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040-640-034
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - 14 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 PERMIT NO. BP040864 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of I. Issued Date: 05/20/2004 APN: 040-640-034-000 the Business and Professions Code, and my license is in full force and effect. �t License Class: -cS License Number: 3.27409 Site Address' 16 SEGA DR CHI Date: `� 4- Contractor. - V69"X kmr— Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: TRELLIS 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 Owner: LUNDBERG DAVID E & DEBRA L TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section C/O LUNDBERG DVAID E-& DEBRA L 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 16 SEGA DR 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).): CHICO, CA 95928 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: HILL &ASSOCIATES, ROBERT T. 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 199 E. SHASTA AVE proving that he or she did not build or improve for the purpose of sale.). CHICO, CA 95973 ❑ I, as owner of the property, am exclusively contracting with 530-891-4280 licensed contractors to construct the project (Sec. 7044, Business RHiII@Sunset.net 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: HILL & ASSOCIATES, ROBERT T. ❑ 1 am Exempt under Article 3 of the Business and Professions Code 199 E. SHASTA AVE Date: Owner: CHICO, CA 95973 530-891-4280 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: RHill@Sunset.net ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 377409 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit /is issued. Gd I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: ROBERTS, CHARLES 9 insurance carrier and policy number are: Carrier: S Total Square Ft: 0 S. F. Policy #: 00 d 5 ❑ 1 certify that in the performance of the work for which this permit is Valuation' $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:�9(i n �l �I S4 2 � Applicant: jo L �/1iOU%iT trued: 1,50.co WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Bntte County Coda anrtlor Resolutio s to do work i dicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) D �% Name: ED i PERMIT EXPIRES i D✓ Address: ON: V 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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name: PM-8JtJL-r &LA Signature: Date: ❑ Owner 49 -Eontractor ❑ Agent for Owner 13 Agent for Contractor REQU�ST FOR IN'SPECTION Permit No. Location Owner: &41 1'1� Contractor: - Call FT - Phone: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas PipingfTest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec.on: Date: Comment: dz c BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ';_1 - BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 .1b PERMIT NO. BP c�4o84,¢ DATE: n , APN: � N ` O -7 ZONING: �^ 7C1 r U� NER'S LAST NAME: OWNER'S FIRST NAME: PHONE STREET-ADDRESS' lb 6�44- 4C FAX CITY, ZIP. E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT M. J2 APPLICANT NAME: PHONE: STREET ADDRESS:MC ,� �^ A4,FAX SCCA ' ri CITY, ZIP: ���L(r'� cf) E-MAIL: CONTRACTOR NAME: PHONE STREET ADDRESS: FAX A� CITY, ZIP: ' E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECTIENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E -ML: DESCRIPTION OR SCOPE OF WORK: - El Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) Fz c.015pz ; x o 0 t -1 -- 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: ,!1 a- Date: 3. 9 04 Receipt number: .3q54� - Amount Received: 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: ELL-" D f3E/2G ASSESSOR PARCEL NUMBER 040 • 4�, 4- D 034 Proposed Building Use: -7-r2 r= -Lu S Counter Technician: 11 tl Date: 3 Z�J • pG� .Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. ❑:.,;.::6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15�' 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use:'al<(B)Parking: (C) Parcel Check: - 2� o y ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 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......................................................... ❑ 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 t • 42430 43U and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Q"JA &Ze4Date: 3 0 �- 1. Index permit application for the above it ms numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b4,;tDate: Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division " E.H. o�Ali.r Mot Plan Attached [/ Floor Plan Attachad SOfl4 to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A0' (o Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other nuw 919101 lug . Final clearance O.K. for: NOTE: 44PAVE' 0 r Environmental Health Specialist 8/96 3A), Date !' TO IARRY PAINTER REIZJRN TO CIIICO EH -T-L,_ rSITE PLAN REVIEW APPLICATION Date: 1—o 2-3 AP# o `iD�U Permit Number (if applicable) (217 — O(D4 PD APPLICANT INFORMATION Parcel Size: ILS) Owners Name: . RECEI • ED Owners Address: i Telephone No.: JAN 3 Situs Address: B TrE COUNIsr as Proposed Use: Re 'dential 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 !r ❑ Agricultural Exempt Building ❑ Other: i ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved 1N Conditionally Approved ❑ Resolve Problems Prior to Approval ,® Site Plan Stamped Approved By Date Z—L)— 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) a ❑ 100 -Year Flood Plain: (See atta, ched) • Flood Zone: �( �''"'" • ' " Flood Panel No. O 51 O 'C, �� —g8 � � Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) 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: IS R l 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 S 0 Side 10 Side Street Rear I o Height rWaterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 • ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender . - F-1 Applicable Development Fees: a Standard Fees Amount Formula M ❑Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ' . ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender . - F-1 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 II 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: 1 O — I Lot: i 2 ❑ Use Per Use Permit Permit Number: Pra-k—�--S SCJ S Book: I S S Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ® Comply with the following Conditions of Approval: /)-'-r P�,, LI -1 iE,> ❑ 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 P must be prepared by a registered civil engineer or other qualified professional and 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 Page 4 of 5 INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE i FROM: ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: -��-�� OWNER NAME: / j7 SEPTIC: � WELL: AP#: —69 40—&,3*DDRESS/LOCATION: Z6✓� G�4- /� /� l cor I Comments: GL/memos/releasehold E.H. USE 0 Y J Piot Plan Attached Roar Plan Attached Sent to B.D. 47 1 3 /a -o w, TO: Building Department FROM: Environmental Health SUBJECT: .fSalhitation Clearance • Owner Location AP# Plan Approved for: Sewage Disposal v Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: O Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 C NOTES RESIDENTIAL ' 040-640-034 J BP040707 s -PERMIT NO. _ LUNDBERG, DAVID I 16 SEGA AVE., CHICO CONT: ROBERT HILL & ASSOC. NEW PRI SWIMMING POOL t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 8 J SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 8 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 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 PERMIT NO. BP040707 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 040640-034-000 the Business and Professions Code, and my license is in full force and effect. 7 License Class : {7'(.� License Number: Site Address: 16 SEGA DR CHI Date: 3161t14-- Contractor: _& aa (i:. a (r�C� Map Index: Description: POOL MASTER #506-01 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LUNDBERG DAVID E & DEBRA L TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section C/O LUNDBERG DVAID E & DEBRA L 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 16 SEGA DR 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).): CHICO, CA 95928 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: LUNDBERG DAVID E & DEBRA L TRUST PP provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct.lhe 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Contractor: HILL & ASSOCIATES, ROBERT T. Date: Owner: 199 E. SHASTA AVE CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530_8914280 ❑ 1 have and will maintain a certificate of consent to self -insure for RHill@Sunset.net workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 377409 is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier. c5 DA -if- •P,) &A Policy #: V1,7- - oax) '5,Lo 4- ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions: Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost ofL� ,� 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 Resolutlonn do work in ' ted above for which fees have been paid. - - - performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By 'G/� l/ UST J� rT , Date: Address: PERMIT EXPIRES ON: ?_115.&'7 Date O I 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 certifytha I have read this application, that the above information is correct, and that I am the owner or t e duly authorized agent of the owner. 1 agree to comply with all county and sta laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official form document of Butte County. I hereby authorize repres tatives of But County to r upon the above mentioned property for inspection purpose ¢lkli(J r '' Print Name: Signature: Date: ❑ Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor J=OK 3 = Not OK .� Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Ext.; Steps -Doors -Landings 4. Water; Location -Test -Easement Needed (Sketch) Braced Wall Panels 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance F S s; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness Dead Men -Lining ec.; eceptacles and Lighting, Distance-GFI c • ool Lighting; 15 Volts-GFI Date Card B-1 Date Card B-1 Date %oOEIec.; 8. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Health Department Approval 1. Zoning Requirements -Setbacks -Easements PI , Cir. Test -Water Supply Test 2. Footings; Size -Spacing -Marriage Line fight bliche 3. Gas; MH Test -Demand -Valve -Connector closure; F ' g -Ala 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector Card B-1 Date Card B-1 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POO Plans) OK except #'s 1. tbacks-Easements F S s; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness Dead Men -Lining ec.; eceptacles and Lighting, Distance-GFI c • ool Lighting; 15 Volts-GFI ; Enclosures; Conduit Entries -Terminals -Listed %oOEIec.; 8. Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. PI , Cir. Test -Water Supply Test 1 fight bliche / closure; F ' g -Ala Date , .a 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 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 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes _ 0 No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector. ' 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 0 90. 36. A.C. Ducts Insulation & Support •- 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 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. < E 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 O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O 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 B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of gradingaild/or other permits or other sanctions provided by law. Signed: Title: Date: 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 PERMIT NO. BP040707 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 040-640-034-000 the Business and Professions Code, and my license is in full force and effect. License Class : 9—CC, License Number: 791— Site Address: 16 SEGA DR CHI Date: 38%4- Contractor: Af (_Lu_ 4 hots Map Index: Description: POOL MASTER #506-01 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LUNDBERG DAVID E & DEBRA L TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section C/O LUNDBERG DVAID E & DEBRA L 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 16 SEGA DR 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).): CHICO, CA 95928 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees,LUNDBERG Applicant: DAVID E & DEBRA L TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: HILL & ASSOCIATES, ROBERT T. Date: Owner: 199 E. SHASTA AVE CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-891-4280 ❑ I have and will maintain a certificate of consent to self -insure for RHill@Sunset.net workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 377409 is issued. fi3r 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: insurance carrier and policy number are: Engineer: Carrier: _ S� �� Policy #: Z7 Z—OCY7A rj (� Q^ ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Secfion 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one ^ hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor O(/ code, interest, and attorney's fees. 1L n 5 I -?I 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 Resolution do work in ted above for which fees have been paid. _ performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B y:�/,!� / Date: v PERMIT EXPIRES ON: Address: Date ❑ I 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 1 have read this application, that the above information is correct, and that I am the owner or t e duly authorized agent of the owner. I agree to comply with all county and sta laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official form document of Butte County. I hereby authorize rand tatives of Bu County to r upon the above mentioned property for inspection purposes&4� Print Name: Signature: Date: 0 Owner ❑ Contractor 9" Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 •, �.un ber<== g PERMIT NO. BP 01 DATE: ®� ✓ 12 /aa 7APN: V s ` ZONING: OWNER'S LAST NAME: IU� OWNER'S FIRST NAME: A-tll PHONE: sty- -OZ� 5 FAX, CITYI �mc) (A . E-MAIL: SITE ADDRJ�-ESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT P. APPLICANT NAME: 94nn�.. A�S A� e� PHONE: STREET ADDRESS: FAX CITY, ZIP: 4 E-MAIL: CONT OR ME� �`' PHONE: 9 � (— STREET ADORU§ M f� W �, FAX ft(—I- O 3 Q CITY, zIP: G�� G4 . TS--e `( ?Z E-MAIL: LICENSE NUMBER: - ,: —C. S 3 -17 401 LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTIONORR SCOPE OF WORK: A_o(- 1)1-2612 ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by:. Date: ✓ �� �� -7 Receipt number:Amount Received:d/_ /�f �t- Master application 3-4-04 qOFIL�)PMVMERVICES-BUILDING-7COUNTY OF BUTTE -DEPARTMENT DIVISION County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET � OWNER: GZ// / // ASSESSOR PARCEL NUMB Proposed Building Use: D O / Counter Technician Date: / Itg!,required in order to apply for a permit. All boxes MUST be checked OR marked NA in rder to 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 homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department inhico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use:01K (B)Parking: (C) Parcel Check: 3.- I-7 - O y El25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 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......................................................... ❑ 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 and hold for pickup. I have been injRrmed of the above items and requirements for obtaining a building permit Applicant: 1. Index permit app ication for the above items Date: Plan Check Letter rntra d er owner, was advised of the above data by 17'� hone, ❑ mail, ❑ counter, by Date: owner, was advised of thea ve data C�'phone, ❑mail, ❑ counte ,by Date: _Date: lu .04Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: . Note transfer by: Date: Yellow: Building Division Y .F ; '^" a �'a!C" r . Y_r. r ��RSF 'r r : _r T_..�p'z�,.+-'..-.e.,,,r, .'; .,�,a,-„....,,,-.. �...1�, � -- r 7” '^r < : : 'r:- � `*` •� ll. ..�, •;, C/C?OUNTY OF BUTTE.+ � ,. t1 Y � � a .5�.i�.�1t�'t3�(t is li 2r 5 7:6} k2 �Y -, �Tr^� ,F �: � � � � �•x s`" f 8' � �� � �,t�u NN��tBUILDING DIVISIONr;�t� ,DEPART : :,� , I • •t :7 f I 7 MINT OF DEVELOPMI~NT SE'RVICE'S %4. "''4'11°`Main Street • Chico, CA • (530) 891-2751 Y 7 County Center Drive • Oroville,' CA •,.(530) 538-7541 CORRECTION NOTICE F / N,1W 1 -OP OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work,is _f completed. If you have any questions pertaining to this matter, or need additional exptanahon, y please contact this offige"immediately. A0( --1r k/ S7Y Uro 7 a� /U Wff D /t(/S I R COUNTY OF BUTTE f ::.—;-BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE va ifs PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you ha any questions pertaining to this matter, or need additional explanation, please contact . ice ' mediately. V (119 C') 1jZe11 1 o'l NOTES f RESIDENTIAL-, Imo--- - - - D�� iPERMIT NO. ` 040-640- c -0248 \ MEGHDADI, ANDREW 16 SEGA AVE., CHICO j NEW SINGLE FAMI - J+1ji � D r J OFFICE COPY Address�� -SEG GNIGo GAS Meter By Date 4 ELECTRIC Meter By Date3-4-V31 SPECIAL CONDITIONS CHECKED ill BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB .FINALED (Date) • (/� `� Signature 4284 .i N } . SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB .FINALED (Date) • (/� `� Signature 4284 J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 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 Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10.. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department -Approval 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits - 10. License Decals " 11. Verify #'s with Office Date Card' B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-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 F ., Main; Soils-Elec. Gr .-/ y/" Ftg. Depth 3 ., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth . _IZ 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6b/Hol&Downs and Special Anchors / V 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 •%2 03 Card B-1 Card B-1 Date �/�'j- U Card B- Date Card B-1 Date PLU G (Permit) OK except #'s 1 W Htr.; Vent -Access -Combustion Air Baffle 1 �Pipe; Test &Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection ,2 d7 20. Shower Pan; Test, First Floor -Tub Access r 21. Teib & Shower, Second Floor -Tub Access 22oodas Pipe; Sixe & Anchors 23. Fire Sprinkler; T t 4Z 4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2p. re &Transformer Clearance -Ins. Protection le ,Receptacles Spacing -Lights & Switches at Doors 2 . iztol3ozes & No. of Conductors Stapled 2 o ex'rnstalled Close to Edge of Studs & C.J. 2 t . Ground made up w/Mech Fasteners -Bond Gas & Water 2 lance Circuits in Kitchen LConductor Size GFI Subfeed Wire Size/ /ga. Cu o A A.C. Wire Size/ ga Cu or AI 31. Range Circle/ /ga CI'Oven Circ. / /ga Cu or All Insulated Neutral U-Tes ❑ No 32_ Sery e='Riser Conductors & Ground Main Disconnect . Clearances Panels-Motors-Mech. Equip. lot Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except #'s 3 . C. • ucts Insulation & Support 3r_<eptfan, Exhaust above insulation 8 onden ate Drain & Overflow, Size & Grade 3 na =Vent Access -Comb. Ait-Return Air Vent 115 Outlet 0 is Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIIN (Permit) OK except #'s ill roper Materials & Anchors Wal Studs -Nailing Spacing & Braces -Plates -Sound e - g Walls over Girders & Floor Nailing ra Stop in Walls (rat proof) 5. Ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing Date 48 -Cling: Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49e,155rPiplace Ties or Type A Flue -Fireplace Throat Clearance 541-13drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53 DeFtV Line Firewall & Openinas 54w�ffkt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55, Stairsi.Width- Head room- Rise -Ru n -Landing -Fire Protection SC—.Btrwood on Roof Overhang -Attic Vents -Rafter Outriggers ,_S7.• g -Nailing Veneer GV/58. Stgcco Mesh -Drip Screed -Fd. Vents-Underflr. Access Interior/Exterior Wall Panels /i '( << 83/Infiltration-Walls-Windows Date L•1 D Card B-1 Date Card B-1 Date s Card B- Date Card B-1 Date FINA an OK/except #'s teps-Door & Sidelight Protection -Landings Smoke Detector €8•—Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection �droom Exiting G. Bath Fixtures & Tub Access -Spa fteonec. Trim & Subpanel, Breaker Sizes & Labels y9r 11airs & Rails F' place or Stove, Clearance -Hearth 72!- c. Outlets at Wood Panel, Int. & Ext. W.Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure C. Duct in Garage -Damper ?YWtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. jp.A age; Above Floor-Mech. Protection PIp.; Elec. & Mech. Equip. Listed for Location 7'R'E!pc. Receptacles in Garage (F.F.I.)-Romex Protection 8900Tnsu in Attic 84—Guard Rails & Deck Construction -Post Caps .82-Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ C!parance Looked under Floor ❑ Yes in Instld./Drive Oier'O No/Walks 0 Yes 0 No/Planters O Yes O No cco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing . V is Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing .erior Elec. Trim, G.F.I. Receptacle -Underground V tilation Throughout House Glass Protection Corrections Previous Inspections Ga -Meters Tagged, Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval 04,*fneray Compliance Certificate -Other Certificates Address Posted 96—Fire Sprinkler Dat %1("33 Card B-1 Date Card B-1 DatV Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: '2 -IL -03 AiCK AVL JACkO 014 L /J/o} COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILD DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 5 -7541 �j (Rev. 1,2/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Ott 040— 40-Q14 -R" D— ZONING Q - BUILDING PERMIT OWNER OWNER - T E SO. FT. OCC. BUILDING VALUATION P, 167,494 . OWNER'S MAILING ADDRESS r CONTRACTOR'S NAME OWNER TELEPHONE 343 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 18 5 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 706.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 16 S Energy Plan Checking Fee $ $ PERMIT FEE $ LOT No. 12 SUBDIVISIONS NAME ,TWIN PALMS SUBDIVISION PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 98 Solar or heat pump water heater 23.00 Water piping .15.00 15. Q Each as water heater or vent 15-00 15.0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY - MASTER 497-49 Gas piping system 1 - 5 outlets 15.00 15.00 0 Building sewer 15.00 15,00 Mobile Home ISI GI W @20.00 PERMIT FEE $ 17$,00 ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service za.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license I -in full force and effect. License Class Lic. No. '��� 7 � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My work rs' compensation insurance carri r d policy number are: Carrier Policy Number a -7 E7, 91,2 (The above sections need not be completed ff the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date { / _ Signature of Appli t - ❑ Ow6_r ❑ Contractorgent An OSHA permit is rb4uired for excavations over 60" deep and molition or uction of structures over 3 stories in height. ReceiptNo. 369935 1103.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK- SPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. SO OR ADONS. ( a „�. S.3.50F : 1.39.0 NON.ROSID. MULTI.OUTLEf @7,50 POWER APPARATus 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES 20 g SAL O 1.00 . 0 Ex. Occup. oirT>Frs R,D OE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 i PERMIT FEE $ _? �2,QQ MECHANICAL PERMIT Fling Fee 20.00 Heating 40-00 Cooling 50,00 Hood 6.50 ;� , 50 Ventilation c PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ [ Occ CONST. TYPE TOTAL FEE $,1 HAz, D. FEES IMP CD P EL ISS E This permit is hereby issued under the applicable provisions of. a County ode and/or Resolutions to do work indi ted r hicYt fees have been paid. Z a3 By Diate PERMIT EXPIRES ON Y (Date) 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: ASSESS AR L NUMBER 6 �� ' O (' p� f Proposed Building Use: ►�./� 9 ~Counte chnician: / Date: -j 9 - G - Items required in order to apply for a p mit. All boxes'"MUST be checked OR m r ed NA in order to apply. . 7 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the }ireparer of the plans. O 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. - ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation vies in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. r Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By A* 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material-Form........................................................................... `.. _ ❑ 13. Other aining items needed to issue the permit. (May require additional plan review upon receipt of he f Ilowing items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... �/ O.3 ❑ Statement of Intent for Non -heated and A/C Buildings ................................ .....,.... 16. 11 1 Sanitation and plot plan approval from the Environmental Health Department in -,% V ❑ 17. City of Chico Plumbing permit........................................................................ R4*t8. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 29. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... s col. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). - ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ' ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization........................................................!..`........ ?' 27. Recorded copy of Agricultural Acknowledgment Statement ..................................... ❑ 28. Manufactured home utility clearance..................................................... ........ ❑ 29. Existing violations and/or expired permits ...................................................... - ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: /-747-0 3 1. Index permit application fo the abovei ems numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail,. ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, , ❑ counter b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: .Note transfer by: Date: Yellow Ruildino Divkmn r �_ E.H. USE GAILY Slot Pian Attaclho� Flow Plan Attachad Y(!,Y s®n4 to ®.DPz 1. / TO: Building Department FROM: Environme'nital Health SUBJECT: Sanitation Clearance eA16 SfiS O ner U Location AP# Plan Approved for: Sewage Disposals Water Supply: Public Private WellX Clearance for dwelling. Other Mold final for: Ste: �, u.et:C'�,�ilo. Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 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 WP O O D BUILDING USE 1. BUILDING PERMIT FEES 50 Balance Due ....................... $ l Additional Fees Due ................. $ ;. Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES t �� U (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. V4. URBAN AREA FEES (paid at Building Division) Residential ................... x 106"_ $� #Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES �7 (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 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) 10. OTHER ok , C) A.P. # DATE ' CEIPT # DATE REC. D✓ 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. DATE J-24) -G Pursuant to Government Code Section 660M, 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. 6/00) ;1 y w w04 BUTTE COUNTY PARKS DEVELOPMENT FBS CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number (s) G l� "� U Property Owner M -eC�CIO Project Location/Address C, -F X_., Subdivision �h/ 1(1�G1'v_n Lot Number(s) �a Residential Development: (check one) New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: G Buil'hirig Departr'enN Representative Date wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Chico Area Recreation and Park District(CARD) certifies that .w . ... (Applicant Name) (Street Addresd') Phone Number) I c V 9s 1-73 (City) (State) (Zip Code) ` has complied with the requirements of Butte Co. Resolution No. 90-140 'by payment for / -dwellingunits @ $1,189 for total payment of $ CARD Representative PAID BY CHECK N0.*�) ) REMARKS: BANK NO. QC) - 4()q3 I I a 1 t PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) a vo Date 02/10/0") #!1614 7 17 AM X-FTO i AL 11189.00 Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form, per Building) School District A.P. Number 046-(j4 U • G It P11, sdicIion: City Property Owner Property Location/Address Subdivision Residential Development No o Living Mobile Home Units Installation Commercial/Industrial New Addition Building Departm nt Representative Building Department No. ti ©County 0 Lot No. .............................................................................................................. ( r Sq. Footage U 1 Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection): Sq. Footage (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Identification No. U ) Q 92� School District certifies that `' (Streegt Address) (city) has complied with the requirements of Resolution:No.. representing / square feet. School Paid by Check # -�) Remarks: ij �f ! (Applicant) (Phone Number) (State) (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date' Notice: You may protest the imposition of the fees identified above by submitting a written protest io the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failuri to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicantl, Yellow (building department), Pink (school district) feeform.xis (10/98)dmm ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/pubhcworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530 538-7157 Ext. 2016 Permit Number District .. `. APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly ted. 1. Applicant's ame• , u la. CompanX liame. P4 jj� 2. Address: � o C -Or % &--o c 9 sq 7 3 3. Phone: S 3 3— 7 L 4. Assessors Parcel Number: n 5. Location of Work to be Done ,% - "--s t N 6. Applicant's ' atu 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name � © bkaa \ 9. Address 10. Phone:5,,0 Q �1 (� —1!� 11. Fax:. s. 12. Contractor's Li(p cense Number' / v 13. Certificate of Insurance: YeS El No: 11 14. Contractor's Sign c� 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: , Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): ? 2� 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, ertnission is hereby granted. 19. Conditions �X ' v � y) e �'/'7 d Zine r -at n h Under and Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. IXAll work shall conform to accompanying: DetailA Plans ❑ Special Conditions ❑ 21. Date Issued -,O vZ 22. Expiration Date: - 23 Surety. O 2S �s Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one Aek. Page 1 of 2 General Conditions — See Page 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. - a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216.0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. c The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as dose to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (7) of asphalt concrete over eight Inches (8") of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, rights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 e t ALL AND EWpMENr PLANNING DIVISION- BUILDING PLAN APPROVAL 1 ? SET SCI( OE � /) ���®� �EAi9 Use: % Date: z (N) WELL ` _l QOM 1p�E H M THE SIDE ARID Parking: Landscapng:.�-- Q_ T `��M T IE ROAD EAR ��E LINES AND Other• A d L AND CENTERLINE lu FSHAD SEA ignature: E>�OT 5101 PLAN PIN. PLR. EL. 215.0' i SEPTIC, TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, TYP. LOT BUILDING GOVERAOE AFFROV-15D Em� \ 6i •, 252' TOTAL \ a L INEAR' FT. \� OF 1LEAG1-1. i �A � � moi•• 3' WIDE LEACH LINE W/ 12" A �^ ROCK, TRENCH i/ 36" MAX DEPTH. i REPLACEMENT FIELD CONIC. DRI\/E 3 MIN. 1200 GAL. SEPT 'ENVIRONMENTAL REALTH TANK JAN 2 9 2003 CHICO, CALIFORNIA i�q NMENTAL HEALTH -4-� Bf CO TT BUILDING DEPARTM0 9 2003 App ®VE10, CALIFORNIA %� Z 1W 43-700 sc[. ft. 4260 sct. ft. cl l GREGORY A. PEITZ ARCHITECT 383 Rio Lindo Ave. Chico, CA 95926 (530) 894-5719 SITE PLAN I"=50' -O" LOT 12 TWIN PALMS SUBDIVISION for: ANDREW MEGHDADI CHICO CALIFORNIA N 1�2 LONGFELLow LUMBER CO. INC, Qutah Truss Design • .Roof Flog Systems 89 Loren Avenue * Chico,. CA. >95928-7434 Phone: (530.).893-011Z • (800) 678:70.1.12 Fax (530),893-0140 E -Mail: trusses.@lonoellowlunber.com: April 21, 2003 Re: Field altered truss E3 at lot 12 Twin Palms Andy, This is the engineering you requested Friday. The repair frame was'fabricated and delivered to the job site this morning. If you have questions, don't hesitate to call! S v cc KW Builders (R_WAWE1206 - 39686 / E3 REPAIR FOR MISSING CHORD. !REPAIR PROCEDURE C\] _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ SHORE TRUSS TO RESTORE TO PRE LOADED CONDITION. ADD PRE -PLATED TRUSS SECTION AS SPECIFIED. �> REMOVE SHORING. M M �TS)PRE-PLATED TRUSS SECTIONS (REFER TO SOLID LINES) ATTACH TRUSS SECTION TO ONE FACE WITH 10d (0.128"X3.00") NAILS SPACED AT 4" O.C. THROUGHOUT EACH MEMBER. CIRCLED NUMBERS REPRESENT THE MINIMUM NUMBER OF NAILS REOUIRED IN THE INDICATED AREA. TRUSS SECTION LUMBER ------------------- -------------- BOT CHORD 2x4 DF -L 11 WEBS 2X4X3-O-0 OF -L STANDARD 1 I� iii /III IIS 6 r 4 —------— _ A — GL ' -0-0 ' -- - -- LI1 T ,/, �. 3 X 8 1 w THIS DWG PREPARED FROM COMPUTER INPUT (LOADS 8 DIMENSIONS) SUBMITTED BY TRUSS MFR. EDGE DISTANCE, END DISTANCE AND SPACING FOR NAILS SHALL BE SUFFICIENT TO PREVENT SPLITTING OF WOOD. NOTE: SEE DRAWING CAUSR427 02303007 FOR LUMBER, PLATES. AND OTHER DATA NOT SHOWN HERE. AFTER COMPLETION OF REPAIRS. TRUSSES MUST BE INSPECTED BY THE TRUSS MANUFACTURER OR LOCAL BUILDING DEPARTMENT TO ASSURE COMPLIANCE WITH ALPINE DESIGNS AND SPECIFICATIONS. 6 1 ---- — PSI ----—r`—fT� I \� I I I I 10 III 14 8-a-1 "\ 11 I L_ (TS) - - - -V- - - - - - - - — J 9-0-0 MISSING CHORD 5X6• `10� 5 X 6 w 3-0-0 I 3-0-0 4-2-4—>j01- 7 0 0 -' 18.0.0 12-8-0 12-0-4 - 13-3-12 I a 5 12 I 13 10 12 1-0- I` 32-8-4 Over 2 Supports R=1509 10=3.5" ri. 0 0 M IPLT TYP. t4ave TPI 95\R Design Crit; UBC STO UBC 5.02 ^' C"� " NARNING " TRUSSES REOU13E EXTREME CARE III FABR:LATI011. HANDLING. SHIPPING. INSTALLING AND �oFs�o LongFelloly Lumber BRACING. REFER TO HIB -91 IHANOLING IRS71ALLING AND BRACIIIG). PUBLISHED BY TPI (TRUSS PLATE F 0 99 Loren Avenuc, Chico CA 95923 IOST)TUTE, 503 O'ONUFR IO 00... SUITE 20C. MADISON. WI 53719), :OR SAFETY PRACTICES PRIOR TO p N PEP.FORMIr+G THESE FUNCTIONS. UNLESS OTHERWISE INDICATED. TOP CHORD SMALL HAVE PROPERLY ATTACHED TC DL 15.0 STRUCTURAL PARELS, B07TOH CHORD SHA'_L HAVE A PROPERLY ATTACHED RIG iO CEIL111G. Apr IS 2003 TtY C]L=1 'ITIPORTAN7 . FURNISH A COPY OF TnI$ DESIGR TO THE INSTALLA71011 CDNTR -CIOR. ALPHIE ERGIMEERED 7.0 ~ PRODUCTS, INC. SHALL 110T BE RESPONSIBLE FOR Alit DEVIATION FROM THIS OESIGH. ANY FAILURE TO //PLINE 5U I L 0 7 H TR U5 SES IN CONFORIIAN CE B17B TPI: OR FABRIC -TING, HAII NG. SMI PPUIG. IR ST ALL IMG AND PSF G— BR -EVIG OF TRUSSES. iHli DESIGN CONFORMS WITH -PPL IC -BLE PRO-'ISIOrIS OF NDS (1+AT 10.4 OE SICK PAVER ASSOCIAi10111 AND iPl. -L PIuE 38.0 ,� t.. __.... ----•' SPECIFICATIUII PUBLISHED B7 THE AMERICAN FOREST ANU AS NOTED. APPLY CONNECTORS TO ...-- OUR . FAC . i CONNECTORS ARE MA OE OF 20GA ASTM A653 GRAD GALV, STEEL. EXCEPT PER I EACH FACE OF TRUSS.. AND UNL°SS OTNERuiSE LOCATED ON THIS OESIGN. POSIT1011 CONNECTORS ! .. ' DRANINGS 160 A -L. TME SEAL Or: THIS DRAWING INDICATES ACCEPTANCE 0' PROVESS)6NAL ENGINEERING Alpine Engineered Products, Inc RESPOIISIBIU TY SOLELY FOR THE TRUSS COHPORENT DESIGN SHOWN THE 5UiIAeILITf AND USE OF THIS SacramcNlo,CA 95828 [ONPDI:ENT FOR ANY PARTICULAR BUILDIIIG IS THE RESP01+5191LITr OF THE BUILDING OE SIGII[a, PER AUSI/IPI ]-1595 SECTION 2. R=1041 41=3.5" �oFs�o CA/ 1-/ R F 0\_0 W h F2 TC LL 16.0 PSF c'2� TC DL 15.0 PSF Apr IS 2003 TtY BC DL 7.0 PSF BC LL 0.0 PSF -o0ps-206 TOT. LD . 38.0 P S F -----'CL pa OFCgLLFO_..--_......__._...___ ...-- OUR . FAC . 1.25 ....... —__ SPACING 24.0" Scale =.1875"/Ft REF_ R427--39686 DATE 04/18/03 DR W CAUSR427 03108001 CA. -ENG PBC/GWFI SCION- 47142 FROM SS JREF - 1S20427_ZO1 CertainTeedCq Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation Ma_'hr41_1 Al 1r) /-0,.,? i HOT ame / Joite Name Pl QLTn .y'Jl lChjCo WsWinnan Cho) �ID31m_ Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Dater Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not coverinstalled more than: (sq. fL) Weight per sq. ft. of insulation should not be less than: abs.) Should not be less than:) an,) 60 36.5 27 0.986 22 49 29.6 34 0.800 18'/z 44 26.4 38 0.712 161/4 38 22.8 44 0.615 141/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'h 22 13.1 77 0.353 9 19 11.1 90 '0.301 71/2 13 7.7 129 0.209 51h 11 6.6 ' 151 0.179 4% THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3"'OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 1/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSA'FE 4/(✓) BAGS USED BAITS/ROLLS (✓) CEILINGS LX3V WALLS a FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3"'OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 1/02 (N) i .< i PROPOSED 300 OSEDPLAf4 USE 1~IN. FLR. EL. 215.0' Z \ ,% p \ \ �• 252' TOTAL \ LINEAR FT. �� \ j OF Ar.H. < \� PORCH A \ 9 '8 SEPTIC TANK AND •' LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, TYP. LOT BUILDING GOVERAOE i i i 3' WIDE LEACH S i LINE W/ 12" sz ,� ROCK, TRENCH i A\ 36" MAX DEPTH. . i REPLACEMENT FIELD %S MIN. 1200 p, GAL. SEPTIC TANK GONG. DRIVE 43-700 sc[. f t. 4260 5R. ft. Cl, -7 9/0 N -- 51 -TE GI TE PLAN 1"=50'—O" GREGORY A. PEITZ LOT 12 LOT TWIN PALMS SUBDIVISION - ARCHITECT for: 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894-5719 ANDREW MEGHDADI 12 CHICO CALIFORNIA - ►N AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 111111111111!! !!1!!�I!!01111!N Recorded i RLC k•I:.r i. 1, 0?0! IO f°i c'ial, Reco-,,i , I County Of ! C ANDACE J C lt!_i-A-H ! pacorder 1 ROSEMARY DICKSON ! Assistant Aarbar�a 2002:' 1 rlape .. 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: ;, �,THTS DOCUMENT IS BEING RECORDED TO CORRECT TILE LEGAL DESCRIPTION FOR. DOCUMENT SERIAL NO. 2002-0045904) RECORDED SEPTEMBER, 4, 2002, IN BUTTE COUNTY, CA.. Date 1.0/2.3/02 State of California County of Butte PROPERTY OWNERS: ANDREW On -_ 1.0/23 2002 before me, J. TUNISON, NOTARY personally appeared . ANDREW . MEGHDADI personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and fficial seal. Signatuh._ Seal: ��:-•, ...s.�> �.r o v �.� .: i; ;cr A y' NM. 0 12341,72 A.P. # / 1 ( ; _ l v/ �' < % (� f' ,}f C. ��'? �.. a.S i IdGTtRI'!'UoI..IGCAUF'(')f'll�ll � fIUTI'E CUl I;dI'Y kly ^OEJf d. 'XPIFlCS SEPT. 18, 200,1 w Order No. 202500 - C EXHIBIT "ONE" PARCEL I: Lots 1 thru 24, inclusive and Remainder Land, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase I, filed in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps, at Page(s) 86, 87 & 88 PARCEL II: A Non -Exclusive Easement for ingress, egress, drainage, public utilities and public services over Lot 6, as shown on that certain Map entitled, "Chambers Subdivision #2", Phased, filed in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps, at Page(s) 86, 87 & 88. Assessor's Parcel No: 040-640-011-000 } . IIIIIIIIR i O Q `nG �z �'v �o o� 1 )DITIONAL INFORMATION SHEET LEGEND t PROPERTY LINE (E) BUILDING SETBACK LEACH FIELD AREA LOT LINE RIGHT OF WAY 10' P.S.E. CENTER LINE 10.5' WIDE STORM DRAIN TRENCH FLOW LINE -------------- IC WELL 0 LEACH FIELD AREA Fl E PROTECTION WELL ail i oeJ 9.i v 1. BUILDING SETBACK LINES ARE AS SHOWN OF MAP _ AND AS FOLLOWS: L( FRONT/REAR/SIDE YARD - 50' FROM CENTERLINES OF INTERIOR STREETS, SPEEDWAY, ENTLER AVENUES, AND THE SOUTHERLY LINE OF THE OLD S.P.R.R RIGHT OF WAY. REAR - 10' FROM PROPERTY LINE (EXCEPT WHERE NOTED) SIDE - 10' FROM PROPERTY LINE i 2. LEACH FIELD FREE SETBACKS ARE 5' FROM THE EDGE OF THE STORM DRAIN TRENCH, 5' FROM THE EDGE OF THE PROPERTY LINE AND 100' FROM EXISTING AND PROPOSED WELLS. 3. BUILDING IDENTIFICATION AND/OR ADDRESS SHALL BE INSTALLED IN CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. 4. THE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO THE ISSUANCE OF A BUILDING PERMIT, SAID AMOUNT SHALL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR BUILDING PERMIT. 5. THE LEACH FIELD AREA IS NOT TO EXTEND BEYOND THE ROADSIDE SETBACKS BUT MAY INTRUDE INTO THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY PER BUTTE COUNTY PUBLIC WORKS 6. PER FLOOD INSURANCE RATE MAP NUMBER 06007C 0510 D, REVISED APRIL 20, 2000, THE PROPERTY SHOWN HEREON LIES WCTHIN ZONE X AND IS OUTSIDE OF THE 100 YEAR FLOOD PLAIN. 7. LOWEST FLOOR ELEVATIONS SHALL BE A MINIMUM OF 12" ABOVE THE HIGHEST ADJACENT GRADE. 8. WELLS ARE TO BE LOCATED OUTSIDE THE ROADSIDE BUILDING SETBACKS PER BUTTE COUNTY CODE SECTION 10-8, WHICH DOES NOT INCLUDE THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY. �• -L. F. / �G 0,n '7-o J r \v V .' r dor �C OT 19` _ 000, \� ol NOT A PART LOT 6-147 M 86 WELL (E) O BUILDING FRE�Mo W"Lb"Nel 60Te)v_k_ TRUNAROUND PER B.C.C. 20-136 GRAPHIC SCALE 0 50 100 200 ( IN FEET ) 1 inch = 100 it ADDITIONAL MAP SHEET TWIN PALMS SUBDIVISION MAP (PUBLIC STREET SUBDIVISION) T. 21 N., R. 2 E., M.D.M. REMAINDER LANDS CHAMBERS SUBDIVISION #2 PHASE 1 BOOK 147 OF MAPS PAGES 86, 87, & 88, ALSO BEING LOTS 5, 6, AND A PORTION OF LOT 7 OF THE REVISED MAP OF THE 2ND SUBDIVISION OF THE J. F. ENTLER RANCH BUTTE COUNTY, CALIFORNIA RSN: 2000-0008459 A.P.N. 040-640-011 24.08 ACRES FOR MBD INC. BY FEENEY ENGINEERING 1250 EAST AVENUE, SUITE 10 CHICO, CA 95926 PHONE: (530) 899-0409 JULY 2002 SHEET 3 OF 3 q -23Cb Building Permit Number: 0— 0 70 7 Owner Name: I—Uwd' Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: (5 `(' 6 70 Owner Name: Ei Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. The following parcel map requirements shall be met: toAll structures and equipment including overhangs shall be clear of all easements. A setback of (a feet from the side and J feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. CO3 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION - _ -,:.; t .-... • ,� -�.' • DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 536-7541 October 6, 1999 FAX: (530) 536-2140 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 1, 1998 To Whom It May Concern, In December of 1997, just prior to the effective date of the Swimming Pool Safety Act, (see back page) we initiated a letter of explanation, and a mailing to all pool contractors in Butte County. Due to the poor wording of the Act itself, a number of questions have arisen concerning compliance with the Act and how to enforce it. We have revised our letter to describe how enforcement will occur in Butte County, and are again conducting a mailing to notify pool contractors. This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including: 1. In our review of legislative considerations, we discovered that when accommodation was provided to allow exit alarms on doors providing direct access to the pool, it was assumed that a conforming perimeter fence was already in place. However, in many cases there is no pre-existing pool or parcel enclosure, and unless the residence is one side of an enclosure which entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. 2. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Building Code, Appendix Chapter 4, Division 1, specifically allow the use of chain link fencing - as pool barrier material. In Butte County we will continue to allow the use of 11 gage, 2-1/4 inch mesh, chain link fencing as pool barrier material. Other types of fencing will be considered on a case by case basis, based upon the requirements of the Swimming Pool Safety Act. Please call for clarification prior to installation. 3. All access gates through the enclosure shall open away from the swimming pool, and be self- closing with a self -latching device placed no lower than 60 inches above the ground. This includes large gates for vehicle access. Should you have further questions concerning this matter, please contact this office at the address or phone number listed above. Sincerely, is ael C. ieira, C.B.O. M ager, Building Inspection CALIFORNIA HEALTH AND SAFETY CODE SECTION 115920-115927 1159A. SWEV5U NG POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water over 18 inches deep. "Swimming pool" includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool located on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (A.ST1v1), in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the electrical wiring of the building . 115922. Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for construction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool d) All doors providing direct access from the home to the swimming pool shall be equipped with a self -losing, self- latching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the building official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1. 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Gaps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outside. surface free of protrusions, cavities, or other physical characteristics that would serve. as handholds or footholds that could enable a child below the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following: a) Public swimming pools. b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials -Emergency Performance Specification (ASTM ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved exclusively to local jurisdictions, as provided for in subdivision (e) of Section 114922 and subdivision (c) of Section 115924. Tor" � I- , "�, , 't �' ` I , , , , � � IIWM iIIstIIIiI01 iIIIIi7, IIIII�or it -7, op ItIIIIII%, IiU IIIOF IItop IiIIkk i"I L IIIitIIIIUPI .,tv rt IiI1,4 k ok Iic �7 6LL iII �o IIsIIIIJ sIIIIIIItIIII4f II7.1 IIIIiIIAp iI41 Az iIIIIitIIiIIII, 71 IItIIIIv tIFr IIIIII L "'i 't, 4 x ITIIIIitI I"BUILDNG PLAN P PLAN NING DIVISION TI'ilk US6: Ifjarxing: Ikiti t IIItUre: IIiV IIitIItIIIIILT_ TI77, IIIIr II -4 ItID I 01 r IIIIIITItIIIIIfow L IIII 7�_ �"' IIIELECTRICAL, MECH C "AND PLU MLMN 0 ,:,,GUNSTRUCTION ILAN CHECKED) i... . .. ..... 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