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040-670-011
NOTES RESIDENTIAL _"PE tUf7 NO. (-04`0-670-O 11Y a/C(% HOLMSTROM, GARY 1783 PASA HE W50 DR, Cont: STE NSF/GAP-AGE t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS f VERIFY a USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f i OFFICE COPY `__LAddress GAS �j Meter By Date 5 1 ELECTRIC i Meter By Dat/ 1�--� C�/'yp el -7111- PSG Signature mo- J=OK 0 = Not OX a = NotReadyabte 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance K Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 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-Con nectors 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 Date UND An RESIDENTIAL (Single & Duplex) t #'s I Date FRAMIDt (Cont P!Ft ., Mai oils-Elec. Grnd.-/ ;11" Ftg. Depth tg. rage; Soils-Steel-Elec. md.-/ /" Ftg. Depth orches & Decks; Soils-Steel-/t,/:LJ" Ftg. Depth temps, Main; Steel-Blockouts-Wrapped 6. SpeLbwalls, Garage; Steel-Blockouts-Wrapped 5a!Fiold Downs and Special Anchors 7. Slab teel-Wrapped 8. er ireplace Ftg.-Steel V; Fall -Fitting -Test -2 Way C/O -Sewer Test 10, UF, Pipe; Size Anchors -Yard Gas Piping; Size Test 14 --Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric erground 13. Ple5wKs & Ducts; Clearance -Material -Support -Ins. 1A -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Dat ty Card B-1.7,jDate Card B-1 Card B-1 Date Card B-1 Date PLUMWG (Permit) qR except #'s 1 at Htr.; Vent -Access -Combustion Air Baffle 18. W (er Pipe; Test & Anchor -Nail Protection 19 W.V.; Test Fittings & Anchor -Nail Protection Show an; Test, First Floor -Tub Access 21. T Tub & Shower, Second Floor -Tub Access 22'—Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 31. Range Circle/ �; /ga I -Oven Circ. / /ga Cu or Al Insulated Neutral es ❑ No Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT MAPermit) OK except #'s 2 ix & 6nsformer Clearance -Ins. Protection ec c eles Spacing -Lights & Switches at Doors 2 e xe No. of Conductors Stapled 27. m alled Close to Edge of Studs & C.J. 28. round made up w/Mech Fasteners -Bond Gas & Water 29. ppliance Circuits in Kitchen & Conductor Size GFI „A57. Subfeed Wire Size/ /ga. or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ �; /ga I -Oven Circ. / /ga Cu or Al Insulated Neutral es ❑ No 32. S e=Riser Conductors & Ground Main Disconnect i . Clearances Panels-Motors-Mech. Equip. Clo 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 AL (Permit) OK except #'s .C. gi6s Insulation & Support ent Fan, Exhaust above insulation 3 gensate Drain & Overflow, Size & Grade 3 urr ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4 ttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM (P rmit) OK except #'s 4 . Sill rop (Materials & Anchors 42 uds Nailing Spacing & Braces -Plates -Sound Xrin_qWalls over Girders & Floor Nailing 4 to in Walls (rat proof) 4 e- Stops, Furred Ceilings -Stairs -Chasers -Tubs 46,F gid r_ & Beams -Size & Bearing 47,r'Haperersst Caps -Anchors -Connectors 4a,,Ci =Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. lace Ties or Type A Flue -Fireplace Throat Clearance Access; Size & Romex Protection -Draft is -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. imensions 52 'Ggrage 5 Fire Protection Framing- annel ro Line Firewall & Openings 5 xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood n Roof Overhang -Attic Vents -Rafter Outriggers „A57. Sid_06Aailinq Veneer Vents-Underflr. Access / GI ing Area -Glass Protection -Skylights -Plastic heLar alls; Nailing -Bolts t 9 61. Kqp6 Interior/Exterior Wall Panels Datil /6' Card B-1 Date Card B-1 Date Car4_1 Date Card B-1 Date FINWPlans) OK except #'s 65. §F6oke Detector . IFa Vents -clearance -Comb, Air -Connector - I argge; Above Floor-Ducts-Mech. Protection 68!G Bath Fixtures & Tub Access -Spa I . Trim & Subpanel, Breaker Sizes & Labels 7place or Stove, Clearance -Hearth OjOets at Wood Panel, Int. & Ext. Kit jxt. & Appliance; Ground -Air -Gap -Cooking Clearance c. Outlqs & Receptacles at Kit. Counter 745.- G ire Door; Swing -Landing -Closure . Duct in Garaae-Damoer in e; Above Floor-Mech. Protection I ., Elec & Mech. Equip. Listed for Location 7 I . ceptacles in Garage (FF.I.)-Romex Protection latio -Foam-Looked in Attic G Rails & Deck Construction -Post Caps dn. VBen s & Crawl Hole Door Drainage & Wood -Earth CI a Looked undes�bor ❑ Yes wing Instld./Drive es ❑ No/Walks s O No/Planter es O No St co Brown -Finish fCiCJnit Disconnect, Electrical -Plumbing aee1eqtg`Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings at ell, Disconnect, Electrical, Plumbing 4ae,15'xt9 ridr Elec. Trim, G.F.I. Receptacle -Underground �on Throughout House ,591"Gja4s Protection C ctions from Previous Inspections G s'fest-Meters Tagged, Gas -Electric W,afe'r & Sewer Connected -C/O to Grade -HD Approval � gy Compliance Certificate -Other Certificates 99- AAA— Posted Date Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Datell Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE-. ....... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 ,CORRECTION NOTICE ER • -i> j _/ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please.call for re -inspection when correction of work is completed./ If u have any questions pertaining to this matter, or need additional explanation, please ontact the Building Inspector as indicated below. _ _ fWle"' man 6)q 0v1,y2 �0 /' 7,,� �/U/�/- Date 9/ , D Inspector REV 4/05 Phone #� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 44 . . . . . . . . . . . . . . . . . . . . . . . . . r n -� -- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 7 County Center Drive • Oroville, CA • (530) 538-7541 M, CORRECTION NOTICE42. OWNER J PERMIT NO.c ym A routine inspection indicates that the following violations of Butte County Ordinances exist at . r the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you h e any questions pertaining to this matter, or need additional` r: explanation, please contact a Building Inspe as ' dicated below. Yi^�I I_Flh i Y y�'' -A. Date `'� J Inspector C (1147. REV 4/05 Phone # `7l5''7-�J5 a ^a7 FOR RE -INSPECTION CALL: 538-7636 OR 891=2834. ` .. A :�;. • • .- _= - .-� ��OUNTY.OFBUTTE�x.-�;-�-_, ._ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive : Oroville, CA e (530) 538-7541 t TOLL FREE (530) 891-2751 43 CORRECT1I6N NOTICE OWNER t` 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 have any questions pertaining to this matter,,or need additional explanation, ti please contacY this o ce immediately. aG DateT 7 In REV 10/92 c c ctor ...-ir'�.����'�.s�e7�.•-...,+F'y.ri�.1-+.�;s�s.�'^,+'w+.anti.+.y..-�s-:k;r}..�i;y..�'K:�-�„i+-,.�..�.�.,,-�k.+3-sem... -.. _ .�1 COUNTY OF BUTTE .... ................ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 .3 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER -r), PERMIT 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 have any questions pertaining to this matter, or need additional explanation, W ,.war+..�-..-,iti..,'�.,,r,..,�..�., r..ryr.'*-ti---nl..�r+.y... �--. -•.--r.-k.-..i�...-_ ._ . � .ti. COUNTY OF BUTTE 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 �'C R 0Y 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 have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / G Inspector REV 10/92 o . . .............. COUNTY OF BUTTE ........... . , I • - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA• (530) 538-7541 TOLL FREE (530) 891-2751 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following vto tions of bulle county Ordinances exist at the above address ands uld be corrected. Pleas notice this office when correction of work is compleled. If you ave any questions pHaini g to this matter, or need additional explanation, please contact s ollice immediately, / F Date Inspector + , v REV 10/92 -....----- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center_Dfive • Oroville, CA • (530) 538-7541 J. CORRECTION NOTICE 4 4 MV OWNER w PERMIT NO. a A routine inspection indicates that the following violations of Butte County Ordinances exist at W the above address and should be corrected. Please call for re -inspection when correction of . work is completed. If you have any questions pertaining to is matter, or_ need additional explanation lease. contact the Building In or as indicated slow. Ara Date 7 Z2E Inspector i.;/;-X'�.";' REV 2/05 Phone # X — b wi . L Date 7 Z2E Inspector i.;/;-X'�.";' REV 2/05 Phone # X — b BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (QROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041334 LICENSED CONTRACTORS DECLARATION i I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Iss9ed Date: 09/14/2004 APN• 040-670-01'1-000 the Business and Profe ions Code, and my license is in full force and effect. License Class : . L 1 N ber G _C Site Address: 1783 PASATIEMPO DR DUR Date: ntractor. 7 Map Index: I Description: NSF (2972) GAR (1230) COV (550) OWNER43UILDER 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 Owner: HOLMSTROM FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of HOLSTROM, GARY C 8r KAREN L. TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PO BOX 2296 she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95927-2296 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License law does not apply to an Applicant: HOLMSTROM FAMILY TRUST owner of property who builds or Improves thereon, and who does ppi such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): ❑ 1, 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.). Contractor: SCHUSTER HOMES ❑ lam Exempt under Article 3 of the Business and Professions Code SCHUSTER, STEPHEN 4011 SPYGLASS ROAD Date: Owner: CHICO, CA 95973 530-894-08 4 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 License #• 483969 ' 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 . AlClllt@Ct' required by Section 3700 the Labor Code, for the performance of , the work for which this permit is issued. My workers' compensation Engineer: VERTICAL TECHNOLOGY ENGINEERING insurance carrier and policy number are: i Carrier: #: `Policy �p I. certify that in the performance of the work for which this permit is Total Square Ft: 4752 S. F. (n issued. I shall not employ any person in any manner so as to Valuation: $231,500.00 become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' Census Code: compensation provi 'ons of Section 3700 of the Labor Code, I shall forthwith Imply wit those provisions. Z/ OV F Sic I Date: 6 —7 ^-� / �� 4S - Applicant: WARNING: ure secure works s' 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 This permit is hereby issued under the applicable provisions of the Bntte County Code . rl/er I hereby affirm that there is a construction lending agency for the Resolut' to de,work i icate bov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Y Date: 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. O 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 t duly authorized agent o the owner. 1 agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of a offcial or d cume utte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: i Date: ❑ Owner Contractor 11 Agent for Owner ❑ Agent for Contractor F4 Few M 0:4 017[616791p, t APA c ii Certificate of Confonnance. Certificate 052736 THIS IS TO CERTIFY that the glued laminated timber products identified w';n a coil-. (nark of Engineered Wood Systems (EWS) were manufactured in accordance v;ith the app!icE-.i. standards and associated specifications indicated De!ow ANSI Standard A190.1-1992. For Wood Praducts - S1rucwr5l Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And 'GAP" Computer Program For Determining Design Stress6s ARC 117.93 - Martufactue.ng - Stardard Speci'Ica:io; s For Structural Glued Laminated Timber Of Sohwcod Species IT IS HEREBY CERTIFIED that the APA EWStrab=_marked structu.a!m lued I g o ingt2d memba5 were Produced in 2 manufacturing facility subject to regu;ar audits in accor;?znc= with the :ng;reeried Wood Systems (EWS) Ouallty Assurance Program- Routine audit; include insp •;•;ion of f^e manufacturing process and evaluation of the in -plant OA programs with adequate sarn;•! nr, to very "Ualtty. conformance to industry. standards for lumbar grads and giueline bond 7 G SEAL ty Thomas G. Williamsc: Exe':u1IV-2 Vi�-3 R - Si;c,-:,t 9sNIN EA+cWCCRCD Hpoo o ,C•O,tO 611 Ot Ah" - TnC rNGIN:Cnt /+Y/;});; ,tSSOCUT.(iN' 70:tS, r, t7ahSneel -F.O 8^1 ,700.1.YipG!te%%•(t?u9 \ 7r..op"oma. 17531 zf,.-1,407 - r,;. Jrif t 1 -2002 Trig I 11 : `?_-. d&I ID: R ;E: SAL EMERGEWYMANP►At tNl:Y j O.M.B. !�o3�_?�n7? 1 �......- e....emxs'+� c.. I o�;,.�-....r � r�a.•o...� 31 2Q0. ELEVATION CERTIFICATE � Rod ate atstr wit s on pW 1- 7. SECTEONA-PROPERTY OWNER KcOMATIoN Farr ec�ryt�a BOLDING OV013TS NAME i Po6gr ?*EY*W Gary Hoknetrom BUILDING SST ADDRESS (kckdq Apt., Una, Suis, and/or Bkkj No.) OR P.O. ROi1TE AND BOX No. Company MAIC Number 1783 PASATIE MPO DRIVE CITY STATE ZIP CODE Dudwn CA 9SO38 PROPERTY DESCRIPTION (Let and Block Nu ritma, Taff Parcel Number, Legal Cescrom, etc.) LOT 11 FAIRWAY OAKS SUBDIVISION BULDMG USE (e.g.. Residental, N%wesident9el, AddNon, Accessory, etrw Use a Cormwas area, if necessary.) RESIDENTIAL. (o`er HORIZONTAL DATUM SOt1RCE:0 GPs (Type* (or - m - am or *0 ❑ NAD 1927 ❑ NAD 19M ❑ USGS Quad Map O Other WL11ON B- FLOOD M ANCE RATE MAP WORIMATION B1. NFP C0104MTY NAME & COAD A MTY NUMBER BZ COUNTY NAME 83. STATE BUTTE COU1111Y1MiCORPORA?EDAREA BUTIE I CA -.-. �,oa� , - odea I%" L -1V00 u t/77C IIUUN URN tl11Cltu 91 oi. IS Pra ❑ Fse X FIRM ❑ Camurrrtyy oAmliried ® Other (Desa&): _ BI I - It dicale the elevation dAm usedta to BFE in W XNGVD 1929 O NAVD1988 0 011w (Descfte Bl2 is the bull ft bcalad in a Coastal Bmier Rte; SysMin (CBRS} area a OtrwAm RoiacM Area (OPATt ❑ Yes X No De*mjm Dale SECTION C - BOLO NG ELEVATION WORWTION (SURVEY ) Ct. Buidirg ele c&m are based on: Carskdon Drawings' ❑ &idig Under Castrrxayon' X Perished Casfiuclion 'A new Swafi n C lcalewi be regried when cadrucbm d the buift s oprplele. C2. &Aft tearer Numbfr8 (Select the a king diagam most seriatotiie buffing forW ich to a¢rfiEale is being oorroded - see pages 6 aro 7. ff ro diagram aocuab9ty rmpreserrzs The buidng protide a slaeleh arphobg�ptr.) C3. Elevations—Zones Al -A30, AE, AH, A (with BFB}, VE, V1430, V (wM BFE), AR, ARIA, ARAE, ARIA1-A30, ARIAH, ARIAO Oemplele Ileus C3. -M bebw axxno9 V b the buffing drdgarn speciW m {tem CZ State the dahm used If the dabm is dfiiaentfrom the datum used for the BFE it Section B, convert the dabm to that used for the BFE Showfreld ffleam >ands and dahm eanverm calculation. Use tte space provided orffre rearms * aroma rf Sectlon D a Section G, as all r r ialebdzurr alt tre clAn owmrsion. Dafurn Caw&*rsCarrrrerrls_ Elevator refam mak used Does the e6,abm reterenoe mak used appear on are FIRM? X Yes ❑ No o a)TopdbofiomtwQnditbwrwtorerd=A) AM o b)TopdnmdNgher1w 192.51(m) o C) BeUom d bwest ltodmordal strucdral member (V mres or y) o d) Atl W gaaga (top d slab) fl(m) e o e)LDwaddevabmdrnadiayarxfdoreW#rent w cc sermQ Qre b Aft (Descft it a Cmmerrk aria) 192.3f4m) 8 o t) lowest a*cent (fir>ished) Sade (LAG) m. 2 ii(m) Z A 9) H91`09 4aoent (firrsfred) 9ade WG) i8 -9.3-114(n) S o h)No.dpamaxmtopem(RoodveW)wffin1Raboveofscantgrade$ $� o ) Total aea d atl permanerd (Rood verL4 ' C3 h 4180 No. � s ,91F OF apenrrgs } n _sq. n. (sq. an) SECTION D -SURVEYOR, ENGBtf K ORARCWECTCERnFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect autwrfzed by law to certify elevation information. I certify that the information in Ser Um A, B, and C on this certificate represents my best efforts to irdarpret the data avaftebte. I understand that any fake statement may be punishable by fine or inVisonmerd under 18 U S Code Sedion loos CE RnF ERS NAME LESLE W. COKE L)CE NSE NUMBER LS 5712 TITLE LAID SURVEYOR OOMPANY NAMES PRECOON SURVEYM ADOFFM cffy ATE ZIP OODE 717 FFTH STREET ORLAND CA 950 �- - - - - - •--..--., ---- mw lovalav zwm tw ovnanuouon. Replaces all previous editions 84. AMP AND PANEL 97. FIRM PANEL 89. BASE FLOOD 9 EVATION(S) NUMBER BIx SIEFD( B6. FIRM IAOD( DATE EFF6CTNEf EVISED DATE 88. R.00DZOAE(S) ameAO: use dwM dl x ft) 011107com C .UE 1998 OGe86B AE "12 u4n U-�! 1— s-- TT J -.-. �,oa� , - odea I%" L -1V00 u t/77C IIUUN URN tl11Cltu 91 oi. IS Pra ❑ Fse X FIRM ❑ Camurrrtyy oAmliried ® Other (Desa&): _ BI I - It dicale the elevation dAm usedta to BFE in W XNGVD 1929 O NAVD1988 0 011w (Descfte Bl2 is the bull ft bcalad in a Coastal Bmier Rte; SysMin (CBRS} area a OtrwAm RoiacM Area (OPATt ❑ Yes X No De*mjm Dale SECTION C - BOLO NG ELEVATION WORWTION (SURVEY ) Ct. Buidirg ele c&m are based on: Carskdon Drawings' ❑ &idig Under Castrrxayon' X Perished Casfiuclion 'A new Swafi n C lcalewi be regried when cadrucbm d the buift s oprplele. C2. &Aft tearer Numbfr8 (Select the a king diagam most seriatotiie buffing forW ich to a¢rfiEale is being oorroded - see pages 6 aro 7. ff ro diagram aocuab9ty rmpreserrzs The buidng protide a slaeleh arphobg�ptr.) C3. Elevations—Zones Al -A30, AE, AH, A (with BFB}, VE, V1430, V (wM BFE), AR, ARIA, ARAE, ARIA1-A30, ARIAH, ARIAO Oemplele Ileus C3. -M bebw axxno9 V b the buffing drdgarn speciW m {tem CZ State the dahm used If the dabm is dfiiaentfrom the datum used for the BFE it Section B, convert the dabm to that used for the BFE Showfreld ffleam >ands and dahm eanverm calculation. Use tte space provided orffre rearms * aroma rf Sectlon D a Section G, as all r r ialebdzurr alt tre clAn owmrsion. Dafurn Caw&*rsCarrrrerrls_ Elevator refam mak used Does the e6,abm reterenoe mak used appear on are FIRM? X Yes ❑ No o a)TopdbofiomtwQnditbwrwtorerd=A) AM o b)TopdnmdNgher1w 192.51(m) o C) BeUom d bwest ltodmordal strucdral member (V mres or y) o d) Atl W gaaga (top d slab) fl(m) e o e)LDwaddevabmdrnadiayarxfdoreW#rent w cc sermQ Qre b Aft (Descft it a Cmmerrk aria) 192.3f4m) 8 o t) lowest a*cent (fir>ished) Sade (LAG) m. 2 ii(m) Z A 9) H91`09 4aoent (firrsfred) 9ade WG) i8 -9.3-114(n) S o h)No.dpamaxmtopem(RoodveW)wffin1Raboveofscantgrade$ $� o ) Total aea d atl permanerd (Rood verL4 ' C3 h 4180 No. � s ,91F OF apenrrgs } n _sq. n. (sq. an) SECTION D -SURVEYOR, ENGBtf K ORARCWECTCERnFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect autwrfzed by law to certify elevation information. I certify that the information in Ser Um A, B, and C on this certificate represents my best efforts to irdarpret the data avaftebte. I understand that any fake statement may be punishable by fine or inVisonmerd under 18 U S Code Sedion loos CE RnF ERS NAME LESLE W. COKE L)CE NSE NUMBER LS 5712 TITLE LAID SURVEYOR OOMPANY NAMES PRECOON SURVEYM ADOFFM cffy ATE ZIP OODE 717 FFTH STREET ORLAND CA 950 �- - - - - - •--..--., ---- mw lovalav zwm tw ovnanuouon. Replaces all previous editions NOWANT: In #rete $paces, Dopy are cwmq ort M of radon from Seddon a I Forlrrsuerro U mrryUse 1783 PAUTEMPO DRIVE CITY STATE ZIP CODECampay NAIL Nmber tkdwn CA mm �j SECTIOND-SURVEYOR,BK**MORARCHITECT CatnFICATION (CONTNr M) Copy bon sides dit Elmalion Ceacalefor (1) omni ity dual, CA isr mm agatbonpany, and (3) bridrg owner. COMMENTS C3A THE NTERIDR MM L4M a AYML SPACE E NQT SUBGRADE ON ALLSOM THE BENCH MARL( ISTHE CURB FLAWLME AT THE BaBMM OF THE SOUTH PROPEifY LIE OF LOT S 9 VATM MA C] Check gene � atf$dxrterlts SECTION E- Bt1K DMG ELEVATION BFOfiINATTON(SURVEY NOT ) FORZONEAOAND� A (WtiHOUT BFE) ForZomAOandZoneA(WIWBFE),wnElhm*E4. HOieSsoomC dcabiskftxedbruseasstpportirginbomiaGonioraLOMAorLOhRf, Section C must be comosled. E1. &A*g Dagam Number (Select the buidig ciq m most uTft b the b Aft brwtoch Qts oertifirape is bang omoded–see pages 6 and 7. if no diagram ammallely represert>s the buidrg, provide a skeldn a phobg�aph.) E2 The top dlhe bolto n lw (ncludrg ba nnent aendosm) d the buldrg is _ tt.(m)_ndan) ❑ abD* or ❑ below (di * cm) ne h0est adjao * 7ak Nsa rnMM grade, Qawabbbe E3 Far Buidrg Diagars 68 wih clm igs (see page 4 the need highertoorordwalad floor (e wcldm b) of the b Aft is _fL(m) _n.(cm) abwethe h0est adjacent Bade. CompeleberrsC3.hand C3amUmtdbmt E4. The by of the ptaBorm of madYrery andbr "*meet servioig the h"V is _ ft(m) ligan) ❑ abae a ❑ below (& ane) ne Irgt>est adjaoad grade (lbs nakrral grade, Q a taiade� Ei. For Zone A0 only. ff no flood depth number is amilable, is the lop d the bosom floor elw&d in ao mkm with the aormn jWs lbocrptain managmW ordrrarae? ❑ Yes ❑ Nn ❑ Udanown. The local dndal must cm* ft iftnab in Section G. SECTION F- PROPERTYOWNER (OR MNEWS wTqgp7NpWMFjCATj0N The property o mer a owrWs ag arced represerda6ve who oarpleles Sens A, B, C (Manns C3h and C3.i only), and E for Zone A (wikU a FEMA -mW a mmnLn* issued BFE)aZaneAOmdsign here. The hSecttiors!�Gax!Ea►eoaraQiothebestdmyI�rowNsd3a PROPERTY OWNERS OR OWNERS AUMF12ED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here I SECTION G - COMIIRAQTTY N-ORWTION (OP'TIONAL) The local official who's aofhormed by fart a anire b adrniisb the cmvvx tlls floodplain rrojaprnent #dna oe can Conplete Sections A, R C (or E), and G of ft Ele+ration Cease. Caroetethe appiabfe oan(s) and sign belay. G1. ❑ The iia,, don in Secom C was taken iom after doannerkaffon that has been signed and embossed by al smveya, engineer, a anideQ wino is alhaiaed by state ar local fare b aertiy ele+ration idomna6on (tom tow= anddale offt elerAm data in the Canrlerrls area below.) G2. ❑ A oonm u* dkial omosled Sedon E for a buil ft locased in Zone (wiloout a FEMA -issued oroorrrn *-isst d BFE) or Zone A0. G3. ❑ Thsbiowngifarr>aIlan(NansG4{G9)ispnxidedforoanmtiyAoodplanmenagerrutpurposes, G8. Elevation d m-bri lowest floor (ndudrg balerr>" of the b t"V is: --ft(m) DAL .m G9.8FE or (n ZcneAO) deo dfloodrg at the buil ft site is: — _ ft(m) Daflm: LOCAL OFFICIAL'S NAME TITLE COMM LINITY NAME TELEPHOPE SKMTL% DATE COMMENTS ❑ Check here if alladtrrmb FEMA Form 81-31, January 2003 Replaces all previous editions CertainTeed Col • Builders Statement Ho eowner Name / Jobsite Name W C4— e Address Installer/Contractor (sign) InsulSafe 4 Fiber Glass Blowing Insulation - uompany Date Builder (sign) Company Name Date 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. fL of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be less than: On.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 14% 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 76 0.353 9 19 11.1 90 0.301 7% 13 1 7.7 129 0.209 51/2 11 1 6.6 151 0.179 43/4 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 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓ BAGS USED BATTS/ROLLS (✓) CEILINGS WALLS / 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 11/02 Manufacturer Insulation Fact Sheet CertainTeed Cli This is CertainTeed Corporation InsuISA 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with . pneumatic equipment in a horizontal open blow application: 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 cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18'/2 44 26.4 38 0.712 163/4 38' 22.8 44 1 0.615 143/4 30 18.0 56 , ! 0.485 12 26 15.5 65 :, j 0.418 1072 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'2 11 1 6.6 1 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation. t THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. 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 cover more than: (sq.'ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 77/4 22 27.2 37 0.733 51/2 16 19.8 51 0.533 4 15 17.9 56 ; i 0.484 31/8 14 17.3 58 0.467 32 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. r To get the marked R -Value, it is essential that this insulation be installed properly • t 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.netWds PERMIT NO. BP041334 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: 09/14/2004 APN• 040-670-011-000 the Business and Profe ions Code, and my license is in full force and effect. License Class : Licens N ber Site Address: 1783 PASATIEMPO DR DUR Date: ntractor. Map Index: Description: NSF (2972) GAR (1230) COV (550) OWNER -BUILDER DEC RATION 1 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 Owner: HOLMSTROM FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of HOLSTROM GARY C 8r KAREN L. TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section + 7000) of Division 3 of the Business and Professions Code) or that he or PO BOX 2296 she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95927-2296 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HOLMSTROM FAMILY TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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.). Contractor: SCHUSTER HOMES ❑ I am Exempt under Article 3 of the Business and Professions Code SCHUSTER, STEPHEN 4011 SPYGLASS ROAD Date: Owner: CHICO, CA 95.973 530-894-0894 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 483969 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 Architect' required by Section 3700 the Labor Code, for the performance of • the work for which this permit is issued. My workers' compensation Engineer: VERTICAL TECHNOLOGY ENGINEERING insurance carrier and policy number are: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft: 4752 S.F. issued, I shall not employ any person in any manner so as to Valuation: $231 500.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provi 'ons of Section 3700 of the Labor Code, I shall forthwith 7mply wi those provisions. Z/ O's Date: Applicant: WARNING: urs secure works ' 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 t/ rode, interest, and attorney's fees. `7 S �� CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda . rtl r I hereby affirm that there is a construction lending agency for the Resolut' to do.work i icate bov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Y Date: Address: PERMIT EXPIRES ON: 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 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 thp duly authorized agent o 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 a off cial or d ume utte County. I hereby authorize representatives of Butte County to enterupon the above mentioned property for inspection purposes. Print Name: Signature: Date: 0 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE CO NTY a ��3 'DEPARTMENT OF DEVE ME T RVICES jq0 19, BUILDING PERMI I T N AND SUBMITTAL Q RE E S 24 HOUR INSPECTION#: OROVILLE- 530) 38-7 6 CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name 4 411 12 AddressAV City c Sta Zi Phone Cjyoq- Fax E-mail I I ARCH/TECTLENG/NEER CONTRACTOR Name City Address S City co State Zip Phone E-mail Fax E-mail my BooJC jj JJ Lic. # 3 4 Class I I ARCH/TECTLENG/NEER "'flame P_ �^ Alress City State Zip. Phr')� a Fax E-mail State License Number APPLICANT NAME J^ Name- 1 Cif 4d&Address ` o City -. tate Zip ` Phone Fax , E-mail Subdivision Name - a For office us onl : Zoning For office us onl : Zoning Flood Zone SRA Yes - &o Occ. Type Const. Subdivision Name my BooJC jj JJ I Pai Lt iI Planner Date Approvef. OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BIdgAppISubRgmts.doc 11 PERMIT NO mil 133 B BIN # 'LOCATION AP# 6 m ' PropertyAddress 3�� Cross Street Z_4DS C WORKER'S COMPENSATION Policy Number Carrier , If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address t 90 or or Scope of Work: je�rss d _A(?, a CZy Sq.Footage 0 Structure Built without Permits ❑Proposed Changeof Occupancy '�� teevious use s� p , ION OF AP IC, �A=ppicatio 's+for hi apenit-h sued will"expire one r year er e d too ap ' aorderto enew ction o an �applic n ~'Y ration, a new�appli tion,, ans d fee" re uire REQUEST FOR . FUNDS' , N \ Refu an on a made n�writtenTre ue y. a erson o �� 1 �paid� a fe +. rte\ u must be e pn oiration of the pemutia`nd o construe ionNwork as�bee ' 'one FiIing fees\plan check' fees work pl ch ed a �er department costs are not= refundable. Received b Amount: "Idg SRA Receipt #: � ,.�i,� ;` Sheriff SMIP Date: Other / J Total Page 1 of 2 e REV 4-30-04 6 SUBM WALAEOUIREMENTS The following drawings and specificati6os must -b submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS4W NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. 0 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed b t�gineer. Mobile, Manufactured, or Modular Homes: O 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual.;, ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. < ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed b t� 'neer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 IV- Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................................ q 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: a�(B)Parking: (C) Parcel Check: ( ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... BUTTE -DEPARTMENT e4 DEVELOPMENT SERVICES -BUILDING DI1/ISIOYV ��br&OF 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 U� 27. Encroachment Permit for driveway from the Public Works Dept ................ 28. Pre -Inspection for required....... PERMIT APPLICATION DATA SHEET OWNER: ��= 1X1 y ASSESSOR PARCEL NUMBER C • &-75) ❑ �• Proposed Building Use: Counter Technician: Date: V Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde-F9 apply. 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 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. '35. Existing violations and/or expired permits......................................................... 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. 36. Deed Restriction......................................................................................... 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 10. must be stamped and wet -signed by the engineer. Flood Elevation Certificate, wet -stamped and signed, in duplicate 5/_ "ZV/d YqWk ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ 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........................................................................ q 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: a�(B)Parking: (C) Parcel Check: ®'L1 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 0 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) ..................... O 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... El '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 infoim%d Ithe aRove Ims apA requirements for obtaining a building permit. Applicant: 1. Index permit appli ion for t o t s ered: 2. Additional items re wired Date:/// ln,::�l Plan Check Le ter Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date:_C. Plans approved by: Structural reviewed by: Date: D " L ' "" ' Structural approved by: Note transfer by: Date: C. I(`, _ ,1 `O :5,!Sv J Yell Building Division Date: Date: Date Date: COUNTY OF BUTTE .DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 CHED%U�L/E\ OF RECEIPT OF FEES OWNER Jo f D A.P. PROP -OSED BUILDING USE /VS DATE' " d RECEIPT # DATE REC. I. BUILDING PERMIT FEES I � • --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 9 i v u, to ccr,+r4cFa ,r-� 3. SHERIFF FEES (paid at Building Division) �. Residential............ X $360.00 =$ U is Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 91v� -h> 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER / p�0(e7 At time of permit application, I was advised the ab ve fees are required to be paid prior to issuance of the permit. These fees may be changed during e . Ian c eckin proces . APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projector from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) National ,Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement 1LESS 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 grading an oro er p is or other sanctions provided by law. Signed: Title: Date: _ . i - - - .• • � •• - • _ .: , � � cloy _ , •.. . . ' G L1.0 — C?a.-- I -L I Lev,- � T r • 7 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. (One form per Building) _ School'District Ch I W l V ' I f� Building Department No. �"I ✓ ✓ A.P. Number O� (p I V fj (I Jurisdiction: City County Property Owner l YV1 S•t ry r,xi , &0 Y - Property Location/Address ' 013 `Pa. sq T c moo . by. -.- Subdivision r : Subdivision Lot No. , t / Residential Development Q `: Q Q ,;`Sq. Foofage� / No of Living Mobile Home Addition( Supplemental to % (Group R) Units Installation Conversion Permit # �,. `(No foundation inspection) Commercial/Industrial Q Q /1 New Addition Building Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior �Roofed Areas) Date District Identification No. School District certifies that (Applicant) W4 - (Street Address) (� (Phone Number) "%�'�--- (City) (State) (Zip Code) (ti has complied with the requirements of Resolution No. / Q by payment of $ representing C;�-/ % O� square feet. School District Representative 2926 FULL MMGAnON $ Date Paid by Check X : Remarks: ei A Noilos: You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In compliance with Govsnn wd Cods Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest wlll'prohiblt you from challenging the imposhtlon of the fees in any court action. M, subsequent to the School District Representative along this Butte County Sdools Impact Fes. Certification Fonm, the 8doo1 District is nodfled by the applicable Local Planning Agency that this project Is being reviewed under the California Envlmnmental Quality Ad (CEQAh this project may be subject to addtlonal school fees to fully mltlgate.lts Impact on the school distrid`a schools. White (applicant), Yellow (building department), (pink (school district) feeform.hda (10/03)dmm 1 BUtTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM wxCHICO AREA RECREATION AND PARK DISTRICT Assseesso�r har eI Nuin4 r•(j�+`j`9- Q � 7O • or r 1��•0._ I Property Owner -ti!'i 0 L_ M s -r,e 0 M Project Location/Address V' b3 4 Eq pa w Subdivision Lot Number(s) Total Number of Dwelling Units I Residential Development: (check one) New Development Alteration/Addition Mobilehome(s) Non .Residential to',Residential Demo permit issued (Date issued ) Verified by Building Department Records Verified by Assessor Department Records Mobile home replaced Comment: Building Departnient Rep esentative Date Chico Area. Recreation and Park District (CARD) certifies that t (App i` ant Name) (Phone Number) (Street Address) 611-1 �- 1A(C 64- " (City) (State.) (Zip Code) has complied with the requirements of Butte Co. County Park Facility Fee pursuant to Section 16- 33 of the Butte County Code, Resolution No 5.02 effective August 23, 2004. Payment for f dwe ling units @ $1,880.00 per unit, for total payment of $ CARD Representative Date PAID BY CHECK NO. REMARKS: BANK NO. qC)4' z)Cs2_ I 1 'Z.1 J PAID BY CASH RECEIPT NO. Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of0-YTOTAL. $1E80.O0 F.\ ... \parkfee.frm (Revised 7/30/04) _ " AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 14 -Sep -2004 2004-0056655 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT 3fl 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 discomfortfrom 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: See attached for legal description Date �- 3 I -. O `/ PROPERTY OWNERS: State of California County of On �;— -- ;A (-- a L-( before me, personally appeared N6,,t�re.L" L . known to me (or proved to me on the basis of to the within instrument and acknoWledg d capacity(ies), and that by his/her heir signatu the person(s) acted, exe ut 0,t6e i strument. WITNESS my hand nd,officia,;seal. Signatu A.P. # QZ1 Q 05-0 " 0 Q,(C- k::,T i'�( factory evidence) to be the person(s) whose name(s) is/are subscribed me that he/she/they executed the same in his/her/their authorized on the instrument, the person(s) or the entity upon behalf of which DENISE W. PRICE COMM. #4341280 NOTARY PUBLIC ® CALIFORNIA COUNTY OF BUTTE �Commissbn Expires Jan. 24, 2006 EXHIBIT "A" THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: LOT 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FAIRWAY OAKS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 1, 2001, IN BOOK 151 OF MAPS, AT PAGES 93, 94, 95 AND 96. THIS. DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF I RESTRCTIONS RECORDED JUNE 7, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001-24205, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 040-050-068-000 (PORTION) PARCEL II: AN EASEMENT FOR INGRESS AND EGRESS OVER COMMON AREA LOT. A, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FAIRWAY OAKS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 1, 2001, IN BOOK 151 OF MAPS, AT PAGES 93, 94, 95 AND 96. PARCEL III:. AN EASEMENT FOR FIRE PROTECTION WELL, AND WATER LINE. PURPOSES OVER COMMON AREA LOT B, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FAIRWAY OAKS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 1, 2001, IN BOOK 151 OF MAPS, AT PAGES 93, 94, 95 AND 96. PARCEL IV: AN EASEMENT FOR SEWAGE DISPOSAL AND STORM DRAINAGE PURPOSES OVER LOT 21, AS SHOWN ON THAT CERTAIN MAP. ENTITLED, "FAIRWAY OAKS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 1, 2001, IN BOOK 151 OF MAPS, AT PAGES 93, 94, 95 AND 96. CONTINUED PARCEL V: AN ACCESS EASEMENT OVER LOT 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FAIRWAY OAKS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 1, 2001, IN BOOK 151 OF MAPS, AT PAGES 93, 94,.'95 AND 96. Butte County Department_ of Development Services YVONNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 ;30) 538.7601 Telephone X30) 538-7785 Facsimile TO: FROM: SUBJECT: DATE: WILLDAN o�VTrFO 0 0 0 0 Scott Rutherford' (530) 538-7160 srutherford Wbuttecounty.net Plans Transmittal For Review Per Contract 7/112004 Applicant: I Holmstrom, Gary Permit 04-1334 Project Type: FN-SF/Garage APN: 040-670-011 100% 70% Plan Check Fees $ . 1,402.76 $ 981.93 $ 1,402.76 $ 981.93 WILLDAN Fee' $ 981.93 Copies Attached: Qty Chk Application' Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved jj Conditionally Approved ❑ Resolve Problems Prior to Approval •JN Site iPlan Stamped Approved By " 0 Date 4 7 U Pagel of 5 .. - S E PLAN REVIEW APPLICATION Date: � - o AP# ob �- ,,71� o/% • �' Permit Number (if applicable) Bin Number APPLICANT INFORMATI Nn jParcel Size: '^ L4 �Y e- -��A ��;1 � � L�'v► ��D awl Owners Name: Owners Address: Telephone No.: Situs Address: 1 a4Al�o Proposed Use: Residential X ❑' New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer • ❑ Multi-family ` Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel f wpstic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved jj Conditionally Approved ❑ Resolve Problems Prior to Approval •JN Site iPlan Stamped Approved By " 0 Date 4 7 U Pagel of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract • ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See a ached) • Flood Zone: • Flood Panel No.: G52 -0c— . 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: 'R— Applicable R— Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 L' Zoning Code Streets & Highways Fire Prevention Subdivision Map Front e;-0 C�L— Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 L' Applicable Development Fees: Standard Fees • ❑Fire JB School* ❑ Parks/Recreation ❑ Roads Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Amount Formula ------------------------------------------------------------------------- --- --------------- I ------------------------------ Subdivision Map Special Fees ❑ Water Tender' ❑ Road Improvement ❑ ' North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes. Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements .—=-- •----------------------------------------------------------------------------------------------------------------------- Page 3 of 5 11 Subdivision Map/Parcel Map: rlai v_>VJ R/ @jz-.\---S GV Map Date of Recording: C—I— 0 Lot: i ❑ Use Permit/Minor Use Permit Permit Number: Book: cJ Page: • Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ® Comply with the following Conditions of Approval: PO Attached ❑ None 11 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 Pie must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are'required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 X/O 7,!5-5 A A/O DEl/EGOP/V1EiVT �EiPNJ/7�"E,O k//T/f/.c/ 50 / OA- THS CE,UTE/Q.0 /N� Off" OU�P/�A�I �UTt/,9 G •11'?R/G.4 r/O,v ,eE,S OaR, cES 2 , LOT f/ S,yA G �- U../S U,g o/ v1,o e o 4AI o -sH.4G� 'Se y�G o -'W C'oit�lit�Jo/t/ B�/ /A/Rdt/AY DAks O WA,14g5- g55o7,- / R44RPo 5 r::,- VAP/A/6- VAP/A/G. A i�T � sySTEM, SToRivJ rWigi�iQ .Di29/iC/.9GE, /�f/.D SEdv4f�F' .O/SPo59L �.4L'/L/7lE5 . ,C7E VEL oP�'IE/VT aF 1-C7-5 /- Zo. Apt/,O 22 WI L G RE'QU/RE dO1VNECT/ON To �q -40�A-'1Z1 117->1 ';6u/6,e sys7�14 ,4ti3O /Al,OlV/-OU.4L .OoME$Tld !I , DOif7�5T/G .lt/ELLS S�/i9LL T3�' � /�I/i!//tilL�iE/l Orc'rj .BEET FROM Z07 1$D'FE67-RDM ?,�E L`Otil�?U.V/Tf/ SE7t/i9 TRE,97MEAl-;— AW�4, A.U/o /oo' F.�/? T/1� CE,vr /,vim oma' ALL 57,QEE75 16XGE/07- T,S/E WL GG p t/ DoT . 7 SMALL ,BE r9 M/.V/MZ1A4 OF T/�E Coy C-Q.dos • 5, tf 7744AJIO-4R,!S!9L6 aF i�/E U,U/TE,U -5 ,4 5, Alf Wfil daiRps OF E.c/G/.VEE�?S /°E�P/N/T REQU/R�•O PiP/off To O/SCH�9,pGE O.c O�QE�OGE MAT"ejP/�4L5 /X/To XV16 �4REA . ,q.�",�'ECTS �UiPfi�•9�l MWZI,9C /RR/G47-/0Al eA1,4.t/.t/6-L , (y. QU/1-'01,t/6 FOU�tl.O,QT/O�t/$��'OpT/N65 SHALC ,B� OES/G�l�c� BY A/PCH/TEC T /.c/ �ET"TE� F/QOiVj .i9/opL/E,O TEST/.t./G �o/!./SL/LTi�1 �/TS 0�9TE'!� F�.Bi4t/r9/Py 2G, Zoo/ . op ` 7J L:9[Ll1�,q TE O RoIXIT �� \00 0 s E j�uBC/� s ,tZV/�E E.4 s 6Mv -- l r � C 100 2p4to 00 �9 9� s Cg -061 1 0 00 L jq p'© Q L 0 T 12 L0 �3 /Igp.o Aa 1,49 00 12 -r- .INV 8q I2y•0-�G. �1ho �IZ � � �� �� ? ,,24,45 - � r7b 0/ 01 ? -tl 1 f2 �sTo,,� �cEss cis417,EX A40,' � • — �/2 �s �" ��� �R�/moi � 4 � �, 2. � 2 G4u� i ��� 2 �,� Cou,,✓r�Y i 0 �L �5 0 p2 �l �� rr,6 � oa 0 UPDATES `/-2/—O D rayµ IV. CONDITIONS OF APPROVAL: PA di iz-A -L- e- w--zt aooe9 ro TK►1 c,Py aN4y. Planning Division • 1. A. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet which states: -"Prior to any ground disturbing �'� activity, each lot owner shall obtain the services of a qualified botanist or arborist and select individual healthy valley oak trees for retention, with the goal of maintaining the maximum number of healthy trees. Each selected tree shall be "( surrounded by a circular zone (minimum 40 foot radius) identified by an orange ti Q N u fence during construction activities. The circular zones around each conserved tree 9' Qj1 shall be designated as environmentally sensitive areas (ESA's). Roads and buildings shall be prohibited within the ESA's. The designation of ESA's shall be to the satisfaction of the Homeowners Association." B. Subdivision CC&R's shall be written to include measures to protect the 40 foot ESA around each conserved valley oak tree. Said measures shall be approved by the Planning Division prior to recording CC&Rs and prior to any modification of said revisions in the CC&Rs. The measures shall be made applicable to individual lots of the subdivision during development and occupancy. The Homeowner's Association shall provide oversight in maintaining the ESA's and protecting individual trees from development. When temporary fencing is removed after construction, the ESA shall be maintained by individual property owners. (Mitigation Measure #2). C. Prior to subdivision construction, the applicant shall obtain the services of a qualified botanist or arborist to select individual healthy valley oak trees for retention, adjacent <Ec p to proposed improvements. Each selected tree shall be surrounded by a 40 foot kv, radius ESA and shall be identified by an orange fence during construction activities. No disturbance shall be allowed within the ESA during construction activities. c < 2 A. In order to protect wetland resources, the area classified as waters of the United 41 r 4. States by the Wetlands Delineation prepared for Butte Creek Estates Unit 2, shall be t �_ delineated on the final map and labeled as follows: "Wetland Areas that are �r Jurisdictional waters of the United States, Army Corps. of Engineers permit required n� prior to discharge of dredge or fill material into this area B. In order to protect riparian resources, a no'development setback shall be established �6e n�o7 a along the Durham Mutual Irrigation Channel. This setback shall be measured 50 feet on each side of the centerline of the channel. The setback area shall be delineated on 7�4 J�410 the final map or on a on an additional map sheet as follows: "No Development Setback.,�No development permitted in order to protect riparian resources. The setback shall not be applicable to that portion of the channel crossed by the proposed t 0,, 6 ,,6 0 foot easement serving the designated remainder. (Mitigation Measure #3) �_f' +PlaYea note on a separate document which is to be recorded concurrently with the map or �on an additional map sheet that states: "During development activities, should any ■ BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE s FEBRUARY 10, 2000 ■ PAGE 5 s' archaeological artifacts be discovered, the Planning Division shall be notified immediately, and all work shall cease until a qualified archaeologist has examined the artifacts and the site and submitted his or her findings to the Planning Division, and recommended clearance to continue. Recommencement of construction shall be upon the approval of the Planning • Division." (Mitigation Measure 94) Place a note on a separate document which is to be recorded concurrently with the map or �o� on an additional map sheet that states: "In order to protect development from the effects of ter,- s expansive soils, which may be present on-site, prior to site development all foundations shall Pl be designed by a registered Civil Engineer or licensed architect." (Mitigation Measure #5) xr . ' order to reduce development within the floodplain to a level that will conform to General tlan, Land Use Element Policy 5.3d. and to insure that future development does not occur within this area, which would not conform to Policy 5.3d, Lot #21 shall remain unsubdivided / and held in common by the Homeowner's Association, and Lots 1 through 20 shall not be further subdivided. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "In order to conform to Butte County General Plan Land Use Element Policy 5.3d, which requires that urban development be directed away from flood -prone areas, Lot #21 within this subdivision shall remain unsubdivided and held in common by the Homeowner's Association, Lots #1 through 20 shall not be further subdivided and no second dwellings:shalLbe allowed on Lots #1 through 20.", This note shall also be included in the CC&R's to the satisfaction of the Planning Division. (Mitigation Measure #9) 6. Place a note on a separate document which is to be recorded concurrently with the map or • �';--� Q/ on an additional map sheet that states: "All residential development within the subdivision •. lshall be required to include vented stemwall construction as a mitigation for the displacement - ,� of flood waters, and to protect residential construction from hydrostatic flood forces. R Construction shall be required to conform to the Butte County Flood Damage Prevention Ordinance contained within Butte County Code Chapter 26, Article IV. Vented stemwall construction shall be constructed to satisfy National Flood Insurance Program guidelines and Building Division requirements." (Mitigation Measure #10) 7. To ensure that construction noise does not become a nuisance to neighbors, construction activities associated, with subdivision development such as clearing, road building, grading, /and infrastructure development shall be limited to the hours of 7:00 a.m. to 7:00 p.m. Enforcement will be through the Planning Division of the Department of Development Services. (Mitigation Measure #11) 8. lace a note on a separate document which is to be recorded concurrently with the map or n an additional ma sheet stating that: "A development impact fee for Sheriff's facilities 6cf P �'i� shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code, C "'� prior to issuance of building permits. The fee amount will be determined and calculated as of the date of application for the building permit." (Mitigation Measure #13) 0 ■ BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE ■ FEBRUARY 10,, 2000 ■ PAGE 6 ■ 9. Place a note on a separate document which is to be recorded concurrently with the map or r7 on an additional map sheet stating: "A development impact fee for school facilities shall be paid prior to issuance of building permits. The fee amount will be determined and calculated �4as of the date of application for the building permits." • a, ti 10. A homeowner's association shall be formed to provide oversight and maintenance of private A roads and easements, sewer service, domestic water supply, street lighting and drainage /improvements. Obtain approval of pertinent sections of Bylaws and CC&R's from the Planning Division. Butte Count; Air Qiiality Management District 11. A. Measures shall be taken to control fugitive dust emissions from all road, driveway and other civil construction associated with residential development. Measures may include site and road watering and/or use of other acceptable soil palliatives. Questions regarding fugitive dust control may be directed to the Butte County Air Quality Management District at phone number (530) 891-2882. Prior to recordation (� of the Final Map, submit an improvement plan with respect to fugitive dust and air pollution to the Butte County Air Quality Management District for review and determination of adequacy. Said plan shall include measures to control fugitive dust emissions from all road, driveway and other civil construction associated with residential development, including the construction of dwelling units. Measures determined to be acceptable by the Air Quality Management District shall be implemented during all development activities on the sit A co of the approved J� p an s e o t e u c en prior to recordation of the Final Map. • Place a note ona separate document which is to be recorded concurrently with the map or on an additional map sheet which states: "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 0��', ry�bdust control plan for the site approved by the Butte County Air Quality Management �r District, a copy of which can be obtained from the Butte County Public Works Department." (Mitigation Measure #1) Department of Public Works 1 � f ? C C4 - -'s a12. Prior to, or concurrently with the recordation of the Final Map, provide a fully executed road maintenance agreement on the County approved form. a X143. Provide street name signs per requirements of the Department of Public Works prior to Ys -,of recordation of the Final Map. Street names shall be approved by the County Address Coordinator prior to the recordation of the Final Map. A minimum of 5 alternate names for each new street shall be submitted. (OK &v-f-ai PlQn-,Es —q.. 71- o o Per- t�. A. kn�. 14. The cul-de-sacs shall be designed and constructed to county standards as specified in the ^40.01County Improvement Standards. The Final Map shall show the cul-de-sacs. • ■ BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE ■ FEBRUARY 10. 2000 ■ PAGE 7 ■ oiG 15 Prior to the recordation of the Final Map, prove, to the satisfaction of the Director of Public Works, that there is approved access conforming to County standards to each parcel from a publicly maintained road. �C •11-2416. All access rights shall be reserved by deed, per County Ordinance, and offered for dedication and depicted on the Final Map. d� The developer shall provide all necessary traffic safety signs including stop signs. A note shall be placed on a separate document which is to be recorded concurrently with the map or on an additional map sheet of the Final Map stating "The property owners are responsible for the maintenance of all private road safety signs, including stop signs." 18. Pay the recording fees then in effect for.recording the Final Maps and related documents. " MAL syn.Z -� -z,3-off Deed to Butte County, in fee sim17 0 feet o right-of-way from the centerline of Oroville 0 1 1 Chico Highway. The right o54� jl i be fficient for the installation of standard No. S-5 ;,,� at all street intersections. � SES dA or! ?A &C-_ !2-A -?rl t+ 9-ei -co yrs t one half street plus 12 foot section on Oroville Chico Highway to RS -2A road standard with e 'cal-cwbgutter, and sidewalk and 2" AC, and 8" AB, SC 250 prime, fog seal and 95 % relative compactioff.—C-onslruct full street section on interior streets to RS -2B road standard with curb, gutter, and sidewalk�21' A 8" AB SC 250 prime, fog seal and 95 % relative compaction. Submit design to Land Development 1 1gs1o1 . "R" value determination and other data may be required to support the section esign. Prior to the recordation of the Final Map, obtain an encroachment permit and construct a standard road approach, and left -turn pocket in accordance with County Improvement Standards and California Department of Transportation's standards. Provide adequate sight distance at the intersection of access road and Oroville Chico Highway. Show on the additional map sheet or on a document to be recorded concurrently with the Final Map a 50 foot building setback from the centerline of all interior streets and a 55 foot building setback from the centerline of Oroville Chico Highway. Prior to the recordation of the Final Map a plan for a permanent solution for drainage shall 'be submitted to and approved by the Department of Public Works. The drainage plans shall specify how drainage waters shall be detained on site and or conveyed to the nearest natural or publicly maintained drainage channel or facility and shall provide that there shall be a 10 percent reduction in the peak flow runoff to said channel or facility. 0 24 o`Establish 100 year floodplain elevations and the lowest floor elevations for any structures. Show on the additional map sheet the elevations (by contours) and the location of an 0vol accepted A D benchmark and a temporary benchmark on-site. Demonstrate that the la,���� • proposed development will not adversely impact the flood plain. S�5 Show all easements of record on the Final Map. lw.�v e BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE o FEBRUARY 10, 2000 ■ PAGE 8 ■ ©t::� m 26. - Prior to or concurrently with the recordation of the Final Map, pay in full any and all delinquent, current and estimated taxes and assessments as specified in Article 8, of Chapter 61 4 of Division 2 of Title 7, of the California Government Code commencing with Section 66492. D4"tc-- Y Z27 " � Dedicate a one foot "no access strip" or relinquish abutter's rights to Butte County, along the Oroville Chico Highway frontage of parcel #22. CS) to jt. 28. Provide a cul-de-sac, constructed to County standards, on the public side of the private 'Y-1- c- a access road if the entrance to the subdivision is gated. Gate and related construction for public safety shall be approved by the California Department of Forestry and Department of o Public Works. C42 -j ?29. Street lighting shall be provided in accordance with Butte County requirements, accepted z design criteria, and recommendations of Pacific Gas & Electric Company. If the developer p 0qo chooses to install the streetlights and pay energy costs through a County Service Area (CSA), he/she must complete the formation of the CSA prior to recordation of the Final Map. The CSA formation process will require the Developer to fund the service until the beginning of the first fiscal year in' which service charges can be collected for the CSA, and agree to an annual maximum service charge to ensure continued operation of the facilities. c� K _23=6130. The following measures shall be completed to the satisfaction of the Butte County rr� Department of Public WTrKF, Fnor to Final Map recordm : a. `Contribute a $1,200.00, in total, pro -rata share to mitigate the subdivision's impacts • pA O to the intersection of Oroville Chico Highway and Estates Drive. b. In order to maintain through lane traffic movements along Oroville Chico Highway, construct a left-hand turn channelization and public road connection at the t? intersection of the subdivision's access road and Oroville Chico Highway. (To be A p1P . incorporated into the applicant's plans for reconstruction of Oroville Chico Highway fronting the subdivision.) C. In order to facilitate and maintain traffic flow and, to minimize cumulative .impact, widen Oroville Chico Highway from its intersection with Estates Drive easterly to the subdivision's access road with a minimum paved'with- of 28 feet. If the widening is accomplished by shoulder improvements, the structural integrity of the existing road shall be verified to comply with current standards and the full width of the road (28 feet minimum) shall be overlaid with a minimum of 0.15 feet of asphalt concrete with pavement reinforcing fabric. (Mitigation Measure #14) Environmental Health 31. A. Prior to recording the Final Map construct or bond community sewage collection, treatment and disposal facilities in compliance with California State Regional Water Quality Control Board (RWQCB), the Butte County Code, California Health and • s BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE o FEBRUARY 10, 2000 e PAGE 9 0 Safety Code, California Water Code and other applicable codes and regulations governing the design, construction and operation of the facilities. B. Prior to improvement plan approval and/or initiating any site improvements provide Waste Discharge Requirements issued by the Regional Water Quality Control Board. C. Prior to recording the Final Map, provide a satisfactory plan to be reviewed and approved by Butte County Environmental Health, of the sewage disposal facilities as they relate to septic tank health related provision of the Butte County Sewage Disposal Ordinance and the California Health and Safety ``Code. �R�aD. Aspartoftheplan c c process provide written fication by a California licensed feri g -Z o civil engineer that facilities were constructed in accordance with the approved plans. s�b�- P; EZia. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: All septic tanks shall be located above the 10-year'floodplain..a�'� ' F. Prior to recording the Final Map provide a Homeowner's Association or other legal entity acceptable to the Regional Water Quality Control Board adequate to insure the operation, maintenance or repair of the sewage collection, treatment and disposal facilities. An entity other than a Homeowner's Association (such as a community services district) approved by the Regional Water Quality Control Board shall, in ®� addition to meeting Regional Board requirements, meet the following: 47 • ~G 1. Insure financing of operation, repair and maintenance; 2. Provide qualified individuals and operational procedures for facility operations, repair and maintenance; 3. Provide adequate resources to comply with all monitoring and other Regional F� l Water Quality*Control Board Waste Discharge Requirements; 4. Provide adequate resources for facility inspections and reports; • 5. Provide adequate resources and/or mechanism to insure adequate funding of a major sewage treatment and a disposal facility replacement or reconstruction if necessary; 6. Provide a liability risk assessment for review by the County of Butte; 7. Indemnify the County of Butte and Community Services District or other I government entity for all claims and liability that may occur relative to the sewage disposal facilities. ■ BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE ■ FEBRUARY 10, 2000 ■ PAGE 10 ■ 32 33 34. G. Place a note on the additional map sheet that states "Development of Lots 1 through 20 and Lot #22 will require connection to the community sewer system." H. Locate wastewater ponds separate, as required, from areas of residential development. Meet design requirements for control of mosquitos and nuisance insects in the wastewater ponds to the satisfaction of the appropriate Mosquito and Vector Control District and the Regional Water Quality Control Board. If a Homeowner's Association is formed as a responsible entity for the maintenance and repair of the sewage collection, treatment and sewage disposal system, obtain approval of the By-laws and CC&R.'s by California State Regional Water Quality Control Board and Butte County Environmental Health. Approval shall be obtained prior to recordation of the Final Map. J. Place a note on the additional map sheet that states "Lot 21 is to be held in common for the benefit of the homeowner's association for the purpose of providing a water system, storm water drainage, and sewage disposal." (Mitigation Measure #6) Provide a note on the final map or additional map sheet that states "Setback areas around wells installed in common area.will be protected from pollution hazards and sources through common area restrictions." Provide a 150 foot community sewage facility setback area around any existing wells either within the property or within 150 feet of the property boundaries. Se. fie4 34 oN -pri 6-a ( 4_•B M4 ?oro -re .ding the Final Map, construct a new community water supply system for lots #1-20 and Lot 22in domphanw-w- th the e�fornia State Safe Drinking Water Act and Butte County Subdivision Standards; or, pnor to recordingthe Final Map, provide a letter or other documentation from an existing community water supply system'sItming-tha a are willing and able to supply domestic water to lots #1-20 and Lot 22.`-" Iz-C 9-2)- 0b �te o� addiQ al ma sheet that states "Development of lots 1 through 20 and Lot 22 will require connection to a public- 36. Prior to construction, obtain a Regional Water Quality Control Board Construction Activity Storm Water Permit for storm water discharges associated with a construction activity where clearing, grading and excavation results in a land disturbance of five or more acres. Storm water discharges from a construction activity that results in a land disturbance of less than five acres, but which is part of a larger common plan of development, also requires a permit. iJ4 37. Prior to Final Map recording, submit a Solid Waste Disposal Plan to the Regional Water ,^ t"ol Quality Control Board which conforms to the regional or county master plan and contains adequate provisions for solid waste disposal for complete build -out of the development. r -c 110 •1 ? , ■ BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE e FEBRUARY 10 0 ■ 200 PAGE 11 ■ 38. If improvements such as sewer, or other utility installation require dewatering of any P excavation, a general NDPES dewatering permit must be obtained from the Regional Water ` Quality Control Board. • � Butte County Fire DepartmentId Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "All addresses shall be installed in conformance with Public Resource Code 42.90 -Fire Safe Regulations." (Mitigation Measure #7) e`ll lP 40. Fire hydrant identification, reflectors or post reflectors shall be installed to the County Fire Warden's satisfaction, prior to final map recording. (Mitigation Measure 98) 41. ' A pressurized community water system shall be provided to address the need for water in �esufficient amounts for fire protection within the subdivision. The specific locations and fire flow requirements shall be in accordance with the Fire Department specifications and to the satisfaction of the County Fire Warden. Average required hydrant spacing shall be 500 feet, hydrant size shall be 6 inches, and residual fire flow shall be 750 gallons/minute. (Mitigation Measure #12) V. NOTATION A. Minor changes may be approved administratively by the Directors of Development • Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require:a formal application for amendment. • ■ BUTTE COUNTY DEVELOPMENT REVIEW COMMITTEE a FEBRUARY 10, 2000 ■ PAGE 12 ■ E.H. USE ONLY Plot Pian Attnched Roo Plan A cAe 1/ Sancta B.D ! rS O: �.T'.uw i epartment ROM: Environmental Health UBJECT: Sanitation Clearance i�,� //1/I S`7`/c�rirPilil � '�"l l , �if�- �/�12�I%� �J�i�I •- l� %D �(J // Owner Location AP# Plan Approved for: Sewage Disposal — Water Supply: Public Private Well Clearance for dwelling.,, Qther �'MM final fob " Final clearance'O.K. for: NOTE: n Environmental Health Specialist 4_ I&_04 8/96 l( Date INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING D SIONkOROVILLE RELEASE ENV! HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: AN: 040'— 40 % _. O// ADDRESS/LOCATION:/Q `7— // .��- Comments: GL/memos/releasehold N;�UWILLies Serving Publ,DA�N August 27, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-71'69 (530) 538-2140 FAX 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.w.illdan.com SUBJECT: COUNTY OF BUTTE PLAN REVIEW, APPROVED Willdan Project No: 14353-1009 Jurisdiction Job No: 04-1334 Assessor's Parcel No: 040-670-011 Description: Holmstrom Residence Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced Project and recommends your approval. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies sheets 1-11 by Steve Schuster 2. Structural Calculations: Two (2) copies dated 5/5/04 by VerTech Engineering 3. Energy Calculations: Two (2) copies dated 4/12/04 by Marty Runnels 4. Truss Calculations: Two (2) copies dated 3/16/04 by Longfellow Lumber Co. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" A W I LLDAN Sewing Public Agencies . Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein`as "CECS" CODE ANALYSIS . Type of Occu anc Type of1"�Floor 11 Construction Sprinklers Stories. S Ft .' 2° Floor x , S4 Ft ;Total Sq Ft . _ _ 1- mown R-3 V -N, No 1' ' : 2950- 2950 , . U-4 V -N No 1 1230 1230' Covered Porch V -N No 1 550 550 , CONDITIONS OF APPROVAL - 4 Norte required. { SPECIAL INSPECTION NEEDS ' Our, plan. review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS. Our plan review. reveals no`deferred submittals noted at this time. Sincerely, Ate Isaac'. Kuster, Gordon Wright; P.E.: . Plans Examiner '' Plan Check Engineer CC:. Alice M,dff&d at Butte County Email amefford@buttecounty:net Stephen J. Schuster, 4011 Spy'glas's Road, Chico, CA 95973 FA5ATIEMPO CENTERLINE R-1Td L-43.99, R -2a L-24.qq* SEWER STUB @LR* 0 in 07 C?, Rli:51CIENCE 1 500 GAL. SEPTIC TANK 0 DRIVEWAY 0 0 0 SETBACK I Q , TREES 00 C50 00 SITE PLAN LOT - 1 1 GlaOMT CIW4, -&MMW"Ill AF# 040-6 -70-01 1 5(:',ALE: 1"-30' Ir As APPROVED Q cr C E 5 3' 1 O 1 G' A'A WA 7 n' A'1Co 11` 5214 10'10 3'A REVISIONS BY t.Y Ilr o . LL o �- W , z �- r W O ...I .1 1. di M� Frf k 2950 SQ. FT. LIVABLE 1230SQ. FT. GARAGE 550SQ.FT. VARAN DA SCALE: DATE: PAGE 4 OF I I ENVIRON+SIENTAL HEALTH 111'8 MA R L 9 LUMAFLOOR PLAN CHICO, CALIFORNIA DIMENSIONS 1/41's- 1' — O" U.S.A.