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040-290-066
� ` -------' ' � � . ^ 40-29-66 | - ' .447S / � ' ' \ \ ' CARROU� 05-0346 � ( � ` um� QDDD0�G — ~'' �"una� \ I �. --'~LE FA jLY ` 040-290-066 ' COMMERCIAL Agricultural Bldgs ' � AG BLDG IN FLOOD ZONE (2400) ) STANFORD LN � ( � + ^ ' o / ^ ` . . ' 4 , ` . . / . ' y � ~ ' . \ . > . � � ` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9040 STANFORD LN Owner: Permit No: B07-2712 APN: 040-290-066 HUBBS FLORENCE TRUST, Issued Date: 02/08/2008 By KEJ Permit type: MISCELLANEOUS P O BOX 968 Subtype: Private Garage/Shop DURHAM, CA 95938 Expiration Date: 02/07/2009 Description: PRI DET GARAGE IN FLOOD ZON (530) 891-8415 Occupancy: U-3 Zoning: A 10 Contractor Applicant: Square Footage: JOHN BURRONE CONSTRUCTION HUBBS FLORENCE TRUST, Building Garage Remdl/Addn PO BOX 1254 P O BOX 968 2,400 DURHAM, CA 95938 DURHAM, CA 95938 (530)894-0992 (530)891-8415 Other Porch/Patio Total 2,400 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Garage -Wood Frame Plan Che $443.52 DBMSC Garage/Shop/Strge Wood F $357.46 DBMSC Garage/Shop/Strge Wood F $307.83 DBSMIP Residential $5.76 Total Charged: $1,190.27 Fees Paid: $1,190.27 Balance Due: $0.00 Receipt No: B6309 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License JOHN BURRONE CONSTRUCT 768652 / B / 09/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 I HEREBY UND NALTY OF PERJURY that I am licensed under provisions of Chapter 9 (co=me mg wi Sect" n 00) of ' ision 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in f I force a 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 X / 02/08/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Con clot's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. State Fund Policy Number: 713-0005049 Exp. Date:10/01/2008 Contractor's License Law.). (This seaion need not be completed if the permit is oror on�llars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compens ws of Ca' mia, and agree that if I should become subject to the workers' X 02/08/2008 comp satin rovisio Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date pr inions. X 02/08/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Si attire Date ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, YV/AND construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND lk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. tioned property for inspection purposes. I hereby certify that I am the d to act on the props own rs behalf. ec_ 02/08/2008 mgiEE2 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame Of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner contractor OR. DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip M. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATIOP! - Last Name—.:—. ?E 5I -I Name ,� / / V Z First Nam 1. aLL Mailing Address Q O S--6VU /2® =—ah e City -a�H A W) Zip State/t I Zip 476-7 3? Phone S _ E-mail Fax 1 _ y E-mail P 5BC c- o �� Name CONTRACTOR Name ,� / / V Z Name Address City Zip State Address Phone E-mail City E-mail State State License Number Phone Fax E-mail C�ju o Lic, # 6s D— Class Name ARCHITECT/ENGINEER Name ,� / / V Z Iq Address City Zip State Zip Phone E-mail Fax E-mail State License Number Name APPLICANT /NFOR_MATION !' 0 Gc> A.% ,P_.. ._.._._.___—.......__. Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X Gtr PERMIT NO. 9©77—aQ BIN # PROJECT LOCATION AP# LL')— a Property Address v —ANr Lr-, City V R (/Vl WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name C3"Yt.L� Address DESCRIPTION OR SCOPE OF WORK: B i Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use qr#A Zc;�irig Floor': Zone SRA Y s ,- I Occ. Type Const. t ���,Y,L 4-��P bl�j . cod 9 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2712 Job Address: 9040 STANFORD LN Contractor: JOHN BURRONE CONSTRUCTION PO BOX 1254 DURHAM, CA 95938 Printed: 12/28/2007 11:58 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DB U1 Agricultural Building DBF AG BLDG N Plan Rvw Fee 0010-440001-4210500-1010 $800.98 12/28/2007 $800.98 DBF AG BLDG N Permit Fee 0010-440001-4210500-1010 $1,201.48 CWIFNR Indstrl Mini -Storage CWIFNRGGF Indstrl Mini -Storage 1808-0-280-101001 $32.16 CWIFNRGGVE Indstrl Mini-Storag 1810-0-280-101001 $10.80 CWIFNRSHRFF Indstrl Mini -Stora 1840-0-280-1011841 $29.28 CWIFNRSHRFVE Indstrl Mini-Stor 1840-0-280-1011842 $56.64 CWIFNR Industrial CWIFNRPWRDS Indstrl Mini -Stora 1831-0-280-1011001 $903.84 CWIFNRFIREF Indstrl Mini -Stora 1851-0-280-1011852 $14.40 CWIFNRFIREVE Indstrl Mini-Stor 1851-0-280-1011853 $28.08 CWIFNRSHERFJL (Jail) 090807 1800-0-280-1011811 $0.00 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/28/2007 $75.70 CWIFAUD Impact Processing Audi 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-440001-4617999-1010 $50.00 DBSMIP-Commercial 1001-0-280-1011298 $13.61 Printed By: Alice Mefford 39266.97 $876.68 Balance Due: $2,390.29 At the time of permit application, I was advised the above fees are required prior to issuance of the permit.These fees may change during the plan checking process. Signature: �� `� Date: 12/28/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B07-2712 . Location: 9040 STANFORD LN Parcel Number: 040-290-066 Owner Name: HUBBS FLORENCE TRUST, Description: AG BLDG IN FLOOD ZONE (2400) Date: 12/28/2007 By: AAM Sub Type: Agricultural Bldgs Phone: (530) 891-8415 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS E] ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 11 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 0 ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 E] Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 E Other: I--] n Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Property Owner: /G , Date: 12/28/2007 FILE Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 0 ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER E] Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 E Other: I--] n Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Property Owner: /G , Date: 12/28/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O O O 0 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2712 Location: 9040 STANFORD LN Parcel Number: 040-290-066 Owner Name: HUBBS FLORENCE TRUST, Description: AG BLDG IN FLOOD ZONE (2400) Date: 12/28/2007 By: AAM Sub Type: Agricultural B1d2s Phone: (530) 891-8415 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. 'Signed: •Title: FILE Date: 12/28/2007 Butte County Department of Development Services 'TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B07-2712 Location: 9040 STANFORD LN Parcel Number: 040-290-066 Owner Name: HUBBS FLORENCE TRUST, Description: AG BLDG IN FLOOD ZONE (2400) Date: 12/28/2007 Phone: (530) 891-8415 Signature of Applicant: Date: 12/28/2007 FILE NOTES RESIDEbilrlAL PERMIT NO. CA q S, r DURHAM CpN'T NEW SINGLE p p.*j\,jl LY AA Val* -05 iS T4 L of SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ.. SPE I CIAL.INSP,ECTI0NJ.TEMS" VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 6FF (J' OFFICE COPY - Address GAS Meter By Date ELECTRIC Meter By Date�D JOB FINALED (Date) Signature ':_:Zs-_� L-1 J=OK 0 = Not OK . = NotReadyable MOBILE DOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clearances-Grnd-/ , /Amp -Concrete 6. Gas; Location -Test-Wrap; -/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r 7. Well Clearance & Disconnect Date 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged Date 9. Exits Date 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r s MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card.B-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK exceat #'s R_47g.W; Soils -Elea Grnd.-/ /" Ftg. Depth 3 a. raae: Soils-Steel-Elec. Grnd.-/ /" Fta. Depth Soils -Steel-/ 5. Steafwalls, Main; Steel-Blockouts-Wrapped 6e Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. PierqrKjreplace Ft .-Steel . .V.• all -Fitting -Test -2 Way C/O -Sewer Test 10. OF as Pipe; Size Anchors -Yard Gas Piping; Size Test 11..oKater Pipe; Test -Anchors -Regulator -Service Test 12. Electoc Elect'Underground 13. P urns & Ducts; Clearance -Material -Support -Ins. 1 G ers-Sills-Anchor Bolts-Joists-Vents-Crippies 1 . Access & Ventilation 16. Insulation Date / / - PLUMBING IPermitYOK except #'s v / ;k'Water Htr.; Vent -Access -Combustion Air Baffle ter Pipe; Test & Anchor -Nail Protection 421�- Test Fittings & Anchor -Nail Protection ZI -I . 2W Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 2�,! fGas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date -)q-ps Card B-1 Q._6 S Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection c2_5--Elec- Receptacles Spacing -Lights & Switches at Doors ge-M-ze Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water pliance Circuits in Kitchen & Conductor Size GFI . Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al ange Circle/ (a./ga Cu AI -Oven Circ.140 /ga Cu or Al Insulated Neutral ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. ui . Clearances Panels-Motors-Mech. Equip. thes Closet Light -Shower Light -Spa Light ge Smoke Detector Date% -(.Q -OS Card B-1 'Y)w.� S • Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.0 ucts Insulation & Support ent Fan, Exhaust above insulation jiii�.ondensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet e3_ -Attic Access & Platform if Furnace in Attic DaMe -(q-(Ci�- Card B-1 )D,65 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4 ills Proper Materials & Anchors Studs -Nailing Spacing & Braces -Plates -Sound 4 Bearing Walls over Girders & Floor Nailing 4 raft top in Was (rat proof) 5. Stops, Furred Ceilings -Stairs -Chasers -Tubs (4157 Headers & Beams -Size & Bearing Date Hangers -Post Caps -Anchors -Connectors ina. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shtina.-Rtna. 49. Fireolace Ties or Tvoe A Flue-FireDlace Throat Clearance rm. Windows or Exiting Doors Sill Ht._& mensions i/jc,o fS 62!Garage Fire Protection Framing-R$211annel 53. Pro erty Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits, 55. S airs; Width -Headroom -Rise -Run -Landing -Fire Protection 50'Plywood on Roof Overhang is Vents -Rafter Outriggers 57. Sidinq-Naili neer Ch/ y -O`i 58. StggQWMesh-Deed-Fd. Vents- U nderflr. Access Wing Area -Glass Shear Walls; Nailinc 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date - -OS Card B-1 Date - -015 Card B-1 Dat - Card B-1 Date Card B-1 Date FINA Plans) OK a cept #'s Steps -Door & Sidelight Protection -Landings Se S Detector urnace Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection §740'p,edroom Exiting V.I. & Bath Fixtures & Tub Access -Spa W_Alec. Trim & Subpanel, Breaker Sizes & Labels 70. rs & Rails Fireplace or Stove, Clearance -Hearth 72. . Outlets at Wood Panel, Int. & Ext. 718' K ixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7W-Etgo. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure 7.8 . Duct in Garage -Damper Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection J&% -'_P>; Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. fxrard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. owing Instld./Drive ❑ Yes. ❑ No/Walks O Yes 0 No/Planters 0 Yes ❑ No ,0 S co Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing <2%5ents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88._ xKerior Elec. Trim, G.F.I. Receptacle -Underground K. Ven�on Throughout House lass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ddress Posted 96. Fire Sprinkler Date�Card B-1 Date &Gard B-1 (,iJ% Date51 d, -p C* Card B-1 �� S• Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: DS-�3Y� INTER -DEPARTMENTAL MEMORANDUM TO: " BUILDING D ISIO> OROVILLE FROM: , ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: ` OWNER NAME: W_k_Y:S S� SEPTIC: ° WELL: AP#: Cl �� �`�� ADDRESS/LOCATION: �D �iC � �1/r�/j�/// Z�z Comments: GL/memos/releaseho ld f. ... .... .....o �..��... .... . , r RO i 4 Z�-J Qom. ;7 `!1l ps-- --.4 KI r 7- Mdum Tmckma UU,07z)14 &RDR f PERMETIER t.q.06 Maw- samNks's Jdmmmft otow" NjWdNme Z FEDERAL EMERGENCY MANAGEMENT AGENCY 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 Insurance Company Use: BUILDING OWNER'S NAME Policy Number Carrol Taresh and Nancy Taresh BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 9044 Stanford Ln CITY STATE ZIP CODE Durham CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Assessor's Parcel No. 40-29-66, within Durham State Land Settlement, T.21 N. R2E. M.D.B.&M. BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential, Single Family LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - ##' - ##.##" or ##.#####� ® NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other. 39-37'-46" / 12146-43" SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Butte County, Unincorporated Areas 060017 Butte CA B4. MAP AND PANEL Datum NGVD 1929 Conversion/Comments _ B7. FIRM PANEL Elevation reference mark used see sec. D Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE B6. FLOOD ZONE(S) (Zone AO, use depth of (boding) 06007CG520 C 61811998 June 8,19 AE 145.6 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ 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 Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date 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 430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3. -a4 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 1929 Conversion/Comments _ s Elevation reference mark used see sec. D Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (including basement or enclosure) 146. 16 ft.(m) 9r o b) Top of next higher floor 148.66 ft.(m) co W B• T j°� o c) Bottom of lowest horizontal structural member (V zones only) _. _ft.(m) N A 49 o d) Attached garage (top of slab) 147. ft.(m) r� E a ZQ No. 6 5 o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 147.16 ft.(m)E u, 7� EXP• o f) Lowest adjacent (finished) grade (LAG) 146.66 ft.(m) z in �oj C!Z/tl_ W o g) Highest adjacent (finished) grade (HAG) 148.. 62 ft.(m) C o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 8 y3 8 o i) Total area of all permanent openings (flood vents) in C3.h 2004 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. i understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Matthew Teague LICENSE NUMBER C 61554 TITLECivil Engineer COMPANY NAME ADDRESS CITY STATE ZIP CODE 2367 Dayton Rd. Chico CA 95928 SIG DATE TELEPHONE 12/29/05 530-893-1350 :EQAJA Form 8111, JqR6ry a03 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Poficy, Number 9044 Stanford Ln CITY STATE ZIP CODE Company NAIC Number Durham CA 95938 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner. COMMENTS Section C3 - Elevation Reference Mark used: AZM SA9 - 21 U.S.C.E. brass cap set in concrete - Elevation 147.19 Section C3a - Top of bottom floor determined by subtracting height of crawlspace from elevation of next higher (C3b) Section C3e - HVAC unit ; Section C3g - HAG is raised concrete porch slab (rear) ® Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(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.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servidng the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAmissued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, Q and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE 2367 Dayton Rd. Chico CA 95928 SIGNATU DATE TELEPHONE 2 12/29/05 530-893-1350 ® Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community;official completed Section E for a building located in Zone A (without a FEMA4ssued or community -issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _. _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions i --r,&-2E5H Pee-tvao 4=a-c,.A /a Si VE 'PInn FYr St CA -1$ of —r4g9c_-. ,E?JCL-oSeP 44CA 6F eI4wLSeA-C,G- �le'7L� �c� �'�► qr= aTS ($x24 y Zzp'x30 IDID 70q dk x r 'i- . b Sr ••� CL�—Y2�i�wcG'2 Ic�— C)PL"4 �S toy A�j4 ovL^2-.. 14 lieu OF :IT Lir E CA •�u1� ��-tt5.i = (o7�iO Co Paa.e -ra • ne.uss Cs4uS •-4"s G tog �o�► P3e�T Ib = -:�3(0057 165 " �= X 32 lhr, Wang c� Dja z � / 35o Ps % (AIDS -Met.- 4A) .hu.ownr3�G '$CNV � `�+. -moi cw►w.�2 > b7�o V5� c�-w� ��+� �►'/ L5a Cyd- .�-rrca•sS ot�flc�; Uaurto> 7*EU*P. .?•— /3�© OFC. y� . CA,.(..S ) 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, BPOS0346 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/27/2005 APN: 040-290-066-000 the Business and Professions Code, and my license is in full force and effect. Site Address: License Class : • license Number: 9044 STANFORD LANE DUR Date: Contractor: Map Index: 'OWNER -BUILDER DECLARATION Description: NSF (2230) COV (1004) GAR (824) 1 hereby affirm under penally of perjury that I am exempt from the - Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: TARESH, CARROLL &NANCY permit to construct, alter. Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to fife a 9044 STANFORD LN signed statement that he or she Is licensed pursuant to the provisions of DURHAM, CA the Contractors Stale 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 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).): O 1, 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: BURRONE CONSTRUCTION, JOHN Code: The Contractors' Slate License Law does not apply to an owner of properly 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 8948 AGUAS FRIAS ROAD sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95928 proving that he or she did not build or Improve for the purpose of (530) 894-1946 sale.). l I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, Contractor: BURRONE CONSTRUCTION, JOHN and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Prof slops Code 8948 AGUAS FRIAS ROAD Dale: 01- oS� owner: CHICO, CA 95928 WORKERS' COMPENSATION DECLARATION (530) 894-1946 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for License #: 768652 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy ff: Total Square Ft: 4058 S.F. I certify that in the performance of the work for which this permit is Valuation: $180,790.00 issued, I shall not employ any person in any manner so as 10 Census Code: become subject to the workers' compensation laws of California, and agree that it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: —2,7 -65- Applicant: _ f WARNING: Fallure t secure workers' compensation coverage Is unlawful, and she® 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 f ({ � C code, interest, and attorney's fees. lX` \ CONSTRUCTION LENDING AGENCY This permit Is hereby Is ed under the applicable provisions of the Bulla Count Code a d/or I hereby affirm that there Is a construction lending agency'for the Resolutions t wor ndicated above for which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) By (a: PER Name: � • MIT EXPIRES ON Address: (Dale O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 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 stale taws 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 purpose . r Prihl Name: Signature: Dale: Owner C3 Contractor 9 - ❑ Agent for Owner ❑ Agent for Contractor � B. C. Building Permit 01-16-04 pn 1 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecountv.net Plans Transmittal For Review Per Contract 2/11/2005 Applicant: Taresh, Caroll & Nancy Permit No: 05-0346 Project Type: NSF/Gar/Cov APN: 040-290-066 100% 70% Plan Check Fees $ 1,219.95 $ 853.96 $ 1,219.95 $ 853.96 WILLDAN Fee $ 853.96 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: LE J FROM: SUBJECT: UJ DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecountv.net Plans Transmittal For Review Per Contract 2/11/2005 Applicant: Taresh, Caroll & Nancy Permit No: 05-0346 Project Type: NSF/Gar/Cov APN: 040-290-066 100% 70% Plan Check Fees $ 1,219.95 $ 853.96 $ 1,219.95 $ 853.96 WILLDAN Fee $ 853.96 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other os�y 6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA' 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:%~i� ��� �� LL ASSESSOR PARCEL NUMBER /�y(, --2 -06 6 Proposed Building Use: 'Li Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 7 y%/ 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. �g 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.V �p 4. Engineered truss details and layouts in duplicate. No faxes! ❑ N E. Letter from Engineer or Architect for truss design review. �❑ //v E. Energy compliance design and supporting documentation in duplicate. ❑ �. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. Cl t . Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these \ must be stamped and wet -signed by the engineer. 110 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner , ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in)2rChico ❑ Oroville, as applicable. I 16. Other t>< A_19-+-, Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required......................................................................... ........ Fees as shown on the attached Schedule of Fees Due Sheet .............................. City of Chico Plumbing permit........................................................................ -Ou California Department of Forestry plan approval ❑paid. Sent by: ......... Planning approval (A) Use: B)Parking: (C) Parcel Check: .. y/Z�/� \ ❑ 25. Contact Land Development about _ Improvements, _ Drainage.. ....................... \ In/ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... •\ ❑ 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ` ❑ -35. Existing violations and/or expired permits......................................................... _x\ ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 9_2and hold for pickup. I have peen informed of t ' abov 'terns and requirements for obtaining a building permit. ApplicEnt: Date: 1. Inde> permit app ication for the above itVs numbered: 2. Additonal items required Contractor, design( esign ow�nee as advised of the above data by phone, ❑ mail, ❑ counter, by Contractor, designerPwner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans rsviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date:122105 Yellow: Building Division V Plan Check LeVer 'Date: Date: Date : Date: TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance P6- BuTZ'L'i . COUNTY �. APR 15 2005 DEVEiOPtZNT SERVICES E.H. USE ONLY Plot Ren Attached L--�— Floor Plan Attschod�— Sam to ! qel 14 -S Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ti Clearance for dwelling. Other Final clearance O.K. for: NOTE: Environmental Health Specialist 8196 Date COUNTY Off' BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. `( /�F✓�7� C�/�7<� PROPOSED BUILDING USE . BUILDING PERMIT FEES p.� 4-79 2 --Balance Due ........................................................ $ (� --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ 9� 7SCHOOL ised Plan Checking Fee.. $ 2. DISTRICT FEES W\ aid at District Office) SHERIFF FEES (paid at Building Division).:- 2 Residential ............................... �_ x $360.00 = $ / 6 Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Co ercial (Sq. ft.) ............. x = $ S!� � �^ Anmt. 5. RECREATION DISTRICT FEE L^ 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) T SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) A.P. # 0 Vo —2-q %—O6 DATE RECEIPT # DATE REC. �afff_5_1 q M0 9 CSA 87 TRAFFIC FEE 500.00 (paid at Building Division) p� OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed durin he plan checking process. APPLICANT DATE a Pursuant to 6overnment Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 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) DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 046 - ` 6' d 4 (�f Building Permit NumbeP 5 Property Owner (s)Y , Project Location /Address Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development _ Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: -QP Aar0 Building Department Single Family -Detached Non -Residential to Residential Mobile home replacement c� Lf Date W Single Family -Attached Multi -Family Dwelling verified by Assessor Department _ verified by Building Department 0 FRRPD 0 CARD ❑ PRPD 51 DRPD certifies that: -!f AIA -via, 57.3D /R Applicant Name' / i�0 . X304 Sq F rhone Number D "bwyX938 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. O H by Payment of: Dwelling Units @ $ per unit for a total of $ IS -0c, Square Feet @ $ (,Hi per sq foot for a total of $ 2 , 7 3 Remarks: Paid by by Check No: ' Paid by Cash: Recreation and Park District Representative V ArnD 119Q\ 1:111 T1 llMI(I P()RMC\nar4_rer. ctand and form rev 1.d0L Receipt No: Date 41 - BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM m ,ea (One form per Building) US.o�J�o School District Y " Building Department No, A.P. Number b L-YJ'� u Jurisdiction: City County Property Owner Property Location/Address `v v' ' `r ` ' T \ `. *(No foundation inspection) ? C Deed Restricted Sq. Footage OA (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 New Addition Building Department Representative District Identification'' No. 10 I �1 School District certifies that Q o4`4 S �v F LIJ Sq. Footage (Including Exterior Roofed Areas) Date Tt1 /0\e7S44 (Applicant) _5l9- 990 1 (Street Address) (Phone Number) We N-ei-o (City) has complied with the requirements of Resolution No. representing a a 3 square feet. f /i School District Representative -- (State) . (Zip Code) by payment of $ 2926 $ FULL MITIGATION $ 6.57 Date Paid by Check # Remarks: EX / 5 7-/12 G> —7a 7 � V f .1 1 O c l _)1j Nodcs: You may protest the Imposition of the fess Identified above by submitting a wrBten protest to the District, In compliance with l.overnment Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest wlll'pro^." you from chNMnging the ImposMlon of the fees in any cowt action. If. subsequent to the School District Representative signing thisfaults County Schools Impact Fes CertiBcadon Form, the School District Is MR d by theapplleabla Local Planning Agency that this project Is being reviewed under the California EnvlronnrsnW Qualify Act (CEQ4 this project maybe subject to additional school fees to fully nrtipeleAs Impact on the school dlstrkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.x)s (10103)dmm It1 ¢'45 Department, of Public C o u n t v o f B u t Michael Crump, Director Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination. System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: "go By By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. . Signed: Title: Date: D2 ---T ` OLS s Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 'Butte County Department of De velopment Services 7 County Center Drive O 0 Oroville, CA 95965 O O ,c r_ (530) 538.7601 Telephone 0 . <s. ,0 0 (530) 538-7785 Facsimile cOUN�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I 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: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • 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: 0 """'' C4,`ro,� APN: Building site address: V / Pen -nit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission the ab" -referenced building permit application and my signature below: SIG TURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BldgPermitwithoutClearances 020705 - wj 2 2005 CHICO 1 Fixtures I II - HESIDENI•IAL UUILLJINv KtWKUJ ADDRESS '' L "~ �� — �'�' 7 .H. k lCoseMent I We rrim PARCEL SHEET -Z OF p6� SHEETS ✓ G �.�. ;. .. Unit Cosi. Cost DESCRIPTION OF BUILDING hit r 's - _cesr creeps I Com o. Shin le :R vn %J t., : JS SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION Age Remoiny noble ^/o Life Cond. Arch. Func. Con -Stora eSpoce Worn- Fl. No. . Attr. Plan form. upbd Closet iuhip I ROOM AND FINISH DETAIL FIXTUR S SHOWER Wc. Lo. ub Type I Grodet T. .D. FIhish /;•,/• /��^�^ !1 Gr t*• �^ Light Sub-Sfondard / Fiame �7-',✓ /h� / Stucco on F/oJ /Pitch Gob/e wiring Heofing Coolie iYT. Conduit Forced feoni ROOMS FLOORS 8 I 2 FLOOR FINfSH TRIM Moferio/ Grade INTERIOR.- Wo//s FINISH Cei/in s IRCHITECTURE l Stondord ,iheothin ! Siding Hip / J li B X. Cob/e 6rovity Humid. A// X00 we) C) OOD Above -standard Concre&.Block Shed / Fixtures X nol/Unit / Stories Spec/;2/ 8.B B. T. 8 G. cut Up Few Cheop Ent. Ha// USE TYPE Brick . ' Shing/es Dormers A,,g- k 1,Wd,-- F/oorunit Living ? .s ./) •% Single FOUNDATION Adobe Shakes Many Special zoneUnif Dining Double .t Concrete Floor -foist: 8,88. ra6.. Gutters Centrah, DuplexReinforced x;'i,�- PLUMBING Bed ti ' Aporlment Brick 2n11: "x -I Brick Shingle Poor Good Bed _ m �1J (lone Shoke Oil Burner-, 3,? -i 9- // ,)---17- 7 INDOWS I rile Fixtures I II - �:�- e I f .H. k lCoseMent I We rrim V, ImaterHealer I M.-B.T.U. f 8-11,3171, ✓ G Lee/Josh I Composition Aulomolic Xitchen Unit Cosi. Cost ni 'Cost o1 hit r 's - _cesr creeps I Com o. Shin le 1 16., j2flaect. Droindd. Mo/eriol L 1h: ft. Sp/ash, 1 NORMAL % GOOD RATING (E, G, A, F, P) / BATH DETAIL i Age Remoiny noble ^/o Life Cond. Arch. Func. Con -Stora eSpoce Worn- Fl. No. . Attr. Plan form. upbd Closet iuhip I FINISH Floors Wo//s FIXTUR S SHOWER Wc. Lo. ub Type I Grodet T. .D. FIhish i b .5.5" Cpu SPECIAL FEATURES Book Cases Built -in Beds Venetian Blinds 1 I 1 I 1 1 COMPUTATION Appraiser a Date �% -�: . ,_ �^ - �:�- e I f C'... `,, r •x , 1 S -t %-714k-_ 8-11,3171, ✓ G Mei o "'--Unit.,-._ Area Unit Cosi. Cost ni 'Cost o1 hit r 's - _cesr Un --if Cost Cos?`• _Cds Unit' os Cost Unit Cost Cost Unit Cost o Unit Cost Cost / 4 / D j— `J-.. 3 , tf 0' B a J� . O D has- S- v� ��...•r- a_0 a, -M.,: J li sir• r`P X00 we) C) OOD JV F��E.1�• APR 0 LAO ®rovill , CA - _ m �1J TOTAL @� 00 NORMAL % GOOD R.C.L.N.D. Uri �- i^ "` S -'J S�y�S� r` . i4, :_LI L -Structure found. Cons. Ext Roof Floor Int. COMPUTATIONS.. � X Remarks: S--17-'21 I COMPUTATION SPECIAL FEATURES Boolt co,,ej Built - /,7 Beds Venetian Shutters /op ADDRESS' SHEETOFyr SHEETS DESCRIPTION OF BUILDING 4LASS&SHAPE CONSTRUCTION STRUCTURAL EXTERIOR 1 ROOF LIGHTING AIR CONDITION ROOM AND FINISH DETAIL 174. Lighi .11 -Frame - ___ Stucco -0 Flat I Pitch - — i Wiring Coal, !2 �i_n Rnnms FLOORS FLOOR FINISH INTERIOR FINISH p . Sub -Standard Standard ,k-- 1 Gob/e- K.T. I Conduit forced —1-d t Cleonil% T M mole, ARCHITECTURE S f0nd0rd Sheathing Sidng Nip 141 1,B X. I cable Gravity Humid. All wo//3 Ceti/n ,S Above-Standard Concre-leVock Shed ;Fixfuresl�) WO// unit Stories cut Z/,o p LAII //a// USE TYPE 6,int Shiny/es Dormers Medium I floor Unit Living Living Sin /e FOUNDATION Adobe Shakes Many 1-spe-a/ Zone Unit Din Dining -Double Concrete Floor.Joist; B.BB. T. BG. Gutters Control" Duplex Re"? lorced— yl PLUMBING Bed Apartment Brick 2*d: 'x Brick Shingle jp0or. I 1Good Bed Fiat Wood Sub Floor-7,�,I. Slone Sol 're P Burner Court erj WINDOWS rile MOW D.H. Casement rile Trim ;WolerHeaier M- B. 7j Insulated Ceilings Steel Jolh Composition Automatic Kitchen J:7its Li hl Neovy InsulaledlValls Screens Compo. ShinoleG'. - — Drah7M lwaterial.. Z $71h: ft. Sp/ash: CONSTRUCTION RECORD EFFEG. APPR. NORMAL % GOOD i RATING (E, G, A. F, P) BATH D'E TA I L Permit No. I For Amount YEAR YEAR Age 'A can- Stora �eSpoce Work- Fl. Cond. FIX TURS SHOWER A�ch. r. form. UnIp Floors WO//S jWcjLo. r&bj Type I Gradekr.#'IQT6-.Di I COMPUTATION SPECIAL FEATURES Boolt co,,ej Built - /,7 Beds Venetian Shutters -GOOD NORMAL c,V. T/ �Iwa_VVI'...<L VW o V.I VV. W..-- COMPUTATIONS I it 174 _j...�-..I. .. !.. -I -}- I. , i j- - --! -}-'- i_ 't _I 1: '� �.�� __ _I •_ f .�� ~ •� ' — �.� _� j_.I. _ � 1 I i . i I ;,�/ i , 1 • I — � —'r ( r/,a � y {�f,� .�0[/!r''.—''^3 dr' `i^ � 1 r-{-!'.��- 1'-r ( i i r I-I-�C(�(� -. ��i<� i !/i/-i''r;'L!1tz •t,-� i /�_L_I * I 1_I-•- i _,- _•�_41. - t -L .i_ I -��. E -_j. !�; �—j I i- I l—•=��_-- �'.-•-1--i_•-i.�.+.•i.—+� r � r i_^,- I-........_. .j.....� _ 1 -I rr r r1-4 74 T[ tai:_ I _,= _;- : ;_,r � �-� _3 � ►, �: ; � ; ; � ; . _, ► j -;: � f � _ --; ; - -� �, �_� �--; I , _i__! AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005—Ii�0Z2639 Recorded OfficialRecords Count BUTTf E CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:14AN 21 -Apr -2005 REC FEE 7.00 COPIES 2.00 Kathy Page 1 of 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: (AP No. 040-29-0-066-0) Improved real property located at Route 1, x 1134, Durham, Butte County, California, more particularl osrrihed as follows[ Farm Allotment No. 99, as ohown on that coo in map entitled, "SUBDIVISIONAL PLAIT TIIIRD UNIT DURIIAM STAT4 AND SETTLEMENT, located at Durham, Butte County, California) which map way filed in the office of tho Recorder of the! unty of Butte, State of California, on March 26, 1923 in Fi k 8 of Maps, at page 44. r Date k av-c6 4, 2QD� PROPERTY OWNERS: TAR &'-S'/+ «-e TRus r— N-70 g N %70 L' ctl State of California ) County of` &A rlE ) On _ kllaY* 4 , &D6 before me, ttrn I V- fu . my wru-cam personally appeared Parryl 1 e 1A.Taredl personally known to me (or proved to me on the basis of satisfactory evidence) to be the-person(s) whose name(s) ubscribed to the within instrument and acknowledged to me that t /,site/ he executed the same in ly9/yer/ ei authorized capacity(ies), and that by hr ei signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. A.P. # ANODE (=OWAmn d WOW. # 1351891 R NOTAIiy PUai.lC--CALIFORNIA BUTTE COUNTY My Commission Expires APR.15, 20Q6 Ir .�-,IqA-t5.41:I: Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Agricultural Worker Housing Questionnaire 24-90 A -S through A-160 (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) Permanent Residency ❑ Seasonal Residency Parcel Information • Identify the size of proposed dwelling/modular home: -15)u rt P1 Aier wA /vQ9 SC ❑ Single Parcel/Pro erty Involved Multiple Properties Involved (please identify 0Lt0 , X7O d !�!0 0below) [APNS] 04_ OW — JJP6 — 05-7 LANs) 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): t [Type of operation] t 6 ` C32C,1 L &I o 11 0 ORc Nt4RD [Size of operation] Identify any Williamson Act Contract, and supply specific details regarding contract type (grazing, orchard, or field crop), minimum parcel size, and any other relevant information: State the jobs and duties of the workers to reside in the building(s), and the expected time- frame for work during each year. n [Jobs and duties] Lep_ tr r- work ti Signature of Owner/Operator: L��� Date: Signature of Applicant: Z P4 Date: 4�'7_od Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Mar 25 05 08:01a Burrone Construction . ' . AND WKSN UCORDBD MAIL TO: BUM COOM SURUDINC DIVISION 7 COUNTY CBN116R DttM OROVII M CA l99ELS Mar -29-05 1:15PM; (530) 894-0991 Page 2 p.3 AGR1CIXTURAL STATBMENT OF AC XNOWLRDGU2W FOR RLSWE YTIAL DxVBLOPhff= Section 26.8 of the Butte County Code required this acknowledvneat to bei carded prior to its moe of a building petmiL The property dwenbW herein is s4w4wt to lend or inchded within an area zona for agricultural purposes, and raideats of this property may be tarbjea to inconveniences or discomfort ftin the use of agricultural chemicals, including, but mot unwired to herbicides. pesticidesand ferttlbas; and frost the pursuit of agricultural operations mcludmg, but not Iimaod to witivadoN plowm& sprs*& p unin& and harveatimg which occasionally generate dust, smoke, noise. and odor. Butte County has established agricuMwal purposes cad residers within said zones and on adjacent property should be prepared to amept such inoonvcnieoce or discomfort from noraw. necessary farm operattpps. All that real property situate in the Courcy of BUM Stsfle of Caiifoania, described as follows: ti►r Ne, 040-:�-o-oa6-o1 Environmental Health improved real property located at Route 1, x 1131, Durham, Hutto Covaty, California, mom partleolarl oacribed as fella„■ r MAR 2 5 2005 farm Allotment No. 990 as ohowa on that ee In map entitled, •6UUD1V1SIOSAL PWI THIRD UNIT oMAN Star D arment"T Chico. CA located at Durham. Butte county, californ/ which map waw filed In the office of the Recorder of the unty of Butte, State of California, on Naroh 16. 1013 to R a of Napa, at papa 44. DPROPERTY OWNEPS: -r,+R a;v1 - Par'' i t_te TRtts r A State of CaNternia ) County of ) oD Uwk 4, W5 _ berore Rye. pemnally appeared C=i I WE-012"Ur Una" to we (or proved to we on the buds of satlshttory evidence) to be the pemw(s) whom aame(s)ipAffimburflod to the within instrument and aelrnowledtod to at that eierMtRd the same w 'e"'*10@ auftrired dpatlyCial sail trot b7 tura(:) on the mstrvmeat, the person(s) or the entity open bebalf of whkb the penvil(s) aeftd, executed the instrument. WrINM my hand and of lal tial. A.P.0 d- UrV w... •r.�uk� t NOTARYF 5X VALr-0r5NW F Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Mar -29-05 1:15PM; Page 3/5 Mar 25 05 09:01a Burrone Construction (530) 894-0991 p.4 'nae [i ub 11:LA%a p•L �q �} 0191 AGNMILTURAL AFFMAVIT E MPUOYMEMPLOYEE --- Please read the tollowki9 camb* balms signing. Set tbn 24-905 A20 Agrtcultt" Ern;AW/Employee (Applicable only in zones A6. A-10. Ar15. A-20, A.40 and A-180) An indA+ldual who varftd, by personal afidaA and by affd&A of He owq:AD . that he is, or wAl be, employed at lest ft"wo (32) hours per weak for at least GWM (16) weeks per year, or that his primary sdume of MnO Income Is,- or Is artWpdod to be. derived from any of the folowing dasdibed ccm pediow (a) The preparation, ear mid trown int of term land, pipelines or ditches, indu lir g Im *V for aprict&m pirpwses, p eft. demo and bffo tg the soil; (b) The and plarding of any aWkLftxW or horticultural commodity; (c) The care of any agriotrll vA or hotia,ttural oommadty. As used in tftis subdivision, "care srdudes, but is not Ilrrto. 0AW860M Irrofti, W89d Control, tlt Vft beating, pry or *ft fim n9► cprayn9 and dusting; (d) The harveaft of any agricultural or hor*x ural commodity including, but not limbed to, pidart9, dM8, du'aMtst9. field packing and Ch ri tg in held oorftbm or in the vat in %troll th0 commoddy WM be hated on ttte farm or to the place of first processing: (e) The owernbly and storage of arty agriculburel or hotligrkx* commodity in"rtg W not brftd to, ioaadirtg, roadWdatg, batft stacidng, binMltp and pft; (t) The rang. leeffillo and rrta wownertt of iv68W% fur -bearing animals, bees. fish, hogs and other aquatla X*I k0AIng W not Melted to, herding, housing, hatickft. mb tg. sheoft. handing o90s and extruft honey: (9) The operafti, cunswwoft% k1wrwment or MWM w of such than and its tools and equipment. This al6dewt is valid onty far the named employee. Any change of employee requires a new affidavit to be bled. Employer tax records may be mquestad as proof of employment stamus. Signed: Dated: Envifonmetttal Health MAR 2 5 2005 CA Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Mar -29-05 1:15PM; Page 4/5 Mara 25 05 08:01& Hurrone Construction (530) 894-0991 P.5 Mar.23 05 11:270 p.e A;GMULTURAL AFFIDAVIT EMPLOYER EmpkW I A R L S�4 hn S Phoria / 0X19 - y 9 0 `1 Employer's Address p 0 513 X Name of RgpeAy owner LA -ROSH Qti " Propeaf owners Address 20 B01 5-14'9 y1A.A WA ba CA �i S� 3 Owner's Assessoes Parcel Number 0 10 - a9 0 06 _ pence! Size. --Ao. f, _O.AA R Li- 7-48C5-44_ , do declare, subject to the penalty of perjury. thatlamtheemploy&rcf o address (present) 9' o 4 y 51-)9^je0R0 Lwnne and that l will be employer under section 243M= C for at leaet thirty-two (32) hours per (a) to (9) week for at least sixteen (16) wreaks per year on AP# 040 -- - o S -ad: x� ..d'�% %Mile _ Defed: www*****k*w#♦AwwwwwrwwwA#AA#a#+rAwrww*AAAA#R*l#}AAAA**AAAA#AA*#**aaaaM*#AAA**w#+w*wA#A#* Environmental Health Approval: Permit Description and Number Oatelssued By environmental Health MAR 2 5 2005 Chico, CA Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Mar -29-05 1:15PM; Page 5/5 IMa` ;!5 U5 06:02a Hurrone Construction (530) 694-0991 P.6 4sr•23 05 11:27a P•3 AGfWULTUAAL AFFIDAVIT EMPLOYEE Rn J&Am McRse t�t,orte y employee's address peseM 9� Srx1wb L N Name of Property Owner -rA, 2 0-,; [-4 FPe M r • L Y T & 4 S i~ Property owners Address _ P 0 n U Owmesmsessoes Paroel Number 0 4 ei 9 O- p —Parvel SizejJj+_Ac. 1 -- J CAN Al 0 ig , do deckve, subjectfo the penalty of pe4ury.thatlamfheemploMef921 address (present) e. L% aZ)j R 1-A p wl and that 1 will be employee under Section 24-305.020 for at least thirty-two (32) hours per 00 to (9) week for est ieW sl)Cmn (16) weeks W y= on AP* 049--290-0(4 d r._ Deed: .3- 2v - os r •teufts+�+r*it*tt.tee.*N.w#twR#w�►rw►w�#�sfn►flk# r���wrA#t4#R*#*#��##��+�+t##wrRAx4r! #+ Ernirontnentsl Health Approval: Pemrt DeWip W and NW*W Datelssued BY Planning Appmel: D. qlg/os By zone /4_ -10 DwwQonAPi0 0 - 0 - Environmental Health MAR 2 5 2005 Chico. CA Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DMSI)N OF ENVIRONMENTAL HEALTH P. O. BOX 5384 (411 Main Street), Chico, CA 95927 (530) 891-2727, FAX (530) 895-6512 Mar -29-05 1:14PM; Page 1 FW Fac 00 Phone: r•ce: �y v �^-• O Urgent ❑ For Revlew ❑ Please Conmient ❑ Please Reply ❑ Please Recycle CmWb% BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR;_;; UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: 'Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7801 Name: v ,c,) a /�r`�1 � Phone: .Mailing'Address: Y&I� 1 / ;X ri /Zo-// ( f— E-Mail address Assessors Parcel Number JJi-"L Reason you believe you uglify for the unusual circumstances exception: - Z 7Z7------ W2eI�_ -Z� bwn r Authorized gent's signature Data UNUSUAL_ CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ENVIRONMENTAL HEALTH Internai.Dept,. Contact Info: MAR 8 2005 0 Env. Wealth 0 Planning ❑ BuRdIng 0 other Contact Person:Phone: _.. -- - • _-.... . _ . -- --• HICO, CALIFORNIA For,�gr�cuttural Commissioner office use only: (to be wmp(eted after subm(ttal) »... DISCRETIONARY PERMITS Plannin MINISTERIAL PERMITS(Buildiggli Exception Recommended Fq Exception Granted with the j] Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: +` rca-1 sL-�g u, 1I Aa -l- mor u s tndard� m e r abs Nom. arm rs P r �•g� l l t.8 OtSec� b���h� �� � OC�-ru� Drr1u->�e c �dQ•4du� �vHfr Agricultural Department Signature: Date: ,) br4t_(I_ YMC 7/1/03 E.d 1660 -*68 foes) auo.jAng ua.aeN I uyor d9z:10 s0 BZ qac r /; 7—x'1 BUTTE COUNTY PUBM HEALTH DEPAR` MENT ,2��.�� Division of Environmental Health P. 0. BOX 5364 7 County Center Drive 411 Main StreeteuTrf, Oroville, CA 95965 Chico, CA. 95928 (530) 538-7281 �v- e (530) 891-2727 e� <' FAX (530) 538-7785 FAX (530) 895-6512 oua< A.PP iLPCATI®N FOR PERMIT TO CONSTRUCT A SEWAGE D�SP®SAL SYSTEM Owner's flame farpo/l ssessor's Parcel filo. Applicant's Name ` ) ! • �, Pho e No. Mailing Address_,�?fes ✓ !>' 1� 1. Construction Site /� � -� /L , streeDian= Ser or alrecuon anD Distance to nearest crossroaco, 2. Lot S4ze feet x feet Acres ie� L `� 3. APPUCATOON FOR: New system for new building ❑ Auxiliary or secondary system Pepair of or addition to old system ❑ New system to replace existing facilities 4.. Type of bufldOng to be served by proposed system: ❑ Mobile Home (size ) No. Bedrooms Garbage Disposal? 57House No. Bedrooms Garbage Disposal? ❑ Other (Specify) 5. Wate'-supply for premises: (Must be safe, potable water) Wate-supply for adjoining properties: 6. WORKER'S C®ttllPENSAT0ON 0 SURANCE Community ❑ Private WeIGEP Other Community ❑ Private Well ❑ Other I am aware of theprovisions of Section 3700 of the California Labor Code, which requires every employer to be insured agair:st liability for Worker's Compensation. I have placed on file with the County of Butte a Certification of Worker's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be subject to the Worker's Compensation Laws of California. 7. SITE PLAN TO BE FURNISHED - Draw to scale on site plan the following: a. Property lines. e. Show direction and approximate amount of slope. b. Location of all proposed and existing buildings, f. Source of water. Structures, driveways and parking area. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easement. d. Location of any.well, spring, creek or other body I. Proposed sewage disposal system and area for of water on the. parcel and within 100 feet of property line. replacement. I herby state that the information above or attached hereto is correct and true to the best of my knowledge. I unde-stand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling. may be occupied or the ystem backfilled, or put into use. I also understand that a safe potable water must be supplied to the new builViorriling before occupancy can take place. Signed i,�r z,.---- Owner ❑ Authorized Agent g ❑ Licensed Contractor Date (An original letter of authorization must accompany this application in order for an authorized agent to sign). FOR OFFICE USE ONLY Legal parcel? Zoning Useppermitte ? Acc _ -- . ��] Water plans cleared Potable water Receipt No. 4� b Amount r-.- : App/SewDisposal S ys/112003 3060-Thorntree Drive #10 • Chico, CA 95973 (530) 894-8833 voice • (530) 894-8882 fax email: cj@r-c-e.com Butte County Building Department 7 County Center Drive Oroville, CA 95965 (5=.0) 538-7541 RE: Taresh Residence 9044 Stanford Ln. Durham, CA To Whom It May Concern, Our office has reviewed the truss design and calculation from Longfellow Lumber for the above project. The layout and design are in agreement with our structural package. T_iank you for the opportunity to be of service. Please contact us at the address and number above if you have any questions. � .a, Sincerely yours, J. Roberts, PE arr SIM. CNW COUPLER A307 THREADED ROD 2x MUD SILL P.T.) SEE SHEARWALL PLAN TIEDOWN POST - SEE SHEARWALL PLAN TIEDOWN - SEE SHEARWALL PLAN SOLE PL. NAILING TO JOISTS AND BLOCKING 3-16d PER 16° O.C. BCI "VERSA -RIM" BLOCKING - (2) SIM. A35 ® EA. BLOCK SIM. SSTBL - SEE SHEARWALL PLAN INTERIOR FOOTING 8" S7 M1fAM ® SHEAMAM M M v � SEC. V)t w i V = 1 -0 's �-I, �;L, IL SITE PLAN REVIEW APPLICATION Date: C2'_3 D_�j AP# o q0 _g�?v -6) Permit Number (if applicable) 0 5--O S yt!p Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: OXV,j--iv-1L) 'v '�kxg F'0�5 Telephone No.: S 1 �__Dom! Gl a� Email: Situs Address: Proposed Use: Resential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑' New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ . Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel Bl<= COUNTY FEB 4. 2005 "VEI,OPAIENT SERVICES ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well . ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A D• NOT WRfFE BELOW Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Pla Stamped Approved By Date �4 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See ached) o Flood Zone: //''II Flood Panel No.: DW07G0 SOC, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) F-1FeatherRiver 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 ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use -Form El Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A —(o Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � , Side l Side Street Rear �a Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 0 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------ Subdivision Map Special Fees FI'Water Tender ❑ Road Improvement ❑ North Oroville Area Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with Co ty Standards for Deed Creati Comments: /14Vs &% ij Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name: :❑ No ❑ Yes ❑ Yes ❑ Yes 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: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: Parcel Map/Subdivision MapfUse Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4of5 u 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl .doc Page 5 of 5 BUTTE COUNTY PUBLIC HALTH DEPAR`fMENT Division of Environmental ental Health P. 0. Box 5364 7 County Center Drive 411 Main S:reet 0-2-1-rl` Oroville, CA 95965 Chico, CA 35928(530) 891-27c7 (530) 535-7281 FAX (530) 538-7785 FAX (530) 395-6512 APPUCAMN FOR PERV�ii IT TO CONS RCT A EUVAOE DO-SPOSA111 VTEAR Owner's Name Applicant's Name Mailing Address_ 1. Construction Si 2. Lot Size I ,6) feet x /C1/ es SAAssessor's Parcel No. 3. APPUCATOON FOR: feet Acres 11/L1 -14!5p Lo `� New system for new building ❑ Auxiliary or secondary system ❑ Repair of or addition to old system ❑ New system to replace existing facilities 4. Type of bu lding to be served by proposed systems: ❑ Mobile Home (size ) No. Bedrooms Garbage Disposal? 2PHause No. Bedrooms Garbage Disposal? ❑ Other (Specify) � �j �00/_ w 5. Water supply for premises: (Must be safe, potable water) Water supply for adjoining properties: 6. WORKER'S COMPENSATION INSURANCE Community ❑ Private WelPff-' Other Community ❑ Private Well 0 Other I am aware of theprovisions of Section 3700 of the California Labor Code, which requires every employer to be insured against liability for Worker's Compensation. ,' I have placed on file with the County of Butte a Certification of Worker's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be subject to the Worker's Compensation Laws of California. 7. SITE PLAN TO BE FURNISHED -Draw to scale on site plan the following: a. Property lines. e. Show direction and approximate amount of slope. b. Location of all proposed and existing buildings, f. Source of water. Structures, driveways and parking area. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easement. d. Location of any well, spring, creek or other body I. Proposed sewage disposal system and area for of water on the. parcel and within 100 feet of property line. replacement. I hereby state that the information above or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling. may be occupied or the system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new build -I or elling before occupancy can take place. Signed PI -11, .-.i Owner ❑ Authorized Agent ❑ Licensed Contractor Date_ t--2,5 —U (An original letter of authorization must accompany this application in order for an authorized agent to sign). FOR OFFICE USE ONLY Legal parcel? Zoning Use ermitte '? Access Water plans cleared Potable water Receipt No. Comment App/SewDispo: alSysn i 2003 13 T 0 O BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR -- °`���' UNUSUAL CIRCUMSTANCES REQUEST : 'c � a.�a; _::, C®t!N_, Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-76011 Name: �1�f1 l a- d `dam' s�< Phone: Mailing Address: E -Mail address Assessor's Parcel Number. Reason you believe you qualify for the unusual circumstances exception: Owners Authorized4*gent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: .........:........................................ i................1.......... e................................................................................................. For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/1/03 - . - Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING February 23, 2005 Carroll Taresh c/o John Burrone 8948 Aguas Frias Road Chico, CA 95928 Subject: APN — 040-290-066 Dear Mr. Burrone, The Butte County Department of Development Services, Planning Department, has reviewed the Environmental Health application for the proposed septic permit. Since your property is located in an active agricultural area, it requires an agricultural buffer of 300' on all sides of the property. At this time, the Agricultural Commissioner needs to review your site plan and consider your proposed site plan, since it does not reflect this 300' buffer. In order to do so, this unusual circumstances form must be taken to the Agricultural Commissioner's office and they currently charge a $65/hour fee. Unfortunately, the Department of Development Services does not have the capability at this time to accept this fee and therefore, we are asking that applicants make their payment directly to the Agricultural Commissioner, along with your site plan and unusual circumstances request. Their office is located at 316 Nelson Ave. in Oroville, or can be contacted at 538-7381. Until I receive the approval from the Agricultural Department for the proposed site plan, I cannot approve the Environmental Health application. Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sind ly, tephen Streeter Planning Manager Cc: Chico Environmental Health 11 -3A .1. 4. 15E w N) 14 CLEO 7E y. 0 e.2 U u a3 t .:i d tr _7nc 7:: -3A .1. 4. 15E w N) 14 CLEO 7E y. 0 e.2 U u a3 t .:i d tr S r I OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat �o/ c�5 I i 0 .. r, S r I OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat �o/ c�5 I i 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZOt-*NG r + TELEPHONE OWNER ' r r 1 OWNER'S MAILING ADDRESS TELEPHONE CONTRACTOR'S NAME. - � 1 Y r+ I CONTRACTOR'S MAILING ADDRESS BUILDING PE MIT SQ. FT. OCC. BUILDING VALUATION Fireplace ' I UNKNOWN CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECOR ENGINEER LICENSE NO. T ARCHITECT OR ENGINEER'S MAILING ADDRESS/ BUILDING ADDRESS f i LOT NO. SDIVISION NAME PARCEL MAP UB USAF STRUCTURE SF ❑ Duplex❑ Mobilehor� Other SPECIFY TYPE OF WORK :model❑ Utilities❑ Installation❑ Other ❑ New ❑ Addition ❑ ; . n I r t Describe work: + r ) w -I I - 11 r 1 .- Total Valuation $ Filing Fee $ 10.00 Permit Fee $ Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LES5 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& I OR ADDNS. ACC. BLDGS. 2zQSgft — CONTRACTORS LICENSE LAW I declare and Penalty of perjury (Check One): ,I licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and.-.my license is in full force and effect. � � � -icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRULT'-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NON.RESID.NEW R SINGLE OUTLET TCUS IR.&1 Ex. Occup(ourLETs OR FIXTURES 20@5 o FIXED APP LNS. OR Ex. OCCup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / 1 Permit Fee f $ ` Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 The permit is for $100.00 (valuation) or less. ❑' I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE ' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. + 'I WHITE-D.P.W., YELLOW-ASSESSOR, PINK-INSPECTOR, GOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATJON AND PERMIT PERMIT NO. 3G- ASSESOR PARCEL NUMBE ZONING BUILDING PERMIT - IINI�_/I " � � < TEIJEVHONE __A!j SQ. FT. OCC. BUILDING VAL ION OWNE 'S MAILING ADDFIES D8' h 1^ CONT CTO 'S NAMXA l TEL PHON CONT AOC TOR'S M.41LI G A R S y Fireplace CON T CTION LF_NDE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S M ILING ADDRESS Permit. Fee $ RCHIT I T OR ENGINEER rAR LICENSE NO. Plan Checking Fee Penalty $ CHI E T OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDREIS0 / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 kylWater piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities InstallationD Other Describe work: 100 e-- ` _ 0.Main Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 100 AMP OR00V OR LESS10.00 ♦ Ila) C Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/4sgft CONTRACTORS aE14SE LAW I de la under penalty of perjury (check one): IrrJ,/ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®s0a and Professions Code 3Ltd my license is in fuorce and effect. y�/ ` ll License No.Z 39 I J Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES BAL®30 FIXED APPLNS. OR `` EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 MIW. Wiring 15.00 20,Q Permit Fee $ 0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating ' Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to s indemnify and keep harmless the County of Butte against all liabilities, j gme s, costs, and expenses which may in any way accrue agai s id oun 'n c asequence of the granting of thi�sJpermit. X Date.a�-tel 5'— Signature of Applicant — Owner Contractor�Agenr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 6 s,OO OCCUP. GROUP TYPE OF CONST, PARCEL PO HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI=ROLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /� Receipt No. a � / a WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1w Jam+ Z�l - ��-_—PIZ FN �_5 64 V6" Q ©dam 9 IM,.- n1....I �., Tz,tjK zcx5•Z-9 -I /� til 1- v �.V �.:.m,'�.w „7r..,"".,.- _._.......... _..�_._..-----•.___ _._._ JAN ? 200 pal l 4 I U___ & rte, IZ . 57 sr;z . 1 iii C_n �r'a� ®. 'Z7 eyyrrl1' Z t ; �7• f'. (� (''u3 c� tis -; r IM,.- n1....I �., Tz,tjK zcx5•Z-9 -I /� til 1- v �.V �.:.m,'�.w „7r..,"".,.- _._.......... _..�_._..-----•.___ _._._ JAN ? 200 pal l 4 I U___ & rte, IZ . 57 sr;z . 1 iii DRAWN BY: MATT TEAGUE 2367 DAYTON RD. CHICO, CA,95926 (530) 893-1350 DATE 24 FEB. 2004 DESIGNED M. EAGUE DRAWN M. TEAGUE DATE 29 JUNE 2005 REVISIONS DATE z a z 0 a 0 z D 0 LL z O F aC) Z �a O U J z O � U Q m W J z UJ W �O co) m z 2 O