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HomeMy WebLinkAbout039-460-077COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION, AND PERMITAr ASSESSOR PARCEL NUMBER 039-460-077 ZONING 7 BUILDING PERMIT OWNER Cortez Moe - TELEPHONE T SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 2233 Oak Wav Chico CA 95973 837 R 153,198.00 822 U 14 796.00 CONTRACTOR'S NAME TELEPHONE 377 C 4,901.00 1•00 CONTRACTORS MAILING ADDRESS POBox 81 Durham CA 95938 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1500.00 Total Valuation $ .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 902.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 986.30 eu GApD, l•� '� f ha �_ Energy Plan Checking Fee $ 23.00 master $ 23.00 PERMIT FEE $1554.30 Lor167 SUBDIVISIONS NAMEDurham Estates $)J,`3 PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USE OFSTRUCTURE j,p�(C SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0091,00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 15,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Master #01-09 NSF F�b' X T aJ5�C Gas piping system 1 - 5 outlets 15.0015.00 Building sewer 15.00 15-00 Mobile Home I S I G I W 920.00 PERMIT FEES ELECTRICAL PERMIT Fling Fee 1 20.00 Main Service aOOV OR LESS 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 6 ! License Class Lie. No. (O 8 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. s0 3.50 -- NEW CONST. MULTI.OUTLET NONRESID. @7.50 POWER APPARATUS a SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FIXTURES BAS p x.50 Ex. Occup. GuTE�°Ts" R= .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 171 0 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.) 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 workers' compensation laws of C rnia, and agree that if I should become subject to the workers' compensate ovisions of section 3700 of the labor Code, I shall forthw' h co ply wit a provisions. 4o0' / X ate � can re of A plicant - er Contractor ❑ Agent An OSHA permit is required for excav tions over 60" deep and demolition or construction of structures over 3 stories i height. MECHANICAL PERMIT riling Fee 20.00 Heating 1 25 00 Cooling Hood 6.50 Ventilation 6.50 PERMIT FEE $ Mobile Home Installation Fee $ EnergyInspection Fee V46 , 00 c PE TOT L FEE $ HAZ. D. FEESC EL HD This permit i hereby issued under of the Bu ty Code and/or indicate e r hich fees ve B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. d Date O 6 to1 Receipt No. WHITE-D.D.S.-B. CA Y SSESSOR PINK -INS ECTOR GOLDENROD -APPLICANT 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 AP.P&IEi,' ION DATA SHEET OWNER: 7—_ ASSESSOR PARCEL NUMBERrC'/ O Proposed Building Use: VU� Counter Technician: la�_Date: / L Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 5 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 4vr :V3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2s �'of stamped and signed calculations. '7- 4. Engineered truss details and layouts in duplicate. No faxes! :Z:5. Energy compliance design and supporting documentation in duplicate. •. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all err plicate. 07. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. Alf these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. ❑ 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........ ❑ 12. Hazardous Material Form ...................................................... ❑ 13. Fire Sprinklers.................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Date Received By Sent by tRaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings......................................Sanitation and site plan approval from the Environmental Health Department inCity of Chico Plumbing permit........................................................................ 0 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... 0 21. Planning approval for (A) Use: oK (B)Parking: (C) Parcel Check: ❑0222j Contact Land Development about ❑ Improvements, ❑ Drainage ....................... ,'�H`" NPDES Form............................................................................................. 7 z 3 ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. O 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 4211_etter of Signature authorization.................................................................... 0. Recorded copy of Agricultural Acknowledgment Statement .................................... Pjvl ❑ 31=` Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, 0 M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone/Q�� C �� and hold for pickup. I have been informeWhe above item�d requirements for obtaining a building permit. App cant: Z 1 1 / l / // Dale: - 77— z 1. I ex pe it apple above item Bred: Plan Check Letter Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by O phone, ❑ mail, ❑ counter, by4 4 Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Of Date: Note transfer by: Date: Yellow: Building Division rA 7P TO:^ Building Department 1 FROM: Environmental Health SUBJECT: -Sanitation Clearance E.H. USE ONLY Piot Pian Attechod AGO? Pun Attpchad �• ''S3nt to B.D. f' — 'v 1 �D T.ES AroT/% �E7XyP.SF%✓_/.�T�.t D3%-h(/OG- 072 C Owner Plan Approved for: Sewage Disposal -� Clearance for Other Location AP# Water Supply: Public Private Well NOTE: V 9 Environmental Health Specialist 8/96 Date 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 OWNERall A.P. # D3� d �b7 PROPROSED BUILDING USE DATE a RECEIPT # DATE REC. � 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES +1 aid at School District Office form available after Plan Check ` I 3. SHERIFF FEES (Paid at Building Division) 3 J� 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 = $ t:N■nn :rta Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. Q� n 4�5. RECREATION DISTRICT FEES p t/ (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, as advised the ove es are required to be paid prior to issuance of the permit. These fees m e changed during the the gZpros/s.APPL ANT g::7 a 3 Pursuant to G014.1.ent Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 abo a 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) F) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUt DING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (5 538-754b� HERMIT 0� VNER APPLICATION AND PERIVIIY ��MBER ZONING BUILDINGPERMIT 3 5 - NONE SQ. FT. OCC. BUILDING VALUATION / �^ — �-�^�u�ss nit /I ) LA 01L /7 9 1—f % 3 EONSTRUCTION LENDER ENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHTECT OR ENGINEER'S MAILING ADDRESS SURDIJGADDRESS n _ PARCEL LOT USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 114 Describe Work: 4 - L% V3U T3� vowt� SRNoter , v a Ntarn CC" �Avr Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA ermit is required for excavations over 60° deep and demolition or construction Fireplace I /q' 1 Iaz 4 .so 1,600 Total Valuatic Is. 5.00 vi L4 -,117 )r- RlinqFee $ 20.00 Permit Fee $q 10U Plan Checking Fee ' $ Energy Plan Checking Fee $ a $ a3 U d PERMIT FEE $ 1,56-q,.3 PLUMBING PERMIT f' as- " Filing Fee 20.00 Each Trap / ;L5'— 7.00 b D Solar or heat pump water heater 6.50 23.00 Water piping 15.00 �— Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 r Building sewer 15.00 /j �— Mobile Home IS G W (ED20.00 / ": o0 1.) PER IT FEE /910-06 ELECTRICAL PERMIT r Filing Feel 2.0.00 eow OR LEsLESS Main Service 2ooA DR s 23.00 a ,Q Main Service 200A TO +000A 46.00 NEW CONST. / oWELLWG OCCUP. OR ADDNS. \ 6 ACC. BLDS. 3.50SO ' NEW CONST.�MULTI.OU= .-I unwI, @7.50 Ex. Occup. oun Er OR FIXTURES Iaz 4 .so Ex. Occup.MIS ESle.oeA 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 1-7/.0_5' MECHANICAL PERMIT Filing Fee 20.00 Heating f' as- " > Cooling / ;L5'— .1 " Hood 6.50 ^p Ventilation wtFSmL 1 rCC I a, KEnergy ome Installation Fee $ nspection Fee $ ip•000NST. TYPE TOTAL FEE $ � pul NAZ- D. FEES IMP . Ft.O* CDF PARCS. PD HD 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. P of structures over 3 stories in height By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date 0 !�I SITE PLAN REVIEW APPLICATION Date: C).- 0--z-, AP# 039 , y %d - 0 -7 -7 Permit Number (if applicable) 2.`Z-3 APPLICANT INFORMATION Parcel Size: 1 I0 Ll AC Owners Name: G0Q - F_Z ; Y�F� N U'_1._.11 Owners Address: Telephone No.: SZD G b -� Z eS ; Situs Address: � - Proposed Use: Residential ju New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other 11 Septic ❑ Well ❑ Agricultural Exempt Building Other: A 1_3 V -P -P Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved It Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By�e Date 16-7 8-n, fn Page 1 of 5 I, ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: 1 ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) '❑ SRA - (CDF to determine specific requirements) El 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained'from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------- -------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit. ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: L� Applicable Building Setbacks: i ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SR.A'setbacks. 1S Page 2 of 5 Zoning Code Streets & Highways ; Fire Prevention Subdivision Map Front 'Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SR.A'setbacks. 1S Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ 'Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ 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 in Subdivision Map/Parcel:Map: -DV tZl--A�\— Map Date of Recording: Lot: 10-- 3D- P,> 1 ❑ Use Permit/Minor Use Permit Permit Number: 0 Book: Page. / Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions' t Comply with the following Conditions of ApprovaL• ATJ TIi C,H ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 .. i h ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkle# 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 r ❑ Wood stoves and fireplace inserts shall be EPA approvedrand designed'to eet the emission requirements ofahe California Clean Air Act of 1988, as amended. 5 ❑ 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. j i ❑ In lieu of a pressurized water system or water storage tank, payment into -the appropriate Battalion Water Tender Fund may be required. i ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ON Page 4 of 5 .�-------- — — LEACH FREE SETBACK (LFS) • 07 S,. 1. Tires SHEET SHOWS ADDITWNAL INFORMATION, IS FOR ADDITIONAL INFORMATION PURPOSES ONLY, DESCRIBING CONDITIONS AT THE TIME OF FRIG AND IS NOT INTENDED TO AFFECT RECORD TITLE INTEREST. 2. A SOLID FENCE CHAIN LINK, BRICK, BLOCK OR SIMILAR MATERIAL, NOT WOOD, A MINIMUM OF SIX FEET IN HEIGHT SHALL BE INSTALLED ALONG THE SOUTHERN AND WESTERN PROPERTY LINES OF THE PROJECT. PRIOR TO ISSUANCE OP BUILDING PERMITS FOR ANY RESIDENCE IN PHASE 3. 3 DEVELOPMENT OF ALL LOTS IN THIS SUBDIVISION WILL REQUIRE CONNECTION TO A PUBLIC WATER SUPPLY. 4. SHOULD ANY ARCHAEOLOGICAL OR CULTURAL MATERIALS BE ENCOUNTERED DURING PROJECT CONSTRUCTION. SITE DEVELOPMENT SHALL CEASE AND ARCHAEOLOGICAL CONSULTATION SHALL BE IMMEDIATELY RETAINED. 5. ALL ALMOND TREES SHALL BE REMOVED FROM T14E PROPERTY. REMOVAL OF TREES CAN FOLLOW THE PROPOSED PHASING PLAN SHOULD ACTIVE FARMING CONTINUE AS THE PROJECT IS DEVELOPED. - 6. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FACILITIES SHALL BE PAID PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II • OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS OR USE PERMIT IN THE CASE OF A MOBILE HOME PARK. SAID FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT OR USE PERMIT. — 7. ALL OAK TREES ON THE PROPERTY SHALL BE PRESERVED l EXCEPT FOR THOSE REQUIRED FOR ROADS, DRIVEWAYS, OR p BUILDINGS. A NO DISTURBANCE SETBACK SHALL BE PROVIDED ,,A _ - COMMENCING FROM THE OUTER EDGE OF THE OAK TREE CANOPY. 3s 1 ADDITIONAL INFORMATION SHEET DURHAM LAND ESTATES PHASE 3 A PULUC snag SURD vr&M BEING A PORTION OF THE REMAINING LANDS OF DURHAM LAND ESTATES PHASE X BOOK ZI OF MAPS, PACE 71-74, ALSO ,BEING A POR77ON OF THE 0 • May 21 03 01:28p r ��04 p. 1 JUN 111 2003 BUTTE COUNTY AGRICULTURAL BUFFER UNUSUAL CIRCUMSTANCES FORM Butte County requires a 300' buffer between agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300' dimension cannot be met on existing parcels. This exception is not available for lots being divided or subdivided. Applicant 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: I''1 >g� v�2 GEJ i' �� Phone: S Z� — I� 3 z APN: 7-2 Reason you believe you qualify for the unusual circumstances exception: ...s Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well septic, etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: Drawn to scale Assessor's panel number Owner's name, property address and street name Size of parcel (dimensions and acreage) North arrow All improvements - existing or proposed (structures, wells, septic system, etc.) Frontage Road serving parcel Use of adjacent properties (all sides) showing type of fanning and other improvements (wells, septic, structures) Driveway width and length For office use only: DISCRETIONARY PERMITS (alanninti) MINISTERIAL PERMITS (building fi( Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Lo -t' 4*�1-7 NO o Psra*r--, yip b-vr-k jEe ce cr Agricultural Department Signature: Q e tiLu� Date: o(o A, d b1P c - YMC 4/10/03 _ _ 228' 'LAGEMENT FIELD — _ 400' TOTAL LINEAR FT. ---------- LEACH.-- I ------------------ ----------------- I ----------------- I I —MARSH DRIVE LOT 564164 sq. ft. S I TE FLAN BUILDING 3685 s . ft. COVERAGE I.qI LOT 6 GREGORY A. P E I T Z DURHAM LAND ESTATES L O T ARCHITECT for: 1 �% 383 Rio Undo Ave. Chico, CA. 95926 (530) 8945719 STEVE E GRA '' S 1 / 11 DURHAM, CALIFORNIA 0 ­_ n t6 a 0.3�- �O —O 7 7 Environmental Health JUN9 ` 2003 Chico, CA �� nI—.. , , c T /1 National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNTs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNIPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: 13y signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is tru , curate, and complete. Signed: Title: Date: 77 NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan 4 School District A.P. Number U Property Owner Property LocatiokAddress i BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) i ; Building Department No. Subdivision Y �,f /��/ �G��.-t/J Lot No. / l V Yb Commercial/Industrial New Addition Sq. Footage (Including Exterior /^ Roofed Areas) U Date 1moor runs reviewed oy scnooi uistnct rersonneq t District Identification No. �t-t4 a -ko I P d School District certifies that y (Applicant) ` (Street Address) 3, / - 4L6G . 7 --7 (Phone Number) �ti✓�_a....�--1 Cot- � ��--9 � (J .. . (City) (State) (Zip Code) has complied with the'requirements of Resolution No. U� �� b a meet of $ p II, . YP Y rDi) %�. /a api square feet. AB 2926 $ FULL MITIGATION $ Rgp esentative Date Paid by Check # / Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), thisproject may be subject to additional school fees to fully mitigate its impact on the school district's schoolsmay be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/9877m M ��/j'�"� \ T'�; �' n� .'iC1 '1. 'r 1• r wA it �1i f �.Tr'�4c"S �:.�iy'*. r ti'., s��r. N"1 r.+t'(r•.r...y`•p1C�.•rr.�'S�"�' .�2�`t•'Y�F,' 7�'-M.r.".�'�{'1..ia -�- BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION:AND PARK DISTRICT 1.o77 Assessor Parcel Number (s): Property Owner (s): Project Location/Address: /u/ / 7 Subdivisons Name:Y,,CA_ Assessable Square Footage: e.3 Type of Residential Development (check one): New Development ❑ Afteration'Addition Mobile Home (s)' Non -Residential to Residential Comments: Building Division Representative Date Durham Recreation and Park District (DRPD) certifies that ve 5 64"6 6o L/ - 0,3 8 0 Applicant Name Applicant Phone Number 1 Street Address fi City State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by paymet`for 231 square feet at $ 1.04 per square foot for a total payment of $ ,r U1 o' c�u� 503 LORPD Representative Date PAID BY CHECK No.: Remarks: BANK No.: cI b-. 3`3 D q 9 PAID BY CASH: RECEIPT No.: DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW -'BUTTE CO. BUILDING DIVISION v.w 20030801 Agricultural Statement Recorded I REC FEE 1: . UfficialyyRecords I Coun]4 Of Butte County Building Division 7 County Center Drive .' eA><1DACE J. GRilBB5 Recorder I 1 OrovilIe, CA 95965 ROSEMARY DICKSON I Assistant I Alyce ' 09:00AM 31 -Jul -2003 I Rage i of 3 20030801 Agricultural Statement AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 16-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust,.smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY OWNERS: State of California) County of �c - I- On � S -0 3 before me,k7 -,mak S F r� ersonally appeared 1a o v,%&, � C: (�,e' � S 'fpersonally 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 ' his/her/their authorized capacity(ies), and that by his/her/their signature(s)oCtIfe instrument, the person(s) or the entity upon behalf of which the person(s cedi, executed the instrument. WITNESS my h,4 kAd official seal. gn !/ —�� ����/� Seal:.,�►,�ri Si afar ,. DENISE M. PRIC@ C�nMM. #1341260 WTARY PUBLIC o CALIFORNIA � CCIU(M OF BJTTE 0411 IOP Expires Jan, 24, 2006 Description The land referred.'to herein is situated in the State of California, County of Butte,' and _is described as follows: LOT 17, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DURHAM LAND ESTATES PHASE 311, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 2001, IN BOOK 152 OF MAPS, AT PAGE(S) 79, 80 AND 81. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS .AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED NOVEMBER 7, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001- ,51759, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE ON THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APNS 039460-024-000 (PORTION) AND 039-460-040-000 (PORTION) REPLACEMENT FIELD 400' TOTAL LINEAR FT. - - - OF LEACH. - I ----------------- I ----=------------ APPROVED ----------------- I i& -0 -?-) 150J Esrwv- G 7YZ— mironmental Health J U N 'f - 2003 Chico, CA r;a\' LNG DIVISION -BUILDING PLAN APPROVAL use:01I < Dace: R Pa,4ng: Landscaping: signakm. 228.50' LOT 0 LOT GREGORY A. P E I T Z DURHAM LAND ESTATES ARCHITECT for .17 /—� 383 Rio Lando Ave. Chico, CA. 95926 (530) 894-5719 STEVE GRAVES / 11 DURHAM, CALIFORNIA SE -:e, A14:5 = B:'>FiUCI MBS AND EQIWWENT mcwD m n OV RHANC38 SHALL BE GEAR OF ALL EASEMEW& A SET BACK OF*0-'! FT. FROM THE SIDE AtO . :EjMZ FT. FROM THE REAR PROPERTY LINES AN6 FT. FROM THE LOAD CENTERLINE SHALL BE - CLEAR OF 'STRUG`i'URES AND EQUIPMENT EXCWT FOR A 2 E7, EA VE OVE!�ANG. BUTTE COUNTY BUILDING DIVISION APPROVED