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040-610-013
NOTES r RESIDENTIAL PERMIT NO. _ 040 610-013 '-' 05-0819 WILLADSEN ORCHARDS, 1 MESA RD, DURHAM CONT: NORTH VALLEY BLDG NEW AG STG BLDG-VLp pI bq � �J 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D Signature CHECKED BY J=OK 0 = Not OK No . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date 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 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES (Plans) OK except #'s 1o_rurrg Requirements -Setbacks -Easements ootings; 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. Caroorts: 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 n Date - - Card B-1 Date Card 8-1 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-Panelboards-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 except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 64. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 65. 32. Service -Riser Conductors & Ground Main Disconnect 66. 33. Equip. Clearances Panels-Motors-Mech. Equip. 67. 34. Clothes Closet Light -Shower Light -Spa Light 68. 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing _ 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor El Yes _ 83. Following Instld./Drive 0 Yes O No/Walks O Yes 0 No/Planters 0 Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card Date Card B-1 Date Card AB-1 Date Card B-1 Date Card Comments at Final: PTN, SECS, 21 & 22-T121N, R,2E, M,D,B,&M. 10 5.7aAC 2O 6.62AC ! I 14 SKIWN ESTATES SUBDIVISION NOTE, These parcels are for assessment purposes SKILUN ESTATES 122 M.O.R. 56/60 6-27-1991 LOTS 1/12 only and may not constitute legal parcels. 40-61 4 1•=400' I I i Assessors Map No. 40-61 County of Butte, Calif. REVISED: 12-98 M 3,208' 305.39• Q i 420.32• 2,5.1:• i l I Ow l at., I 6 5.18 to ' i CC 5.O2AC FI ' s23.,, 5.17AC: iii I TO ow 7 356.00 1 _ i A- I 1 1 r 46E.2T - 120 4-ZS.OtAC J 1 53J. i t OY NNa+ 117.31AC 5.eaac I I 8 8 S I HWNNOW J 5.01AC L 50 5 9 0 10 0 10 S m 5.75AC 5.50AC 5.52< RS 147-35 ! I 14 SKIWN ESTATES SUBDIVISION NOTE, These parcels are for assessment purposes SKILUN ESTATES 122 M.O.R. 56/60 6-27-1991 LOTS 1/12 only and may not constitute legal parcels. 40-61 4 1•=400' I I i Assessors Map No. 40-61 County of Butte, Calif. REVISED: 12-98 Curry Group Inc. June 20, 2005 CGi: 05-1005,210 North Valley Building Systems Mr. Andy Wood No. 9 Three Sevens Lane, Suite S Chico, California Subject: High -Strength Bolting Special Inspection Willadsen Orchards Mesa Road Durham, California Dear Mr. Wood: 1612 Wedding Way Redding, CA 96003 530-244-6277 530.244.6276 FAX WWW_Clu•tyCTroLip.com On June 14, 2005 a CurryGroup representative verified the tensioning of 210 518 -inch diameter ASTM A325 high-strength bolts at the referenced project site. Bolts and nuts were identified per the AISC Manual of Steel Construction. Our representative calibrated the erectors tensioning procedures using three -bolt assemblages for each bolt length and diameter in our Skidmore Wilhelm Tension calibrator, Based on the calibration tests and our observations, to the best of our knowledge, the work was completed in accordance with the approved plans and specifications. Tensioning at the observed connections meet the minimum tension requirements of the Uniform Building Code. We have employed generally accepted inspection and testing procedures. However, we do not undertake the guarantee of construction nor do we relieve the contractor of his primary responsibility to produce a completed project conforming to the project plans and specifications. No warranty, either express or Implied is made. If you should have any questions regarding this information or need further assistance, please contact Cliff Curry at (530) 244-6277 at your convenience. Regards, CURRYG UP, INC. l Michael Fork Data Analyst C.01: Copyright 2005 CG05L054c I d 98£60£Z l£9 'ON/£ l: 11 '1S/b l: 1 l 9002 E Nn (NOW) NOld� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE 139. BASE FLOOD ELEVATION(S) Important Read the instructions on pages 1- 7. B5. SUFFD( SECTION A- PROPERTY OWNER INFORMATION DATE Fa InsrraxeClyUse: ar nr nrnrrs ry"Fw.q NAuF 0MCM Policy Number LARRY WILLADSON BUILDING STREETADDRESS (Including Apt, Unit Suite, and/or Bidg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number MESA ROAD I _ —i Cly STATE ZIP CODE DURHAM CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta) APN: 040.610-013 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use a Comments area, if necessary.) EXISTING ACCESSORY (SHOP) LATiTUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): fl#M or ##.# ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BBUTTE COUNTY UNINCORP BER AREA COMMUNRY NU 060017 I BUTTE COUNTY I CA S r a r t I 64. MAP AND PANEL 67. FIRM PANEL 139. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFD( 136. FIRM INDEX DATE DATE 138. FLOOD ZONES) VaieAO, use depth of 9oodirg) 0MCM C — 6it M )IAO A41' B10. Indicate the source of the Base Flood Bevation (BFE) data or base Hood depth entered in t w. ❑ AS Profile ® FIRM ❑ Community Detmnined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation DateN/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Budding elevations are based on: ❑ Construction Drawings' ❑ Budding Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when consIndon of the budding is complete. C2- Budding Diagram Number 0 (Select the building diagram most similar to the buil ft for which tht 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 AW, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, ARIAH, AR/A0 Complete Ken C3. -a i below according to the building diagram specified in Item C2 State the datum used. If the datum is different fnxn the datum used fox the BFE in Section B. convert the datum to that used for the BFE. Show field measurements and datum conversion calmlation. Use the space provided or the Comments area of Section 0 or Section G, as appropriate, to document the datum conversion. Datum NGV1729 Conversion/Comments Elevation reference mark used RM59 Does the elevation reference mark used appearon the FIRM? ❑ Yes ®No a) Top of bottom floor (including basement or enclosure) 16B. 4t(m) b) Top ct rte it higher floor WA . R(m) c) Bottom of lowest horizontal structural member (V zones only) NA. ft(m) d) Abdied garage (tap of slab) WA. ___A(m) e) L ciwest elevation of machinery and/or eqig ment servicing the budding (Describe in a Comments area) 168.4 fL(m) t) Lowest Aacent (finistled) grade (LAG) 167.1 IL(m) g) HiMest aomt (thusheo grade (HAG) 167. 4 ft.(m) h) No. of permanent openings (flood vents) within 1 t above a *cent grade WA Q Total area of all permanent openings (fbod vents) in C3.h WA 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 ce►tiBcate 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. NO. 22E 12, CERTIFIERS NAME ROBERT J. FEENEY LICENSE NUMBER RCE# 22972 TITLE CIVIL ENGINEER COMPANY NAME FEENEY ENGINEERING AND SURVEYING ADDRESS CITY STATE ZIP CODE 713 TOM POLK CIRCLE CHICO, CA 95973 SIGNATURE _,� FEMA Form 81-31, Janu4o 1003 See reverse side for continu 'on. I Replaces all previous editions IMPdRTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt, Unto Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number MESA ROAD CRY 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 BUILDING HAS DIRT FLOOR WITH STEM WALL TOP OF STEM WALL IS 169.7' IN ELEVATION. ❑ 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 0 (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram aocurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducting basement or enclosure) of the building is 1 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 (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crn) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andtorequipment servicing the building is 1 ft(m) _in.(crn) ® 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 properly owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssred or community - issued BFE) or Zone AO must sign here. The statements in Sections A, A C, and E are coned to the tit of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE ❑ 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 oertify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A communityofficial completed Section E for a building located in Zone A (without a FEMA4ssued or oommunity4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for communityfloodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANCEIOCCUPANCY 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: _ fL(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 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. BP050819 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 05/09/2005 APN: 040-610-013-000 the Business and Professions ode, and my license is in full force and effect.1 License Class: License Number: Z/ A ,ems �� I /"� Site Address: �(,• l.. Date: Contractor: A�orc�Lt�h 3w`� Map Index: Description: AG BLDG IN FLOOD ZONE (2225) AWNING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the (750) -NO PLBG Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: WILLADSEN ORCHARDS signed statement that he or she is licensed pursuant to the provisions of 9784 LOTT RD the Contractor's State License Law (Chapter 9 commencing with Section DURHAM CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95938 violation of Section 7031.5 by any applicant for a permit subjects the (530)345-0506 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: NORTH VALLEY BUILDING SYSTEMS INC owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of g THREE SEVENS LANE proving that he or she did not build or improve for the purpose of SUITE 5 95973 sale.). 530-345-7296 ❑ I, as owner of the property, am exclusively contracting with nvbs@aol.com licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the contractors' State License Law.). Contractor: NORTH VALLEY BUILDING SYSTEMS INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 9 THREE SEVENS LANE SUITE 5 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-345-7296 ❑ I have and will maintain a certificate of consent to self -insure for nvbs@aol.com workers' compensation, as provided for by Section 3700 of the License #: 812173 Labor Code, for the performance of the work for which this permit issued. 11? I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: CRANDALL, JAMES ANDREW insurance carrier and policy number are: Engineer: Carrier:- ;-b) -�-� C��,.��'�. 77---1_I Policy #: % ��{ — 2_002 lb —CIZ7 -7 Z ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 3000 S.F. issued, I shall not employ any person in any manner so as to Valuation: $72,750.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: S O Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of O compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolu o to indicated above for which fees have been paid. - Name: By: Date:O , y Address: PERMIT EXPI ES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑' Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives ofButteCounty to enter upon the above mentioned property for inspection purposes. Print Name: \L�C�, ��- Signature: Date: ❑ Owner Et Contractor 0 Agent for Owner 0 Agent for Contractor 04 � �$ )8L4�'7� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 01(9 A FEE WILL BE REQUIRED AT TIME OF APPLICATION r) , / i3 "PLEASE PRINT CLEARLY" r 51 J CONTRACTOR OWNER Last Name first Name d Phone City Stated Zip 5r. -3t Phone 3�is osfXo Subdivision Name Fax E-mail Page CONTRACTOR Name Address*rcLS— city Cho ccs State Zip, '? Phone Fax y� — 67t� 4 fo E-mail C'Q' Lic.Class Z. e_ ARCHITECT/ENGINEER Name 0 Address S ?d.diz�s City Stat Zi Ph Zo j b L, X1.644 Fax 2-oR 4(6 — 4714 E-mail w�d.tE % State License Number Name Type Const. APPLICANT NAME Name Address NJ 1k9- —Itt lee- S City C�o c. o State C� Zip, Phone Fax E-mail APPLICANT SIGNATURE X C52 i For office us onl : AP# U� O O 1 Zoning City Flood Zone WORKER'S COMPENSATION SRA Yes If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Occ. Name Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT N(, j BP BIN LOCATION AP# U� O O 1 Property Address c J _�. City Cross Street WORKER'S COMPENSATION Policy Number c� Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage fx!) . ❑ Structure Built without Permits 11Proposed Change of Occupancy ` (Note previous use): P EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be reouired. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not .� ved Amount 9 1 6 Bldg SRA Receipt #: Sheriff SMTP Dater LY 9 " Other Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2'sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) flV0 FAXES!).. _ ❑ 4. Letter. from Engineer or. Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required)., ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required) ❑ 8. Sanitation and site plan approval from the Environmental Health Department: " ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ` ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. f ` 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review.. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required)_. ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. , ❑ 10. Hazardous Material Form.=� �= ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 040-610-013 05-0819 WILLADSEN ORCHARDS, MESA RD, DURHAM CONT: NORTH VALLEY BLDG I NEW AG STG BLDG County Department of Development Services CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford aabuttecountv.net Plans Transmittal For Review Per Contract 4/1/2005 Applicant: lWilladsen Orchards Permit No: 05-0819 Project Type: Storage APN: 040-610-013 100% 70% Plan Check Fees $ 737.90 $ 516.53 $ 737.90 $ 516.53 WILLDAN Fee $ 516.53 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 O TO: ' FROM: LO LO 1 I SUBJECT: O In DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford aabuttecountv.net Plans Transmittal For Review Per Contract 4/1/2005 Applicant: lWilladsen Orchards Permit No: 05-0819 Project Type: Storage APN: 040-610-013 100% 70% Plan Check Fees $ 737.90 $ 516.53 $ 737.90 $ 516.53 WILLDAN Fee $ 516.53 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 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 (0110 OWNER: 6 ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: Items required in order to appl for a perm . All byes MUST be checked OR marked NA in orde o apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 9. Metal bldgs: ( Metal Bldg Plans, (54/Fnd plans and calcs in triplicate, (K/Elevations in triplicate. ( /Ioor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑_ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Reaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) t3l 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ` ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by °a ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ Erosion Control Plan Required........................................................................ 20 ees as shown on the attached Schedule of Fees Due Sheet.............................. ❑ City of Chico Plumbing permit........................................................................ ID Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry Ian approval ❑ paid. Sent by: y 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:..l�..... Q ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... 35. ❑ Legal description, I M.H. Title, title search, registration gr MCO........ .. 36. Other: ❑ 37. Other: 1 IFQ;n When issued Telephone 3q-5- - and hold for pickup. n I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter items required Cont a esigner, owner, was advised of the above data by phone, ❑,mail, ❑ counter, by C9_1 Date: S �6 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: r ( 1 Date: 5- Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY ra �• 'Piot Ren Aneclhed <' + Roos Ran Anachad Still to B.DD.n, f! Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well C,— Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ntal Health Specialist 8/96 &7 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE J ' I -4 W l Lk---.' 1. UILDING PERMIT FEES ( C) ( _ Balance Due ................ .... $ `(J Additional Fees Due ................. $ Additional Fees Due .......... :...... $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) .............. x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ x = $ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) A.P. #dT`' .�Q IO- DATE /� �� • �� RECEIPT # q-3Lq,ill 7;EC. 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) . OTHERtDO l_df",V-mss At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. 3 4 � APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy Owner (Rev. 6100) T^ENr 6UTT o Q I 0 o 00UN� o� Department of Public Works C o u n t y o f B u t t e 0 0 1. Michael Crump, Director LAND DEVELOPMENT DIVISION p / Storm Water Management Program 7 County Center Drive Oroville, CA 95965 AUC WpF�S (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACRE1 Project Description: Cft�-�� a� ✓L �.��w Project Location and/or Parcel Number: 4!U(4D — &&16) — .b !_4�> 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: , -c-L-o n,° -s-_ A-6�- 3130 5 -- Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte CountyDeparllnent ofDevelopment Services 1 0 7 County Center Drive °�� ° Oroville, CA 95965 ° ° (530) 538-7601 Telephone ° ' "' ° (530) 538-7785 Facsimile cOUN 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: No�c� l�oJ�l�—ti °ici�: S�-,,•� APN: Li 0 — (a l — / Building site address: Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Fonrns/B1dgPennitwithoutClearances 020705 Willadsen Orchards 1376 Mesa Road Durham, Ca. 95938 March 24, 2005 Butte Co. Department of Development Services Building Division #7 County Center Drive Oroville, Ca. 95965 Re: A.P. # 40-61-13 To Whom It May Concern: This letter is to inform you of the intended use of the proposed 30' x 75' ag building. The building is for storage of agricultural equipment and implements for the operation of our farm orchard. Respectfully, Larry Willadsen / V V I LLOA �1 Ma s Street w Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com April 27, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax; (530) 538-2140 BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Willdan Project No: 14353-1532 Jurisdiction Job No: 05-0819 Assessor's Parcel No: 040-610-013 Description: Willardsen C Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2°d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies, sheets 00 through 05B, dated 2/25/05, OV33510, 12,14,16, 70,72,74,78, dated 2/28/05 by Butler Manufacturing Company # Plans: Two (2) copies, sheets C1, A1, A2, S1, 51.2 not dated by Crandall Engineering # Structural Calculations: Two (2) copies dated 3/18/05 by Crandall Engineering # Design Criteria: Two (2) copies dated 2/28/05 by Butler Manufacturing Company # Elevation Certificate: Two (2) copies dated 3/29/05 # Energy Compliance Form: Two (2) copies Butte County Non -Residential Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings dated 3/21/05 by Lawrence Willadsen The plans have been stamped with the Willdan approval stamp and dated the date of this letter. - On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -,approval and identification of any deferred submittals. F y WI LLDAN Serving 1 Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the permit application*. Specific Use Type of Occupancy Type,of Construction Sprinklers Stories 19` Floor Sq Ft , Total Sq Ft._ . Ag Equip Bldg U-3 V -N No 1 2,250* 2,250 -- Ag Bldg Awning U-3 V -N No N/A 750 750 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, .requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or- notes as red -lined on the plans. 3. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 4. Applicant shall provide completed Butte County Special Inspection form to Butte County Building Department. CBC 1701 Page 2 of 3 Butte County 05-0819 WiJ1dan.14353-1.532..1'C.1..1 ��WILLDAN Serving Public Agencies SPECIAL INSPECTION NEEDS Our plan review reveals. the following special inspection needs pursuant to CBC 1701. High strength bolts DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, I -N George Barnes Ricardo Guzman S.E. Senior Plans Examiner, Structural Engineer Cc:. Alice Mefford, amefford@bu"tt,ecounty.net North Valle Building Systems- #9 Three Sevens Ln, Ste 5, Chico, CA 95973, nvbs@aol.com Orchards, I ? , Willadsen Orchards, 9784 LottRd, -Durham, CA 95938 Crandall Engineerimg, 4058 Ponderosa Way, Midpines, CA 95345, andy@crandallengineering.com .Page 3 of 3 Beate County 05-0819 Willdan. 14353-1.532TCIF' Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Non -Residential Buildings Energy Conservation Standards Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings Please print clear and legible! Owner's Name:5 Date: 3 f Zl 1g:5-- Assessor Parcel Number: '40-61 = 3 Building Permit Number: Occupancy of Building:• (_ I hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter any of the following: 1. The building envelope. 2. The insulation requirements of the heating, ventilation, and air conditioning systems. 3. The heating, ventilating, and air conditioning equipment. 4. The water heating system. 5. The lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and.approvals from the Butte County Building Division. Signature of the Building Owner: Mailing Address: / 3'? i; �-�� '�,� '�...c�.� 9 TR --S'6 Telephone Number: 3�d� o Solo t .. SITE PLAN REVIEW APPLICATION Date:/c J / ©`J� AN Q �'O ` (0I a - 013 Permit Number (if applicable) 0 5-'Off�f APPLICANT INFORMATION Parcel Size: Z 17, Owners Name: Owners Address: � 7 LY q 5 ,? 3?' Telephone No.: ,• e7cfS Q,SD�o r- t Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ' ❑ New Industrial + ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well Agricultur xemp uilding Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 10 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval NJ Site Plan Stamped Approved' By Date j 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) ,,�QQ El Expansive Soils (Test for expansive soils and if verified proper foundation design required)�,J El SRA - (CDF to determine specific requirements) �// 100 -Year Flood Plain: (Seeatta hed) • Flood Zone: 1, -D • Flood Panel No.: ©4- b2 7 C. 0 3V0__C, Index Date: �p ❑ Sacramento River Reclamation District (Approval must be obtained from the ('alif6hiia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------- —---- ------------ --------- -------- --------- ------------ ------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 6P- or -c, 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 O , Side �n , Side Street Rear �Q , Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑. Fire. ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------------------- Subdivision Map Special Fees Amount Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: -7 / Lot: Book: /ate Page: a/¢o ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa u Page 4of5' 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 NOTES 1. An Allidevil of own vrship Is being c re Ily dad in In, Office of the Butte Caunfy Recorder unee. Serial Number an9%- 2 bo63 ass, . SURVEYORS STATEMENT I, JAMES M. HERRICK, do hereby stole that 1 am a licensed Land Snrveyor of the State of Colifornla, that the map of SKILLIN ESTATES correctly top ..eenls a survey made by me or under my direction In February. 1990, that It to true and complete a shn, that the rron—ants shown hereon will be sal in their correct position withinow 90 days of the recordation of this map and will be sufficient to enable the survey to be retraced. n C `/ilirs/l%JA ES M. HERRICKEngineering Esp. 9-30_94 COUNTY SURVEYORS STATEMENT I hereby stole Ihol I have saamined the final map of SKILLIN ESTATES, the$ It i subslanllally the s appeared an the lenlalive map on Elle, and any approved allnd eraliona Thereof, Thal all provisions of the 1,1,110,11, Map 10 If the Slate of 1,111—i,ia aany toc al ordinances op plicable of the If,, of approval of said lonlellve map have been compiled .wilh and I am satisfied that the map is lechnlcalty car ... 1. WILLIAM CHEFF RCE 14225 8.11. Counly Surveyor Esp. 3-31-93 9 i1 CLERK OF THE BOARD OF SL/PERI//SORS' STATEMENT I, William H. Randolph, do hereby state that o+ T� ^ AL. 19d, the Bull, Counly Board of Supervisors officially approved the Subdivision Mop of SKILLIN ESTATES. Easements and righl-.I-way described In Ilam numbers 2, 3 and 4 el the OWNER'S STATEMENT and offered for dedication to the specific agencies and public utilities or accepted on behalf of thaw entitles only. The right-ol-way described In If— umbar I of In, Owner's Slatamonl and elisted for dedication In lee simple Is accepted on be of the Counly of Bulls. Should the Board a: Supervisor. determine pursuant to Government Code Section 66477.5, that the public purpose for which sold properly was dedicated in fse simple no longer eslsle, the Counly of Bulls shall ,.convey said properly shown on the mop, to Iha subd Wlders wh... names and addresses are shown In the Owner's Statement, or to the eu bdWIder's a.cc ..... lsl In int ares 1. 6'.. Le-. 0 WILLIAM H. RANDOLPH Cierh o1 the Board of Supervisor. county o1 Bulls RECORDERS CERT/F/CATE Filed this 2 ! a� day of 19-U at B:oy o'eloek.A In Cook /21 of Maps, al Pages Sb S'J Sa S ial the reaaa.let NORTHSTAR ENGINEERING. SGRywc al q/-2&od.4 CANDACE J. GRUBBS Butte Counly Recorder By: A L -1,11. - Deputy SUED/V/S/ON NO. 51.5 RKLUM MUMS BEING A PORTION OF ALLOTMENT 80 AND 85 OF THE DURHAM STATE LAND SETTLEMENT AS SHOWN ON MAP BOOK 8, PAGE 24 BUTTE COUNTY CALIFORNIA for A. HAROLD SKILLIN, et al NorthStar / OF J ENGINEERING If, I-- N 861,"0" E V 22118' N. 20.00140- E 32 78`\ 5. 04.36'55- E. _ y 9L50' lo ^��oll_-�_--Q____ulxee SBo�m;zaioi�illw�i �\s9s• __ �_Jnm` y ��OS?9'__ q as 11ECdlDS. IAGE So, l� i asun. f t 4f. L I 10'SAE a ti,c 12uSs \ \ \ \ f R • 530.00' II I i n•Jlor E\ \ \ \ p • 19.2272' m « c. e6D1 \ V SO'aD.E \ \ \;, ��L. 17916' 1 4. 4e. Groaa �ti \ 6 Wz \ \\ b II n old 4.86 Ac Net t \ U• n3 1a uLE+'I W I S. n•2R09 .; \\ \\ SCALE: 1- • 200' W 5.02 Ac. Groaa 3 m'59 Aa Nel4II bb• 1r J BSa 1 w 5.17 Ac Groaa II� J 5.69•'JJ'!6•W. 49%1150. oand ii ,; 1 W s2mr 109.1" �6 _ li �\\ ]U iDE.eBLE \\\� c LEGEND 11 ; S. D6,8�]- W I I >\ r . iW16)11oWw9F.M AS ROTED O m 11 % 56.02' I i 3' RUE. \ 7 1�. es•s1n6- w..i 26. 11' 1 5.01 Ac GM.-- ( 1 \\ \ \ \ Q SET I V f WON PIPf W COAYJiETE TAGGED V 5616 iOUND 3/4- ""]SfiAO 4.72 AC. Net 1 \ \\ \ O SEi ]/,• WON PPF TAGGED V x616 1 \ I 1 aaar ]aar \ \ 0.O!'Or W. o CALCLLAT[0 Povrr, NOTHING i s o6 SET St61 PIP �20'SDE I 9.0,•2986'E. .` 461 -.D BINE DT I S•]Olr E \ \\ PDE PUBLK UTLT.' Eg3FNEHT L94220 li W 1 1 ` i \� .)2 \ m II a A.E 50,40990 .L , /+U. 1.3011 E. N 09.947" E. 576.67' m rt)P1 20. 1 I � `1-T u, \ \ Laz NOT TO SCALE r_ _ _____________�j I.}i 4. 69.31'S6•W. ,SLr ]0.00 L-= --�0 \`\N`\E ' / IIm s]J1r IJ I 9 Q LIS'WL \; `\ Q SIOR wIT.33-EAAGGED l3lEI6 n sAE.6 WE L� N N i 1 1. We- \ 9 4 2 W I -� r'JO's.Dy E., /i9166 WSDE STIXM WU W cg1EyFNT TO BE PESPFVEO I e mry 5.05 Ac Groll 1 1 601E I /'-'��- 9. W DEO)9 iDB THE 80107E OF LOTS I -12 -4 Oa SDP 6WL I m 4.42 Ae, Nel I i 0 a 1 \ 12 e1E W610ATION DRCN FASEYENT TO BE REED v T m I ? IN 5.02 Ac Grou n 117.31 Ac Grau �` \ N DEEM FOR THE BE1EIlT 0I IDTS W2 5.76 Ac Groaa I 4.44 AC Net $ > \ �\\ 5.69 Ac. Net E m A \ \ O b I \ W&C.E.e WL W 8 Ilm nll ' \•S. C.\� �.1 9. 69•Al';fi' W. SOloa E \N >r�\\ 5]46"^y�o 1.�.__106.00'___O 10._294Da__ D- .O nm \\\\ 2•JON'E -. `2'ii'24_W ,L7.40:L 9• .1 B9.5 '36' E ] l L19.ar S. 59.5,"56•W� ^J'a69.)]' _ _]]6_Oa - �4,.OV 21 .ZZ; ��]9ATJl,•E Aq \\\29� •9' 31` 106.90' \ II%El�_ I 1 •� \0 ;jl a•,l:l o z01Tvv1 `\\�9tBe,4vrE •\\\ d No. 13661E N 39.09'04" W. l 1oe1o• 1 L�A, e� a \\ era •7-sr4il 9M+1 k)T" L1 %ser rzrE \\\ N ly,-zaAO Il ),. 2 W I I EacEyi L` `f-�F--So•snEa Wt \\ 2 sn 5 if y J9,6T0'w. 11 orar44•w. \ 3' 6.62 A. Grow e � 5.75A. ? 530 Ac Grou $ IQ `` \ • =E3ar H I 6.53 Ac. Nei '� 5,51 Groaa Ac Nel c 5.26 Ac. Net c 332 Ac Grow III 5.43 Ac. NetISC'P; ��. 1 lttP.l \ n `209.)6_ j E -OWE E 1i iDE-�'1 �- 20'6Di.6IRE _7 \\\ 6ta00fi'46•E-_53IL42-- __l6PE _J mss j{� a _ im 60- .� ..,1 a]�.os L_i - //�� f1 if fJ !1 !f!� f1 //----�� 60'SEE.B1.Ra:. 9T4YPED .F'. STATE Lard) 1Cvly/ �,I II II,,`,I E1`v'�rA�S foR DETENTION PoM04 SEfiLEMEM•, PER 61N/6 \v�W 'LI ' I�L�uI "u�\\\JJI \vim ILI' CUR4E DATA LINE DATA BEING A PORTION OF ALLOTMENT 80 AND 85 p R . 2a0D wF ALL, OF THE DURHAM STATE LAND SETTLEMENT AS SHOWN ON MAP BOOK 8, PAGE 24 L . 9z.fis' a 6e,rza• w, TAeC O P:Q ie6•.r06-w. ]],10• BUTTE COUNTY CALIFORNIA -mor l • ]Ol9' O 3-24-49"E. 121r for A. HAROLD SKILLIN, el al R . zo.ar _ O 4-4 NorthStar ail 9 peen • PI.Amr, • S- r] 20 EEQ TIDN DRNE O R.1N0209•'a]• CKKO G'41R]BaG %926 "'''D SHEET O OF J ENGINEERING 916-0919 6 0 0 AREA OBJECT TO INNUNDATION PER FEMA MAP. LOCATION WAS DCTCRIHIIEO BY SCALE FROM FLOOD INSURANCE RATE MAP. ANEL223 OF 600. COMMUNITY PANEL N 030017-02235 DATED JULY L 1948. SAID PANEL IS DRAWN AT AN APPROXIMATE SCALE OF I-. 2000. iHf LOCATION OF THIS LINE WAS DETERMINED AE iNDICpTED FINISH FLOOR BUT -D ELEVATORS FOR INNUNDATION WITH A 100 YEAR STORM. 'EAR FLOOD. IT IS ALSO RECOMMENOED M OF TWENTY.FOUR INCHES 124') ABOVE THE EXACT DETERMINATION OF THESE i SPECIFIC LOCATION OF THE PROPOSED LATED Bx A RECISTERCO CN0INECP. 'C AND A B[NCHMARK ECT NEAR THE BEWWWWAV THE BENCHMARK FOR THIS PROJECT IS A BRIDGE SPIKE IN A POWER POLE AT STATION 19.25: ON SKILLIN ESTATES WAY. ELEV.. 168.20 TH15 ELEVATION IS .ABED ON BUTTE COUNTY TBM IAC. A CHISELED SWABS ON A CONCRETE HEADWALL. 120': SOUTH OF THE INTERSECTION OF E5000N ROAD AND MESA ROAD. ELEV..169,AO NOTES INFORMATIONAL PURPOSES ONLY. DESCRIBING CONDITIONS AT THE TIME Of FILING AND IS HOT INTENDED TO AFFECT RECORD TTTI.E INTEREST. 2. ANY HE w CONSTRUCTION WITHIN THE AREA SUBJECT TO INNUHDATION PER SAID FLOOD INSURANCE RATE MAP. PANEL 225 OF 600. AS SHOWN ON THIS MAP SHEET SMALL HAVE A MINIMUM FINISHED FLOOR ELEVATION AS INDICATED HEREON. 3. THE ROADS IN THIS SUBDIVISION WERE NOT DESIGNED OR CONSTRUCTED TO COMPLY WITH STANDARDS FOR ROADS TO BE ACCEPTED BY THE COUNTY FOR MAINTENANCE. A INDIVIDUAL BUILDERS ON LOTS I - 12 WILL BE REOUIRNG TO SUBMIT AN ENGINEERED DESIGN TO BUTTE CO. FNV RO MENTAL HEALTH AT THE TIME OF PERNITTINO WHKH WILL ENSWIE THAT THE POTENTIAL FLO00 UNNGAT.ON FL UW PATTERN WILL NOT CAUSE FLOODED LEACHFIELD AREAS. REGARDLESS OF THEIR INTENT TO UTILIZE THE FLOOD IRRIGATION. 9 PAYMENT OF f Z00.00 PER LOT INTO THE APPROPRUTE WATER TENDER FUND FOR LOTS I AND S TION 10 SNALL BE MADE PRIOR TO ISSUANCE OF BUILDING PERMITS FOR NABITABLE BUILDINGS AS DEFINED N THE UNIFIX J BU IXIIC FADE. ia"?,-moo. NOTE PRELIMINARY FIELD INSPECTIONS REVEAL EVIDENCE OF EXPANSIVE SOIL AND MARGINAL BEARING CAPACITIES. PRIOR TO OBTAINING A BUILDING PERMIT A DOLS INVE9- TIGATIO61 MUST RE CONDUCTED AND A iOUNNITION - RE DESIGNED BY A LICENSED ARCNITECT OR ENGINEER. L ZI BSL B.-SETBACKANSA LF9A LEACH FREE SETBACK AREA ROA NO DEVELOPMENT AREA 4 El0.3TNG WELL SDE STORM tliAU1 EASEMENT TO ae RESERVED IN... FOR THE.- W LOTS I -10 1 AREA SUBNECT TO INM40ATNN PER FLOOD I -ACE RATE MAP PANEL V. OF 600. _ it CONNUMTY PANEL HISAS 060017-02258. L SEE NOTE -2 THIS SHEET. �L�UU VA(D�DI�TIOONNAL MAP SHEET SK�L�[ESTATES BEING A PORTION OF ALLOTMENT 80 AND 85 OF THE DURHAM STATE LAND SETTLEMENT AS SHOWN ON MAP BOOK 8, PAGE 24 BUTTE COUNTY CALIFORNIA for A. HAROLD SKILLIN, of al NmthStar ENGINEERING rne54 rho i o f,3 AGRICULTURAL kFFIDAVIT _ EMPLOYER/=LOYEE Please read the following carefully before signing: Section 24-21.2 Agriculture Employer/Employee (Applicable only in zones A -5,-A-10, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that -he is, or will be, employed at least thirty- two (32) hours per week for at least sixteen (16) weeks per year, or*that his primary source of annual income is, or is anticipated to be, derived from, any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agricultural purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural.commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning, or tieing, fumigating, spraying and dusting; (d) _The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting,. thrashing, mowing, knocking off, field chopping, bunching, baling, balling, field packing, and placing in field containers or in the ve- hicle in which the commodity will be hauled on. the farm or to the -place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including, but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing and other aquatic animals, and bees in - animals, fish, frogs cluding, but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. 11 )(Employee x.Employee Name of AGRICULTURAL, AFFIDAVIT El'.PL0 Y E E Owner's Address �+4 110 C>v-ck Ferro 7kDc3, C"1n�c0 L°OA Owner's Assessor's Parcel No. 40 -II-6g q 40-56 -9 Building/Environmental Health Permit Description and Number Date Issued BY�ur�c Planning Department Approval_ Date Zone A -S Dwelling on AP# d4(3-0 <�74-6ZS :)(I(",.�/� a, l edersoz) , do .declare, subject to the penalty of perjury, that'rI am the employee of �K�«;v� fp�en)24neltSh_ address (present) Ord f�cr� Rd -6-Ico Nt_p on AP#.4a-_ -&qcL x%0-50-9 and that I will be employed under Section 24-21.2 G_ for at .least a to g) thirty -tiro (32) hours per week for at least sixteen_ (16) weeks per year on )CSigned )CDated AGRICUL`LUFCAL AFFIDAVIT E;'IPLOYER Employer. �f'oc`c�n:� Phone P91 76 n n Employer's Address (Present) 4 I-errQ_ k co Name of Owner < <, Owner's Address .441 % DrA E�Crr RA 0�t n 01-U, Owner's Assessor's Parcel No. -4p~1I--(,e9 k Building/Environmental Health Permit Description and Number Date Issued Planning Department Approval: Date_ 6 - 6 - d pone - D,,relling. on AP,# By U J I, e �Pc� �'� Bio declare, subject to the penalty of perjury, that I am the employer ofqfi�171'a, 40-H-69 address (preser_t) ��(D g �eSQ � . �«I1 hgL" �a . on AP// 9�0-50-9 and that I will be employer under Section 24-21.2 G�- for at least to (97 thirty-two (32) hours per week for at least sixteen (16) weeks per year on A # 4D,1! lO9 •40-65.0-9• , 0