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040-180-023
040-150-023 06-0260 VERNOGA,NED '15/4 JONES AVE, DURHAM ConNSF S'ZZ-07 NSF 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. BP060260 o. V. ounamy rennn v 1- 1v 4 Ny LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/30/2006 APN: 040-180-023-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 9514 JONES AVE DUR Map Index: Date: Contractor: Description: NSF(3086)GAR(780)COV(1048) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: VERNOGA, NED permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 9832 MC ANARLIN signed statement that he or she is licensed pursuant to the provisions of DURHAM CA 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 95938 she is exempt therefrom and the basis for the alleged exemption. Any (530) 345-8165 (530) 624-5661 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: VERNOGA, NED Code: The Contractors' State License Law does not apply to an 9832 MC ANARLIN .owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, DURHAM CA provided that such improvements are not intended or offered for 95938 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 345-8165 (530) 624-5661 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed, contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: STORNETTA BROS. CONSTRUCTION INC. 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.). 10636 SOUTH MILLER AVE ❑ I am Exempt under Article 3 of the Busin s and Professions Code CHICO, CA. 95928 Date' 30- O & owner: e 9- 530-521-2324 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code; for the performance of Engineer: RICHELIEU, JEFFREY MARTIN g the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 4914 S. F. Policy #: 0/1'certify that in the of the work for which this permit is Valuation: $236,078.00 performance Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, I and agree that if I should become subject to the workers' 15y7.q compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -7 Date: 6 O— 06 r 2-6 - oG Applicant: e U. �� ` WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one �555y3 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 5-20- tial code, interest, and attorney's fees. �J CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti ns to do work indi ated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) r ^ Date: Name: By. 5'-:D& PERMIT EXPIRES ON: Address: Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. r: O 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 reprAseRtatives of Butte County to enter upon the above mentioned property for inspection put es. �� V e r �0 Print Name: Signature: 0 —o6 Date: wner ❑ Contractor ElAgent for Owner ❑ Agent for Contractor o. V. ounamy rennn v 1- 1v 4 Ny 'e �Ul•j'� BUTTE COUNTY PERMIT o I o DEPARTMENT OF DEVELOPMENT SERVICES NO. o o BUILDING PERMIT APPLICATION . 0 o AND G2� SUBMITTAL REQUIREMENTS o /_'• 0 24 HOUR MSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 BP o -" '=�= ` o OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # �(f N� Website: www.buttecounty.net/dds /S-1 `.*PLEASE PRINT CLEARLYXY OWNER INFORMATION Last Name t / C n I1 ► 0 6 V�3 fZ1 V V Address G 3 So, First Name / G' r"\ Address � n-CrLL.S � City LC Y GL.�1 State Zip 9J-�l31� Phone Fax �(fr P4jam' E-mail Page CONTRACTOR Name / Address G 3 So, City C t7 Lo State Zip9>1 26 P n,&,0> �'Zf 23 Z Fax E-mail Lic._�-// 9/7 Clas� WO ARCHITECT/ENGINEER Name D i,1 0.-0- Address % z ye /A Z) y City C z'c U State Zip 91 % 7� Phone yam- Fax E-mail State License Number APPLICANT INFORMATION Name Address GZZip®o/'M2 City Statt SRA Phone /�- D Fax E-mail APPLIPANT SIGNATURE Fx_ 1,4 _/0 I Flood Zone I I For office use only: Zoning 1,4 _/0 I Flood Zone 1 14,� 1 SRA I Yes o Occ. R3 I Type Const. VN Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PROJECT LOCATION . AN / Propeddrn/ , ja v Cl Cross Street WORKER'S COMPENSATION Policy Number Carrier 272-- 6006370 - 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: Sq FT- Living 30 , t4e Garage Open Cov/o ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs'are not refundable. (0 40 "o Received by:7e- Amount: t ( / •` �uiu9 SRA Receipt MIN 5 17 /1 � Sheriff SMIP other Date: Total 42 6 _061 - S� 5� 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 1N 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 KAFORMSSUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV B-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BU1 IED'N DP6kN 0, �O G 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: e ) aa. N e,14 . ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: TV Date: ;2-6-6_2,S Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. f- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including 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. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Rem ining items needed to issue the permit. (May require additional plan review upon re5eipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in 19 Chico ❑ Oroville, as applicable 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. t20. City of Chico Plumbing permit........................................................................ ❑ ❑ . 0 0 4' V t 21. Site plan and business license approval from the City of Biggs .............................. 22. California Department of Forestry Ian approval ❑ paid. Sent by: 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check...., 24. Contact Land Development about -Improvements, -Drainage ........................ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... .29. Worker's Compensation Carrier and Policy Number .......................................... IA [5❑ ❑ o 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �iO/�'�5/oh/�;CS �l/(�S and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Nei V Date: ':2 -n b _ 0, 1. Index permit application for the above items number AK0 41* Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: �'' Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheetsidata sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner VERNOGA, NED APN No: 040-180-023 Application Date 2/6/2006 Permit No: BP 06-0260 Permit Type: NSF 3086 SQ.FT. 1 2 3 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,569.83 Plan Check portion of Permit Fee $1,427.93 $2,141.90 Balance of Building Permit Fee FEMABX Yes Flood Elevation Review $109.98 $109.98 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 _ $204.98 NON-REFUNDABLE portion of fees due at application $1,537.91 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,537 91 443747 2/6/06 Tammie FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 4 Balance of Building Permit Fees (from No. 1 above) 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling I JPer Dwelling Per Dwellinf Applications After 2/14/05 1 SFD 1 -1 MFn I nnu New construction, vacant land, on 1 acre or less - Enter 1 or less acre value $2,141.90 $23.61 3071.14 3117.43 uounty 1 1 4096.87 3995.45 4889.56 Chico Urban Area 5372.09 EI Medio Fire District 3128.31 6850.08 7726.49 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.53 R-1 8031.53 o R-2 7541.53 R-3 6780.53 5599.08 6475.49 Processing Fee is automatically added to impact fee total 9 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 1771 C h C k New construction, vacant land, on 1 acre or less - Enter 1 or less acre value $2,141.90 $23.61 3071.14 3117.43 RECEIPT DATE Tech/Asst $4,196.87 Kourtni 3995.45 4889.56 2297.77 2326.36 6757.08 7633.49 6850.08 7726.49 6360.08 7236.49 5599.08 6475.49 1 $100.00 $200.00 omanc a ree 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch 10a More than 1 acre, existing buildings - fees to be assessed by Public Work: Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. $6,070 RECEIPT DATE Tech/Asst $8,603 LTJ LTJ PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Durham 070 ; 12a RECREATION DISTRICT FEES* Durham At the 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: OLJ ve Lu� Date: ob Pursuant to Government code Section 66020, you are' q eby notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the imption of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 ,r -:.,. public works _r3� " : :._� epartme.nt o "•�n�6%%%%0 C o u t y o f g U t t e j II'? LAND DEVELOPMENT DNISION `• �J 0 J. Michael Crump, DirectorStorm Water'ManagementPro-ram \'~k3 r ® 7 County Center Drive C-�`� / Oroville, CA 95965 (530) 538-7-266 AUC VYoF� (FA,") 538-7171- National 38-7171 National Pollutant Discharge Elirnination System ' (NPDES) Phase li Construction Storm Water Permit and Storm Water. P0Ilution Prevention Plan (SWPPP) Acknowledgement jLESS THAI�d ACRE] Project Description:ll�S`� Project Location andlor Parcel Number, By signing below, L the project owner/owner's agent, certify that this project WH L NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit fron:the State of California Regional Water Quality Controlcat contain omb with subsequent phases oard. Phased projects htotal more. multiple site build -outs of less than one acre but when than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board-' I am aware that submitting false andlor inaccurate information or failure to apply for a Construction Storm Water per 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: 8u v „" V— Title: Date: 2 L n <^ Butte County Department of -Development SerTices 7 County Center Drive Oroville, CA 95965 °O =-�, ',v C (530) 538-7601 Telephone 00 - y (530) 538-7785 Facsimile UN� BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES 1. request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic andlor well to Butte County Environmental Health immediately. ® I am required to bring the approved Envirotint ental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for -notifying Development Services, in writing, to stop processing of the application and to arrange for' disposition of plans. The Building Division will process the application through the plans examination process,- as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire,. agriculture buffer zones, and habitat/species). Please print: (� Applicant Name: V APN: rr /,, /� Building site address: S A� 1J� r"� Permit No.: (Jly I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIG ATURE OF APPLICANT DATE BUTTE o o I/ \ 0 0 o G coo / macre wv'9 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 Phone: (530) 538-7681 Fax: (530) 538-4356 All information except signature must be typed or legibly rinted Permit fl: / O(UOIC NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED G Assessor's Parcel Number (Required): T-l,9—©•—v- Property Owname: er X a c P ERTY OWNER Dert ✓J -e P:3hone: 15—��6% Property Address: �S STV �L/ �'d/LGtQ bt.Z &L p C2 si�/ r'SS Mailing Address (if DiCrent : Wt Eea�c . jEc)�jri' Work will be IContractor's rformed by: Contractor Property Owner peEl Nam : � ^ 0 N ` gr`j /Ke 115 Phone: l � — Address: Fax: WORK PERFORMED BY Contractor's License "'' Number: ��� / I Certificate of Insurance currently on file with Deoartment7 Yes ❑ No Applicant is: Property Owner ❑ Property Owner's Agent ❑ Contractor-kother. / %Z u I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads §Vd highways, all in accordance with County ordinances and general laws. Signature: Date Signed:Z_Z 7— O / Road affected: / / t/ I Time and Durat of Encroachment: Permanent Encroachment ❑ Temporary: From To LOCATION Type of Encroachment: Driveway ❑ Roadway ❑ Culvert Fence ❑ Pipe/Pipeline ❑ Sign/Billboard ❑ Other Site Plans�{' Attached: N Yes ❑ No PERMIT IS: GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit forth) and special conditions written below, permission is hereby ranted. 1. ❑ Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. X9ther Conditions: fj, PERMIT CONDITIONS�� (To be filled in by County) Date _ Issued: 2 Expiration Date: Z - Surety: l% -2 Date Z Paid: Z7 �� Amount Paid: ���Uci Paid K3eA By: ! Check No: 533 Receipt No.: ' 7 Mike Crump, Director of Public Works By: For County R d District: Z Inspected By: Inspec ' Compl - OK ❑ Com - Not OK Res s< ❑ A tional Comments Attached Use Only Comments: Note: If permits are faxed to any number besides 530) 538-4356, they can be delayed up to one week. Form: 200506EP Page 1 of 2 - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 outtecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL 1wner VERNOGA, NED APN No: 040-180-023 Application Date 2/6/2006 Permit No: BP 06-0260 Permit Type: NSF 3086 SQ. FT. 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,569.83 Plan Check portion of Permit Fee FEMA $1,427.93 $2,141.90 Balance of Building Permit Fee 2 BX Yes Flood Elevation Review $109.98 $109.98 3 SRA' Yes Fire Plan Check - Non -Refundable $95.00 p (State Responsibility Area) Building Inspection $109.98 0 _ $204.98 NON-REFUNDABLE portion of fees due at application $1,537.91 RECEIPT DATE FEES DUE AND PAYABLEAT TIME_OF_PERMIT APPLICATION Tech/Asst $1,537.91 443747 2/6/06 Tammie r-FEES(BELOW) DUE PRIOR TO ISSUANCE OF PERMIT `Baleancof - _,,�$ ,362:38 4 Building Permit Fees (from No. 1 above) - ` $2_ 141.90 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) $23.61 5 � 5 �-( 6 �— s Additional Plan Check Fees (NON-REFUNDABLE) 1 Other*: ----�� to Other*: 3 JIMPACT FEES - RESIDENTIAL* Per DwellingPer Dwelling Per Dwelling �— --�� Applications After 2/14/05 �, SFn MFn I I nnu � ounxy I 1 1 4096871 3071.14 3117.43 Chico Urb`gn Area 5372.091 3995.45 4889.56 EI Medio Fire District 3128.311 2297.771 2326.36 North Chico Specific Plan p� SR -1, SR -3, SR-1/PD"6780.M53.59;_5r,.qQ 7633.49 �0 R-1 7726.49 R-2 7236.49 R-3 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 1 $100.00 _ $4,196.87 j 5552 1.30•()lS K,6, WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 lKourtnil v DRAINAGE FEES* 0 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 New construction, vacant 773 Big Chico Creek $6,596 land, on 1 acre or less - 774 Lindo Channel $8,139 Enter 1 or less acre value 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 RECEIPT DATE Tech/Asst 777 PV Ditch $8,603 )a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed -Enter amount determined by PW CTj 1 THERMALITO DRAINAGE AREA 1 $652 Maximum jPer each new living unit on existing lots where full drainage fees have not been paid la Temporary Dwelling L $130 At time of building permit C I I $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. SCHOOL DISTRICT FEES' Durham 070- :a RECREATION DISTRICT FEES' Durham -Z I u�l�l the 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 ecking process. Applicant:C .� /C� 1' Date: l rsuant to Govemment code Section 66020, you are h,fe� eby notified those Items followed by an " " may have been imposed on your project. You have 90 days nLtm the date of approval of the porject or from the impd�tion of the above referenced items during which you may protest. The requirements for a protest are acifled in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 I. j BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM. 0 FEATHER.RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) XDURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) ©�0 w O - t9 2 Building Permit Number /�P06 0260 Property Owner .(s) N 0 e=, A Project Location /Address Subdivision Name Assessable Sq. Ftge 3 e g Typle of Residential Development (check one) New Development f/ Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building Department Representative Date. 0 FRRPD ❑ CARD ❑ PRPD DRPD ' certifies that: N,ed - Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. T �� by Payment of: . .Dwelling Units @ $ per unit for a total.of $ Square Feet @ $ per sq foot fora total of $ 45 5 I -2 Lv Remarks: Paid by Cl eck No: Paid by Cash: Receipt No: 2LFcJ 7- rD 5 2� (�Cp Recreation and Park District *presentative Date mu BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District: ' U12 N'A A Building Department No. P>P0y 0260 A.P. Number © yO V r 0 2 3 Jurisdiction: F-7 City ®County Property Owner V C--!'-AJOGA i lit';—i>.' Property Location/Address 9 �� L/ •.J �w &--5 Subdivision Commercial/Industrial 0 New Addition Building Department Representative Lot No. Q / Sq. Footage Addition/ 'Supplemental to (Group. R) Conversion Permit # •(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), District Identification No. School District certfies that J�,, AtAt� Sq. Footage (Including Exterior Roofed Areas) 5--l-06 Date Vexn6aa, Ive k (Applicant) (Street Address) (Phone Number) -1)i ,ha, 95938 has complied with the requirements of Resolution No. VO square feet. 1 Paid by Check # 0 Remarks: (State) (Zip Code) by payment of $ &/ � . 6 q B 2926 $ Residential DevelopmentFQ Q No of Living Mobile Home lr Units Installation Commercial/Industrial 0 New Addition Building Department Representative Lot No. Q / Sq. Footage Addition/ 'Supplemental to (Group. R) Conversion Permit # •(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), District Identification No. School District certfies that J�,, AtAt� Sq. Footage (Including Exterior Roofed Areas) 5--l-06 Date Vexn6aa, Ive k (Applicant) (Street Address) (Phone Number) -1)i ,ha, 95938 has complied with the requirements of Resolution No. VO square feet. 1 Paid by Check # 0 Remarks: (State) (Zip Code) by payment of $ &/ � . 6 q Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. 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), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (3M5W= B 2926 $ ULL MITIGATION $ Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. 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), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (3M5W= Nov 29 05 12:44p Dev Svcs & Env Health AGRICULTURAL AFFIDAVIT EMPLOYER 530 538-7785 p.3 Employer '�� t> o Phone Sao- 3VS--d2/ 6s �aLv-J 16 Cep//) Employer's Address Dame of Property Owner feeSfoWF Is +L,3 Property Owner's Address '763,7 A.AC Owner's Assessor's Parcel Number 4'09"0- ISO -®z3�,�� Parcel Size q. /_' Ac. I, Node r y"P, do declare, subject to the penalty. of. T s/ perjury, that I am the employer of �� Ye r7tv,O 4 address (present). G{ /"//ice and that I will be employer under Section 24-305.020 (a) +o (g) ack<A for at least thirty-two (32) hours per (a) `% (g) i Nov 29 05 12:44p Dev Svcs Env Health 530 538-7785 p•4 Employee -• u �� Q Y b ,a- Phone 5--30- 311-r-04? -Employee's Address (Present) l bgz Me. �.%� & t4c4a-� e--,- -7d-73o- Name of Property Owner %3•e4 V _�"yw Property. Owner's Address 7,6 32- e /�'` � : IJ�C r 9J-Vzd Owner's Assessor's Parcel Number 3- 047v Parcel Size / Ac. I, hj&wC , do declare, subject to the penalty of perjury, that 1 am the employeeof pj,l Ve r xo QQ address (present) q�,3,2 , •b4AtLo-,.. and that.l will be employee under Section 24-305.020 -to OVA -rcb�,or at least thirty-two (32) hours per (a to (g) 61 week for at least sixteen (16) weeks per year on AP# ®¢v. /,?®- O z•3- o o o Signed: Dated: Environmental Health Approval- Permit Description and Number Datelssued II/3olll 4 Planning Approval: Date ' -7- (q •O zone 13y .7-0 le Crop/Commodity Produced ingon AP# O ENVIRONMENTAL -A NOV 2 12005 Com®, CALIF.ORNIA STH ;v 29 05 12:44p Dev Svcs & Env Health �FYN, AGRICULTURAL 530 538-7785 DAVIT 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: The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; The sowing and planting of any agricultural or horticultural commodity; 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; ,) 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; eThe 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; ( 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. Employer tax records may be requested as proof of employment status. Signed: ., Dated: C'T Nov 2 9 2005 Com®, CALIFORNIA AND WHEN RECORDED MAIL TO: BUTTE'*DUNTY BUILDING DIVISION 7r0UNTY CENTER DRIVE OROVILLE, CA 95965 2006-0009912 Recorded I REC FEE 10.00 Official Records 1 County of I COPIES 2.50 Butte I MNMCE J. 6RtIBBS 1 County Clerk-Recorderl 1 I CP 01:M 27-feb-Mg I (lPage I of 2 . IIII"III"II"IIII'�II'I'I�IIII'I ' AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. , All that real property situate in the County of Butte, State of California, described as follows: Date ,Z ' Z % &,,i� PROPERTY OWNERS: aed � P a, -Q-� State of California County of On (ebf-cuipt l ;G'I , ,W0(o before me, personally appeared k)eet VernDAe2J known to me (or proved to me on the balis of satisfactory evidence) to be the person.4&)-*hose to the within instrument nd acknowledged to me that(s�/giey executed the same in capacity, and that by'pf/th�ir signature on the instrument, the person(} or the en the person acted, executed the instrument. WITNESL h d personally I is a subscribed IVr/t it authorized upon behalf of which my an and official seal. A e A� s -4--A—A—� Signature 1, Anl-e a dMadJk6ja/&I A.P. # 0110— R- D- OZ3-0. G A parcel of land in Section 30, Township 21 North, Range 2 East, Mount Diablo Base and Meridian, more particularly described as follows: From the intersection of the Westerly production of Southerly line of the A. F. Jones Subdivision of the Ferson Farm, as delineated on the official map thereof, on file in the office of the Recorder of the County of Butte, State of California, with the Easterly right of way line of the Central Pacific Railroad, South of said subdivision, run North 820 37' East 1069.0 feet, along said Southerly line, to an iron pipe monument; thence leaving said subdivision line, South 60 34' East 1650 feet; thence North 820 37' East, 174.24 feet to the point of beginning of this description; thence continuing North 820 37' East, 631.56 feet; thence South 30 36' East, 554.6 feet to the Northeast corner of that certain parcel of, land heretofore conveyed to H. C. Frevei�t; thence South 820 37' East, 776.7 feet along the North line of said Frevert property to the center line of Countv Road; thence North 60 34' West 428.4 feet along said center line to the Southeast corner of a parcel of land ccnv eyed tc 0. W. Sitton; thence North 820 37' East, 174.24 feet along the South line of said Sitton land to the Southeast corner thereof; thence North 60 34' West, 125 feet along the East line of said Sitton land to the point of beginning. 9.15 acres, Jones Avenue, Durham A.P. No. 040-18-0-023-0 htUtKALtMtKlitNUY MANAUI:MtNI AlitNUY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE _. Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insuanoe Company Use BUILDING OWNER'S NAME Policy_Number " NED VERNOGA BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIG:Number Jones Avenue CITY STATE ZIP CODE Durham CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN: 040-180-023 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #ff - #9 - ##.##" or ##. ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBERI Butte B2. COUNTY NAME I CASTATE Butte County Unincorporated 060017 B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 0600700520 C i0420M o d) Attached garage (top of slab) . 06/08198 AE 163A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 69. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): _ B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation DateN/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.-a� below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD Conversion/Comments N/A Elevation reference mark used RM 58 Does the elevation reference mark used appear on the FIRM? ®Yes ❑ No o a) Top of bottom floor (including basement or enclosure) 160. 0 k(m) o b) Top of next higher floor 164.4 Ito) a o c) Bottom of lowest horizontal structural member (V zones only) N/A. o d) Attached garage (top of slab) . 161. Oft(m) 00 E 1 •o e) Lowest elevation of machinery andtor equipment w d servicing the building (Describe in a Comments area) 163.4 ft.(m) E o f) Lowest adjacent (finished) grade (LAG) 160.0 ft(m) Z' it o g) Highest adjacent (finished) grade (HAG) 160. 5 ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade See Comments D o i) Total area of all permanent openings (flood vents) in C3.h See Comments sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME Lambert 0. Lowe LICENSE NUMBER RCE 59077 TITLE Civil Engineer COMPANY NAME Northstar Engineering ADDRESS CITY STATE ZIP CODE 20 Declaration Drive Chico Ca 95973 SIGNATURE DATE TELEPHONE - 12/16/05 (530) 893-1600 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions l\ `rnZ CIO i rA 4 . AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006®0009912 Recorded I REC FEE 10,00 Official Records I County of I COPIES 2,50 Butte I CMM J. GRUBBS I County Clerk -Recorder( I I CP 01:04Pi9 27 -Feb -2005 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing; spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: G Date ' Z 71 PROPERTY OWNERS: Staie of California ) County of ) On { ebwoxg eG`I , X.00(0 before me, personally appeared IVe,. V j known to me (or proved to me on the ba is of satisfactory evidence) to be the personx("hose to the within instrument nd�/tbtir cknowledged to me that hS /sKe/oey executed the same in capacity), and that byl signature on the instrument, the person(O or the en the persono acted, executed the instrument. i is a subscribed . 1Vr/t§6ir authorized upon behalf of which W1W1 I NESS my hand and official seal. Signature K , /ideal: AMIE M. HvOWN5D ., COMM. # 1,351wgO :b d Y pi nO CA•.IFORNIA -A No1N, BUTTE COUNT f A.P. # Ot1 Q— R- i)- 02-3—o my commission Expires APR. 1592006 'r A parcel of land in Section 30, Township .21 North, Range 2 East, Mount Diablo Base and Meridian, more particularly described as follows: From the intersection of the Westerly production of Southerly line of the A. F. Jones Subdivision of the Ferson Farm, as delineated on the official map thereof,. on file in the office of the Recorder of the County of Butte, State of California, with the Easterly right of way line .of the Central Pacific Railroad, South of said subdivision, run North 820 37' East 1069.0 feet, along said Southerly line, to an iron pipe monument; thence leaving. said subdivision line, South 60 34' East 1650 feet; thence North 82° 37' East, 174.24 feet to the point of beginning of this description; thence continuing North 820 37' East, 631.56 feet; thence South 30 36' East, 554.6 feet to the Northeast corner of that certain parcel ot land heretofore conveyed to H. C. Frevert; thence South 820 37' East, 776.7 feet along the North line of said Frevert property to the center line of Countv Road; thence North 60 34' West =128.4 Feet alung said center line to the Southeast corner of a parcel of land ccnveyed --c 0.. W. Sitton; thence North 820 37' East, 174.24 feet along the South line of said Sitton land to the Southeast corner thereof; thence North 60 34' West, 125 feet along the East line of said Sitton land to the point of beginning. 9.15 acres, Jones Avenue, Durham A.P. No. 040-18-0-023-0 Proposed Use: 2v",�e �- - ( 0 esidea ial ( 9 FC New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-resideexfaal ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A Brief Explanation (if necessary):�j- O DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER PTCES INFORMATION (For Sta[L Usg) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved �AS if J Page 1 of 5 RETURN TO CHICO EH �L TO SITE PLAN REVIEW/ APPLICATION Date: ��'6 (0 AP# Permit 1- umbee- (if applicable) Beer Number APPLICANT INFORMATION ION Parcel Size: Qwners Name: 9 yVl �� Owners Address:` 3 a r'C G� Telephone No.: Email: Situs Address: Proposed Use: 2v",�e �- - ( 0 esidea ial ( 9 FC New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-resideexfaal ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A Brief Explanation (if necessary):�j- O DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER PTCES INFORMATION (For Sta[L Usg) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved �AS if J Page 1 of 5 d - It A>l_,lL ITEMS CHECKED ATPLY TO TFIE PROPERTY Parcell Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action PIan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See'attached) Flood Zone: A f= 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/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ ElAdmuiistrative Permit EJ Minor Variance Variance --------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:_ (0 UFS Appllicablle Buillalung Setbacks: Subdivision Map ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Front Side t o , Side Street Rear Height Waterway N/A N/A --r-N/A Subdivision Map ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Y Applicable Development Fees: Standard Fees Amount'- Formula ❑ Fire ❑ School'- Parks/Recreation chool*Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------=----------------------7------------------------------- Subdnvisionn Map Special Fees ❑ Water Tender ❑ 'Road huprovement ❑ 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 A Deeds: Date of Creation: Legal Access Provided: [-]'No Yes Deed of Reference: /S`16 &5D Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No Yes, Road Name:o�ll; Complies with County Standards for Deed Creation: E] No Yes Comments: 7 Parcel Deemed to be legal Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment. ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements -----------------------------------------=--------------------------------------------------- ----------------------------------- Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit, Condflaic,ffis ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1900, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated. with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4of5 IOA k, J_ (a4l-k- Covtrc,vjy-S N tkw-6 e r - S -I/ - 9/'1 Y0. GfOT2_3 SYaV,"s C I ass 040-180-023 .� 06-0260 v V.ERNOGA, NED - .,a 9 _ JONES AVE, DURHAM • t Bt1ti. , t SD,,, rt"tt .t"Ti.'.r."'" �r'�'T N}: N O T E S 7C<z -}1 CA1-s�hR , 3)�4 %P� go RESIDENTIAL " 0/01 godr �(i' /��% �I e !/� nn `• AP N` Permit No. of Owner. ~ SAIL✓, LG �r ���- �� a'�1 �rlGti {� "' - �- _ . ' • . - • :' r' Site Address- h " -4 Contractor. rtbc' ..i- Type of Permit f.. r OFFICE COPY 6� Address U C) / ✓ �� r GAS ' Meter By Date 'ELECTRI �. Meter By �` ` Da� ILCaNIL" SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY USE PERMIT CONDITIONS 0 SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q R INSPECTION FEE PAID NV HLTH CLEARANCE '�l-• 0 DATE JOS FINALED: _ a s " `SIGNATURE: tiy"'�L� 'COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE U�2N0�� 06 -OD&D OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. FZOv1OE_ 14PAt 8 ExTE2 /O /Z S-T�91 PRO v (AC POS% FL ►L �� P RO-re CT ALL A 09 SEE F2CNCN b'00R S. j' PROU10E AJZC FrquO- r � C/2C u /T _1 it TLEi-S tX1 Af C (N Z),A=A ) Date -S " -offInspector 3� iztA w aPC-,A ( c 2 REV 4/05 Phone # 3 �`�' 2- -2- FOR FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CORRECTION NOTICE ti r W) G, 60 OWNER PERMIT NO. �? A routine inspection indicates that the following violations of Butte County Ordinances exist at-" ji the above address and should be corrected. Please call for re -inspection when correction of _ work is completed. If you have any questions pertaining to this matter, or need additional t explanation, please contact the Building Inspector as indicated below. `. PRE SCA! T E09- To i'YJ 4(510&k- ., PARI i S XKE COUNTY OF BUTTE '3 BUILDING DIVISION 4 DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 T A CORRECTION NOTICE ti r W) G, 60 OWNER PERMIT NO. �? A routine inspection indicates that the following violations of Butte County Ordinances exist at-" ji the above address and should be corrected. Please call for re -inspection when correction of _ work is completed. If you have any questions pertaining to this matter, or need additional t explanation, please contact the Building Inspector as indicated below. `. PRE SCA! T E09- To i'YJ 4(510&k- ., PARI i S XKE NC , Q- A w N A M /gin 1L/L 7b �_- 4 N-(CrT WANT Ty dA W A 6 6 T A D 2 A I N (%oti l,&(E-CT/onl.S� _; a - sY Date 19Inspector - REV 4/05 Phone # FOR RE -INSPECTION CALL: -538-7636 OR 891-2834 °�i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �)Z lr o PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date' ' Z ' v G. Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 j COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - V1. OWNER PERMIT NO. routine inspection indicates that the following violations of Butte County Ordinances exist at 'the,above address and should be corrected. Please call for re -inspection when correction of 1!,w�-IoAkds completed. If you have any questions pertaining to this matter, or need additional xp anation, please contact the Building Inspector as indicated below. A Ad 1 .7- 0 V- VA rr1/0, 1 _3 th d1_9 A /9 P;tm V" 14 12'( KKDate I Inspector REV 4/05 Phone # 4c - LZ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' 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 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.). ❑ lam Exempt under Article 3 of the Busing sand Professions Code Date!�'30-•0G Owner: e WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code; for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: a , 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 compjy with those provisions. Date: 6 O� O Applicant: e ft 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. PERMIT NO. BP060260 Issued Date: 05/30/2006 APN: 040-180-023-000 Site Address: 9514 JONES AVE DUR Map Index: Description: NSF(3086)GAR(780)COV(1048) Owner: VERNOGA, NED 9832 MC ANARLIN DURHAM CA 95938 (530) 345-8165 (530) 624-5661 Applicant: VERNOGA, NED 9832 MC ANARLIN DURHAM CA 95938 (530) 345-8165 (530) 624-5661 Contractor: STORNETTA BROS. CONSTRUCTION INC. 10636 SOUTH MILLER AVE CHICO, CA. 95928 530-521-2324 License #: Architect: Engineer: RICHELIEU, JEFFREY MARTIN Total Square Ft: 4914 S.F. Valuation: $236,078.00 Census Code: V153 q� Co - oG scoao2. )s 1� I5554S 5-30- 06 -CO.% t;CTLCN LENDING AvEivCY This permit is hereby Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolriti ns to do work indi aced above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) .: BY � i% Date: Name: PERMIT EXPIRES ON: 0`7 Address: O r Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety'Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. . I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county 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 pur�epa� s \ Print Name: I �( r i\ _ Signature: r \ Date: SL� V -06 T (3 ner O Contractor ❑ Agent for Owner ❑ Agent for Contractor 0 r Q,dirlinn Parmit n1.16.04 no 1 INTER -DEPARTMENTAL MEMORANDUM TO: BUILDINLDISION OVILLE FROM: / , ENVIR. HEALTH, CHICO DATE: T— RELEASE ENV. HEALTH HOLD ON BUILDING MAL'FOR: OWNERNAME: SEPTIC: WELL: AP#: — %r QoZ 3 ADDRESS/LOCATION: Comments: Wmenos/releasehold N INSULATION CERTIFICATE Job Number: 8093 $"Fi ETTA BROTHERS 9514JONES AVE., DURHAM CA C!;ntractor/Owner Name Job Address (street, city, state) BUTTE Counh, Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 2. CEILING Batt or Blanket Type: Fiberglass Brand Name: Knauf Thickness (inches): 12 & 101/4 Thermal Resistance (R -Value): 38 & 38bd Loose Fill Type: Brand Name: Minimum Installed Weightift lb Minimum Thickness: inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: Fiberglass Thickness (inches): 61/4 B. Exterior Foam Sheathing Material: Thickness (inches): 4. RAISED FLOOR Material: Fiberglass Thickness (inches): 1 61/4. 5. SLAB FLOOR/PERIMTER Material: Thickness (inches): Perimeter Insulation Depth Inches: 6. FOUNDATION WALL Material: Thickness (inches): Brand Name: Knauf Thermal Resistance (R -Value): 19 Brand Name: Thermal Resistance (R -Value): Brand Name: Knauf Thermal Resistance (R -Value): 19 Brand Name: Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applic ble. 2n /� 2,3&4 �W v� Chico; Insulation & Fireplaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Ptar 30,-05 02:53p Western Woods Ewp Rick 53034311 4 p.1 wilk"Ircil"10:11-3:587, Me /4 P14 crry r 2 Certificate of Conformance. Certificate 054093 THIS IS TO. CERTIFY that the glued laminated timber products identified with'a collective mark of Engineered Wood Systems. (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood. Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP". Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members wera.produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. Shj 12 - %,3 % %a2 3%3Xl�-/i //3 f/o/ o W000FAL •., C-0 SPAT rn by u1' izz ti Thomas G. Williamson - r i : Executive Vice President 04* ASH IN co ENGINEERED WOOD SYSTEMS is a related corporation of APA – THE ENGINEERED WOOD ASSOC1477ON 7011 South 19th Street - P.O. Box 11700 - Tacoma WA 98411-0700 . Telephone: (253) 565-6600 - Fax Number. (253) 565-7265 = OK 0 = Not OK ' MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr i£ Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ' DATE. ID EC K S'C O V E R S`C A R P O R T S `G A R A G ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing . Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-RWs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFl ' 5 Elec Pool Lting; 15 volts-GFI _ 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs=pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide dr o'er 0` o` a` 0'`6 m °'� o` Pool Drawing OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE IPLWBING 2A�74M ing-Setbacks-Easements-Flood-Slope F Main; Soils- c rnd Ftg Dpth '3 Flg Garag ods-Steel-Elec Grnd Ftg Dpth. �g Po es/Decks; SoilsSteel Ftg Dpth Sjlmwalls Main; Steel-Blockouts-Wrapped :/S emwalls Garage; Steel-Blockouts-Wrapped- ¢old Downs and Special Anchrs 7 Slab, Steel Wrapped L =8 Pier -Frplc Ftg-Steel ; Fall -Fitting -Test -2 -way C/0 -Sewer Test 0 OF as Pipe; Sz Anchrs-Sz Test b tr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 1PI "ms & Ducts- Clrnc-MaterialSupport4nsultn 1; Girders -Sills -An / oist(si-Vnts-Crf les It, �ls.c B Vgtit�'�/�'� I% 1 5 16. Insulation LjT— O'" DATE IF R I N G s Proper Materials & Anchrs 1 IIs Studs -Nailing Spacing & Braces -Plates -Sound 1 aring Walls over Girders & fir Nailing 2� ft Stop in Walls (rat proof) 3YF Stops, Furred Ceilings -Stairs -Chasers -Tubs 2Zders & Beams-Sz & Bearing angers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac TrussShthg 25 FIc Ties or Type A Flue-Frplc Throat Clmc 2G�AWc Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles gY4 m Wndws or Exiting Doors -Sill Ht & Dimensions 'ge Fire Prtctn Framing -RC Channel rty Line Firewall & Opngs Doors -One T -Check Garage 3rd Story, 2 Exits Wrs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn Ki d onRoof Ovrhng-Attic Vnts-Rftr Outrgrs g -Nailing Veneer co Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Glazing Area -Glass Prtctn-SkyLts-Plastic Walls; Nailing -Bolts Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -W al Is -W ndws c` DATE JELEeTRICAL x & Trnsfrmr Clrnc Ins Prtctn 4 c Rcptcls Spacing-Lts &Switches at Doors oxes & No Of Cndctrs Stapled Rio ^ex Installed Close to Edge of Studs & CJ 44 Grnd made up w/Mech Fstnrs f ndng Electrode Bond Gas & Wtr 48229,ppinc Cires in Ktchn & Cndctr Sz GF] 47*ubfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz ga ❑ CU or DAL 48 Range Circ ga ❑ CU or DAL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 499Service-Riser Cndctrs & Grnd Main Dscnnct 550 Clrncs pnls-Motors-Mech Eqp lothes Closet -Shwr Lt -Spa Lt 5 p Lt moke Detector gj VHtr an Acc-Cmbstn Air Baffle Pipe; Test & Anchr-Naff Prtctn Test Fittings & Anchr Nail Prtctn W'Shwr Pan; Test, First fir -Tub Acc 57 TT t Tub & Shwr, 2nd flr - Tub•Acc 5�'Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping UAItZ IMEC ANICAL QUoO ucts Insultn & Support 6Fan, Exhaust abv lnsultn 6T7yr densate Drain & Ovrflw, Sz & Grade OWTU ce-Vent Acc-Comb Air RtrnfVent 115 Outlet ttic Acc & Pltfrm if Furnace in attic 0 A Ise , 0 p 41 hf,tExj,Steps-Door & SideLt Prtctn-Landings moke Detector - 6 F>j ice Vnts-Clrnc-Comb, Air-Cnnctr n rage; abv-flr-Ducts-Mech Prtctn UATe:�Exiting 1FI & Bath Fxtrs & Tub Acc-Spa Fault ecy im & Subpnl, Breaker Sis & Labels 7�1 r Stove, Clrnc-Hearth JA—Elec Outlets at Wood Pnl, Int & Ext 6 n, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc Elec tlets & Rcptcls atKtchn Counter 7 arage Fire Door; Swing -Landing -Closure 7,9 AC Duet in Garage -Damper { r Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr Me rtctn; LPG Appince Undr House 3" drain _844m�lec & Mech Eqp Listed for Loctn Br�Rcptcls in Garage (GFI) Romex Prtctn Be8 Ins Foam -Looked in Attic ua��ails & Deck Cnstrctn-Post Caps nd s & Crawl Hole Door Drnge & Wood -Earth 8 me Dm a Planters ❑Yes ❑No 87 Stuc rown-Finish _8 U scnnct, Elec-Plmb 8abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90-Wtr Well, Dscnnct, Elec, Plmb 91 &I -Exec Trim, GFI Rcptcl-Undrgrnd _9e,Y15'tItn thru House _ 9Lpl�/ss Prtctn k4Da ections from precious Inspctns _ 9�kTest-Meters Tagged, Gas Flet 9 Sewer Cnnctd-C/O to grade -HD Apprvl ner Cmpinc Cert -Other Certs dress Posted _ 99 Fire Sprinkler of!S 1 a� �- I � -0 1 015-1 `rT Aa o.• 0` Q Owe %-Nov 29 05 12:44p Dev Svcs Env Health 7 l� 530 538-7785 AGRICULTURAL AFFIDAVIT 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: The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; ' The sowing and planting of any agricultural or horticultural commodity; �) 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; The harvesting of any agricultural or horticultural commodity including, but nota 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; eThe 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; 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. Employer tax records may be requested as proof of employment status. Signed: V P. Dated: NOV 2 9 2005 CW®, CAL9FORNIA Mov 29 05 12:44p Dev Svcs & Env'Health 530'538-7785 p.3 AGRICULTURAL AFFIDAVIT ' EMPLOYER Employer'�� A7 V crl 0 Phone Employer's Address �%,�� �t ISM o.,.'L4 Ir Name of Property Owner esolkr +-kse-& Property Owner's Address Owner's Assessor's Parcel Numberir,0510--05)-0Z3 y Parcel Size 9Ac. I, NPS e9 r y f , do declare, subject to the penalty of perjury, that I am the employer of Ye ruo0 k? address (present) and that I will be employer under Section 24-305.020 cck+0 tlkc ' for at least thirty-two (32) hours per (a) o (9)' week for at least sixteen (16) weeks per year on AP# D yo,. /,ea --o Signed: dy 00 Dated: - 1 Environmental Health Approval Permit Description_ and Number Datelssued / ._S7_ Planning Approval: Date Zonewelling on AP#, d �� R, 0 Q 2 Crop/Commodity Produced &-,,. G�_r - �iUw � f ENVIRONMENTAL HE W NOV 2:9 2005 CHIQC� CALIFORNIA Rov 29 05 12:44p De.v Svcs & Env Health 53Q 538-7785 p.4 AGRICULTURAL AFFIDAVIT EMPLOYEE Employee kt-1-1wV.c�l T V Q Y 1 D-. Phone 3 VJ- 1'/ZT Employee's Address (Present) f b,32 U /116 Name of Property Owner P32ct ' e 1< 54 -Q - Property Owner's Address 7,6 3 c..� Owner's Assessor's Parcel Number 0' o Y0 -/,Fo- o z 3 -- Ooo Parcel Size , / Ac. ,.do declare, subject to the penalty of perjury, that 1 am the employee of NeclyP. r X40 Q Q address (present) �b,3,2 �1,,� 7wte and that I will be employee under Section 24-305.020 -to4c/"ic , or at least thirty-two (32) hours per (a to (g) week for at least sixteen (16) weeks per year on'AP# D /X0- D z.3- a o Signed: Dated: ********�rW WWW W+k tat*hW WR+t+k YC 7k 7�W'WroetW*tlr+kYrW7(Ye7k*tkW*W**W*W*W*****W*WW WWW**W**W**7k***W*'k ft W+4***7C*** Environmental Health Approval- Permit Description and Number Datelssued%% Planning Approval: Date f q •p �— Zone . By ; Ar -13 k4 l Crop/Commodity Produced yelling on AP# Q e • 0.0 ENVIRONMENTAL H L�l� NOV CHOO, CALIFORNIA 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 Agricultural Worker Housing Questionnaire 24-90 A-5 through'A7160 (Agricultural) (S) 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: Employed Onsite Employed Offsite (provide information about that property) A_e� 'klOw Permanent Residency p Seasonal Residency Parcel Information • Identify the size of proposed dwelling/modular home: 2 000 2,�1 Ad A' " Single Parcel/Property Involved Multiple Properties Involved (please i-d�e'ntify t/ AF P&� below5 fe Uke,, Vervuv Q APNs 0r0—A4O-02-3-001 g a 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): vea.,L r&t� -krork a t�r+• .- [Type of operation]. 't%t=L/IiGC� /�%!%��bl ^���� �Q ��D�i3 -too O / q� is Qc) ul� QISO �e a Cel AO-kf0-021 -ovo( 1.Z�iC ® �r Iv tir Z coo• 1 .1 `"t.. D-1 S,, AA�& � iV"W'�C.tt� �L W Lr �r�i to LU 0, &J r"ln �0 -14rO — 0 2 —oto® �30 11 ea e. 0VD - 0,7,0 - 013 -OOo 3. 0. IA e, (//y On,. ^1-�.e.�. �0.vc.�IS 4.� ►��,,.ds � �ro-oCuee c�/ . �'1��+,+� �U2 �S-O 15 de o r Cp aA,,cl rvt ar ►� b+ ('30 oX res oAAJ reu>h � Oqx reS aI �d�� i2- D a.c-YPS wu-ItS Y1.('lgQ APy1A OtC" .',g "AZYQ to 04O ., 180— D23_oh,� [Size of operation] CLV-'J IA Y- --4 Gi-0 UM 0 tuoj 'i t 'P-% ! 't'lk j�171� }Q1� CW- LL Ou— ko K h ' A04-) Ta'4 . �C L' -&s JL CL� pp 1 t"AJ 2 v-" ,p- LVl I.L. b -v, 47r ,..- Yvu - oLo Identify any Williamson Act Contract, and supply specify details regarding contract type (grazing, orchard, or field crop), minimum parcel size, and any other relevant information: ry v 19Lt ft T ka-$ it s i Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive -- -- Oroville, CA 95965 - -y (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING vo �)o oAgricultural Worker -Housing- Questionnaire. 24-90 A-5 through A-160 (Agricultural) . (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: �. Employed Orisite . Employed Offsite (Provide information about that property).. -�� Offsite D�' Permanent Residency ❑ Seasonal Residency Parcel Information ` • Identify the size of proposed dwelling/modular home:0 co 4 2;+00 i _ Single Parcel/Property Involved ❑ Multiple Properties Involved (please identify below)r Tr�cL-t l @?S�G�-/d'4-OZ3-®ate �-f 5fepA.eK Veruo� les -t- -,- V APNs J DOO t0 y/0 - 190 - 19 IJ --OO O. 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): 7 ft t- 11 &4-� mt, .- [Type of operation] ' t/i1 �(% GZ/ 3/V %!l¢�%�(�< �1 ��� / O �0?i 3 coo C �� l �(tC . At.etAL wI4 odso be L0 c---, rce *IO-kfo-O.tI-000CS1;21 oJ1,AA 0- I80- o z 000 , r_r tic a,1 so Well A ,,dA Jct , 1e Ltd t j) iA Lvavku c 0 V O -WO - 0 —VC10 1430 11 ac O'r'o - 01.0 - 013 -0ac 1,6 3. 0.9 tie,. D%- .'1k S. - rp CL Y ce l S C -1 ►tit ot,..�s � r o -du c.a C1 ►S fie' V ` o recce_ a-,� � a P.�►��btr' , C30oc rey � ..oJ m o,,Js a& a S --,d 1� rew-,.r4octx res a/ ►+�.e�f�t 2 0 a c 111°S W c./A4 5 Ce vl ® r C" •t -n+ 0 O — 18 a r 0 ?-3 Size ofo enation dl, Vl (A i P►1r �} bC1 ✓�L it t� �Lk 1� tics- cL ._. all /Cdytht�Tt� &ICLAA,"' — LLJ - �s Q �A.�i tQ iliilit`�%�c L2 tl�i3-Q. Identify any Williamson Act Contract, and supply spec i details regarding contract type (grazing, orchard, or field crop), minimum parcel size, and any other relevant information: 0 State the jobs and duties of the workers to reside in the building(s), and the expected time- frame for work during each year. g� Jobs and duties 1 .0i' �c ri ►+.. ' l i r a r�i`� ,�/J y- oa Lv-esr o� F vk.T?c-ti /. OrAC S /)- � :ate- �_.S i p l lug�- r Pres [Yearly work time -frame W o iv h- Signature of Owner/Operator: Signature of Applicant: 6vk-� Date: '7- d' 0 j- I �QDate: . After recording, please return to: Clerk, Board of Supervisors 25 County Center Drive Oroville, CA 95965 °S- 1 042 95-01042. 1 I Rec Fee .00 I Total .00 Recorded V Official Records I County of i Butte I Candace J. Grubbs I Recorder I 8:02am 29 -Mar -95 I COMS MD 10 LAND CONSERVATION AGREEMENT a P�PN/ THIS AGREEMENT, made and entered into io this /0? 'A day of by and between NSUVe rnI hereinafter referred to as "Owner", and the County of Butte, a political subdivision of the State of California, hereinafter referred to as "County". WITNESSETH WHEREAS, Owner possesses certain real property hereinafter described located within County;- and WHEREAS, said property is devoted to agricultural uses; and WHEREAS, said property "is located within the AGRICULTURAL PRESERVE NO. heretofore established by the County; and WHEREAS, both Owner . and County ' desire to limit the use of said property to agricultural, related, and compatible uses in order to preserve a maximum amount of agricultural land, to conserve the State's economic resources, to maintain the agricultural economy, and assure a food supply for future residents, to discourage premature and unnecessary conversion of agricultural land to urban uses, recognizing that such land has public value as open space and constitutes an important physical, social, aesthetic, and economic asset to -the County; and WHEREAS, the placement of said property in an agricultural preserve and the execution and approval'of this Agreement is a determination that the highest and best use of said property, during the term of this Agreement, "of- anyrenewal thereof is for agricultural' uses; NOW, THEREFORE; both Owner and County in consideration of the mutual promises, covenants, and conditions herein contained and the substantial public benefits to be derived therefrom, do hereby agree as follows:' 1 FIRST: This Agreement is made and entered into pursuant to the California Land Conservation Act of 1965 as amended (Chapter 7 of Part 1 of Division 1 of Title 5 of the Government Code of California commencing with Section 51200), including Article 3 of said Act entitled "Contracts". SECOND: During the term of this Agreement, or any renewal thereof, the said property shall not be used for any purpose other than agricultural uses for producing agricultural commodities for commercial purposes, uses related to such purposes and uses compatible for such purposes, which uses are set forth in Exhibit "A" attached hereto and incorporated herein by reference. THIRD: The Board of Supervisors of County may from time to time and during the term of the Agreement or any extensions thereof, by resolution, add to those compatible uses authorized in the resolution establishing the preserve within which the land is located; provided however, said Board shall not eliminate, without the written consent of Owner, a compatible use during the term of this Agreement or any renewals thereof. The provisions of this Agreement and any resolution supplementing the uses listed in Exhibit "A" is not intended to limit or supersede the planning and zoning powers of the County. FOURTH: In the event all or a part of the land subject to this Agreement is taken in an action in eminent domain or is acquired in lieu of eminent domain for a public improvement, this Agreement shall be null and void for the land or interest in the land actually taken, but shall remain -in full force and effect as to the remainder of the land or interest in the land not so taken or acquired. The date an action in eminent domain is filed shall be the date this Agreement is deemed null and void as to any land or interest in land subject to the Agreement which is taken by eminent domain. FIFTH: This Agreement shall be effective as of the day and year first above written and shall remain in effect for a period of ten (10) years therefrom. This Agreement shall be automatically renewed on the first day of January of each year for a period of ten (10) years from the date of said renewal, unless notice of non -renewal is given as provided in Section 51245 of the. Government Code of California. SIXTH: The Owner understands 'that he is not entitled to any public funds by reason of the execution of this Agreement or any renewal thereof although the use of said property is limited as aforesaid. 2 a5-101+11 SEVENTH: This Agreement may only be cancelled if, upon petition by Owner, the Board of Supervisors of County, under the provisions of Government Code Section 51282, finds: (a) that cancellation is consistent with the .purposes of the Land Conservation Act of 1965; and (b) that cancellation is in the public interest. Upon cancellation, Owner shall pay to County a cancellation fee determined and certified by the Board of Supervisors of County in accordance with the provisions of Government Code Section 51283.' Said cancellation fee may not be waived except as provided in Government Code Section 51283 and shall be a lien upon the property described herein until paid. EIGHTH: Owner agrees, during the term of this Agreement, to provide County, upon written request, with information relative to the income and expenses derived from and incurred in connection with the use of the land subject to the Agreement for agricultural and related and compatible uses. NINTH: The Owner agrees that he, his successors, and assigns shall not divide by sale or gift the property which is tl�e subject of this Agreement into a parcel under separate ownership having less than ail -1 acres. TENTH: This Agreement shall run with the land described herein and shall be binding upon the heirs, successors, and assigns of the Owner and County. - ELEVENTH: In the event of forced sale of lands subject hereto for the 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 Seventh shall be charged for a cancellation under this paragraph. TWELFTH: This Agreement shall be cancelled without payments or public hearing if it is replaced by any other enforceable restriction authorized by Article XXVIII of the California Constitution or whenever there is no operative legislation implementing said Article with respect to assessment practices. K THIRTEENTH: The property of the Owner hereinabove referred to and to which the provisions of the Agreement apply is situated in the County of Butte, State of California and is particularly described as follows:'.- Please, refer to EXHIBIT A PROPERTY DESCRIPTION for full description of properties in question. 3 IN WITNESS WHEREOF, the Owner and County have executed this Agreement the day and year above written. COUNTY OF BUTTE By e Chairman of th utte County Board of Supervisors ATTEST: FEB -14 1995 Officer and Clerk f the Board By Deputy Clerk OWNERS(S 1'�'- )3 /i%`/ 0.,/ P Date of Execution Date of Execution 4 CAI„IF(XRNIA ALL-PURPOSE ACK'' -NKEDGEMENT State of California County of _ Butte SS. 9 5 - I U 4 Z I On December 13, 1994 beforeme, D. Koenig, Notary Public DATE NAME, TITLE OF OFFICER - E.G.. "JANE DOE, NOTARY PUBLIC' personally appeared Ned Vernoga------------------------ NAME(S) OF SIGNER(S) O personally known to me - OR - IN proved to me on the basis of satisfactory evidence to be the personA whose name(IJ is/W subscribed to the within instrument and acknowledged to me that he/sbeAb” executed the same in hisH e4 authorized capacity, and that by I his�ir signature(A on instrument the personWI, or D. KOELNIG 'D Comm. # 901802 the entity upon behalf of which the person(! acted, �� - NOTARY PUBLIC CAL?FORNIA � executed the instrument. (Lg ,- Butte County 23 C'ILIFOPN�� My Comm. Expires Jun. 21, 1996 (This area for ofrtcial notarial seal) WITNESS fficial seal. SIGNATURE OF THE _7Y OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW: Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. C�lI�U7l�lUl�l_j� ❑CORPORATE OFFICER(S) TITLE(S) O PARTNER(S) O LIMITED OGENERAL ❑ATTORNEY-IN-FACT OTRUSTEE(S) O GUARDIAN/CONSERVATOR OOTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT Title or Type of Document Number of Pages Date of Document Signer(s) Other Than Named Above CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State.of California County of Butte On February 14, 19615 DATE before me, Carol Roach, Notary Public NAME, TITLE OF OFFICER - E.G., 'JANE DOE. NOTARY PUBLIC' No. 5907 personally appeared Ft- WC L a k j I,. i, , AME(S) OF SIGNER(S) s personally known to me OR 00 LIIV VGLQi� W! 8- ovidamee - to be the person(,w) whose name(,P)-is/afe subscribed to the within instrument and ac- knowledged to me that he/she/tOoy executed the same in his/h&6/tha4 authorized capacity(46), and that by his/Ww/t4*@4r signature(e) on the instrument the person(4), or the entity upon behalf of which the person(* acted, executed the instrument. CAROL ROACH t WITNESS my hand and official seal. w a COMM. # 968956 Z Z Notary Public — Colifornia D Z `' BUTTE COUNTY My Comm. Expires AUG 7. 1996 SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR IU OTHER: Political Entity SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) County of Butte DESCRIPTION OF ATTACHED DOCUMENT LAND CONSERVATION AGREEMENT TITLE OR TYPE OF DOCUMENT 1.1 NUMBER OF PAGES December 12, 1994 DATE OF DOCUMENT Ned Vernoga SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184 95-10421 r EXHIBIT A - PkvPERTY DESCRIPTION / PARCEL I -A: Being a part of Section 30, Township 21 North, Range 2 East, M.D.B. & M., described as follows: COMMENCING at the point of intersection of the Westerly production of the Southerly line of the A. F. Jones Subdivision of the Ferson Farm, filed June 8, 1911, in Map Book 7, page 53, Butte County Records, with the Easterly right of way line of the Central Pacific Railroad, South of said Subdivision; thence along the Southerly -line of said Subdivision North 82. 37' East 1,069.0 feet to an iron pipe monument; thence South 6. 34' Fast, 1,100.0 feet along the center line of the County Road to the point of beginning; thence North 820 37' East 781.2 feet; thence South 9' 08' East 550.3 feet; thence South 82' 37' West 805.8 feet to the center of the aforesaid County Road; thence North 6. 34' West along the center line of said Road a distance of 550.0 feet -to the point of beginning. AP No. 040-180-025 This lot is 9.75 acres in size, all walnuts, with two bedroom rental house. PARCEL I -B: A parcel of land in Section 30, Township 21 North, Range 2 East, Mount Diablo Base and Meridian, more particularly described as follows: From the intersection of the Westerly production of the Southerly line of the A'. F. Jones Subdivision of the Ferson Farm, as delineated on the Official Map thereof, on file in the office of the Recorder of the County of Butte, State of .California, with the Easterly right of way line of the Central Pacific Railroad, South of said Subdivision, run North 82. 37' East 1069.0 feet, along said Southerly line, to an iron pipe monument; thence leaving said subdivision line, South 6' 34' East 1650 feet; thence North 82. 37' East, 174.24 feet to the point of beginning of this description; thence continuing North 82' 37' East, 631.56 feet; thence South 3' 36' East, 554.6 feet to the Northeast corner of that certain parcel of land heretofore conveyed to H. C. Frevert; thence South 82. 37' East, 776.7 feet along the North line of said Frevert property to the center line of the County Road; thence North 6' 34' West 428.4 feet along said center line to the Southeast corner of a parcel of land conveyed to 0. W. Sitton; thence North 82' 37' East, 174.24 feet along the South line _ of said Sitton land to the Southeast corner thereof; thence North 6' 34' West, 125 feet along the East line of said Sitton land to the point of beginning. AP No. 040-180-023 This lot is 9.15 acres in size, all walnuts. (Continued) EXHIBIT A (Continued) PARCEL II: yJ'1U411 PROPERTY DESCRIPTION Being a part of Section 30, Township 21 North, Range 2 East, M.D.B. & M., and more particularly described as follows: COMMENCING at the point of intersection of the Westerly production of the Southerly line of the A. F. Jones Subdivision of the Ferson Farm as delineated on the Official Map of said Subdivision, recorded June 8, 1911, in Book 7 of Maps, page 53, Butte County Records, with the Easterly right of way line of the Central Pacific Railroad South of said Subdivision; thence North 82. 37' East along said Southerly subdivision line, a distance of 1069.0 feet to an iron monument; thence leaving said subdivision line South 6. 34' East, a distance of 2203.4 feet to the point of beginning of this description; thence running North 82. 37' East, 776.7 feet; thence South 3' 36' East, 345.9 feet; thence South 850 42' West, 759.6 feet; thence North 6' 34° West, 304.6 feet to the point of beginning. EXCEPTING THEREFROM the following described parcel of land: COMMENCING at the point of intersection of the Westerly production of the Southerly line of the A. F. Jones Subdivision of the Ferson Farm as delineated on the Official Map of said Subdivision, recorded June 8, 1911, in Book 7 of Maps, at page 53, Butte County Records, with the Easterly right of way line of the Central Pacific.Railroad South of said Subdivision; thence North 820 37 East along said Southerly subdivision line, a distance of 1069.0 feet to an iron pipe monument; thence leaving said subdivision line, South 6. 34" East, a distance of 2203.4 feet to the point of beginning for this description; thence North 820 37' East 217.8 feet to an iron pipe; thence South 6. 34' East, 100.0 feet to an iron pipe; thence South 82. 37' West, 217.8 feet to the center of a County Road; thence North V 34' West, 100.0 feet along said road to the point of beginning. AP No. 040-180-021 This lot is 5.12 acres in size, all almonds, with one bedroom rental house. NOT i All three lots described in EXHIBIT A are adjoining properties,making up 24.02 acres. .3.. 95- 104:2 1 EXHIBIT "A" PERMITTED USES 1. Single family dwelling(s), as provided in Sections C-1, 6-2, or C-3 of Resolution 68-7, as follows: A. Contract or agreement of horticulture type cultivation: The uses permitted for residential shall be one (1) family dwelling for the use of an owner or manager within the agricultural preserve or a person employed on said land; but not exceeding one (1) dwelling for each parcel of not less than ten (10) acres. OR B. Contract or agreement of field crops type of cultivation or for irrigated pastures: The uses permitted for residential shall be one (1) family dwelling for the use of an owner or manager within the agricultural preserve or a person employed on said land; but not exceeding one (1) dwelling for each parcel of not less than forty (40) acres Eon C. Contract or agreement_ of commercial timber tvne cultivation or land for grazing: The uses permitted for residential shall be one (1) family dwelling for the use of an owner or manager within the agricultural preserve or a person employed on said land; but not exceeding one (1) dwelling for each parcel of not less than one hundred sixty. (160) acres. Provided, however, that variances may be recommended by the committee to the Board of Supervisors in cases of hardship. 2. General farming, horticulture, commercial livestock, commercial poultry production, warehousing, and. storage. 3. Accessory buildings and uses pertinent to the permitted uses including agricultural processing plants. 4. Housing facilities (including trailers) to accommodate only agricultural employees and their families employed by the owner or operator of the premises and provided further that such housing facilities shall be considered accessory to the main building. 5. A stand or a display for sale of agricultural commodities produced on the premises. Sale of 'products produced off the premises provided that the sale of such products is incidental and secondary to the sale of agricultural products produced on the premises. 6. Compatible uses: A. The drilling for hydrocarbons, including the installation and use of such equipment, structures, and facilities as are necessary or convenient. B. Public utility and public services, including structures, uses, and building.. C. Airport or aircraft landing facilities." D. Farm labor camps. E. Any other use determined to be a compatible use in all agricultural preserves by the Board of Supervisors after public hearing on ten (10) days published notice and such other notice, if any, as they. may specify. 5 7. 4 y5- 1 U41 I •l� Thereafter, such use shall be deemed a compatible use in any agricultural preserve. F. Churches Other uses: A. Sand and gravel operations, subject to the securing of a use permit approved by the County. B. Mines, mineral extraction, and quarries in Agricultural Preserves Number 7, 8, and 9. C. Storage reservoirs and irrigation areas. 6 ti END OF (DOCUMENT .d usE oN� Plot Planed Atte Floor Plan Altadted A— Sent to BD/DS TO: of mg Division = Development Services �. FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Clearance for dwelling. Other Hold final for: — Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Li Water Supply: Public Private Well c-' Dat ' I 1 K—--� . I - a "Ilk -,; l ;`� PLANN;DIVISION BUILDING PLAN APPROVAL Use•Ie ate: �._2Parkingdscpping:Other..lSignatu j 1 ^ _moi ..1CJ • `J