Loading...
HomeMy WebLinkAbout041-620-056041-620-056 05-1196 KEITLE, CHRIS yS%ZCASA SIERRA VISTA, PARADISE CONT: KETTLE CONST NEW SINGLE FMAILI' �Q�^ 041-620-056 OS -2 06 KEITLE, CHRIS 4472 CASA SIERRA VISTA, PARADISE CONT: PERFECTION POOLS POOL (MSTR 01-500) ins' }S 1 L t . >I f 11%, ` F lr 1sVAi �'z si! 1' •A # ssi Y ' d,` r .}I.. 4! i�L..Fl ••��W�hs k. s3�t .. ,3 NOES RESIDENTIAL. PERMIT NO. �z 4 �041—(620-056 OS -2506 KEITLE, CHRIS 4472 CASA SIERRA VISTA, PARADISE CONT: PERFECTION POOLS POOL (MSTR 01-500) j f t 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS i VERIFY I USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER M i t a A) - G�� Er g JOB FINALED (Date)c��� (� t CHECKED BY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:• (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52506 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. I LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.5— SA ` License Class License Number: �JC6 �j- Date; • i Contractor:it �iz_111-E�srkra, OWNER -BUILDER DECLARATION -- I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive 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 I Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of proving that he or she did not build or Improve for the purpose of sale:). O I, as owner of the property, am exclusively contracting 'with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner: 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 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: 2-72 ^ OO 9 O 1 certify Ihal In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callfornla, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:. of Q Applicant: A 'V�) - /1L WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), in addition to the cost of compensation, damages as provided for In Section 3708 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 Clv.) Name: Address: Issued Date: 10/13/2005 APN: 041-620-056-000 Site Address: 4472 CASA SIERRA VISTA PAR Map Index: Description: POOL MASTER#01-500 Owner: KETTLE, CHRISTOPHER & STACEY 16 SLOPE OAKS CT PARADISE, CA 95969 (530)877-0849 Applicant: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 Contractor: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 - License #: 566654 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 'A�e - -Z/. --*)-&-A This permit is her by Issued under the' p, Resolutions to d work Indicated abo fo By: PERMIT EXPIRES ON:h/l/ = ble provisions of the Butte County Code and/or IIcchh fees have been paid. Dale: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. z ❑•• Notification in accordance with Section 18827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the ier. I agree to comply with :all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of a unly. I hereby ..all represeoliv/�es�nof��VBu�ttel Coun enter upon the above mentioned property for Inspection purpose Print Name: k*A -4 1 eL ,I -,I ef�_ Signature: Date: ` ' ` C'^ O Owner WContraclor ❑ Agent for Owner ❑ Agent for Contractor 4=OK o= Not OK _ = Not Ready adcabre . =Not Re MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s L 1. Zoning Requirements -Setbacks -Easements �} 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4- .Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap -.4, : /" L'fL,: / Nat. or/ . _ P L "ftl .: P LPG . P 7. Well Clearance & Disconnect 8. Utility Clearance ' .. Date Card B-1 Date Card B-1 Date Card B-1 : Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. - Zoning Requirements-Setbacks_Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-ValveConnector 4. Electricity; MH Test=Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flek Connector : 6. Water, MH Test-Regulator-Connedd 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 6 1 Date Card B-1 Date PERMANENT END SYSTEM(ONLY) . 1. Zoning Requirerients-Setbacks-Easemerrts 2. Footings; S¢e-Spactrig-Marriage Line_` 3. Blocking 4.` Gas; MH Test=Demand-Va[ve :.::. .. 5. •EledW :..,.. .:.. crty; MH Test • • �-_.. , _... _ .. •.. -6. Water, MH Test _.7.. Water. and Sewer-C-6ruected . .. 8. Gas and Electri6tyTagged ' 9. Exits . 10.:-Ucerisebecals 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 9's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-S¢e-Depth-Spacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. 'Wood Awn.; Posts_Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum- Awn-; Columns-Cohnections-Splice-Decal-Enclosures 6: Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Tnisses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof, Shthg-Roofing r. 11. Ext; Steps.-Doors-Landngs . : .12. Braced Wall Panels . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POO . (Plans) OK except irs Setbacks -Easements 2� ils; Compaction -Structure StabTirty Pool Structure; Steel -Connections -Thickness . Did, Men -Lining . . Elec.; Receptacles and Lighting. Distance-GFI ec.; Pool Lighting; 15 Volts-GFl . : ec.; Enclosures; Conduit Entries -Terminals. -Listed ec.; Bonding; Metal w/5' -Circulating Equip. -Heater ea; Grounding; Equip. w!5' _Circulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-ins. to Main Conduit 9:.IjeaHh DepartmeiitAppniva! Vfib.; Cir. Test -Water Supply Test... - ( 1 _ .,..1�ght Niche " 1 . Enclosure; Fencing -Alarms 3K Pel OK ' WalApp NoResii Not y RESIDENTIAL, (Single & Duplex) !So - UNDERFLOOR (Plans) OK except O's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols -Sec. Gmd. / . /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd./ /" Ftg. Depth 4. Ftg_, Porches & Decks; Soils -Steel-/ P Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors T. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation ite Card B-1 Date Card B-1 ite Cana B-1 Date Card B-1 ate PLUMBING (Permit) 6K -ex cept 9's 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor-Nail'Protection 19. D.W.Y.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 late Card B-1 Date Card B-1 late Card B-1 Date Card B=A late ELECTRICAL (Permit) OK except Vs 24. Fixture & Transformer Clearance -Ins. Protection 25. Sec. Receptacles Spacing -Lights & Switches at Doors 26. Sire Boxes & No. of Conductors Stapled Date FRAMING (Permit) OK except Vs 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Puriin-Roll Brac_ Truss-Shting= Rtng. 49. Fireplace Ties or Type A Flue-Fireplade Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fn: Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding-Nair!ng Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Celings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Canis B-1 Date Card B-1 Date FINAL (Plans) OK except 0's 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb. Au -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiling 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & ExL 73. IGt Fact & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at IQ. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper' 77. Wtr. Htr.,, Vents-. earance-Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Bec. & Mech. Equip'. listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 Na Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings. 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Ktchen & Conductor Size GR 30. Subfeed Wire Size/. /ga. Cu or Al -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. f /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Alt -Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except Vs 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Puriin-Roll Brac_ Truss-Shting= Rtng. 49. Fireplace Ties or Type A Flue-Fireplade Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fn: Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding-Nair!ng Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Celings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Canis B-1 Date Card B-1 Date FINAL (Plans) OK except 0's 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb. Au -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiling 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & ExL 73. IGt Fact & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at IQ. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper' 77. Wtr. Htr.,, Vents-. earance-Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Bec. & Mech. Equip'. listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 Na Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings. 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: NOTES aCL-P 2Clm/l aaA cob . C� JOB FINALED (Date , -Q L( C) Signature 9 ,3 RESIDENTIAL PERMIT NO.pq 17620-056 O.5 j96 � KETTLE. CHRIS LIL17Z CASA SIERRA VISTA, PARADISE CONT: KETTLE CONST NEW SINGLE FMAILY jo'r jj3 OFFICE COPY Address 4 � GAS ^l Meter By Date ELECTRIC' Meter By Date SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER F ._ PEN 7 -Z - OFFICE COPY Address � 1 Z P, S� A vis fly} �KoIsc GAS Meter By -- C Date ELECT Meter By SlANyAni1-5 Date -ELECTRIC - Meter By�/v w I Apr 21 06 06,38a CHICO 530-342-7814 p.1 CertainTeedE 1W Inn l:Builders Statement InsulSafe4 Fiber Glass Blowing Insulation 11 Homeowner NAmP. / Inhcit P_ NaR1P instanerrcontractor L&gnj Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FL PER BAG MINIMUM WEIGHT- POUNDS PER SQ. F7. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resisarke (R) of: Bags per 1000 of net area: C4rfents of bag should not carer more than: (sq. 1L} Weight per sq. (L of installec insulation. should not be less than: (lbs.) Should rot be less than: 60 365 27 0.986 22 49 29.6 34 0.800 18% 44 26.4 38 0.712 101 38 22.6 44 0.615 14'/. 30 18.0 56 0.485 12 26 155 as OA t B 10 F 22 13.1 777 0.353 g 19 11.1 90 0.201 71/. 13 7.7 129 0.2209 6'h .1 6.6 151 0.179 VA 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 wig become invalid. DANGER: RECESSED UGHT FIXTURES TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF t• , - SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES Wffw THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain, Company 02003 CertainTeed Corporation 10/03 `J 0 GO �J R -VALUE THICKNESS AREA (SQ. FT.) INSULSA (✓) BAGS USED BATTSIROLLS (✓) CEILINGS WALLS V 7J 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 wig become invalid. DANGER: RECESSED UGHT FIXTURES TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF t• , - SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES Wffw THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain, Company 02003 CertainTeed Corporation 10/03 `J 0 GO �J WESTERNWOODS EWP ENGINEERED WOOD SYSTEMS PAGE 01/01 Certificate of Conformance Certificate 054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured In accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber 1 NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits In accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify onformance to industry standards for lumber grade and glueline bond quality. x'18 x I LI) 112- `I 1Z '2)/ 12- `Ij�' r Or w��co�P a _ r � on s ze SFAL V :. by— �,, a, Thomas G. Williamson Executive Vice President SHIN ENGINEERED WOOD SYSTEMS to a related corporation of ARA — THE ENGINEERED WOOD ASSOCAr/ON 7011 South 19th St aot • P.O. Box 11700 • Tawmo. WA 98411.0700 Telephone; (263) 586-8800 • Fax Numper. (253) 5857286 J=OK 0 = Not OK ble Not Applicable . = NtReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'It. / PNat. or/ /"LW PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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 Cana 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; Soiis-Size-Depth-Spacing-Connectors-Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Vofts-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 D = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UN2FRFLOOR (Plansl OK except #'s 2 F ., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth ♦,/ C_ tg , Garage; Soils-Steel-Elec. Grnd.-/ t /" Ftg. Depth .. Porches & Decks: Soils -Steel-/ /" Fto. Depth 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped ers-Fire lace Ftg.-Steel Z_W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 .AF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test IT Water Pipe; Test -Anchors -Regulator -Service Test 12. lectric Underground 1�52'lenums & Ducts; Clearance -Material -Support -Ins. ders-Sills-Anchor Bolts-Joists-Vents-Crippies 1 K Access & Ventilation 16. Insulation Date rCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM (Permit) OK except #'s ter Htr.; Vent -Access -Combustion Air Baffle 1 i : Test & Anchor -Nail Protection 1 .V.; Test Fittings & Anchor -Nail Protection 11_,9-6.5 ikbS . Shower Pan; Test, First Floor -Tub Access 21. Tet Tub & Shower, Second Floor -Tub Access as Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date I:0- t q -cam Card B-1 S. Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 25! Receptacles Spacing -Lights & Switches at Doors 2&. -'Size, Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. OLEV'p. Ground made up w/Meth Fasteners -Bond Gas & Water ` 9,�2 J�ppliance Circuits in Kitchen & Conductor Size GFI ubfeed Wire Size/ /oa. Cu or AJ -A. C. Wire Size/ /qa Cu or Al 31'Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al 9;ulated Neutral 0 Yes O No E Se ice -Riser Conductors & Ground Main Disconnect E u' . Clearances Panels -Motors -Meth. Equip. a4-tothes Closet Light -Shower Light -Spa Light 15`5moke Detector Date JO -(C( -CC Card B-1 S Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s IT -A 6ucts Insulation & Support 3 . Verit Fan, Exhaust above insulation 3&-f-Eldensate Drain & Overflow, Size & Grade 3 . um =Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40 is Access & Platform if Furnace in Attic Date Card B-1 OA -b S, Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41f. SKProoer Materials & Anchors 4�-tags Studs -Nailing Spacing & Braces -Plates -Sound 4&, -Searing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) (45rFire Stops, Furred Ceilings -Stairs -Chasers -Tubs & Beams -Size & Bearing Date FR! AMG (Continued) Hansters-Post Caas-Anchors-Connectors 4$if_11reTbist-Rftr. Ties-Purlin-Roll Brac: Truss-Shtinq_ Rtnq. 49-'Firepl a Ties or Type AFlue-Fireplace Throat Clearance cess; Size & Romex Protection -Draft Stop -Ins. Baffles n. Windows or Lxiting Doors -Sill 1 lge Fire Protection Framin -RCLC SAy Line Firewall & Openings Doors -One T -Check Garaqe 3rd �' 55. Stai ;. Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 1p-Zq.05 "S„SOStucco Mesh -Drip Screed -Fd. Vents-Underflr. Access IFing Area -Glass Protection -Skylights -Plastic &DeooShear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings E;; -Walls -Windows Date 10-11-o Card B-1 taAJio Is. Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52506 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 10/13/2005 APN: 041-620-056-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and Site Address: 4472 CASA SIERRA VISTA PAR effect. z gyp// ,,(( License Class: �— J License Number: ebb c�`1' Map Index: Date: . I K-.Oy Contractor:�jg_L —C rtJGgLtt S Description: POOL MASTER#01-500 � OWNER -BUILDER DECLARATION , I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: KETTLE, CHRISTOPHER &STACEY Business and Professions Code: Any city or county which requires a ' permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for .such permit to rile a 16 SLOPE OAKS CT signed statement that he or she is licensed pursuant to the provisions of PARADISE, the Contractor's State License Law (Chapter 9 commencing with Section CA 7000) of Division 3 of the Business and Professions Code) or that he or 95969 she is exempt therefrom and the basis for the alleged exemption. Any 530 877-0849 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars (8500).): ❑ I, as owner of the property, or my employees wilh.wages as their sole compensation, will do the work, and -the- structure is not Intended or offered for sale (Sec. 7044, Business and Professions Applicant: PERFECTION POOL AND SPAS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one 172 E 20TH ST year of completion, the owner -builder will have the burden of CHICO, CA 95928 proving that he or she did not build or Improve for the purpose of 530-895-0437 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 Contractor: PERFECTION POOL AND SPAS pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 172 E 20TH ST Date: owner: CHICO, CA 95928 530-895-0437 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for, by Section 3700 of the License #: 566654 Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: 272 - 0002 Ste°) Total Square Ft: 0 S. F. El I certify that In the performance of the work for which this permit Is In as to • Valuation: $0.00 issued, I shall not employ any person any manner so become subject to the workers' compensation laws of Callfornla, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. �. • J QJ Date: r. Applicant WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), 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 her by Issued under the able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 CIV.) Resolutions to d work Indicated abo fo hlch fees have been paid. / �/C� Date: By:/O Name: .� /(/ 6 (� PERMIT EXPIRES ON: c� Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the over. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of a unty. I hereby 'authorize r !pre se livv^es��of��Butte Count enter upon the above mentioned property for Inspection purpose Signature: x, Print Name: tH'( 1J Iy�el� Date: JContractor O Owner '. 13 Agent for Owner 0 Agent for Contractor iBUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.neVdds "PLEASE PRINT CLEARLY" AP LICANT SIGN URE X 'r, For office use only: r OWNER Last Name irst Name �tTi-, t G l!(L! S Address ,;� �,�-� ije(5 t°+a...C�/�-�, City S Name Stated Zip Phone o% 7 ngf State Fax E-mail Map Book AP LICANT SIGN URE X 'r, For office use only: r ARCHITECT/ENGINEER CONTRACTOR L� Name i r� City G o (G0 State Zip Phone Map Book Address E-mail Planner State License Number City C c0 State d Zip9,59 2-a Phone Fax E-mail Lic. # Class AP LICANT SIGN URE X 'r, For office use only: r ARCHITECT/ENGINEER Name L� Address i r� City G o (G0 State Zip Phone Map Book Fax E-mail Planner State License Number AP LICANT SIGN URE X 'r, For office use only: r APPLICANT NAME Name L� Address :.t - S J 17 2P1 Ee��il City G o (G0 Stat 7� Zip Phone Map Book Fax r E-mail Planner AP LICANT SIGN URE X 'r, For office use only: r Zoning Pr perty Address 2� 5l v Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# X41 �20 C� Pr perty Address 2� 5l v Cit y "'o Cross Street WORKER'S COMPENSATION Policy Number "2 -7 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Other�l 6 �/k, Total LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage -�-- ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date .of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg ' SRA Receipt #:J Z F� Sheriff SMIP !/^Date: Other�l 6 �/k, Total Page 1 of 2 REV 2-24-05 D5 a5D COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET llwww.buttecounty.net/dds OWNER: I ASSESSOR PARCEL NUMBER n Proposed Building Use: Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets; with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 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 AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings. ❑ 12. Hazardous Material Form. ffL-: 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan rEview upon receipt of the following items.) EOJ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable Ki7. ❑ 16. Fire Sprinklers ❑ 17. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 18. Soils Report and/or Engineered Foundation required. ❑ 19. Erosion Control Plan Required. ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 21. City of Chico Plumbing permit. ❑ 22. Site plan and business license approval from the City of Biggs. ❑ 23. California Department of Forestry plan approval ❑ paid. l� 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Contractor's license information. (Number, Name Style, Classification). ❑ 29. Worker's Compensation Carrier and Policy Number. ❑ 30. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 31. Letter of Signature authorization. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. ❑ 33. Existing violations and/or expired permits. ❑ 34. Deed Restriction. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ❑ 36. Other: ❑ 37. Other: When issued Telephone 995- 046`7 and hold for pickup. I have been informed of the aboveitemsand requirements for obtaining a building permit. Applicant: Dm 12 S*l TT, Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees, and other department costs are not refundable. Original -Applicant 05 0QS__D COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I �- ASSESSOR PARCEL NUMBER 0 ^ -05 `Y Proposed Bu'Iilding Use: OD - Permit Technician: Date: (, Items required in order td apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 8 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. , - _ , , ❑ 2: Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3'or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5: Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ A. 14. Other Repaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) d�V 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable . 122 kjl�) ❑ 16. Fire Sprinklers............................................................................................ O 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required ................ ....................................................... ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of ForestryIan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: of- (B)Parking: (C) Parcel Check:..... 25. Contact Land Development about _ Improvements, _ Drainage ........................ .T 26. NPDES Form.............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization......................................................:............. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement.. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other:ry . When issued Telephone g�5" k_� T" 6`7 and hold for pickup. I have been informed of the above litems and requirements for obtaining a building permit. Applicant Date: �V Date: 1. Index permit applicatio for the above items numbered: ­^` Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: -11_1 Structural approved by: Date: Note transfer by: Dat . Yellow: Building Divg ,t,P e.w. use ONLY Plot Plan Attached Floor Plan Atuchad Santo G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /2 15 V, p, � � CS1 5,�� 411 -41 110-9 Owner Location AP# Plan Approved for: Sewage Disposa Water Supply: Public\ Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: 43 Environmental Health Pecialist 8/96 Date SITE PLAN REVIEW APPLICATION Date: ' AP# O'Y/ - lyd-o ,o j-�a Permit Number (if applicable) Od 2"c - APPLICANT INFORMATION . Owners Name: Owners Address Telephone No,: _ Situs Address: Proposed Use: Parcel Size: P /C[=/TLb=,, :,f/h f Atc C owg F / 00 -UA a Sox,- CK - Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition " ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building Other: Brief Explanation (if necessary): YAK/ .D d. �/if -f► (I .. i i TK rn/ ,9 4:� Lj n S gt�s� DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) �oved El Conditionally Approved EJ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date -3/) ,'y O5- Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) 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: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 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 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------------------- 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 Envirorumental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4 of 5 ®epartm.ent J. Michael Crump, Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE] Project Description: PN-6;(z6on/f% 2cni— Project Location and/or Parcel Number: ©41 - CZo - o S � ��z By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Cie t -J Date::oS Less than l Acro NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5124/04 Butte County Department ol'Developnelit SSei-vices 0 %3 r ° 7 County Center Drive . ° Oroville, CA 95965 0 = ,1G ` o `°� (530) 538-7601 Telephone ° ,m , ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or re uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: LAieor'j t_Ca..l APN: 64( Building site address: 441 Z e V l sm Permit No.: A-r—ADIe SE- I have read, understood and accept the terns and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: I- '! U, � - - � 614 . '7. 1+�0 SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BidgPermitwithoutClearances 020705 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES.- - BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP051196 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: 07/22/2005 APN: 041-620-056-000 the Businessland Professions Code, and my license is in full force and effect. License Class: /_5 License Number: �/ L�/1 Site Address: 4472 CASA SIERRA VISTA PAR Date: 2-z 0 !Contractor. /� CoAi l ,C,) Map Index: Description: NSF (3169).GAR ,(84.0). COV (439). '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 -••••a=-••••�. Owner: KETTLE, CHRISTOPHER:& STACEY------.--, permit to construct, alter, improve, demolish, or repair any structure, prior; •. ; I _ x• `- to its issuance::,also requires the applicant for such permit to file •a - • • •s f : 5 1 signed staiement•.tliat he or she is licensed pursuant to the•.p�ovisidns of, 'Contractor's M �',<<',�''16 SLOPEi:OAKS CT < theState -License Law (Chapter 9'commencing-with°Section } 7d00).of Division• 3 of*ib Business and Professions Code) or that he or,'' -_ PARADISE, CA she°i exempt therefrom'land the basisforthe alleged exemption.. Any. _: - ;:; , • , . 95969• violation'' -of Sectwh' 7031.5 by any applicanf for a permit subjects the, applicant.to a civir;penalty!of not more than five hundred dollars ($500).).:_ J :.'.(530)877-0849 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not �..r., ijjtended,orof(ered„for,sale,(Sec ..7044..Business. and Professions„ ..T .. ,,.,• .....:, ..-....,.:..,..,. �.. �.... ,.. ,.,,_..... �,�...r..:.. x.,., ,• ...,.....,..--, .,.:_,. _.,.... Code The; Contractors'• State License Law does-not'apply to an Applicant: KETTLE CONSTRUCTION owner of;property who builds or improves•thereon,. and,who does _such.w6rk,himself or her.selfor'through.his or her own employees, 16 SLOPE OAKS CT prgvioed,that.such improvements are not intended,oroffered for PARADISE, CA sale. If however, thebutldmg o'r improvements' are'sold'within one year ofcompletion, the owner -builder will have the burden of 95969 proving that he or she -did not build or improve for the purpose of 530_877_0849 sale.). 1.11., as, owner.,,.of..the, property„_am. exclusively, 6ontracting,:with, � « licensed contractors.to.coristruct the .project (Sec. 7044, Business and Professions Code; ..The Contractors' State License Law.does not -apply to an.ow.ner of property who builds or,improves thereon, Contractor: KETTLE CONSTRUCTION and who contracts. for, such projects with a contractors) licensed pursuant to -the Contractors' State License Law) r _ ,_ 16 SLOPE OAKS CT .- •” • PARADISE, CA95969 ❑ .,,"1 am Exempt,under Article 3 of the Business and,Professions.Code i t "d ' Date © Owner �2&+� e 530-877-0849 s,••-= WORKERS:. COMPENSATION.DECLARATION I hereby affirm under penalty ofpeduryone of the following declarations: License #: 626251 ❑ ave and. will maintain a certificate of consent to self -insure for workers•'{compensation_ras provided for.,by Section 3700 of the Labor Code,•for the performance of the work for which this permit is issued �• ..:,.•.: �.[... a :34.<a. -...;. �, .:. •. �''I —Architect: Y a..<o, .,.w. . o n, . ,+-a . ..-..., w a,r au. •. n n.. ..� a .. •..• ..vr� O have and ,will maintaln.,workers' compensationinsurance,~asy a Engineer: PURSELL, FRANK JAMES „ required•by.Section,3700.the Labor Code, for the performance of .the work for -,.Which this permit is issued. ,My workers' compensation insurance'crrier-and policy.number are: Carrier: Total Square Ft: 4448 S.F. Policy #: Valuation:. $233,169.00 w.. - „> �� >., . _ ..:::; , „F.� .. .: ;. �: • .,.,... Nd I certify that Wthe:performance of.the•work for•whicFi this permit is Census Code: nissued. -•I�shall not:employ'any' person-in;any manner•soaas to become.,subject.to:the'workers'• compensation laws. ofi California. and-agreethaf,.if,:1 should;, become' subject :to'the ::workers' ! ��•0�: compensation provisions of Section 3700 of the Labor Code I shall ..forthwith comply with those provisions _. r J Date:' S4 gPPhcanth�* ,-� LY�'r l ` I j WARNING Failure to secureworkers compensation coverage, is unlawful, landshall subject an employer to criminal penalties 'and one jjjlll ! 7�W hundred'.triousand dollars'-($100,000);'^irr addition to' -the cost of compensation; damages' as provided for iri Section 3706 of the Labor ,code, interest and attomey s'fees. x, .<..: a . ,.. . - .._... ,. ..v.� . .. . `•- k , CONSTRUCTION LENDING'AGENCY ': , s,- • : • •• • 1 hereby aff on that there is a construction lending agency for the - ' ' This permit is hereby issued under the applicable provisions of the Butte Count Codw ?nrUOr Resoluti • ns to do work frit' ted ab ve f r which fees have been paid. ;7 performance of the work for which this permit is issued (Sec 3097 Civ.) yy� Name: By Date: PE MIT EXPIRES ON: / p Address:_„ ' Dat . tiv.�.+u-•...,.�.--...p..-.s,..i....,t..aaa.. N.v,a-.°•no....'. w. h -...,_i ❑ hhereby certify;that the use oL,this facility.shall_comply with.Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling;arid use, of, hazardous materials. �. ;,,,„:.• ,•,,; ., « ❑ .' Notification'in accordance wittiSection'19827.5 of California Health 6 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, e— that I have read this' application. that the above information js correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with .. all countyand state laws relating to.building construction, I acknowledge itis unlawful to alter the substance of any official form or document of B tte County. I hereby authonie representahves of Butte County to enter upon the above mentioned property for inspection purposes. Print Name�'Y2i;S " -f�L�/ "''' '” Signature: Dater tiwner;rac ACContractor • 13Agent for Owner 0 Agent for Contractor �UT.�'�. BUTTE COUNTY o O DEPARTMENT„OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION o O AND SUBMITTAL REQUIREMENTS O O 24 HOUR INSPECTIONC OROVrLLE: (530) 538-7636 • CHICO: (530) 891-2834 0 ~' • apti OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION , COU 14 Website: www.buttecounty.net/dds , 1 **PLEASE PRINT CLEARLY** ` 10 CONTRACTOR OWNER Last Name � C First�Ja/�S � Address City4x)0Stat E-mail Lic. # at X15) Zip Pho e927—.9.9' 7 -p Fax E-mail Page CONTRACTOR Name Address 0,-4/,c_5t7— City 5. State Stat Pho e9 7'7, O Fax E-mail Lic. # at X15) Clas ARCHITECT/ENGINEER Name Address Address Snn R 0 t= City Stat Zp? S '6 Phone 3 _ ZI 3 Fax E-mail .. u b State Li 7W APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AP# 0q,-(0 z_ ©S(o Zoning Q V)j I Flood Zone SRA s No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 15 • 1RP 1� � LOCATION AP# 0q,-(0 z_ ©S(o Property Address CAS A S 'Cs 2A U,S Cross Street Q/V 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 Description or Scope of Work: w S' -'l t=;�7 9es * t�a`1 GCr Sq. Footdge 3 1 ❑ Structure Built without Permits ❑ Proposed .Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Amount: , G Bldg SRA Receipt #: Sheriff ' tf,3� Y6 SMIP �� Other Date: } - 0 Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only).. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued, however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 utte County Department of Development Services DNNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538-7601 Telephone 30) 538-7785 Facsimile FROM SUBJECT: 1 Q DATE: WILLDAN Scott Rutherford, (530) 538-7160 srutherfordl@buttecounty.net Plans Transmittal For Review Per Contract 5/6/2005 Applicant: Kettle, Chris Permit No: 05-1196 Project Type: NSF/Gar/Cov APN: 041-620-056 100% 70% Plan Check Fees $• 1,453.06 $ 1,017.14 $ 1,453.06 $ 1,017.14 W ILLDAN Fee $ 1,017.14 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: g ASSESSOR PARCEL NUMB O - 6210. 615 Proposed Building Use: Permit Technician:OM� Date:y! Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde t • apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. -:16 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Sy 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. -5-, 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non-heafed and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form IS, 13. Acknowledgement of building permit application without required clearances. `❑ 14. Other Re a Ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... C� 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the Ci y of Biggs ............................ 23. California Department of Forestry Ian approval aid. Sent b9. 1 7- 24. Planning approval for (A) Use:��(B)Parking: (C) Parce! Check:....... ❑ 25. Contact Land Development about _ Improvements, -Draina e ........................ T. 26. NPDES Form............................................................................................. [R -A 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... k1 = 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits ............................ :............................. ' I ❑ 34. Deed Restriction....................................................... :.................................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �� ( ��'"i`' ! and hold for pickup. I I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewe b : Date: i Structural approved by: t Date: Note transfer by: Date: -7 114 Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER A. P. #'6 x �0 PROPROSED BUILDING USE j�� DATE —S/'5/'/6 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ c' 2. SCHOOL DISTRICT FEE (paid at School District Office) (form avai able r Plan Check) 3--!kJFEES (paid at Building Division) Resi tial............ X $360.00 =$ Units Commercial . ftg.)..... X $0.03 Q�'14. 5. �q.rtg. RECREATION DISTRICT FEES1-\ (paid at Recreation District Office) (form available after Plan Checkfi' Cv�,C RESIDENTIAL DEVELOPMENT IMPACT FE_E COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning_ r 44 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # q� $200.0 (paid at Building Division) t. SMIP f '3 -';� in 9. OTHER 10. OTHER 11. OTHER r0 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT 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 project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Ppi,TM�r.; r OVA A�L1C VWq ®epart ment C o u n t y J. Michael Crump, Director of Public o f B u t rf Works t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES). Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACRE1 Project Description: S )V? S l T Q, -V7 d /t' Project Location and/or Parcel Number: CASA `LER44 G 1'S IA By sighing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board fora project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: A t/Z Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelopnent Services °�%J,T r ° 7 County Center Drive ° ° Oroville, CA 95965 0=: 0E, (530) 538.7601 Telephone c0I1N (530) 538-7785 Facsimile �y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans exarnination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. a I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: /61S , '/' X/ APN: d `711 6 2 G - GS-( Building site address: Cllsll- Si'e2ll,4 V t"5�tA Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: /s SI ATURE OF APPLICANT DATE r,,.,., t,, e...,u—t/FN/pa� K:FonrL BldePermitwithoutClearances 020705 BUTTE•COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �AIZA�ljc: 05: . t W Building Department No. //7b A.P. Number �'�� ZD -0 S6 Jurisdiction: City County Property Owner Property Location/Address 4V-72- olr5Ay/S 7-4 Subdivision Lot No. Dis 'ct Identificatiori No. � � � —71 tit "jg hoot District certifies that, - G f •� (Streel4ddress) AY; (State) has`col`(mplled with the requirements of Resolution No. r representing /(D y square feet. /J. '; �"" - School District Representative Paid by Check # Remarks: l s (Applicant) (Phone Number) Code) by payment of $ r 2926 : LL MItIGATION $ Date Notlos: You may protest the Imposition of the fess Iden Ned above by submitting a wrftton protest to the District. In compliance with Government Coda Section 66020(x), within 90 days from the date fess are paid. Failure to submit a timely written protest wlll'prohiblt you from challerrging the Imposition of the foss In any court action. If. subsequent to the School District Representative signing this -Butts County Schools Impact Fes CertlNatlon Fon►, time School District Is notllMd by the applicable Local Planning Agency that this proieet Is being rwlewed under the California Environ mental Quality Act (CEQA), this projeet.moy be aublect to additional school (onto fully mItlgsts.Ns Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm .................................. _..... .....................:..._._................_............ Residential Development Q/ Q Q Q Sq. Footage /6 No of Living Mobile Home Addition( 'Supplemental to (Group R) Units Installation Conversion Permit # •(Nofoundation Inspection) ................................................................................................_...; Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q f. Sq. Footage New Addition (Including Exterior Roofed Areas) Building Der6rtKent Representative Date t N Dis 'ct Identificatiori No. � � � —71 tit "jg hoot District certifies that, - G f •� (Streel4ddress) AY; (State) has`col`(mplled with the requirements of Resolution No. r representing /(D y square feet. /J. '; �"" - School District Representative Paid by Check # Remarks: l s (Applicant) (Phone Number) Code) by payment of $ r 2926 : LL MItIGATION $ Date Notlos: You may protest the Imposition of the fess Iden Ned above by submitting a wrftton protest to the District. In compliance with Government Coda Section 66020(x), within 90 days from the date fess are paid. Failure to submit a timely written protest wlll'prohiblt you from challerrging the Imposition of the foss In any court action. If. subsequent to the School District Representative signing this -Butts County Schools Impact Fes CertlNatlon Fon►, time School District Is notllMd by the applicable Local Planning Agency that this proieet Is being rwlewed under the California Environ mental Quality Act (CEQA), this projeet.moy be aublect to additional school (onto fully mItlgsts.Ns Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm i0° JIN .�?s/ BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) MCA-140CM'PRy WO:�► 1 Assessor Parcel Number (s) 1:9Y1400—t"56 Building Permit Number 5A05_l/?6 Property Owner (s) 1Z6--77_Z_Cr_ Project Location /Address V L/ 7 Z_ Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) Ll ---verified by Building Department Comments: ❑ FR.RPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number 16 F64- Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: ' Paid by Cash: and Park District rnV h AC\ n.4_.or erg., i—A fnr rev I Am per unit fora total of $�0._ g . old per sq foot for a total of $ Receipt No: 0 Lt LQ1 E.H. USE ONLY Piot Men AttscMd o/ Floor Ran Anschad f Sena to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for —"'dwelling. Other 41, Ccs i�TTi9 G�° ,E6 a r� Hold final for: Final clearance O.K. for: NOTE:II Environmental He 8/96 I. _ «.._. SITE PLAN REVIEW APPLICATION Date:. y ;,� 7 - 0 `DAP# 0 .S .6, Permit Number (if applicable) 0 " V l Bin Number APPLICAJUINFORMATION Parcel Size: Owners Name: C Owners Address: xia____ Gas 0- 95:2L, Telephone No.: _ "% 7 — o IR, (% Email: Situs Address: CC-_-4_ck_ . C COUNTY Proposed i1se. MAY 10 1005 Residential New Single Family Residential 1 ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition DEVELOPMINT SERVICES ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other [ Septic ❑ 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 " ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By "zwv A. t Date 0 S Page 1 of 5 PI 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) N SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) o Flood Zone: Flood Panel No.:(cy-7 .-(.Index Date: $� ❑ Sacramento River Reclamation District (Approval must be obtained from the C li ornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 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 2of5 m Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -----------------------------------------------------------------------------------------=------------------------------- Subdivision Map Special Fees ❑ 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/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑mental Heal Meet current Environmental Department requirements Page 3 of 5 It Subdivision Map/Parcel Map: v� c, Map Date of Recording: 101311((, Lot: Book:_$- Page: 3 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and'designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. n Page 4 of 5 x 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAUTTys\Building Permit Site Plan Reviewl.doc -aa-off Page 5 of 5 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify circ��r^s+ances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan d®: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: ( �ri S ���=XC Phone: 77 Mailing Address:%G 5/00.�4/GS C,% /�-�i2 �'Ji (% 212 S E -Mail address Assessor's Parcel Number: O`%/ — 6Z 6 0C(—!; Reason you believe you qualify for the unusual circumstances exception: ` tl'1 v J' S iC7 or Authorized Agent's signature 7-0 Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: ..................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Buildincl) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/1/03 OWNER'S STATEMENT We Lime Saddle 1993 Partners LP. a California Limited Partnership, Vinelle G. Conway as successor trustee o/ the Conway Family Trust as General Partner a owner of the land shown on the annexed map of s Cosa Del Rey, Planned UnitDevelopment Subdivision, Unit No. 3 and Mid Valley Title and Escrow Company as Trustees under eed o: Trust recorded May 2. 2001, under Recorders Serial No. 200 1-001 889 7 Butte County, California do hereby certify that weore the only persons whose consent is necessary to pass clear title to sold land and we consent to the preparation and recordation of said map as shown within the heavy border lines. We hereby offer for dedication and for specific purposes the roliowing: 1. Public Service Easements as defined in Section 83% of the State of California Streets d Highway code forwater lines, sewer lines. dralnoge pipes and ditches, gas lines and !o• underground wires !or electric, telephone and cammunlcation service together with any and ail eppurlenances appertaining thereto, under those strips of land shown on sold mop and designated 'Public Services Easement- P.S.E.", for the benefit of all Public Service Companies. 2. Rights of ways and easements for water drainage pipes and ditches together with any and all appurtenances oppertolntng :hereto. under or over those strips of land shown on said map and designated "Drainage Easement - O.E.' and for the benefit of Casa Del Rey Homeowners Association, including Unit No. 1, Unit No. 2 and this Unit No. 3 as shown on this map. We hereby create lo, specific purposes the following ACKNOWLEDGEMENT STATE OF CALIFORNIA ) S.S. COUNTY OF BUTTE ) On •$ep�- dY 1(,171 2001, before me the undersigned. a Notary Public In and for sold Slate, personally appeared : Af c FYc G. Cc.r 4� c _ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose n me(s) is/are subscribed to the within Instrument find acknowledged tome that he/she/they executed the some In his/her/their authorized copocity(les. and mat by hs/her/their signature(s) on the Instrument the persons) or the entity upon behalf of which the person(s) acted executed the instrument. Signature N (Printed) _ Commission expires Principal place of business A. Lot "H" .3 shown on said map and designated as -COMMON AREA", for public ACKNOWLEDGEMENT vice', s wage ell.p... I and drainage facilities together with any and allcppure:enonce. thereto, for me benefit of the Casa Del Rey homeowners, Including Unit no. I, Unit No. 2 STATE OF CALIFORNIA and this Unit No. 3 to be reserved In the deed conveying, the property to the COUNTY OF BUTTE 3 S.S. Horne Owner. Association. I B. Lot "G- as shown on said map and designated as a "COMMON AREA.', for Ingress end On SCPIal egress, public services and all other purposes for me benefit of the Casa Del Re 2001, before me, the undersigned, P Y a Notary Public In and for s91d Stale. personally appeared Homeowners, Including Unit property Unit No. 2 and this Ass rat 3 to be reserved in n 'S,,,,t }rrr the deed conveying the properly to the Home Owner's Association. Lime Saddle 1993 Partners LP, a California Limited Partnership Vlnette G. Conway as Successor Trustee of me Conway Family Trust, as General Partner f• �/ Vlnelte G. Con , Successor Trustee Mid Valley Title and Escrow Company By. R S_ -- Title: V. 'R _ personally known to me (or proved to me on the beats of sotlsraetory evidence) to be the penon(s) whose nome(s) i./are subscribed to the within instrument and acknowledged to a that ha/she/they led the sa a In hi./her/their authorized copacity(les), and that by hfs/her/their signature(s) on the Instrument the person(s) or the entity upon behalf of which the pernon(s) acted executed the Instrument. Sianalure I-,-04 v' WOOdlWct- Nome (Printed) Commission expires Principal place of business rN:L r C1)4'C. CLERK OF THE BOARD �O_FI_S�U�PERVISORS �1mo I do hereby certify that on -- , 2001, the Butte County Board of Supervisors offically approved this subdivision map of Case Del Rey Unit No. 3. The receipt of satisfactory security to insure taxes which are a loin but not yet payable was ccknowledged. The dedications shown as items 1 and 2 in the Owner's Statement hereon and offered for dedication were accepted on behalf of the entities named. Clerk o/ the B6bwd of uperviaws By? J Oe/ sly SHEET 1 OF 3 SHEETS SURVEYOR'S STATEMENT I, Hollis Lundy hereby stale that 1 a a Licensed Land Surveyor of the Slate al California, that the annexed map of Casa Del Rey Subdivision Unit No. 3 correctly represents a survey made under my supervision in September, 2000, that the survey is true and complete as shown, that the n ents shcu rid hereon ..let and ore of the character ad occupy thei,-mons indicated and are sufficient to enable the survey to be retrcc.d. Hollis Lundy L.S. 6373 1 COUNTY SURVEYOR'S STATEMENT I Stuart Edell Deputy County Surveyor of the County of Butte do hereby certify that I haw examined the annexed mop or Casa Del Rey Subdivision Unit No. 3 that if is substantially the some as appeared on the tentative map on File, and any cpprowd iterations thereof the' all provision of the Subdivision Mop Act of the Stale of California end any local ordinances applicable at the time of approval of sold tentative mop have been complied with and I am satisfied that the map Is technically correct. Doted 0-1-6 "A e1 2- Stuart Edell R.C.E. 29132 Deputy County Surveyor Reg. expires 3/31/03 RECORDER'S STATEMENT Ned this day of i tW , 2001, et 9: ai a m o'n Book of Mops, at Pages) 87- B9 0l the request f L h L Surveying. Serial No. 4001- s Q C M Signed: Candace J. Grubbs County Clerk -Recorder By�—/ �l Deputy CASA DEL REY UNIT NO. 3 A PLANNED UNIT DEVELOPMENT for Robert and Vinette Conway BEING A DIVISION OF A PORTICN OF THE NWI/4 OF THE Ni%4 OF SECTION o T 21 N. R 4 E. AND LOT 1 OF SECTION 1, T 21 N. R 3 E, MDM BUTTE COUNTY, CALIFORNIA SEPTEMBER, 2000 JOB NO. 92-02-021 B00K iS.Z 10196,• P7 LOt ^JPS 56-61UNIt NO. 1 w 4' 1, chain)li1nk ACREAGE TOTALS 49 DEL REY ne:,`andenOf ite I n CAS SCALE V-60' -$m fence Pe. TOTAL UNIT 3 21.04 ACRES 101 Maps 9 IN LOTS 6.21 ACRES - - ' LO7 G - COMMON AREA 1.59 ACRES ON a, ai 35.00 R1 �^ 174,22 4� LOOT H - COMMON AREA 13.24 ACRES ti Lc) .Q n� 915.55' L a. (�F <o O. ~.� N `< S 05'15'26^ E LEGEND COMMON AREA CO. 20.65 Or'P,P ?� O c . i 692.34' LOT C 700.14' _ O FOUND 1/2^ REBAR LS 6373 PER (R1,R2) O.� J 24.28' OR MONUMENT AS NOTED ql,��r, A VISTA - O SET 1/2' REBAR LS 6373 41 O\ CASA SIE - - 666.74' 1 094... $p 1 Oo SET STANDARD S-11 STREET MONUMENT r•P�Ja1'p� ` 912, _ 5 05'15'26^ E- - - 4 1 4'-144.09.._ - - �O,$R - ID• PSE aT VI o' J o SET RAILROAD SPIKE _ - 16.54 CALCULATED POINT ONLY o9_ - -10 - ; CALCULATED C-24 A", 144. 3 � � o p 120.22RI RcCORD PER 149 MAPS 56-6110' PSE W '.g-lci� RZRECORD PER MAPS N575'26^W e ?ti RRECORD PER 101 MAPS 9 33.40(R2) �h $ a ♦\ a a O J a. r CP o < P.S.E. PUBLIC SERVICE EASEMENT CASA DEL REY, UNIT N0. Z / LF) rn w $ „ C n -J. D.E. DRAINAGE EASEMENT MAPS uryy/ v / L() < w < „ a ? 12 O c o J ! 10' PSE 1 ~ c BASIS OF BEARINGS / ~ O" !16.50'-ID-D.o0- - �� TP ,V0 Q A. n J o fOp'OV - ` SOS15'2@^E TME BASIS OF BEARINGS OF THIS SURVEY a \?�L' Jo - - 1�� 642.03_ "- o ` �@ 85.96' 20'0 IS THE WEST BOUNDARY OF SECTION 6 'au do 0' PSE - 100.40'4 0 COMMON AREA-�.0.-,ri `7S• 721 N, R4E. MDM BEING SO'09'14'w m� G' �- r3"571� - . - . LOT ' J7 S• /y PER (R1.R3) SOB'10,1R2) �� C�S�C-13 SS'IS'26•E- VISA 9.75 �gQ.49.- 99,4- In rnV I 1 e IQ m D_ 89.6 ter'- -•6- - CASA SIERRA - -99.94.. �.� G� LOtR1R0A PNS1Evy7S �. s69m96,~) ffa -o5t{3'5m 9 I)rc°<S.N'N.o i ISm^ IOJ� no ;p<•< . ��OJI'zanc :"j- 16.. W SOL QoC-11 75' DEDELka) IV PSE PE9g82S w3 Woo$I 9 W.5OE (o 0 , O uoa 7.6 DE a ZI .5' DE, IOJ� 1.2 oa2' $ ro I� _ H O Jd' g• PSEJ5.28' 90.00iz 5P90S.0E05 c J O n � o VI o 90.00' N VI J c 90.00' 9 6.50' 5051526�E 7.5' D 7 5' DE 120.10 SOS'15'2fi E g PSE 8 P90.00• N 05'15'26^ W 20.02' 101.31' D / 100.00' 40.00' LOT H m COMMON AREA � � w z� n � a 6 _SA47 PER R-17, Aly, NOTES THE EXACT LOCATION OF THE DITCHES AND RESERVIORS PER BOOK I OF PATENTS PAGE 222 AND BOOK I OF PATENTS PAGE 369 IS NOT DEFINED OF RECORD. THE EXACT LOCATION OF THE R/W PER 83 DEEDS 238 IS NOT DEFINED OF RECORD. THE EXACT LOCATION OF THE R/W PER 84 DEEDS 790 IS NOT DEFINED OF RECORD. THE LOCATION OF THE ROAD EASEMENT PER 1696 OR 266DOES NOT AFFECT THIS PROPERTY. THE PGdE EASEMENT PER 1757 OR 378 DOES NOT AFFECT THIS PROPERTY. CURVE I RADIUS I LENGTH DELTA C-22 150.00 30.14 11' L .. C-23 150.00 118.26 45'1016 C-24 210.00 10.86 2'57'45" C-25130.00 116.65 51'2444 C-26 R2 325.00 42.63 7'3058 279 R2 1. 72'1534 1, 2 185895.0000 25.71'4 C-29 160.00 IS'GO'39 C-30 36.59' 13'49 OS KUNKLE RES. ROAD S ERRA SITE '� DEL SOL •. N FER TRAIL 0 LOCATION MAP SHEET 2 OF 3 SHEETS r- - - - - - - - - - - - - - I 1 60' NON-EXCLUSIVE ROAD AND PUE PER 1696 OR 268 1 SEC. 6, T21N, R4E FD 3/4^ IP LS 3634 S 00'09'14' W 246.50' (RI,R3) AS SE COR LOT I BASIS OF BEARINGS SEC 1, T221, R3E 16: PER (RI,R) SEC I, 721N. R3E 101 MAPS CASA DEL REY UNIT NO. 3 A PLANNED UNIT DEVELOPMENT for Robert and Vinette Conway BEING A DIVISION OF A PORTION OF THE NWI/4 OF THE NW1/4 OF SECTION 6 T 21 N. R 4 E. AND LOT 1 OF SECTION 1, T 21 N. R 3 E. MDM BUTTE COUNTY, CALIFORNIA SEPTEMBER, 2000 JOB NO. 92-02-021 L & L SURVEYING 1007 BRLE ROAD PO BOX 671 PARADISE, CA 95967 (916)877-4300 N 'ao" O O O J J J NOTES 1. LOT IMPROVEMENT AND DEVELOPMENT CAN OCCUR AT ANY LOCATION WITHIN THE CONFINES OF EACH OF THE INDIVIDUAL 56 RESIDENTIAL LOTS. 2. NO BUILDINGS ORSTRUCTURES SHALL BE ALLOWED WITHIN THE COMMON AREA OF THE P.U.D., EXCEPTING THE RECREATION BUILDING AND STRUCTURES RELATED TO THE PARK AND RECREATION AREAS. 3. IF DURING CONSTRUCTION, ANY ARCHAEOLOGICAL REMAINS ARE DISCOVERED ON SITE, CONSTRUCTION SHALL CEASE AND A PROFESSIONAL ARCHAEOLOGIST SHALL BE CONSULTED AND A FULL EXAMINATION SHALL BE COMPLETED. 4. DEER MITIGATION FEES ARE TO BE PAID AT THE TIME OF OBTAINING BUILDING PERMITS IF SUCH FEES HAVE BEEN ADOPTED BY THE BUTTE COUNTY BOARD OF SUPERVISORS. 5, ALL FENCING ON THE PROPERTY SHALL BE CONSISTENT WITH THE DEPARTMENT OF FISH AND GAME STANDARDS FOR THE DEER FENCING. FISH AND GAME STANDARDS ARE NOT APPLICABLE TO THE RECREATION FACILITIES SUCH AS THE POOL, BALL FIELD AND TENNIS COURTS. SECURITY FENCING FOR THE RECREATION VEHICLE PARKING AREA SHALL BE APPROVED BY THE DEPARTMENT OF FISH AND GAME. LOT H COMMON AREA SCALE 1'-60' a f� O J O O J s, `SPP F, O LOT C COMMON AREA CASA SIERRA VISTA — — — — - - O d I Lr) I / Lf') U,� Lr) O J I� O J ~ O J J _ COMMON --'-' — CASA SIERRA VISTA Ln d- __j_ N 'ao" O O O J J J NOTES 1. LOT IMPROVEMENT AND DEVELOPMENT CAN OCCUR AT ANY LOCATION WITHIN THE CONFINES OF EACH OF THE INDIVIDUAL 56 RESIDENTIAL LOTS. 2. NO BUILDINGS ORSTRUCTURES SHALL BE ALLOWED WITHIN THE COMMON AREA OF THE P.U.D., EXCEPTING THE RECREATION BUILDING AND STRUCTURES RELATED TO THE PARK AND RECREATION AREAS. 3. IF DURING CONSTRUCTION, ANY ARCHAEOLOGICAL REMAINS ARE DISCOVERED ON SITE, CONSTRUCTION SHALL CEASE AND A PROFESSIONAL ARCHAEOLOGIST SHALL BE CONSULTED AND A FULL EXAMINATION SHALL BE COMPLETED. 4. DEER MITIGATION FEES ARE TO BE PAID AT THE TIME OF OBTAINING BUILDING PERMITS IF SUCH FEES HAVE BEEN ADOPTED BY THE BUTTE COUNTY BOARD OF SUPERVISORS. 5, ALL FENCING ON THE PROPERTY SHALL BE CONSISTENT WITH THE DEPARTMENT OF FISH AND GAME STANDARDS FOR THE DEER FENCING. FISH AND GAME STANDARDS ARE NOT APPLICABLE TO THE RECREATION FACILITIES SUCH AS THE POOL, BALL FIELD AND TENNIS COURTS. SECURITY FENCING FOR THE RECREATION VEHICLE PARKING AREA SHALL BE APPROVED BY THE DEPARTMENT OF FISH AND GAME. LOT H COMMON AREA SCALE 1'-60' 6. ALL RESIDENCES SHALL REQUIRE A TWO CAR GARAGE AND THE DRIVEWAY SHALL BE UTILIZED AS TANDEM PARKING TO MEET THE PUD STANDARDS FOR OFF-STREET PARKING. 7. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FAOL171ES SHALL BE PAID PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS OR USE PERMIT IN THE CASE OF A MOBILE HOME PARK. SAID FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT OR USE PERMIT. B. ALL FOUNDATIONS SHALL BE DESIGNED IN ACCORDANCE WITH THE AUGUST 17, 2001 GEOTECHNICAL INVESTIGATION FOR THE CASA DEL REY SUBDIVISION, RANEY GEOTECHNICAL JOB NO 011-786.01, ON FILE WITH THE BUILDING DIVISION OF DEVELOPMENT SERVICES. 9. PRIOR TO ISSUANCE OF BUILDING PERMITS THE APPLICANT SHALL PROVIDE FINAL GRADING PLANS AND IDENTIFY ANY CUT OR FILL SLOPES THAT EXCEED 5 VERTICAL FEET IN HEIGHT. THESE SLOPES SHALL BE REVEGETATED IN COMPLETE PHASES AND VERIFIED BY THE PLANNING DIVISION PRIOR TO ISSUANCE OF BUILDING PERMITS FOR THE NEXT PHASE. THE FINAL 2 PHASES SHALL BE COMPLETELY REVEGETATEO PRIOR TO ISSUANCE OF BUILDING PERMITS ON THE LAST PHASE OF THE PROJECT. 10. FIRE HYDRANTS SHALL BE PROVIDED PER COUNTY FIRE DEPARTMENT STANDARDS AND ALL NEW DWELLINGS SHALL MEET THE FIRE SAFE REGULATIONS OF PUBLIC RESOURCES CODE 4290. SHEET 3 OF 3 SHEETS N O J THIS ADDITIONAL MAP SHEET SHOWS ADDITIONAL INFORMATION, IS FOR INFORMATIONAL PURPOSES ONLY, DESCRIBING CONDITIONS AS OF THE DATE OF FILING AND IS NOT INTENDED TO AFFECT RECORD TITLE INTEREST. ADDITIONAL INFORMATION SHEET CASA DEL REY UNIT NO. 3 A PLANNED UNIT DEVELOPMENT for Robert and Vinette Conway BEING A DIVISION OF A PORTION OF THE NWI/4 OF THE NWI/4 OF SECTION 6 T 21 N. R 4 E, AND LOT I OF SECTION I, T I N. R 3 E. M M BUTTE COUNTY, CALIFORNIA SEPTEMBER, 2000 JOB NO. 92-02-021 L & L SURVEYING 3a) K / 5-2 PAG' £ 69.1 a f� O J O O J 6. ALL RESIDENCES SHALL REQUIRE A TWO CAR GARAGE AND THE DRIVEWAY SHALL BE UTILIZED AS TANDEM PARKING TO MEET THE PUD STANDARDS FOR OFF-STREET PARKING. 7. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FAOL171ES SHALL BE PAID PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS OR USE PERMIT IN THE CASE OF A MOBILE HOME PARK. SAID FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT OR USE PERMIT. B. ALL FOUNDATIONS SHALL BE DESIGNED IN ACCORDANCE WITH THE AUGUST 17, 2001 GEOTECHNICAL INVESTIGATION FOR THE CASA DEL REY SUBDIVISION, RANEY GEOTECHNICAL JOB NO 011-786.01, ON FILE WITH THE BUILDING DIVISION OF DEVELOPMENT SERVICES. 9. PRIOR TO ISSUANCE OF BUILDING PERMITS THE APPLICANT SHALL PROVIDE FINAL GRADING PLANS AND IDENTIFY ANY CUT OR FILL SLOPES THAT EXCEED 5 VERTICAL FEET IN HEIGHT. THESE SLOPES SHALL BE REVEGETATED IN COMPLETE PHASES AND VERIFIED BY THE PLANNING DIVISION PRIOR TO ISSUANCE OF BUILDING PERMITS FOR THE NEXT PHASE. THE FINAL 2 PHASES SHALL BE COMPLETELY REVEGETATEO PRIOR TO ISSUANCE OF BUILDING PERMITS ON THE LAST PHASE OF THE PROJECT. 10. FIRE HYDRANTS SHALL BE PROVIDED PER COUNTY FIRE DEPARTMENT STANDARDS AND ALL NEW DWELLINGS SHALL MEET THE FIRE SAFE REGULATIONS OF PUBLIC RESOURCES CODE 4290. SHEET 3 OF 3 SHEETS N O J THIS ADDITIONAL MAP SHEET SHOWS ADDITIONAL INFORMATION, IS FOR INFORMATIONAL PURPOSES ONLY, DESCRIBING CONDITIONS AS OF THE DATE OF FILING AND IS NOT INTENDED TO AFFECT RECORD TITLE INTEREST. ADDITIONAL INFORMATION SHEET CASA DEL REY UNIT NO. 3 A PLANNED UNIT DEVELOPMENT for Robert and Vinette Conway BEING A DIVISION OF A PORTION OF THE NWI/4 OF THE NWI/4 OF SECTION 6 T 21 N. R 4 E, AND LOT I OF SECTION I, T I N. R 3 E. M M BUTTE COUNTY, CALIFORNIA SEPTEMBER, 2000 JOB NO. 92-02-021 L & L SURVEYING 3a) K / 5-2 PAG' £ 69.1 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 21 -Jul -2005 2005-0042608 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date1�PROPERTY OWNERS: State of California ) County of personally appeared `1-CGCe�i �P. �Q� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS mi h nd and official I. HEIDI GOMEZ r ��`• >m: SignatureSAA.Seal: O_a, ;� Comm. #1397691 _ NOTARY PUBLIC CALIFORNIA 0 ' BUTTE COUNTY -1 ` _� ^ Vty Commission Expires Feb. 2, 2007 A.P. # Preliminary Report Description Order No. BU -221009-2 MV The land referred to herein is situated in the State of California, County of Butte, and is described as follows:.. PARCEL I: LOT 48, AS SHOWN ON THAT CERTAIN MAP ENTI'T'LED, "CASA DEL REY, UNIT NO. 3,'A PLANNED UNIT DEVELOPMENT', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 87, 88, AND 89. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED AUGUST 31, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-33726, BUTTE COUNTY, CALIFORNIA AND DECLARATION OF ANNEXATION, RECORDED MAY 3, 2002, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2002-23024; 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 041-620-056-000 PARCEL 31: AN EASEMENT FOR ROAD PURPOSES OVER LOT A, RV STORAGE OVER LOT B, AND SEWER DISPOSAL OVER LOT C, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY UNIT #1 WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 25, 2000, IN BOOK 149 OF MAPS, AT PAGES 56 THROUGH 61. . PARCEL FII: AN EASEMENT FOR INGRESS AND EGRESS 40 FEET WIDE LYING 20 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA., DESCRIBED AS FOLLOWS: THAT PORTION OF THE LANDS OF ROBERT CONWAY BEING A PORTION OF THE NORTHWEST ONE QUARTER OF THE NORTHWEST ONE QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.M, AS SHOWN ON THAT CERTAIN RECORD OF SURVEY FOR ROBERT .CONWAY, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEVIDER 22, 1985, UNDER BOOK 101 OF RECORD OF SURVEYS, AT PAGE .9, MORE PARTICULARLY DESCRIBED AS FOLLOWS: CONTINUED Preliminary Report PARCEL III: CONTINUED Order No. BU -221009-2 MV BEGINNING AT THE NORTHWEST CORNER OF SAID SECTION 6; THENCE NORTH 890 28'22" EAST, ALONG THE NORTHERLY BOUNDARY OF SAID SECTION 6, 868.88 FEET TO A POINT ON THE WEST RIGHT OF WAY LINE OF PENTZ-MAGALIA HIGHWAY AS SHOWN ON SAID RECORD OF SURVEY, SAID POINT ALSO BEING ON A NON -TANGENT 5040 FOOT RADIUS CURVE, CONCAVE EASTERLY FROM WHICH A LINE TO THE RADIUS BEARS NORTH 840 08' 57" EAST; THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE THROUGH A -CENTRAL ANGLE OF 30 32' 13", A LENGTH OF 311.13 FEET; THENCE SOUTH 90 23' 16" EAST, 654.00 FEET TO THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED EASEMENT; THENCE SOUTH 800 36' 44" WEST, 344.00 FEET TO THE END OF SAID EASEMENT. PARCEL TV: AN EASEMENT FOR PUBLIC SERVICES AND DRAINAGE PIPES AND DITCHES OVER COMMON AREA LOT E, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 2, A PLANNED UNIT DEVELOPMENT"', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 84, 85, AND 86. PARCEL V: AN EASEMENT FOR INGRESS. AND EGRESS, PUBLIC SERVICES, AND OTHER PURPOSES OVER COMMON AREA LOT D, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 2, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, 1N BOOK 152 OF MAPS, AT PAGES 84, 85, AND 86. PARCEL VI: AN EASEMENT FOR RECREATIONAL FACILITIES, PUBLIC SERVICES, SEWAGE DISPOSAL AND DRAINAGE FACILITIES OVER COMMON AREA LOT F, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 2, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 84, 85, AND 86. PARCEL VII: AN EASEMENT FOR INGRESS AND EGRESS, PUBLIC SERVICES, AND OTHER PURPOSES OVER COMMON AREA LOT G, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 3, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 87, 88, AND 89. CONTINUED Preliminary Report Order No. BU -221009-2 MV DESCRIPTION - CONTINUED PARCEL VIII: AN EASEMENT FOR PUBLIC SERVICES, SEWAGE DISPOSAL AND DRAINAGE FACILITIES OVER COMMON AREA LOT H, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 3, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 87, 88, AND 89. ;,y :}I .; AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE -- OROVILLE, CA 95965 2005-0042608 Recorded I REC FEE Official Records I County of I CONFORMED COPY 1.00 Butte I CANDACE J. GRi1BBS I County Clerk-Recorderl I I BW 09:46AN 21 -Jul -2005 I Page I of 4 16.00 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date��u` State of California County of PROPERTY OWNERS: before me, personally appeared `-CaC w �_�_ �a� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m h nd and official I. 6�p•01 tN HEIDI GOMEZ Y� •' F r Signature Seal: O =WV. � �.... Comm. #1397691 aO NOTARY PUBLIC CALIFORNIA Q BUTTE COUNTY -1 pd , �� - My Commission Expires Feb. 2, 2007 A.P. # Preliminary Report Description Order No. BU -221009-2 MV The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: LOT 48, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 3,'A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 87, 88, 'AND 89. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED AUGUST 31, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-33726, BUTTE COUNTY, CALIFORNIA AND DECLARATION OF ANNEXATION, RECORDED MAY 3, 2002, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2002-23024; 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 041-620-056-000 PARCEL II: AN EASEMENT FOR ROAD PURPOSES OVER LOT A, RV STORAGE OVER LOT B, AND SEWER DISPOSAL OVER LOT C, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY UNIT #1"; WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 25, 2000, IN BOOK 149 OF MAPS, AT PAGES 56 THROUGH 61. PARCEL III: AN EASEMENT FOR INGRESS AND EGRESS 40 FEET WIDE LYING 20 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: THAT PORTION OF THE LANDS OF ROBERT CONWAY BEING A PORTION OF THE NORTHWEST ONE QUARTER OF THE NORTHWEST ONE QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.M, AS SHOWN ON THAT CERTAIN RECORD OF SURVEY FOR ROBERT .CONWAY, FILED INTHE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 22, 1985, UNDER BOOK 101 OF RECORD OF SURVEYS, AT PAGE .9, MORE PARTICULARLY DESCRIBED AS FOLLOWS: CONTINUED F Preliminary Report _� Order No. BU -221009-2 MV PARCEL III: CONTINUED BEGINNING AT THE NORTHWEST CORNER OF SAID SECTION 6; THENCE NORTH 89° 28'2211 EAST, 8'22'- EAST, ALONG THE NORTHERLY BOUNDARY OF SAID SECTION 6, 868.88 FEET TO A POINT ON THE WEST RIGHT OF WAY LINE OF PENTZ-MAGALIA HIGHWAY AS SHOWN ON SAID RECORD OF SURVEY, SAID POINT ALSO BEING ON A NON -TANGENT 5040 FOOT RADIUS CURVE, CONCAVE EASTERLY FROM WHICH A LINE TO THE RADIUS BEARS NORTH 840 08' 57" EAST; THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 3° 32' 13", A LENGTH OF 311.13 FEET; THENCE SOUTH 9° 23' 16" EAST, 654.00 FEET TO THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED EASEMENT; THENCE SOUTH 800 36' 44" WEST, 344.00 FEET TO THE END OF SAID EASEMENT. PARCEL IV: AN EASEMENT FOR PUBLIC SERVICES AND DRAINAGE PIPES AND DITCHES OVER COMMON AREA LOT E, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 2, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 84, 85, AND 86. PARCEL V: AN EASEMENT FOR INGRESS AND EGRESS, PUBLIC SERVICES, AND OTHER PURPOSES OVER COMMON AREA LOT D, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 2, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 84, 85, AND 86. PARCEL VI: AN EASEMENT FOR RECREATIONAL FACILITIES, PUBLIC SERVICES, SEWAGE DISPOSAL AND DRAINAGE FACILITIES OVER COMMON AREA LOT F, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 2, A PLANNED UNIT DEVELOPMENT-, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 84, 85, AND 86. PARCEL VII: AN EASEMENT FOR INGRESS AND EGRESS, PUBLIC SERVICES, AND OTHER PURPOSES OVER COMMON AREA LOT G, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 3, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 152 OF MAPS, AT PAGES 87, 88, AND 89. CONTINUED Preliminary Report '� �' DESCRIPTION - CONTINUED PARCEL VIII: Order No. BU -221009-2 MV AN EASEMENT FOR PUBLIC SERVICES, SEWAGE DISPOSAL AND DRAINAGE FACILrMS OVER COMMON AREA LOT H, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CASA DEL REY, UNIT NO. 3, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 31, 2001, IN BOOK 252 OF MAPS, AT PAGES 87, 88, AND 89. W117 I LLDAN Ma s Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com June 27, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 .(530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1196 Assessor's Parcel No: 041-620-056 Description: Kettle-NSF/Gar/Cov Willdan Project No: 14353-1606 Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheets 1 of 4 dated 3/16/05 by Chris Kettle. * Structural Calculations Two (2) copies dated 4/18/05 by Jim Pursell, P.E. �k Truss Calculations: Two (2) copies dated 4/27/05 by Design Assistance �k Energy Calculations: Two (2) copies dated 4/27/05 by Robert Mangrum, Paradise Mechanical # Miscellaneous: Two (2) copies EOR's Truss Review letter dated 5/22/05 by Jim Pursell, P.E. The plans have been stamped with the Willdan approval stamp and dated. 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. � J On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. _ 1 A W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was 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 (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the permit documentation. The covered deck and open deck figures are not listed on the permit application. Butte County may recalculate the building permit fee based on this information. Specific Use Type of Occupancy Type of Construction Stories Total Sq Ft Dwelling R-3 V -N 1 3169 Garage U-1 V -N 1 840 Covered Porch/Patio R-3 V -N 1 *439 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and notes as redlined on the plans. 3. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Michael LeBeau Plans Examiner Ricardo Guzman, S.E. Structural Engineer Cc: Alice Mefford, amefford@buttecounty.net Jim Pursell P.E., 2360 Baldwin Ave, Oroville, CA 95966, Fax (530) 534-0902 Chris Kettle 16 Slope Oaks Ct. Paradise, CA 95969 Page 2 oft County of Butte 05-1196 Willdan 14353- 1606 PC2F It 1 7 4. 2 2' j 116.60' 23'0 patio eq Pool shall not be built on any easement. aC� Gates to pool shall open outward -self latching. + Any door opening onto the pool shall be on alarm of 85 dBm or greater. OFence shall be 5 feet, non -climbable. 0. i 2 2' patio v APPROVED r S,\ 44.19 i 90' j J J Chris Kettle 4472 Casa Sierra Vista Paradise, CA 877.0849 Owner APN: 041-620-056 .. Pool General Specifications Size: 30' x 15' Perimeter: 75' Square Footage: 365' Depth: 3'-6' Filter: Clean/Clear 420 Pump: 1hp uitraflow Skimmer model: Sta-Rhe Deck: 1' Perimeter ONLY Main Drain: Double Light: 500 wattwhite Clocks: Intermatic yellow dial Electrical by. Perfection Electrical bonding: Perfection Pool Cleaner: Letro Legend Chlorinator: yes Board: no Slide: no Plaster: white Install ext. switch for pool light All va^=r PERFECTIO ' fart566fi54 - t • 172. E. 20M St -1. CMCO CA 530.885.0437 t 7 4. 2 r e adnoNdde NOISlnla Maine 1 J r1 LtJ c a S • S C f f 1 V s t a