun 17 2004 Wrek Whmbfes, Irm 'Fri Apr 08142 2005_ Page 1 -2-00 846 _ 15611 23.E 2-0-0 6-3.6 7-25 7-7a a2-0 3.00 12 / Sisa. U Style =1[43 8 - 7 .8 3s' .. . m s 4 5 3rr4 x b - 3 2 I 9 3X8 = . 3X6 = 12 11 74 = is" II 0." - 14.0 846 is -&11 23.1-0 .. 8.3.5 ' 7-2-5 7-7-6 i LOADWG(psf) SPACING 24),0 TCLL 20.0 Plates increase 1.25 TCDL ,10.0 Lumber Increase 125 BCLL 0.0 Rep Suess Ina YES BCDL 7.0.. ._Code UBC97/ANSI95 LUMBER BC 0.59 TOP CHORD 2 X 4 DF No.1 &BtrG -0.59 9-10 BOT CHORD 2 X 4 OF No.1&Btr G'Excepr 180 4-112 X 4 OF Std -G Hor4M) WEBS . 2 X 4 DF Std G ., We REACTIONS (bW-) 2 67/0-3.8, W&6SNedlanical CSI DEFL :' iri (loc) Well Ud TC 0.51 Vert(LL) -0.44 9-10 X624 240 BC 0.59 Vert(TL) -0.59 9-10 X460 180 WB 0.86 Hor4M) 0.05 9 We n/a (SimpIffited) PLATES GRIP KfM 220H95 Weight 109 Ib BRACING - TOP CHORD Sheathed or 3.11-0 oc purlins, 'excW end vertkah. BOT CHORD Rigid ceIIing directlyapplied or &2-15 oc bracing. Max H=2=198(load rase 4) Marc UpM-- 248(bad case 3), 9=2380oad rase 3) FORCES (ID) - Maximum CompressionM1acdmum Tension TOP CHORD 1-2 /14, 23=21 5 81550, 3.4=1a93/503, 4.61893(531, 5 1883/531, 6.7=-45!30, 741-- /0, 74�--159MI BOT CHORD 2-12=-WrA) 8, i 1-1r--8/0, 9-10=m/186, ta11=52184, 4-10=,303/12 WEBS 3.12 22VA. 6-10=-4333340, 3.10=-2WSZ 6-9�-1015235,1atr-SBv2l21 NOTES 1) This bums has been designed for the wind bads generated by 75 rnph winds at 25 ft above ground level, using 10.0 psi top chord dead load and 7A psf bottom dwrd dead toa4100 nd.ffom hurricane 0oeanfiM on an 00cupancy category.4 condition I end building, of dimensions 45 ft by 24 ft with exposure B ASCE 7-93 pe UBC971ANSII5 If end verticals or cmiti avers exist, they ane exposed to wind. If pord es exist, they are exposed to WHX. The lumber DOL.Increwo is 1.33, and the plate grip inaease':j.1.33 2) This tnss has been designed for a 10.0 psi bottom,chw d rive toad nonconaurent wfth arty other rive bads. 3) A plate rating redudion of 2D% has been applied for the green dumber members. 4) Rete to ghdegs) for truss to truss cinnedi0rrs. LOAD CASE(B) Standard /� rverurero. vmyq a..ral yamar�. ala aYm aolae os'r� ADp�p8c^a-vdd for use ordy w8h Alirekanr�atas, fits blest! Is bowd and 1e of design! ori Proper ticarpor 5M of w. [star" e support of web 0*. AWfforcitempt eractar',-AWWrld persrwrlenf Woc6so of the overam stnrchoe is Ore to ! f�bdoefkKCsl�Yoontrob�oroga, Tide Jery.errx�narWOq,ca .,»¢='-.1 Sdey hdonslotlaa avaloDle t;ara Truss PWle:hssHute. S&i Dnrah6 ph BUTTE �GUhTY BUILDING DIVISION AP 7/0 k for on MM7473 BE C86 Cab 7m Qty Slime 1� C&M Ilei April 11;2005 adcLeim'-' .. 4CA'18610 .+. �//os aly-I .CaL.YV"�' J .GuiS Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR BUTTE COUNTY 7 County Center Drive Oroville, CA 95965 SEP O ] W35 (530) 538.7601 Telephone (530) 538.7785 Facsimile DEVELOPME' SERVICr ' ADMINISTRATION * BUILDING * GIS *.PLANNING Agricultural Worker Housing Questionnaire 24-90 A-5 through A-160 (Agricultural) L.,,,J A, i.6 —v :3 CZ CD � ev C= cr N 3 (5) Housing facilities (including mobile homes) to accommodate up to twelve (12) agricultural worker and their families employed by the owner or operator of the premises or owners or operators of other agricultural lands pursuant to section 17021.6 of the California Health and Safety Code and subject to state permits. Section 24-90 of the Zoning Code, noted above, allows housing facilities for agricultural workers as a permitted use for property in an agriculture zone (provided that there is adequate sewage disposal area). This questionnaire is required to determine that the relationship between the proposed housing and the housing need is equal. The following questions and required materials will aid the Department of Development Services in determining if there is adequate reason to allow the proposed housing. Please answer the required information, and answer the questions as completely as possible. Please identify the following information: Employee Information • Identify the number of employees that shall reside on premises: I 0/""Employed Onsite ❑ Employed Offsite (provide information about that property) ❑ Permanent Residency ❑ Seasonal Residency Parcel Information • Identify the size of proposed dwelling/modular home: Muowriple Properties Involved (please identify p�Single Parcel/Property Involved ❑ [APNs] Describe the agricultural operation, including the type of operation (crop or activity, time of year production takes place), and an accurate size in acres of the operation(s): r I [Typeofoperation] i�i (A � iAy j 2O [Size of operation] Identify any Williamson Act Contract, and supply specific details regarding contract type (grazing, orchard, or field crop), minimum parcel size, and any other relevant information: Eeot (30Av725k7, 7P �� Afele4l 1M_ _ RgZ,4)�9/�:) uS� -�ctl �'ra�J�'L� r/1 S�,D �2 i4�•y D r�iP�I�cT/yti State the jobs and duties of the workers to reside in the building(s), and the expected time- frame for workduring each year. /j [Jobs and duties] l.Aez Al; �/P z-011,1140i%p 2WK , G4U.4 V�&� #Aoi uylc C'b� i 'A[ . T �1�1�/i�l•� r ,eD� C/0� /�G t�.PLt it1/ /U�.� 2,4Vlx [Yearly work time -frame] r Signature of Owner/Operator: Date:A61�- Signature of Applicant: Date: al,A-U iv 01� rn u) 0 r"0 -° 3 e� ® co 0 C= aJe � t AGRICULTURAL AFFIDAVIT F EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in .zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, -cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. m Employer,,tax records may be requested as proof of employment status. Signed: Dated: AGRICULTURAL AFFIDAVIT EMPLOYER Employer 16F3 I r=L U Iia W i c Phon Employer's Address cj % 6 2 rzAPLAE- _Z�,Cc) CA-- 7t27�� Name of Property Owner D ,56 W-, L La Property Owner's Address Ut'V7 � J µQ1_E Owner's Assessor's Parcel Number CZ9 - p,30 - 00)G Parcel Size _Ac. I , do declare, subject to the penalty of perjury, that I am the employer of address (present) 323p J a N l j,� cPA-1759�� and that I will be employer under Section 24-305.020 C 4 D for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# ���_ 2 c• Signed: Dated: 29 *************************************************************************************** Environmental Health Approval: Permit Description and Number Datelssued OPA 1: Planning Approval: Date K/ 3 W'> S M Zone %ft - ,Zd Dwelling on AP# 03 R - oZ 34 - 03 S- Crop/Commodity Produced _' Sro a Employee Employee's Address (Present) rc , Name of Property Owner AGRICULTURAL AFFIDAVIT EMPLOYEE 89y GMo iAI.P�,cl� S Property Owner's Address ii(' Owner's Assessor's Parcel Number (-)39 , a30-- ocy5 Parcel Size c�r� Ac. do declare, subject to the penalty of perjury, that I am the employee of/ZaCt-%.S j�fS �' D� �`� ��,� !C u�'Dt4 0 z address (present) Q I I]g-: and that I will be employee under Section 24-305.020 C for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signed: Dated: A D Environmental Health Approval: Permit Description and Number Date.lssued q Planning Approval: , M c Date 0131 Os Zor a 'ate Dwelling on AP# d 39 oZ 30 -60 S- M Crop�mmodity Produced 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. BP042915 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 Issued Date: 02/07/2005 APN: 039-230-005-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - Site Address: 9765 FIMPLE RD DUR l License Class : License Number: Map Index: (� Date: Contractor: 1 1 OWNER -BUILDER DECLARATION Description: NSF (3297) GAR (938) COV (1178) 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.6 GREGORY AND DEBBIE ILKUWICZ Business and Professions Code: Any city or county which requires a Owner: 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 9767 FIMPLE RD the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 9592$ she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 530-570-8587 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.'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 penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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 number are: Carrier: Policy #: ❑ 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, I 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. Applicant: GREGORY AND DEBBIE ILKUWICZ Contractor: PROFESSIONAL CONSTRUCTION MANAGEMENT ENTERPRISE 3230 KONNING AVE CHICO, CA 95928 530-894-6788 License #: 610833 Architect: PEITZ, GREGORY ARTHUR Engineer: Total Square Ft: 5413 S.F. Valuation: $255,665.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Address: PERMIT EXPIRES isions of the Butte County Code and/or have been paid. 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 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Date: O Owner ❑ Contractor Signature: ❑ Agent for Owner 0 Agent for Contractor August 22, 2005 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965+ RE: 9767 Fimple Rd To Whom It May Concern: BUTTE COUNTY AUG 3 0 2005 DEVELOPMENT SERVICES This is a letter of intent to notify the county of the cease of demo of existing structure at 9767 Fimple Road, Chico. We will be converting structure to farm labor housing which is located on a 20 acre parcel of almonds in Butte County. Any further questions, please call me. 530-345-5394 or 570-8587. Sincerely, Debbie Ilukowicz ZOOK ..rr 1/iJ'3tlf . r.;�iv�,2 �ci�rrlriol�l9 I 1C intialticgt)(l vintio) wifrti A) Alilolo :sviTC1 T�Ino'� rirsr��)'� C U Slgfni---I TUO :n,;�;DQOD rrt it rf;oti'fJ oT In tnjitomle. lfi2i%3 to wfnb !r) o lifilfo;) !A3 71ijori CJI in:,i(l7?U'('Jii'�I fbid-v/ wlimofl li)dnl of /rlo} j t)d Ili-& 3)Vl.k11rUA 7Iqfril.'I WP Ii73ir()r),91IiJfi ns ebilorfrli to iJlf3Cj `Jl`Jf Cir S 110 btimiol -i .OKAY -U e 10 it)r. ��s-Oce .9rr1 IIsi 9zl;alq .znoil�os,Ia 19iifsJ {rt/`. Soi•IioAull :,idd9Cl BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.nelldds 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 the Business and Professions Code, and my license Is In full force and effect. License Class: F- License Number: /Z %�'/r�i 3 3 Date: 11/1105 Contractor. OWNER -BUILDER DECLARATfON_---- I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a 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 properly, 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 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssions 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Cartier: Policy #: Yl. I certify that in the performance of the work for which this permit is (/ issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secur w ers' 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 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Clv.) Name: Address: PERMIT NO. BPO50079 Issued Date: 01/11/2005 APN: 039-230-005-000 Site Address: 9767 FIMPLE RD DUR Map Index: Description: DEMO EXISTING NSF (1296) Owner: ILUKOWICZ, GREGORY P & DEBBIE A 9767 FIMPLE ROAD CHICO, CA 95928-9511 (530) 570-8587 Applicant: PROFESSIONAL CONSTRUCTION MANAGEMENT ENTERPRISE 3230 KONNING AVE CHICO, CA 95928 530-894-6788 Contractor: PROFESSIONAL CONSTRUCTION MANAGEMENT ENTERPRISE 3230 KONNING AVE CHICO, CA 95928 530-894-6788 License #: 610833 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permiL hereby issued under the applicable provisions of the Stifle Cnunty Codn Pnwor Resolutions 1 do work Indicated above for which fees have been paid. i 11 05 Bv: � Date: ON: I. 11.040 ❑ 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 thal'l am the owner or the duly authorized agent of the pwner. 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 docymqnt 91,Butte County. I hereby authorize representatives of Butte Cou919 to enter upon the above mentioned property for Inspection purposes. Print Name: Date: El owner VIContractor 0 Agent for Owner ❑ Agent for Contractor Ir BP050079 Issued Date: 01/11/2005 APN: 039-230-005-000 Site Address: 9767 FIMPLE RD DUR Map Index: Description: DEMO EXISTING NSF (1296) Owner: ILUKOWICZ, GREGORY P & DEBBIE A 9767 FIMPLE ROAD CHICO, CA 95928-9511 (530) 570-8587 Applicant: PROFESSIONAL CONSTRUCTION MANAGEMENT ENTERPRISE 3230 KONNING AVE CHICO, CA 95928 530-894-6788 Contractor: PROFESSIONAL CONSTRUCTION MANAGEMENT ENTERPRISE 3230 KONNING AVE CHICO, CA 95928 530-894-6788 License #: 610833 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name l' F' t N meI DE g I EL Addres & 7 �' � �� City y col SIPW Zip9 9'� Pho � _. b 570 -5507 Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name V� i� t/et'rS z Addre �� �� l�, City ClC0 E-mail StfeJA Subdivision Name Map Phone 7 �_ � 7 Fax 6N -678 'b Planner VA � Lic. # a3_3 Class ARCHITECT/ENGINEER Name (gr RE. dr" I Address City I C.Q Stag _T Zip Phone Fax E-mail State License Number APPLICANT NAME Name (• 1w , // Address A) N �� A !� City /Gv Sta Zipg5, �o 77J� Phone 6T�_ 62&(3Fax No E-mail ,. ,��Ii! For office use only: Zoning Property Address R9 Floo one Cross Street /-�-�, K)` e N� A SRA Yes No .Occ.- - - - - - - - pe Const. - - - - Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. [.3_' BIN # LOCATION AP# — Property Address R9 City Cross Street /-�-�, K)` e N� A WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: /��Ad OF Ise 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 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. OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: �&J e Amount: 55 - Bldg SMIP Other Date: I . I (. 05 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS, Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, 'city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt ,from the permit applicant -of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, -pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting'a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R A I hereby declare that a•written asbestos notification to the United States Environmental Protection Agency is not applicable to this demol' i project. gnature { 2/19/91- SHEET OF, BUTTE COUNTY PROPERTY RECORD N ANI` NAME r PROPERTY LOCATION ZONING Assessment Year UTILITIES—SITE IMPS. Date _:,.-. _ 1-1 T-1- L--- n A-_;-, PARCEL NUMBER Book I Page I Block I Parcel I Code 19 �(0 19 L 19 q 19 -1a 5--b-e) C, I I I.EZA62:51-7.9-7 1 1 12-t f7 IA? "1 °l 01 :(:A 1A2 V:)y he 11621 AR (A 11621 -:1,4, 19 9q 19 162 ?,t,3 162 Gas: Public ❑ LPG ❑ rNone 0 Supp. As Yes ❑ Nor tff Yes ❑ No o Yes ® No ❑ Yes ® No ❑Yes ❑ N.2 Yes ❑ No F1Sanitary Swr.: Public C1 Indiv. 1...' Use Code 160 Cp, 160 160 160 160 160 Storm Swr.: Public L! Naturali.I Transfer Code 124 % 124 % 124 % 124 % 124 % 124 % Street: Conc.❑Asph. ; Dirt C' Gravel P Acreage 108 108 108 108 108 108 Street Lights: Yes C] No ❑ Incomplete 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes 13 No ❑ Building Class 167 r") C„ 167 167 167 167 167 Sidewalks: Yes ❑ No ❑ Bedrooms 168 2 168 168 168 168 168 SITE TOPOGRAPHY Baths 169 169 169 169 169 169 ' Leve ILj Rolling ❑ Other ❑ Effective Year 170 1941. 170 170 170 170 170 Slopes Up ❑ Down S -S f] Area of Residence 171 1 ZC,(-, 171 171 171 171 171 At EJ Above ❑ Below El Grade Land Type 172 Lot❑Homesite® 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑hlomesite❑ 172 Lot ❑Homesite❑ View ❑ Of: Car Shelter 173 Yes 10 No r) 173. Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ WATER Pool 174 Yes ❑ No 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ Quantity: Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Complete Public ❑ Well ❑ Ditch ❑ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Supplier 1 330 `1 Q Q Arm- � r" fA Z:,.w euPlunce - ur t.t. A D J> Aerial Photo Year IG ADD FLFI I G Tope Map Year MARKET BATA Soil Name Index Acres Comparable 1 r AComparable 2 Q Comparable 3 elliv Sale Date/Price PRIMARY BASE SECTION Base Year 140 �` 140 140 1€(Cj: 140 140 140 Event Date 186 `1 — g 186 186 -7_j().;pj 186 186 186 Land 109 109 109 45,105 109 109 109 Avg. Soil Rating Improvements 110 1110 1 j• 110 6)`)vrl 110 110 . 110 LAND REMARKS: Trees and Vines 111 �4 UL 11111 111 0 111 111 111 /G_O/ CJS AL - Personal Property 112 112 1 112 112 112 112 Keyed By: SECONDARY BASE SECTION Base Year 240 240 1 240 240 I q q % 240 I q 17 240 Event Date 286 286 286 286 -7 jq_ i'7 286 12 99, 286 Land 209 209 209 209 .— '209 209 Improvements' 210210 r 210 �C?C'f 210 �q� j 210 210 Trees and Vines 211 1 211 211 211 211 211 -.d 1__------''_1 _U-- N'' P- ' 161 Sales Area Coder ' "BUTTE COUNTY RESIDENTIkL PROPERTY RECORD ",NAME:° 163 Incomplete, P.U. 19............ ' 164 Zoning: parable 1 ' .165 Zoning. Conformity:. Yes E) No [ PROPERTY LOCATION:' [:) No [ NEIGHBORHOOD & SITE DESCRIPTION FP 168 BR: 1 2[:] 3E) TRANSACTION RECORD 169 Baths: 1C] 2E) .3 E] 1/2 I] aA [ USE TYPE LOCATION 171' Date I Price 172 Land Type: Lot [D Seller & Buyer Source & Date Single Urban O Suburban E Rural ® ' No F_. At. � Above ❑ Below Grade - _ ovements ' Multi•Sgl. Peripheral D Foothill Other 0 1 I Property. View Sector Duplex ASSESSED VALUES - 'LOT TYPE % Good . Apt. IMPROVEMENT MIX Corner Interior Key Cul-de-sac L R. C. L. N. D. 1 Property p Flat Homogeneous Heterogeneous O Misc. R.C.L.N.D. AS, f!' 7-14-9'7 ed Court Predominant Use: Res. e, Res.lncome O Motel Com'I. E] Indus. 0 Agri. �, Profsnl. E] CONSTRUCTION RECORD CDU RATING Res. -Apt. Permit Base Appr. UTILITIES -SITE IMPTS, No. Item Amount Date Year Year Age Cond. Desir. Ulil. No. Units Water: Public [3 Well [n Ditch -1� �i%3 a / - Q REMARKS Electricity: Yes No ❑ Gas: Public LPG❑. 'None G Sanitary Swr: Public 0 Indiv. Storm Swr: Public Natural [y7� Street: Conc. Asph. Dirt Grovel r St. Lights: Yes No RrI Nr). (.QlAD 7 tl C & G: Yes No CLASS: 5 aC_ Sdwlks: Yes No APPRAISER &DATE: .G " 2-1"17 - Iten1 Fact. Unl1 Cnt Get Unit Cwt Area Cns 4w1e Crs G.*! TREND First Floor I a (o Improving Stable Declining Q Second Floor - ' sment Year OCCUPANCY aiser Owners Tenants ❑ Mixed Gar. A - D - F ' LC_ P-frt. 14 I } MAINTENANCECC$�P•rear 1/ 3�� N.D. A. P. N. Book Page Parcel LAND VALUE COMPUTATION Appr. Width. I Mod. Unit I . Site Tolol Year Area' Fact. Value Value Value SHEET .::? ' OF 160 Use Code: ' P- ' 161 Sales Area Coder ' 162 Appraiser No: Summation - 163 Incomplete, P.U. 19............ ' 164 Zoning: parable 1 ' .165 Zoning. Conformity:. Yes E) No [ ' 166 Use Conformity Yes [:) No [ 167 Bldg.. Class: FP 168 BR: 1 2[:] 3E) 40 5[ 169 Baths: 1C] 2E) .3 E] 1/2 I] aA [ ' 170 Base Year: ' 171' Data _ 172 Land Type: Lot [D Acreage [ 173 Garage: Yes C No [ 174 Pool: ' Yes r-1 ' ' No F_. SUMMARY s t 19 19 19 19 E G A' F P P- Value - -- , ' Patio Summation - TRAVEL TIME & DISTANCE FC G DRi 129( ?00 2 AO parable 1 Shopping: E G A F P AC parable 2 Schools: E G A Q P FP parable 3 Core: E G AL:F,, / P Kit. Extras d Price Plmbg. Extras Data _ SITE TOPOGRAPHY Misc. Extras TOTAL PROPERTY APPRAISAL Lever Rolling ❑ Other Network . At. � Above ❑ Below Grade _ ovements ' Slopes Up C] Down I] S.S. E 1 I Property. View Sector ASSESSED VALUES R.C.N. 'LOT TYPE % Good . •ovements Corner Interior Key Cul-de-sac L R. C. L. N. D. 1 Property p 1 l Misc. R.C.L.N.D. AS, f!' 7-14-9'7 ed Total R.C.L.N.D. -- f iPd•Few DUILI -INJ f- IKL;FLAIL;L Foir Rei= 1 93 ROOM AND FINISH DETAIL low Kitchen Fon Lo<alisin:- Avg. Avg. Hood Metal ' tone Room ' Story 1 2 B Floors Cpl. Hw. Lino. Walls Ceilings ' I ISlab Many Good Range Brick Marble All S.R. PI. Pon, S. R. P1. ,Acc. Es. Bm. Recess 220V Oven Raised Hearth Entry Spec. Rheos. Double Ovens Wall Hgt, Living ,Sill l J BONE STRUCT. Electronic Oven Free Standing HEATING Drov-in R 8 O Heatilaior Dining / Family �{ /` � �\ Wd. Fr. C. Bits, Forced X Central Slide -in R & O Flank 'Shelves Kitchen X Brick Adobe Wall Gravity 'Gorboge Disposal Dbl., Opening Breakfast Steel Conc. r '71 Perim. Dishwasher Two Siory / Bedrooms O +� /\ Radion Ceiling Refrigerator po EXTERIOR Elec. Bsbd. Intercom ARAGE Utility KITCHEN DETAIL itucco Panel Gas 'Slat. Breakfast Bar Attached Siding Shingle Engrd. P. P. Vocuum'Cleaner Detached Shake Asbes. Econo. Wet Bar Double Y - Cabinets H.W. O.P. PI wd.RZ�E Dr. Bd. & Cob. Top Tile Mica Lino. 7 8 0 Alum. 220 V. Outlet " Single '. 1r. Ven Stone COOLING Blender 'Carport �, A F P BATH DETAIL Finish Fixtures Shower Fl,. No. Floor Walls Toil. Lay. Tub SI. O.T. G.D. Finish Pullman Adobe 1" bds. -- Refrig• Cen trol BBO Garpo,t _ Blk _ Evap. Roof Desk Electricity Engrd. Wall O. H. door(%) i0� --__- l. L1n I - ` ---_- �Ih 4 WINDOWS Econo. WinJ, Remote Control Dr. >_ H. WoodFinished'. _sml. Steel Mr. Mr. Gals. %s Finished Sliders Alum. + MISCELLANEOUS STRUCTURES - APPRAISER &DATE: 3Co�7 Item Fdtn. Flr. -' vn. leaded :rank Opera led ;Ext: Int. ' Roof Age Size $/S.F. Gd. RCLND � S.F. %'Gd. KIND $/S.F. � Gd.. RCLND �r L C_ Std U S in /5t 3Coo �yI ,(,c5— -- liding Glass Dr(s) (n� /_ IOOO S�ovasy Rm �� W'cr Srci 1; _ 3WD 3.7J N, 13� 'Syo O 339' ROOF ;able ,ufch Gable a3S #3111> #V, CALCULATIONS: oo S ord� �NrePa.aa /BX G'3� -�— .rm� et )�eS 3ca -A = ip TOTALLE had REMARKS: lot 1 e o tD oR F 9k!Ag� lonsard fI c► -i /aiz�ca� nC �x�%Ri 3r. 771, t� do `h3T\14 = Cp t5 -A 22- -�- 3 3O ' n.up n. Eaves � p imp"! imp $ r anr� 8•� 3 Iters P. � sy, r i , or - r : - _ -1. r' - ... � j. r - _1. + .s ' � ° f In '�-' I' r I -F--' i- �.. t.� i I t I I ...1--1--i-•- �- , �, i I - i '_ , I -1 ' � ' ' .......... j j- C �- ' . 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' I- - i I I � {- : ' �� � .} _ _..L _a_.t � � i I , i_'r` -j-- j --;--(-i- -'I" -p,-:. -�-- -I--I-%- _ - � -. j_L_j... {__ �- - -I• l._1._..I �_.I� I _�" _ � j- f_, _ I_ �' i " , 11.._I,,_, I '}_ • �.. ��-F;`, .. l�•r , ; r � I .. ' I I ., ---'--; - -- - --L-"-1--t,- �'- '� ,l '_ �- -�jj�-I -j'-I---'�"L-.-,"-- -;-, ' f , � i F_ ' i I j-- t -t-- l �—i I �4-.-1--i-j--_.-_ nr -It _--t- _ .� -}--I-- --L"', ;- i -d•-• I i•-� .,1..,"I 1-i_'_--^ ' -- .�. -- i_'r'_j_ 1 i__,__ I-{-r---�-j -�- -i_-+----4._.__ _;__L_ _'_I__L.._i_c� ._1_�__��-r` 1f _ _r_1'- I I �:-i_•'1- -1-__ _�_•• .,i_.? _ 1 -f - - -t -•"�' t ._.I• --1'-- -; r � -t-- �---� ;-- -t- �� (L - i I-; •r-•-• -+- r -� -t II - �•" r•-. , .1., _,T- i •�- I.......:_...,.. _i...� r -r. y , --� �_.1-� I t t I �I-+-;_�_-(- --I �_-�� - -i H _ _ I _ rTI_t�- - �' � -_l_ ....,_i_ i _._r-;�_ _:1--r � ; j I i � _ _ ►_! � _'-_�-i j ! _� 1 ��_ I I _.t. .� , -���- � -_ �- _I_ �_...' I �-I-�-T-�--i--j-, --r•-i-�--- ----_�__i__ I- � I -I-- I ! i -, ! I �- -�• I' I - 1 I `-j-.-f- _f ' ' i,-1 _ +- -,t- J_ -I-j---I- I 1 ' ... !fi �._� I_-- --- I �_---._IJ :+ I 4. _i .� f_-. - •-._-J;- -_ 4_-_ _.__u_._, ._.t' ._ =I _I.i- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (536,) 538-7636 (OROVILLE) (530) 091-2834 (CHICO) OFFICE M (530) 538-7641 FAM (530)538-2140 WEBSITES www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: Date:' Contractor.-��`�P!!� OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Slate License Law (Chapter g.commencing wl(h 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 penally of not more than Ove hundred dollars ($500).): ❑ I, as owner of the properly, 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 properly who builds or Improves [hereon, 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.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdosions 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.). O '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: O 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. ❑ I 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 number are: Carrier. . Policy M I certify that In the performance of the work for which this permit Ise Issued, 1 shall not employ any person In any manner so as Id become subject to the workers' compensation laws of California, end agree that if I should become subject to the workers' compensation provisions of Section 3700 of [he Labor Code, I shall forthwith•comoly with those vrovI51gns. Dale: WARNItJG: Failure to se re works compensation coverage Is unlawful, and shall subject an yer 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 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3087 Civ.) Name: Address: PERMIT NO. 915 Issued Date: 02/07/2005 APN: 039-230-005-000 Site Address: 9767 FIMPLt RD DUR Map Index: Description: NSF (3297) GAR -(938) COV (1178) Owner: GREGORY AND DEBBIE ILKUWICZ 9767 FIMPLE RD CHICO, CA 95928 530-570-8587 Applicant: GREGORY AND DEBBIE ILKUWICZ Contractor: PROFESSIONAL CONSTRUCTION MANAGEMENT ENTERPRISE 3230 KONNING AVE CHICO, CA 95928 530-894-6788 License M 610833 Architect: PEITZ, GREGORY ARTHUR Engineer: Square Ft: 5413 S.F. Valuation: $255,665.00 Code: U[ 0 It Is hereby Issued under Ih ap livable provisions of the Bnue Cnunly Cod anruor i do Work I�I%ed e e which fees have been paid. PERMIT EXPIRES ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 thal'I am the owner or the duly euthorize agent of t owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any oflit 'I form or n f Bulls County. I hereby aulhorize representatives of B to County to enter upon the eelabove mentioned properly for Inspection purposes. Print Name: �������AX M. j 'Signature: Dale'- ❑ Owner Xcontractor ❑Agent for Owner Agent for Contractor [pu6 4 5695- Ll, I/� BUTTE COUNTY i-11 "— DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION �N�g''Zu� AND SUBMITTAL REQUIREMENTS ��3y' )7 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last NameLV K O W t C I � C DE8BIE �R a Address / y46 7 -^Y F CA • � Gry '40 V R 4 A M State GA Zp Phone (S30)S-70 - S Y0 Fax u���/S � � Y E -mall Planner S ARCHITECT/ENGINEER CONTRACTOR Name' - City Gam\ CO Address � O on n )n - 4v o- Ciry Fax (S30) 89 4 - (S -Z-3 E-mail Ziq-��c, � LZ Phon g�. Book Fax E-mail Planner Uc. 16 g&J s ARCHITECT/ENGINEER Name GR -E6 ptEtT-iL- Address 38.3 9- `o G- t N D o Ave City Gam\ CO StateZip � a SSI 2(0 Phone (1;30) $a 14 - S -� I Fax (S30) 89 4 - (S -Z-3 E-mail State UNrt I •mbber 3 APPLICANT NAME Name I t nn. M t L-t_E e Address - (p Cl_ F-AVES CO U tZ 1 Cfty C tt ` C.O State CA —FP -1 .5 13 Phone ('3-30) q -q 6 —O 137 Fax / E-mail +WCz8ma S bC to W , hd APPLICANT SIGNATURE X / WQAII— For office use only: Zoning Property Address 916 gat �i= PoAD Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS v-. r.•.nr. nen ren• n.nu---n..�o-.a- �-- 4A PERMIT o� a� BP LOCATION AP# 03l - Z3o - CLOS Property Address 916 gat �i= PoAD C'dy Dv 21-}t4N� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: IJ EW Ko eAE CA 1j5"t IZv C' i`t 0 tJ Sq:rootage 32'1 ❑ Structure Built vAthout Permits ❑ Proposed Change of Occupancy (Note previou5: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 r L n-_- 4 -s e 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: Receipt It -.4f �a'�)3 Date: ( v 5 6� Amount: �`�Bldg SRA heriff o� SMIP Total DCS 7 77 !%A SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1 , 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. lans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR reere plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. El3.truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan :heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION I � - C4 J ,AFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-nA 7]Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile TO: FROM: 1� SUBJECT: QDATE:. WILLDAN o�03TrFo 0 0 Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 10/6/2004 Applicant: Ilukowicz, Greg & Debbie Permit 04-2915 Project Type: NSF/Gar/Cov APN: 039-230-005 100%. 70% Plan Check Fees $ 1,478.20 $ 1,034.74 $ 1,478.20 $ 1,034.74 WILLDAN Fee $ 1,034.74 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 61 � -f-a� ( j 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 C' ASSESSOR PARCEL NUMBER Proposed Building Use: s� Counter Technician: Date:y Items required in order to app y � 1 for a permit. All boxes MUST be checked OR marked NA in order to ply. �l 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. k �l: y 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! e 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 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 ........................................... ........ 020. Erosion Control Plan Required....................................................................... (0/ 21. Fees as shown on the attached Schedule of Fees Due Sheet:-7_CME ❑ 22. City of Chico Plumbing permit........................................................................ p 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 9/ 24. Planning approval (A) Use: 011L(B)Parking:(C) Parcel Check: 0 1 • 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................ �j 27. Encroachment Permit for driveway from the Public Works Dept .?F�....'?��i'-A........ � ❑-/ 28. Pre -Inspection for required....... 29. Contractor's license information. (Number, Name Style, Classification) ................... Worker's Compensation Carrier and Policy. Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization ................................................ :......... ........... 33. Recorded copy of Agricultural Acknowledgment Statement ...................... . .......... 2z G 60 El. 34. Manufactured home utility clearance..................................................*......... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... p, 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, O Letter from Legal Owner, ❑ Check to H.C.D. $ 38. Other. 39. Other: When issued Telephone / and hold for pickup. J I have been informed of the above items and requirements for obtaining a building permit. Applicant: .w. V V -t,"-'- 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer ner as advised of the above data by V phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Date: Yellow: Building Division l0- 5-01 Plan Check Letter atD e: Date: Date Date: E.H. USE ONLY Piot Rea Anached Roos Ren Anachad Semi to S.D. I in _fDepartment TO: 9 P FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal J Water Supply: Public Private Well Clearance for final rlaaranea n K fnr- o Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES (� OWNER 1 U.y� I e/� A.P. # 03f • 1 y �6-5 PROPROSED BUILDING USE IS7 DATE—W, 5' ,ej' RECEIPT # DATE REC. 1. BUILDING PERMIT FEES -=- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee...$ 2. SCHOOL DISTRICT FEES , IiGAa (paid at School District Office) (form available after Plan Check) % IICJ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X –=$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE -40 — S- O Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) January'l, 2005 To Whom It May Concern: We intend to tear down the existing structure at 9767 Fimple Road, Chico CA upon completion of new structure located at same address. Thank you in advance for your cooperation. Greg Iluk CC vv`` !VI Wkowlu AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 22 -Oct -2004 2004-0065130 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT . . FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural. operations including, but not limited.to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described asfollows: r, A portion of Section 23, Township 21 North, Range L East, M.D. B. pq, and more particularly described as follows: Beginning at the quarter cor f along the East and West centerrlV East line of saidigethe of said Section 23, Northi89°23; thenc West 1001.2 feet; thence South 0.07' East 887.2 feet; thence Southt 0 89° 40''East°997 feet to a point on the East line of said Section 23; thence North 00 01; West 887.1 feet to the point of beginning and containing 20.35 acres, more or less. Date AOC. PROPERTY OWNERS: _ 'bwbu�� .p State of California ) County of ) On/0"-Z-W t% before R'U' personally appearedMERIB I L 14 . 11-u ko I/ / d Z. AM �c �.� 1� �L u KG UVersonally 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 by his/her/their signature(s) on the instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offs ial seal. •w•• Signature ). DARYLE POLK Seal: COMM. 0 1487788 NOTARY PUBUGCAUFORNIA COUNTY OF. B UTTE A.P. # O'��" 930- 005 Comm. Expires May 4, 2008 o�PPr SIM4 oc T OO TF Department . r n u n t' 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 ILESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: -7(-t FSP LS ROAD TJ u ?-1-LAA/�' C3F APS 03ot.-230- 0C) 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 nee Bard. a Construction Storm Water Permit from the State of California Regional Water Quality Control 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: A- aF-PT Fob 6R96 � DE f�glC (Lu Ko W tC�L Date: to 1,5io 4 Less than 1 Acre NPDES & SWPPP Compliance Certification ...__ ,v..._ eRe..o.—"t Prnomm f O / -y ham_ �V a �/ s�C�4 ,/�^��✓_� w� C �. �Y Q� r i ♦+.-ate, * , :�� i ':�..�rt. �`� GREGORY A. PEITZ ARCHITECT - 383 RIO UNDO AVE. CHICO CA 95926 (530) 894-5719 PROJECT: �I.0 o w �cz- �s i ✓� �,.r c�� I have reviewed the truss submittal for the above project and all loading design criteria have been met. Greg A. Peitz Architect r BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: MAA-(-yg� karEs Phone: "dRq Mailing Address: E -Mail address Assessor's Parcel Number. Reason you believe you qualify for the unusual circumstances exception: 561 Owner or signature An exceptional or extraordinary, dition wh�dn 'sting lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for ndaof a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form. Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Intemal Dept. Contact Info: ❑ Env. Health ❑ Planning Contact Person:o1� ❑ Building" .Other Phone: ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) ❑ Exception Recommended ❑ Exception NOT Recommended MINISTERIAL PERMITS(Building) Exception Granted with the following conditions: from adjacent agricultural operations: Agricultural Department Signature: Date: I A k-. - fMC 7/1/03 Commercial/Industrial 0 Q District Identification* No. V Q 41" V N I F/ �� School District certifies that g74,7 )5�,m,olc. 2c� (Street Address) �€ a z> !' (City) I Sq. Footage (Including Exterior Roofed Areas) Date , i' G�>C-� J Lel ko wi r - -z.-. (Applicant) 14 ARL $Q 0 - (7 97> t/y e,k rvcS . V (Phone Number) q 3 S" (State) (zip Code) r ��/,/ has complied with the requirements of Resolution No. � %� z by payment of $ 7 7 �r2 • 2. 3a 9 7 ' • representing square feet. 2926 ,. t' ,' i f FULL MITIGATION ` $ School District Representative Date f - Paid by Check A Remarks: %� U �a 9� SQ F—% O Nofe: You may protest the Imposition of the teas Identified above by submitting a written protest to the District. in compliance with / i' Government Code Section 66020(a), wWdn 90 days from the date hes are paid. Failurs to submit a timely wft ten protist w111'prohibtt ' you from ctreilerrping tit Imposition of Via hes In any court action. ..If, subsequent to the School District Representative slgnli q this Bulb County Schools Impact Fee Certification Form, the School District Is mWRW by the applicable Local Planning Agency that this project Is being revieuzed under the California Environmental Quality Act (CEQA), this project may be subject to additkmal school fi i to fully nrtlpde.ks impact on the school dieftie r schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm `rl � BUTTE COUNTY'SCHOOLS IMPACT FEE CERTIFICATION FORM_„„ (One form per Building) School District (h//� Building Department No. A.P. Number Jurisdiction: 0 City County Property Ownerlw y Property Location/Address .x r Subdivision Lot No. Residential Development �• Q Q -- Q Sq. Footage 3ag7 No of living Mobile Home Addition/ 'Supplemental•to (Group R) Units Installation Convention Permit # 6 ' .'(No foundation inspection) ......................... .............. ............., Deed Restricted Sq. Footage ' (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q District Identification* No. V Q 41" V N I F/ �� School District certifies that g74,7 )5�,m,olc. 2c� (Street Address) �€ a z> !' (City) I Sq. Footage (Including Exterior Roofed Areas) Date , i' G�>C-� J Lel ko wi r - -z.-. (Applicant) 14 ARL $Q 0 - (7 97> t/y e,k rvcS . V (Phone Number) q 3 S" (State) (zip Code) r ��/,/ has complied with the requirements of Resolution No. � %� z by payment of $ 7 7 �r2 • 2. 3a 9 7 ' • representing square feet. 2926 ,. t' ,' i f FULL MITIGATION ` $ School District Representative Date f - Paid by Check A Remarks: %� U �a 9� SQ F—% O Nofe: You may protest the Imposition of the teas Identified above by submitting a written protest to the District. in compliance with / i' Government Code Section 66020(a), wWdn 90 days from the date hes are paid. Failurs to submit a timely wft ten protist w111'prohibtt ' you from ctreilerrping tit Imposition of Via hes In any court action. ..If, subsequent to the School District Representative slgnli q this Bulb County Schools Impact Fee Certification Form, the School District Is mWRW by the applicable Local Planning Agency that this project Is being revieuzed under the California Environmental Quality Act (CEQA), this project may be subject to additkmal school fi i to fully nrtlpde.ks impact on the school dieftie r schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.nettpublicworkstforms.html NOTIFY COUN'T'Y 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District Phone (530) 538-7157 Ext 2016 •0 5 D D tD Z AVE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted pplicant's Name, _ rr. o-�-t�,v�h� rLi✓�c,L��c I& Company Name: ddress: �. 1 uU17A, Ja- 9- -SA-rs- hone: 4t 4. Assessor's Parcel Number )3cl - d3 O - (f oration of Work to be Done G y sR .pplicanf s Signature ` 7. Date: L111.i�/C.L CONTRACTOR'S INFORMATION :ontractoi s Name Adress 3!/J(� t/1L yTv� it L� 7`90 Phone: 5Z0-_ 7 11. Fac `&/ 7 Contractor's License Number: ev � 13. Certificate of Insurance: Yes ❑ No: Contractor's 14a. Date Signed:/z a Authorized Agent: TYPE OF WORK TO BE DONE Please Check: Ctub: ❑ Gutter. ❑ Sidewalk: ❑ 17. If Driveway List Type: Other Work - Describe- 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED :ompliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, mission is hereby granted. Conditions derground Service Alert SA must be notified two working prior to any excavation. 8OD-227-2600 ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ Date Issued 23. Expiration Date 24. Surety: Date Paid: 26. Amount Paid:/ eo 27. — Paid By: ?e– 28. Receipt No.: p ike Crump, Director of Public Works By: County 29. Final Inspection Date: 30. Inspected By. ❑ Compl - OK ❑ Completed — Not OK ❑ Additional Comments Attached �ooss 31. Co ts:^ 1 r,�11 .y�. J . .p . y P.' -?T .. r/� 1 Lj i • 1 ,. `ry d -aU •=•r I. ..,.: L.. , J. C, y 0 � F . 5Pe te: If permits are faked to any number besides (530) 538A356, they can be delayed up to one week. Pati I of 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004-00651 30 Recorded I Official Records I County Of I BUTTE CANDACE J. GRUBBS I Recorder i ROSEMARY DICKSON I Assistant - I Travis 02:38PM 22 -Oct -2004 I Page 1 of 1 REC FEE CONFORM 7..00 1..00 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural. operations including, but not limited.to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of Section•231.Township 21 North; Range L East, M.D. B. & M. and more particularly described as follows: Beginning at the quarter corner of the East line of said Secti.on,23;-thenc along the East and West,center.lipe of said Section 23, North 89 40r West 100:1.2 feet; thence South 00 07' East 887.2 feet; thence South 890 40' East 999.7 feet to a point on the East line of said Section 23; thence North 00° 01' West 887.1 feet to the point of be inn" 20.35 acres, more or 'less. Date_' L-� V C.a' State of California County of Z2 ing and containing On /O/ZZ_ Z -0y before 'Ttkbt - M - t WV, ttit�� r personally appeared F� h3 M • /Ltl /c0 1"11 C Z Am �c G.� I � .�Lu 10'(Versonally 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 offs ial seal. •w • J. DARYLE POLK Signature Seal: y COMM. # 1487788 LQr ® NOTARY PUBUGCAUFORNIA .. COUNTY OF BUTTE ���i DcComm. Expires May 4, 2008 A.P. # (1'�J ( -V V i W I LLDAN Serving Public Agencies December 22, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1180 Jurisdiction Job No: 04-2915 Assessor's Parcel No: 039-230-005 Description: Ilukowicz Residence 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 8 dated 9/3/04, by Gregory Peitz, Architect. * Structural Calculations: Two (2) copies dated 08-15-04, by Gregory Peitz, Architect. * Energy Calculations: Two (2) copies dated 10-03-04 by Gregory Peitz Architect. * Truss Calculations: Two (2) copies dated 11-10-04, by Longfellow Lumber. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. 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 page 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. 'i �WILLies Serving Publ,DA�N APPLICABLE CODES Unless noted otherwise, all comments are 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 and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Occupancy Type of Construction Sprinklers Stories 1" Floor Sq Ft 2 nd Floor Sq Ft Total Sq Ft R-3 V -N No 1 2120 1177 3297 U-1 V -N No 1 1 938 1 938 Covered Porch V -N No 1 1178 1178 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. DEFERRED: SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL.INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Since , 4 Isaac Kuster Gordon Wright, P.E. Plans Examiner Plan Check Engineer Cc: Alice Mefford, E-mail: amefford@buttecounty.net Greg and Debbie Ilukowicz, 9767 Fimple Rd., Durham CA 95971 Tim Miller, twcadman(iiNbcglobal.net Page 2 of 2 County of Butte Permit Number 04-2915 Willdan Project Number 14353-1180 `7 S SITE PLAN REVIEW APPLICATION Date: /GAz/d �f } AP# 03 / —Xe 30 SPermit Number,(if applicable) J APPLICANT INFORMATION Parcel Size: Owners Name:gc. �OmC,z Owners Address: /We�ZM6 1,1VI 1,ell a v, Gt S CG 09 9`f/ 3 3 Telephone No.:,, �f /S �Szf —q2 3l� Situs Address: % 7 0 Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential AccessoryG� F]Permanent Second Dw ling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):_ ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IN Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval it Site Plan Stamped Approved' By Date /l 4 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area:7S 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)%o�iklazt-' ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: IK • Flood Panel No.: &00 7009 5L Index Date: ( Q g ❑ Sacramento River Reclamation District (Approval rmust be obtained from the C ifo a 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 El Minor Variance E3 Administrative Permit ❑ Variance ---------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: -,10 0 -oFc, - Applicable Building Setbacks: Front Zoning Code �O Streets & Highways Fire Prevention Subdivision Map Side Ste, Side Street Rear o2 S 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 A, L Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School*' ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ---------------------------------7-------------------------------------------------------------- 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 ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ 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 roa El I� Page 4of5' �1' x 0 Summary of Specific Requirements: J This information provided in this summary is based on the application information and on the best available data at the time of review. CMArryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 4, ❑ x 0 Summary of Specific Requirements: J This information provided in this summary is based on the application information and on the best available data at the time of review. CMArryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 i 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 November 18, 2004 Greg & Debbie Ilukowicz 1446 Taylors San Francisco, CA 94133 Tim Miller 6 Cleaves Court Chico, CA 95973 Subject: APN — 039-230-005 Dear Mr. & Ms. Ilukowicz, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2915 for a new house, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well -as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Attached, please find a copy of any use permits, or map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Since y, ana AUler Assistant Planner • I LAID CO'ISERVATIOI4 AGREZIONT WINTY OF BUTTBy E 22018 LUM)E KLUENDEft —; i 0 3fI { Fi'{C�.. of �i.3 No i TH7:S AG . REEPTsNT, made and entered into this lgth day of Fig •. 1 November, 1974 by and between Axe: T,. IMMM,,;1LN Ei;7^ 10,1 24AN and CORA IBJWwj�,AN hereinafter referred to as "Owner'f, and the County of Butte, a political subdivision of the State of California, hereinafter referred to as "County%; W I T N E S S E T H WHEREAS, Owner possesses certain real property hereinafter described located within County; and 9 r WHEREAS, said property is devoted to agricultural uses; and 10 !i WHEREAS, said property is located within the AGRICULTURAL PRESERVE �1 11 j NO. heretofore established by County; and 12 , WHEREAS, both Owner and County desire to limit the use of said 13 ;. property to agricultural, related and compatible uses in ord.er•to 14 li i preserve a maximum amount of agricultural land, to conserve the State Is 15 economic resources, to maintain the agricultural economy, and to assure 16 ;i a food supply for future residents,. to discourage premature and un- 17 necessary conversion of agricultural land to urban uses, recognizing 13 !i that such land has public value as open space and constitutes an 19 .i important physical, social, esthetic, and economic asset to the County; 20 and 21 '' WHEREAS the placem--nt of maid t� ' y i p opor in an agricultural preserve 22 �i and the execution and approval of this Agreeaorit is a deterr.,ination that tj 23' the highest and best use of said property during the term of this 214 ! Agreement or 'any renew.21 thereof is for agricultural uses; i 25 NOd, THEREFORE, both Oi•;ner and County in consideration of the I I 26 :i mutual promises, coven-nnts and conditions herein contained and the 11 27 s!iostancial publi.r, bensfits to be derived there:rom, do hereby agree •i _ + i as fcllc::c: r • 1� i 1: 31. 1 n n CrOVILLE, CALM. L I k�gr9�di?'iaral Ca::trniss3o:lers �I� wre eeum t - FIRST: This Agreement is made and entered into pursuant to the . I 1 1'California Land Conservation Act of 1965 (Chapter 7 of Part 1 of Division 2 'i.l of Title 5 of the Government Code of California commencing with Sec- 3- lltion 51200) including Article 3,5 of said Act entitled "Agreements .i: 4 H SECOND During the term of this Agreement, or any renewal thereof, I� • 5 J:the said property shall not be used for any purpose other than aericultural 6 I uses for producing agricultural commodities for commercial purposes, use® 7 ;related to such,purposes and uses compatible for,such purposes, which usee �i 8 d are set forth in Exhibit "A" attached hereto and incorporated herein by 9 k reference, 10 �' THIRD:. The Board of Supervisors of County may from time to time and 11 12 13 f !during the term of the Agreement or any extensions thereof, by resolution 1 'add to those compatible uzes authorized in the resolution establishing 'the preserve within which the land is located; provided, hoarever, said 14. ,: n. Board shall noV eliminate, without the written consent of 0,. er, a compatible I� i5 1: use during the term of this Agreement or any renewals thereof. The provisions I. 16 .of this Agreement and any resolution supplementinn, the uses listed in 17 Exhibib "A"- is not intended to limit or supercode the planning and zoning 18 I powers of the' County. 19 FOURTH: In the event an action is established in eminent domain 20 'for condemnation of all or a portion of subject property for a public or i , 21 ;quasi -public use as permitted under Section 51290 of the California 22 Government Code, .the terms of this Agreement shall be null and void as �3 Iof the date the actior, is filed; this Agreem3nt shall remain in full force i and effect as to the ren:_nder of subject p_•c;,�rty not so taken, unless I�such remaining land would no longer be eligible.f or Agreement under -'o I Section 512)12 01^ the California Government Cucl.e. i it 3(% I - ca 0 F-� CG M C� m F-� WA 1 2 h 5 6 7 8 0 10 11 12 13 lh 15 16 17 18 19 20 21. 22 23 25 26 ?7 .>a '19 30 31 J2 FIFTH: This Agreement shall be effective as of the day and year first above written and shall remain in offeet for a period of ten (10) years therefrom. This Agreement -shall be automatically renewed on the first day i - of January of each year for a period of ten (10) years from the date of satd renewal; unless notice of non renewal is given as provided in Section 51245 I of the Government Code of California. SIXTH: The Owner understands that he is not entitled to anypublic I.funds by reason of the execution of this Agreement or any renewal thereof I although the use thereof is limited as aforesaid. II SEVENTH: Cancellation of this Agreement may only be affected pursuant to the provisions -of Government Code Sections 51280 through 51286, except ias otherwise provided herein; provided, however, that the consent of the Director of Agriculture of the State of California as provided for in Govern- ment Code Sections 51282 and 51283, need not be obtained. EIGHTH: The Owner agrees that he, his successors and assigns shall not divide•by_sale or gift the property which is the subject of this Agreement � into a parcel under separate ownership having less than AL1 acres. t - NINTH: This Agreement shall run with the land described herein and shall be binding upon the heirs, successors and assigis of the Owner and County. I TENTH: In the event of forced srle of lands subject hereto for the • I I i settlement of a tax lien, this Agreement is null and void as to such land � actually sold for that purpose. •No penalty as provided for in Paragraph i I Seven (7) shall be charged for a cancellation under this paragraph. I I ELEVENTII: This Agreement shall be cancelled without payments or i public hearing if it is replaced by any other enforceable restriction j authorized by Article XXV III of the California Constitution or whenever there is no operative ].e&islatiei, i1nplon3rting said Article with respect to assessmont practices, j f= iW TWEIETH: The property of the Owner hereinabove referred to and to 1 which the provisions of this Agreement apply is situated in the 2 County of Butte, State of California and is particularly described 3 as follows: PARCEL SEV^ A portion 230 _�,, of Sec oxo 23 J Rnd mor ti e. Particularl T°iniship 21- North BEGTVTgI'NG at the . Y described as follows: Lange 1East, 'long Wes nb the East quaand p, ter corner 40r Ea 001.2 feet; then a center line tof East line of No t 999.7 feet South 00° , said Sect' said Sectio 0 01► to a 07 Bast 23, North n 23; thence 0 ° point on 887,2 f 20,35 acres blest 887,1 the East eet. 89° 40 more o feet to line of , thenc r I�ss, the point said Sec Point South 89° 12. Ij S of beginning and cont: ini Bence 13 14 15 16� 17 j 18 i I - 19 I . 20 ' 21 j 22 23 25 26 27 - 30 0 31 i o I—a V) q m . W 1 2 3 4 5 6 7 8 0 10 r IN WITNESS 'vMERE0F, The Owner and County have executed this Agreement the day, and year first above written. C OF BUTTE By I of the -Board o Supervisors ATTEST: Clark:Nelson, County Clerk and"'Ez Officio Clark of the RBoard of Supervisors -a-A— puty lilL_� P'OSIAt�.� 15 16 17� 18 1° 20 21 OidNER: IcIe--L. Henneman Elizat h A. Henneman Cora Henneman 1. TO 447 C (Individual) a STATE OF CALIFORNIA O ICOUNTY OFjut t e SS. or. __November 19, 1974 before me Stat L. , the undersigned, a No Public in and fow CORAr said G personally appear d JAKE W N MA nT NATEMA N & W J to be the person 3 whose name S are owbscribed known to me to the within instrument and acknowledged su} ( e. executed the same. --- WITNESS WITNESS my hand and official seal. OFFICIAL SEAL J. G. MCLAUGHLIN /^_ NOTARY PUBLIC — CALIFORNIA SignfltUr •�} PRINCIPAL OFFICE It' THE • �.~ COUNTY OF BUTTE J My Commission Expires Au gast 23, 1977 MC LAtUGHLIN E8E![AlfiEBfQ:EEQEAf:BQCFCCE8t5Ep; t.ea,EteEreesE:esalF Name (TYQed oI Plinted) _T (TMs nrea for 01,1.1 nOteriel Beall ism P STATE OF CALIFORNIA ss. COUNTY OF BUTTE On this 19th day of February, 1975 XMU; before4*me Maly K. i)eFrancisco a,Notary Public.-ift - and for the said County and State, residing therein, duly commissioned and sworn, personally appeared James H. Ladd —,,known to me to be the Chairman of the Board of Supervisors of the County of Butte, that executed the within instrument and acknowledge . d to me that said County of Butte did exedute the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed -my official seal the day and year in this Certificate first written above. My Commission Notary^blic in and for said expires: 1/15/78 Countyland State O;F;Ci"L I -",- is 3T -TSCO PRINCIPAL r,=,,'7,.:-VIIA My DUM c06N-Ty IS, 1578 Vwj 11 2 3 h 5 6 i 7 8 9, 10I 11 I 12 131 lh 15 16 17 18 19 20 Ij 21 22 23 '•'lr 25 26 EXHIBIT "A" PERMITTED 'USES 1. Single family dwelling as provided. in C-1, 0-2 or C-3 above, j provided, however, that variances may be recommended by the committee I { I i to the Board of Supervisors in cases of hardship. 2. General farming, horticulture, commercial livestock, commercial poultry I production, warehousing and storage. 3. Accessory buildings and uses pertinent to the permitted uses irruiuuIng i agricultural processing plants. h. Housing facilities (including trailers) to accoramcdate only agricultural employees and their families employed by the owner or operator of the premises and provided further that such housing facilities shall be l considered accessory to th^ main building. I 5. A stand or a display f or sale of agricultural commodities produced on i the premises. Sales of products produced off the premises provided I that the sale of such products is incidental and necondary to the I I ' sales of agricultural prcciucts produced on the promises. 6. Compatible uses: i , a. The -,drilling for hydrocarbon, including the installation and use of such equipmont, structures and facilities as are r,ocessary or convenient. b. Public utility and public services, including structures, uses and buildings. c. Airport or aircraft landing facilities. d. Farm labor camps. I e. Any other use determined to be a compatible use in all agricultural preserves by the Board of Supervisors after public hearing, on tan (10) days publishednotice and such other notice if any as they may specify. And after, such use be deemed a compatible use in any agricultura'! preserve. ! 7. Other uses: i I a. Sand and gravel operation subject to the securinp.,of a use permit approved ,by tho County. ; ou O M b. nines, mineral eitrdet.ion, and quarries in Agricultural Preserve � CO Number 7, 8 and 9. i CC n n I 039-230-005 PERMIT#97-0549 LEACH, Beppe F 9767 Fimple, Durham Cont: Bun'ge Electric {� Ch/SF Ser Ele ` f 1 1 s t. OF]FI,CCE•COPY Address GAS . d Meter g'y ELECTRIC U ate— ` Meter By— Date _ r t • p' I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone '(916) 538-7541 -PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT n�UIf ASSESSOR PARCEL NUMBER _ ZONING 0 BUILDING PERMIT OWNERt F TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS F DURRAM CONTRACTOR'S NAME TELEPHONE 895-3413 CONTRACTOR'S MAILING ADDRESS 1874 WUMA 'WAY CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9767 MULE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME - + PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFf Duplex ❑ Moblehome ❑ Other SPECIFY r Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 1,5.00 Each gas water heater or vent ti" 15.00 , TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 100A SERVICE CHANGE ki Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 A RUE Main Service %.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION i I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter < 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class - f © Lic. No. Lf C, U G Zt/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so CCUOOOA NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( 6 ACC. BLDS. SO 3.50FT. NEW CONS MULTI -OUTLET NON-RESID. I @7.50 OWER APPARATUS 8 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURE 20 ®I 00 aAL @ .50 Ex. Occup. ouTLEEDTs(RESIo.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION E00 PERMIT FEE $ 66" WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Fj I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation i surance cansner and policy number are: Carrier rte, A- , C nC. (,a 1 ttA Policy Number —ILIiq DOLt , 1*521h$ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X I P ' �IQD Date 3 - Signature of Applicant - ❑ Ownef V Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By C�'' `+l.z' " ±1 Date I t �. PERMIT EXPIRES ON �!i ! , , Data Receipt No. 209975 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A-% COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 39-23-05 ZONING A20 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9767 FIMPLE, DURHAM CONTRACTOR'S NAME BTINGE ELECTRIC TELEPHONE ' 895-3413 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9767 FINFLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,P Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heaCpump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 10QA SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A ,I. s 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �P --� T License Class (: - ( 0 Lic. No. q U 4 OyV OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason66.00 Main Service 200A TO I000A 46.00NEW CONST. DWELLINGOCCUP. SO OR ADDNS. ( a ACC. BLDs. 3.52FT: NEW CONSY. MULTI.OUTLET NON-RESID. AN CI cu 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES BAL �20 ' o LNS Ex. Occup. ouTEitrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 INSPECTIONPRE PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c mpen tion pips�urance ga¢rier and policy number are: Carrier s �t I , L(ZS(CCL{"i!A MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE S Policy Number t) C 113 DO C' b (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort i hply with those provisions. n Xlom&V_qR_ ___ Date _3 �Oc� _ Signature o Applicant - ❑ OwndJ 'E Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Z By Date p p PERMIT EXPIRES ON /V to Receipt No. 909975 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a0uNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERM ITAPPLICATION DATA SHEET OWNER 1, Cr G�► G No. Proposed Building Use C 5"r7Z-- Building Inspector, 65,oV Date SCS At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . .. .................. . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. .......... ............................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . -,19 -"Driveway permit (co uction approval r quired prior to -occupancy). { r 0. Pre -inspection for L�2C �-} �Ve'C� to Bu"�e�°" required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. :....................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ..... ........................ . ............. 29. Documentation of legal access . ..................... :................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... .� 33. / 34. When you issue the permit, process as follows: ' Mail to owner. !/ Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other r' Parcel Creation Acreage f Applicant Date 3-z Copy of Haz-Mat form sent Health Dept. Fire Dept. `Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 CountyCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCELNUMB -. S - _D� ZONING .Z-0 BUILDING PERMIT, OWNER �e _ - �ea � fin, T ONE SO, FT, OCC. BUILDING VALUATION "Le� OWNERS MAILING AD 9 / �) `� (� ! 7G�/ �i Wnci I(e C1/ uvtym .. CONTRACTOR'S NAMe�n � �G ( 0 L +�/^G �ELEPMONe ( 3 TR CONACTORSAI MUNG ADDRESS E ' ?-Lk I I via Wiw CONSTRUCTION LEDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 ARCHITECT OR ENGNEMS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ SUILOING ADDRESS -7 Vt vv\ ,e, ,. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other.P" Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service aoov oR (1ss 2o.A oR Less 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO /oaoA 46.00 NEW CONST. DWELLING OCCUP. s0 W OR ADDNS. ( 8 ACC. BLDS. 3.50T. .0E`NN-q�jpT' M."TI.OUTLfT 97.50 Po ESR APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES BAL 0 .50 OR Ex. Occup. ouxTters AESIo.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ MAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date toe lel Receipt No. "� WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT I . � o.,:. .r a + .. - .9 r+c.s-''-�`.f'"�.1_�'•'�r�i���.��.,�i►�n:.-ir1"i:'v�rG.F•. .y,s.. �,.a: n 03`9-230-005 PERMIT#97-0781 LEACH, Larry & Beppe '•. 9767 Fimple Rd., Chico -- Cont: McClelland Air Cond. HVAC/SF' If COUNTY OF JUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ION 7 County, Center Drive - Oroville, California 95965 - Telephone (916) 5 Be 541, PERMIT NO. �APPLICATIOWAND3-PERMIT `_2 2 _ r �nI ASSESSOR PARCEL NUMBER ZONING B ILDING PERMIT OWNER Larry & Beppe Leach T343N-0034 SO. FT. OCC. BUILDING VALUATION OWNER'S r,.�AILIyQA�DREFimple Road, Chico CA 95928 �� (NNAGG�E S� CONTRACT cCielland Air Conditioning, 1n TELEPHONE .891-6202 OONTRA70y>PIIORherbolt Street, Chico CA 95973 Fireplace CONSTRUCTION LENDER none UNMOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGD s 1197 Pimple Road, Chico CA 95928 PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap _ 7.00 -, LOT NO. SUBDN510 NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF )4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 SIX Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities If Installation X Other ❑ Describi%D- ly and install new heating/air conditioning. Mobile Home I S I GI W I @20.00 PERMITFEE $, Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service e00v OR LESS z00A OR LESS ) 23.00 Main Service 200A TO I000A ) 46.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C20 Lic. No. 3 4 5121 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this s .,..: reason NEW CONST. DWELLING OCCUP. so. OR ADON S. ( s ACC. ) 3.5¢ Fr. BLDSLICENSED MUf NEW CONSST. LTI.OTLEUTLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( d POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Ex. Occup. ( OUTIEEDTS GREs D.j OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a'certificate of consent to self -insure for workers' compensation, as provided' for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. K I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier . MECHANICAL PERMIT Filing Fee 20.00 g Heating 5,0 Cooling' Hood 6.50 Ventilation PERMITFEE $ 5 br Q Q Contractor Policy Number W915A.1257J4 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject. to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X _r(� 4 t,/ �,�f Date 4/15/97 — Signature of Applicant - ❑ Owner UContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ TS . SU HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. y A , / //�[l/ { 1/ Aof B /,' Date PERMITEXPIRESON (Date) M Receipt No. x% x� J7 y WHITE-D.D.S.-B. D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING D SION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 - 541 PRI o. APPLICION AND PERMIT,-� ASSESSOR PARCEL NUMBER r — `� D a ZONING B ILDING PERMIT OWNER Larry & Beppe Leach TELEPHONE 343-0034 SO, FT, OCC. BUILDING VALUATION OWNERSLINO ADDRESS X699 Fimple Road, Chico CA 95928 CONTRACT 'S NAE Cc elland Air Conditioning, In TELEPHONE .891-6202. CONTRAOTO IU DRES un erbolt Street, Chico CA 95973 Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS _ Permit Fee $ " ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - t Penalty $ BUILDINGADDRESS 9767 Fimple Road, Chico CA 95928 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00,(J� Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Of Installation *X Other ❑ ly and install new heating/dir� Describ%ugw ;ti.,%+ycondltlOrilnq:� t' >:1+Wt•} �F:."�, S.' -"-`-. , x,�'s,'��� ; ,1�..' .�: - Mobile Home I S I G W 1 @20.00 PERMITFEE $ � " contractor .' ELECTRICAL PERMIT Filin Fee 20:00 ,, `eGpJ' ,j i,I•S,:hK7. Yw`, its})sk�1f" ♦°�}.�r•'[4iT''�i'y .4,y lY 4r t" _�{+✓�..a •i �lwi.;' HC3 r. r}��I4'.-`\ -M i �4 •..I��.i•K'�k ,ri'l�t.-NI..J?t"}�i'F. iTi�'_;�* k.Main'Selvlce �',aoovoRLESS i 200A OR LESS ) 23.00 Mein Service(" 2oon To I000A ) 46.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C20 Lic. No. 345121 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. IK I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier CalComp NEW CONST. 'DWELLING OCCUR OR ADDNs. ( a C. BLDs. ) so. 3.5¢ FT. NEW CONST.( MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( SIPOWER APPARATUS ) 8 NGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL SO FIXED APPUNS. Ex. Occup. (ouR o. Ea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating /S.o Cooling Hood 6.50 Ventilation PERMITFEE $ 6 Q Q Contractor Policy Number W96A125734 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ?fo,hwith comply with those provisions. +� �/ X __ I _ Date' =4 51 9 7 Signature of Applicant - ❑ Owner Q Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh . Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ $ �. HAZ. I D. FEES I IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIR SON applicable provisions Resolutions to do work been paid. D to (Date) ReceiptNo._lG��(% WHITE-D.D.S.-B.D. - CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, FROM: DATE: 1 ENVIR. HEALTH, CHICO RELEASE(ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: AP#: r)3D ADDRESS/LOCATION: q%�O ;? . Comments: GL/memos/releas ehold COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, C-�Z j916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 r= CORRECTION NOTICE. Lmed OWNER PERMIT NO. i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, 1 please contact this office immediately. Date G-0- �,� Inspector REV 10/92 _r Date G-0- �,� Inspector REV 10/92 85-7.20' PLANNING DVOCIN•BUQ.DMPLANAPPROVAL Use: n/ S.,,, F plc l al Other: {mac' w I PROPOSED 1200 GAL. SEPTIC TANK PROP05ED FOUR BEDROOM RE51 PENCE 100' LONG LEACH L I NE5 ` 0 10'-0" O.G. MIN. 1001 1 500'PROP05ED REPLACEMENT' { r- _______� LEACH LINES 1-_-- ---- - PP-OP05ED 200' OF {, ti_______ LEACH LINE { f ` EXI TING i5' _ EXISTING 1000 GAL. SEPTIC TANK LEACH LINE 100' RADIUS LEACH FREE ARE EXISTING WELL I ---�-- --� EXISTING GARAGE EXIST.ING RESIDENNCE '� 1 APPROVED Butte Counh Dir-cC►UL0610 — —f 9>Si.20' COM PLr % 1010 tr— ^� r , F I MPLE ROAD � ignatur I ViRONNdEN` AL HEALTH GREGORY A. PEITZ. 'UG112004 ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894-5719 CHIC' C$L1FII'ss` 5GALE I "=100'-O" 11 T 4. Z t '140. O 212813 `� 1 85-7.20' PLANNING DVOCIN•BUQ.DMPLANAPPROVAL Use: n/ S.,,, F plc l al Other: {mac' w I PROPOSED 1200 GAL. SEPTIC TANK PROP05ED FOUR BEDROOM RE51 PENCE 100' LONG LEACH L I NE5 ` 0 10'-0" O.G. MIN. 1001 1 500'PROP05ED REPLACEMENT' { r- _______� LEACH LINES 1-_-- ---- - PP-OP05ED 200' OF {, ti_______ LEACH LINE { f ` EXI TING i5' _ EXISTING 1000 GAL. SEPTIC TANK LEACH LINE 100' RADIUS LEACH FREE ARE EXISTING WELL I ---�-- --� EXISTING GARAGE EXIST.ING RESIDENNCE '� 1 APPROVED Butte Counh Dir-cC►UL0610 — —f 9>Si.20' COM PLr % 1010 tr— ^� r , F I MPLE ROAD � ignatur I ViRONNdEN` AL HEALTH GREGORY A. PEITZ. 'UG112004 ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894-5719 CHIC' C$L1FII'ss` 5GALE I "=100'-O" 11 T 4. Z t '140. O 212813 `�