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042-010-103
NOTES RESIDENTIAL t. 042-010-103 '04-2450 ? PERMIT NO. — IIARTMAN, RICHARD F _ 587 ,NGEI,INA WY, CHICO Cont: UNKNOWN ti , NSF/GARAGE/COV AREA 4p 1T { 1 !rp` OFFICE COPY Address"J��- �2�/��� r GAS Meter By Date ELECTRIC �j 10 Meter By Date ``�� JJ I JOB rnv'a�w �oac —r .i Signature 44 5 r P� f .h { 1 !rp` OFFICE COPY Address"J��- �2�/��� r GAS Meter By Date ELECTRIC �j 10 Meter By Date ``�� JJ I JOB rnv'a�w �oac —r .i Signature J=OK 0 = Not OK . = N&Fl6dyable, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date 1. Zoning Requirements-Setbacks-Easements Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location-Test-Fall-C/O-Concrete PERMANENT END SYSTEM (ONLY) 4. Water; Location-Test-Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 2. Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect 5. 8. Utility Clearance 6. 4. Gas; MH Test -Demand -Valve Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 9. 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 8. Gas and Electricity Tagged 3. Gas; MH Test-Demand-Valve-Connector 11. 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 10. License Decals 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval Date 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs-Type-Installation Cert. Date 10. Exits; Insp.-Sketch Card B-1 11. Cert. of Occupancy MISCELLANEOUS Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 3. 1. Zoning Requirements -Setbacks -Easements 4. 2. Footings; Size -Spacing -Marriage Line 5. 3. Blocking 6. 4. Gas; MH Test -Demand -Valve 7. 5. Electricity; MH Test 8. 6. Water; MH Test 9. 7. Water and Sewer Connected 10. 8. Gas and Electricity Tagged 11. 9. Exits 12. 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric • t 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses ► 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings - 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) + =Not Ready , Date UNWAFLOW(Plans) OK except #'s lj'"(j ' 2L. -Rig., M ip; Soils-Elec. GL4.-/ /"_FAII. Depth /„ orches & Decks; Soils -Steel-/ . /" Ftg. Depth 2, 10 1 V---' 51-,5temw2W, Main; Steel -Bloc Wiped 6a. V61d Downs and Special Anchors Slab, Steel -Wrapped 8. P -Fireplace Ft .-Steel 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 Date 'D Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s ater Htr.; Vent -Access -Combustion Aiqgafflv ater Pipe; Test & Anch -Nail P V; Test Fittings & Ancho ail ctio -�� . Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access ap/C-;as Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date,S. 27-oS- Card B-1 0AJ j S , Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection $5,-Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. E;guip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI ,Sabfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al jpsulated Neutral ❑ Yes I] No ervice-Riser Conductors & Ground Main Disconnect . Equip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light a&-'Tmoke Detector Dates -2% -GL's Card B-1 DQJD S . Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Du Insulation & Support 37 xhaust above insulation aw'condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic DateS-27-QS Card 8-1 J)aJo S . Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #' 41. Sills Pr aterialschor 42-VValls Stud Na ' pacin Braces Plates Sound 43. Bearing Walls over Girders•& Floor Nailing Draft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMI (Continued) Han ers- Post Caps -Anchors -Connectors . ding. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 490Fire ace Ties or Type A Flue -Fireplace Throat Clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles &1-15drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. G rage Fire Protection Framing -RC Channel roperty Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco esh-Drip Screed -Fd. Vents-Underflr. Access 9. GI g Area -Glass Protection -Skylights -Plastic r W ; Nailing -Bolts ra enor/Exterior Wall Panels 6 tion -Walls -Ceilings 6a-Walls)'ndows Date f _� -O Card B-1 Date n. ,ff Card B-1 Dates Zi—OS Card B-1 S', Date Card B-1 Date FINA ans) OK except #'s 64— E teps-Door & Sidelight Protection -Landings SJck✓s Detector urna Vents -clearance -Comb, Air-Connector- arage; Above Floor-Ducts-Mech. Protection B Exiting & Bath Fixtures & Tub Access -Spa Elec. T. m & Subpanel, Breaker Sizes & Labels 70. S s & Rails 7 Firepl or Stove, Clearance -Hearth 72. . Outlets at Wood Panel, Int. & Ext. 70'.'Ki�xt. Appliance; Ground -Air -Gap -Cooking Clearance 7AeSee'Outlets & Receotacles at Kit. Counter 7tr—A.g�,Kuct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. iGR6'rage; Above Floor-Mech. Protection PI - ec. & Mech. Equip. Listed for Location c. Beceptacles in Garage (F.F.I.)-Romex Protection la ion -Foam -Looked in Attic ,Qvdilrd Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cletfr'ance Looked underfloor 0 Yes, / ❑ No/PlantersSYes 0 84. 88"AS/. [Jnit Disconnect, Electrical -Plumbing W. Venjs-06ve Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 . er Well, Disconnect, Electrical, Plumbing 8 . rior Elec. Trim, G.F.I. Receptacle -Underground . Veptilation Throughout House ,��qpKectipns from Previous Inspections G est -Meters Tagged, Gas -Electric 92f.W & Sewer Connected -C/0 to Grade -HD Approval 9 ergy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkl Date —/-O Card B-1 Date Card B-1 Date Card 13-1 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 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds 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. License Class: License Number: Date: Contractor: 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 five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions 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 -builder, will have the burden of proving that he or she did not build or improve for the purpose of sale.). 0a/ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ '1 am Exempt under Article 3 fnthe,Business and F ofe, slons C e CA - Date: I ' 0 5 Owner: S fel WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 (his permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier: — Policy 9: la I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:. Applicant: ' u ` h 1 WA NI G: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: PERMIT NO. BP042450- Issued Date: 01/06/2005 APN: 042-010-103-000 Site Address: `f bc6_� A n(p t( e -fl c�_ Map Index: N I Description: NSF (3004) GAR (1259) COV (746) Owner: HARTMAN RICHARD E & TOINETTE M 2863 CHICO AVE CHICO, CA 95928-9570 Applicant: RICHARD E AND TOINETTE M HARTMAN 2863 CHICO AVE CHICO, CA 95928 530-892-2199 Contractor: GARD M ANDERSON CONST 3020 HEGAN LANE CHICO, CA 95928 530-342-6138 License #: 508703 Architect: Engineer: Total Square Ft: 5009 S.F Valuation: $237,412.00 Census Code: This permit I�iss the applicable provisions of the Butte County Ct+dA ai Resolution bove for which fees have been paid. By. Date: I �) PERMIT EXPIRES ON. Address: M 1.11 (vale)_ ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and tharl am the owner or the duly authorized agent of th owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It is unlawful to alter the substance of an fGcial form or document of Butte Count . hereby authorize representatives,, of Burl -lee County to enter uppoo/nJ the above enlioned property for inspection purposes. Print Name: �G /'y I t j� ' j'�'`�� 1 Signature: L Dale: 1'0wner ❑ Contractor ElAgent for Owner 0 Agent for Contractor 10001 , GREGORY A. -PEITZ ARCHITECT 383 RIO UNDO AVE., STE.100, CHICO, CA 9S926 (530) 894-5719 Manufacturer Insulation Fact Sheet CertainTeed C'' This is CertainTeed Corporation Insubafe 4 CertainTeed© sie<. na Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 6 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation'isinstalled with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- MINIMUM POUNDS PER SQ. FT. THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of Should not be installed insulation should less than: not be less than: (lbs.) (in.) 60 36.5 27 1 0.986 22 49 29.6 34 0.800 1872 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 1072 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'2 11 6.6 1 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and 518. Complies with ASTM C 764 as Type 1 insulation. r THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. Based on a desigh"density of 1.6 pcf/25.6 Kg/m3. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM, SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 572 16 19.8 51 I R 0.533 4 15 17.9 56 0.483 31/8 14 1 17.3 58 0.467 3'2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means, resistance to heat flow. The higher the R= Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. ill CertainTeedM inlbed° Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation Homeowner Name / Jobsite Name ^ 1 _c) Uaiwe Addre3s �I 1 63 Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: [n.) 60 36.5 27 0.986 22 49 29.6 34 0.800 1 B'h 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 - 10'/2 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51h 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each' R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED.LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. r 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 R -VALUE AREA (SQ. FT.) INSULSAFE 4 BAGS USED BAITS/ROLLS (✓) CEILINGS (THICKNESS v WALLS / I FLOORS _j THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each' R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED.LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. r 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 LAI.NOTE - 16'-4' 12'-4' TILE 2,-4. 6'-112'L. 2'-4' 3' 6YP. BO. AT CL6. TO BE 40409H 40409H INSTALLED OVER RW C WL AT 16'-O.C. V6' X q' 24P.V4 61B.. 4209' r— I TILE 4 I FM2 0 n I RA" 0 20� O 51001 0 I o s 4 P —In, I ni v 'n r S I/6' x 9' 24F.V4 618. 4,0' y51 o p� PATIO �oEIL,N6 _ Z• S 3J ' *AS KJ4.W/P.T.VALVE I /i7gT I �H S DISCHARGE TO 05. r--------- . 2. n ATOP #16' PLATFORM I SEISMIC % D BOTTOM . j REPLACE lo ao OSAM ILIN9 Pb. r1 i 6 6O S.S.O. • 4 2 2'-6 ' 2'-2 O I 1 fa 51NK PREFAB C 10" CZLIN6 LAM. Rl32 n I I PROVIDE W.R. 6YP. BO. I 000 TILE OR FIBEROLAS5 L ---------- q AT WALLS OP SHOVER TO MIN. 10' ABOVE DRAIN 4,0' ? p a INLET, rYP. O F LAUNDRY RM. 2' 90CEILIN6 LAM. • GL6 I 20 W/ SELF 1 LAI.NOTE Q 6ARA6e WALLS AND CL6. F1 N. 1 TO BE S/6' TYPE 'X' 6YP. W. TILE . r 6'-112'L. 2'-4' 3' 6YP. BO. AT CL6. TO BE INSTALLED OVER RW C WL AT 16'-O.C. --� v' IEll r— I TILE 4 I FM2 0 n I RA" 0 20� O 0 I o s 4 P —In, I ni __. .�� • • � .,=..111 100 CZIU" TILE I T --� v' IEll r— --� 4030 XO 0 4X4 Posry �oPCF o 'n r S I/6' x 9' 24F.V4 618. -W 4'CZILINS C,OIY.RETE 6UE5T/OF�IGE B U ` -T E C O C�' Ih l - y CARP sys'nv2•vsl. BUILDING DilI slo xo Posy ulrDax 6. TRuss P P O t Ifry/fit xo'V 4 ARCH O/ 43' 43' �! A�g GREGORY A. PEITZ ARCHITECT 783 Rio Undo Ave. Chico, CA. 95976 (570) 894-5719 Q— 1-7 4 fX YV ------ Q �A p 4°2 /VRGH O/ lOb' ov 106' 25'-4' STORAGE ROOM REVISION for: RICH AND TONI HARTMAN CHICO CALIFORNIA 4 �✓�� l �W®. C 21283 REU.� Q STET 1 OF, one BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 0,'5- 0 9-52;"" Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING Oy2-Dido —I n3 A -lam OWNER PHONE NO: A0,M 530 Z--2-1 OWNER'S ADDRESS LOCATION OF BUILDING D" Sno r- Nctft4 P(Z-oPER:N b / FA ST o r tis -POEZ L I JE - USE OF BUILDING i40Re:-EJ30AP-tW%JL, NZ-"� SIZE OF STRUCTURE (� � � O X � _ Z y.Ot) so. FT. TYPE OF CONSTRUCTION: � WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE Coo C vZ N S�t'4LL ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 20/REARiC FRONTO' ) y SIDES AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the require m nts i effect at that time and before occupancy. / f 7 Date 11.) 2^ 0 S Signature of Owner Permit Fee -$109.98 9 The above described AG Building is exempt from a building permit. Receipt No.��G� �l Manager Buildi Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds 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. License Class: License Number: Date: Contractor: 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 five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder. will have the burden of proving that he or she did not build or improve for the purpose of �/ sale.). ud I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdissions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves (hereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O '1 am Exempt under Article 3 f the Business and P ofe sionps �C� e Date: I ' (25 Owner: uivv 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: l�' I certify that in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I. It -t)5 Applicant: LA'' u PERMIT NO. BP042450" Issued Date: 01/06/2005 APN: 042-010-103-000 Site Address: -,� Map Index: Ck r C-7 Description: NSF (3004) GAR (1259) COV (746) Owner: HARTMAN RICHARD E & TOINETTE M 2863 CHICO AVE CHICO, CA 95928-9570 Applicant: RICHARD E AND TOINETTE M HARTMAN 2863 CHICO AVE CHICO, CA 95928 530-892-2199 Contractor: GARD M ANDERSON CONST 3020 HEGAN LANE CHICO, CA 95928 530-342-6138 License #: 508703 Architect: Engineer: Total Square Ft: 5009 S.F. Valuation: $237,412.00 Census Code: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 'I' -V1- flit hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. L•lF-!"Y`-�, CONSTRUCTION LENDING AGENCY This permit Is hereby iss d under the applicable provisions of the Butte County Code ?i I hereby affirm that there is a construction lending agency for the Resolution�onbovefor which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) Name:— By: Dater PERMIT EXPIRES ON. Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that'l am the owner or the duly authorized agent of th owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of an fficial form or document of Butte Count . hereby authorize representatives .� of ButteCountyto enter upon the above �entioned property for inspection purposes. Print Name: �� /fv ETTE jVl ' t ' ," " Signature: Date: LY Owner ❑ Contractor O Agent for Owner O Agent for Contractor � r BUTTE COUNTY �t„�-'�•3 PERMIT DEPARTMENT OF DEVELOPMENT SERVICES ,,q- q NO. BUILDING PERMIT APPLICATION AND, SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER CONTRACTOR Last Name HIM irst N e v i `'l arLt J Address A�3�� l City /� I. I C v State zipq5u 7 Phone l b Fax Fax E-mail Planner APPLICANT NAME CONTRACTOR Name fCl�l��(0�1� 11.i� f►1�,� Address 3S,RIO L f NDO Mg City h(w State Zip r Phone gq i `C / 51, Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name C-1VCa � Address 3S,RIO L f NDO Mg City h(w State OA Zip � 4 Phone gq i `C / 51, Fax E-mail Planner State License Number APPLICANT NAME Name 0 W N Address City State Zip Phone Fax E-mail APPLICAN SIGNATURE X iu�w - Lfmf M,&V.\,j For office use only: Zoning AP#. Flood Zone J 0 I f0 J9_5L SRA I Yes City Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: Description or Scope of Work: Nome, ooh L�5 Cvt/ i�(p 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who .paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER EOR.SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 by: Amount: I T84, ga—Bldg 7\ ' SRA Receipt #: I % �j� Sheriff C�V -3 DateOther : l Total RCv /-1/-V4 LOCATION AP#. J 0 I f0 J9_5L Property Address City Cross Street ml 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: Nome, ooh L�5 Cvt/ i�(p 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who .paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER EOR.SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 by: Amount: I T84, ga—Bldg 7\ ' SRA Receipt #: I % �j� Sheriff C�V -3 DateOther : l Total RCv /-1/-V4 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 BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN 1NIC ❑ 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a pen -nit 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 Merunas 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 KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 1 REV 7-27-04 or \ - - - I I - .,f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number •Jurisdiction: E:: City' k r Property Owner Property Location/Address Subdivision Lot No. Residential DevelopmentCJS 11VILivinQ g MbbSq. Footage ileHome Addition/ *Supplemental to (GroupIR) Units Installation Conversion Permit # *(No foundation Inspection) ........................................................................ ! ...................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Commercial/IndustrialSq. Footage New Addition (including Exterior Roofed Areas) { laa�•6 Building Department -Reprisentlifive Date District Identification* No. School District certifies that'; (Street Address) �-h (City) has complied with the requirements of Resolution No. :r representing square feet. (state) 2926 a umil-ATInu School District Representative (Phone Number) (Zip Code) by payment of $ Date Paid by Check # Remarks: No**: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Govwnment Code Secdon 66020(a), within 90 days from the date fen are pald. Failure to submit a timely written protest warprohibit you from chall4riging the Imposition of the fees In any court action. If, subsequent to the School DWd Representative signing this Suits County Schools Impact Fee Certification Form, the School Dhftid Is iod by the applicable Local Planning Agency that this project Is being revinved under the California Enviroarnental Quality Act (CEQA), this project may be subject to oddftWW school fees to fully nitignte.fts Impact an the school dWbkft schools. White (applicant), Yellow (building department), Pink (school district) i feeform.xls I I 0103)dm.m }. • :.1-- r .. • ... r f .•.t.}, s . .. u r ..-•• r F•'w^RR-1'4n' �.h.^.� RM r n\vr M1. • --r. : V v r rr x 1 BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) `f oC ' O • I b Property Owner Project Location, Subdivision Lot Number(s) Total Number of Dwelling Units 0 i Residential Development: (check one) New Development Alteration/Addition Mobilehome(s) Non -Residential to Residential Demo permit issued (Date issued ) Verified by Building Department RecordsIt . Verified by Assessor Department Records Comment: Building Ddoartn\ent Re Date V Mobile home replaced v Chico AreaARecrea k'D ARD)'eertifies - = tibn and�'Paristrict ( that �' -� r� . i• 'd c /\ 1 C 13 Q.T-m 8r12_ - 2 19 (Applicant Name) (Phone Number) C.t i f �' i fJ'\i'�"-y Q Z��3 Cart- o R\IF_ (Street Address) / t rte,+ -? ;i `-%': 1 ?C.� ✓�, i ,, (City) (State) (Zip Code)',�,- h CAS has complied with the requirements of Butte Co. County Park Facility Fee p6rsuaritjo\Section 16-`'�f; 33 of the Butte County Code, Resolution No 5.02 effective August -23-2004: Payrn'ent;for, dwelling units @ $1,880.00 per unit, for total payment of $ CARD Representative Date - PAID BY CHECK NO. REMARKS: j BANK NO. PAID BY CASH RECEIPT NO. Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept.yi_F ;:. YIlTaL $1880.00 F.\ ... \parkfee.frm (Revised 7/30/04) .. ._ c.. , rr. � ._ .... ,.�...- .: fr.., tee•--�•- �.� .,,.n•.-..,......_ .= M .•..'„`�., _....� Y :�a.-.._.v'�a4��. .rel' � s. �� ;.•air. 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 I NUMBER /\ OWNER: G�� \G ASSESSOR PARCEL N ,U t C� ' v * l� U Proposed Building Use: IU J Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ordbfjto 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. p 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! �® 5. Letter from Engineer or Architect for truss design review. ' 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9.•,Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. Al of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 1.1. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings I ❑ 13. Detach6d Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ . Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ / Erosion Control Plan Required........................................'............................... ........ d 2 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 1k . 24. Planning approval (A) Use: 01-- (B)Parking: (C) Parcel Check: 10 7 oK ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... J126. NPDES Form.............................................................................................. ft -r 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ iPre-Inspection for required....... d, Contractor's license information. (Number, Name Style, Classification) ................... p� Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder. Verification (_ Given to owner, _Mailed to owner) ..................... o ,i. 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. 7 I have been informed of the above items and requirements for obtaining a building permit. Applicant: =� ft N� �I �U"IY► /iii"i l Date: o. v� 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items req Contractor, design , owne was advised of the above dafa by p one, ❑mail, ❑counter, by bate: Contractor, designer, bVner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: AL Date Structural reviewed by: Date: I Structural approved by: V.J 6 f L VV Date: Note transfer byq L� Date: Yellow: Building Division E.14. WE ONLY Plot Plan Attached Fiooa Plan Attached `i�w Sem to 6.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance O/D O Owner Lo tion AP# Plan Approved for: Sewage Disposal Clearance for ✓ dwelling. Other 15 • Hold final for: Final clearance O.K. for: NOTE: / ` - Vater Supply: Public Private Well 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE Z1. BUILDING PERMI --- Balance Due.......... --- Additional Fees Due vised Plan Checking Fee.... $ 4 - I J V!VISAHOOL DISTRICT FEES C - _�) "Ok (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) % Residential............ X $360.00 =$ Uni Commercial (sq. ftg.)..... 4. URBAN AREA FEES Residential (per unit)..... Commercial (Sq. Ftg.)... X $0.03 = $ Sq.Ftg. A.P. #€' 7t� 0(6- DATE T RECEIPT # rk (paid at Building Division) X =$ # Units Amt. X =$ j aq. rig. Amt RECREATION DISTRICT FEES (paid. at Recreation District Office) (form available after Plan Ch 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION #, $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... -X-=$ Sq. Fig. An t. 0. OTHER DATE REC. 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 INI u'tW,[_ DATE � I l "l b% 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. 2/2003) Department C o u n t, J. Michael Crump, Director of Public o f B u t t 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 ILESS THAN 1 ACRE1 Project Description: W Project Location and/or Parcel Number: D q� O 10 b 3 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. 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. n , Signed: Title: Date: cul qo, h �/Vu Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 s 4 COPY of Document Recorded 24 -Sep -2004 2004-0056630 >Y. Has not been compared•vith original t , BUTTE 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: LCT/,as s�'ou�nl o� TxAT cErtrA�,J MAS F►vnztE�" c�-kt�� ?RVME pRcNAa0S" wl+JcN MAP Why 2F_Le20fZ iN TN £ OFFLE_ 01P Ta+'¢- REc M_ °j _ME cov.vI-Y of J3\)'TI-E-, STAr'T_E_ o F &I Lt F'oitAh A; ou 000 . 3j t 913 1 AJ iot<_ I or MAPS 4T a, u_:- 2-7. Afs✓,,v5 i.� E,2 EREi2oM ¢ NoN-EX�ltJSty� �a�c+ruur 04 tA✓C�SS A4'1D4&ReJS *'00 'FOA PV&e s T,.,�qT �� �ronJ 0' Lor 13 4.11A16 wesrge Ly ar— 77•�f— 01 -AJ T �-iti� �1L Or MV0 e_I Rg SNe�wti1 onJ SA iifl MA.P. Date PROPERTY OWN RS: State of California ) County ofA cA ! ) On —// (` Q/ before me, personally appeared E. th1ffrhC1#t ahg ersonally 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 instrume WITNESS my h nd Vftd off ial s9al. Signature / Seal: . E61RM.41492433 ? F '.� "AP # ON1"`01'0' (03'=pap •;. '' ''" �w i �. �Myt�:Expi�eslYklrMtl►�a1�6 . • _ {,' CHECKLIST FOR SHIPPING PLANS TO.WILLDAN The f flowing items must be 'included when shipping plans to Willdan for plan check: over Sheet Copy of Permit �/ ` Copy of Site Plan Review Form with important items highlighted. (i.e. map conditions, site elevations if snow load area, fire sprinklers, flood zone, requirements for engineered foundations, etc.) (2) sets of plans with plot plans (1 plot plan stamped and signed by CDF if in SRA. Both sets of plans must be signed and stamped by the engineer or architect of record for mmercial construction or engineered structures.) (2) sets of structural calculations (Commercial or engineered structures) . y 2) sets of energy calculations (2) sets of truss calculations (Designed' for appropriate snow load) (2) wet stamped flood elevation certificates (If within a flood hazard zone) (2) copies of SRA requirements (If in SRA) Copy of geotechnical report recommendations (If a geotechnical report is referenced on the parcel map or subdivision map) V (2) copies of Residential/Commercial Construction Requirements (Blue Sheets) 1_/Residential/Commercial Plan Review Guide Butte County Air Quality Management District Rule 207 Form (If a fireplace or wood burning device is shown on the plans.) Code analysis for commercial construction (Must be included on the plans) ff—bermit history for commercial construction (i.e. copy of file jacket) • Enter date shipped to Willdan in Access • Place assembled plans and documents in shipping bags • Prepare shipping label • Call Willdanfor i u , Sent by: Date sent: K "I (A a -A— A WILLDAN Serving Public Agencies December 21, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Willdan Project No: 14353-1117 Jurisdiction Job No: 04-2450 Assessor's Parcel No: 042-010-103 Description: Hartman Residence, Lot 4, Angelina Road, Chico Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and. documents provided for this review that have been found in compliance with the applicable codes are: Plans: Two (2) copies (4 sheets) not dated by Gregory A. Peitz, Architect Energy Calculations: Two (2) copies dated 07/20/04 by Gregory A. Peitz, Architect Structural Calculations: Two (2) copies dated 03/25/04 by Gregory A. Peitz, Architect Truss Calculations: Two (2) copies dated 01/16/04 by MiTek Industries, Inc. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. n W I LLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Type of Sprinklers Stories 1" Floor 2nd Floor Total Sq Ft Occupancy Construction Sq Ft Sq Ft R-3 V -N No 1 3004 N/a 3004 U-1 V -N No 1 1259 N/a 1259 Covered V -N No 1 746 N/a 746 Porch/s CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerel , 4_ Isaac Kuster Gordon Wright, P.E. Plans Examiner Plan Check Engineer Cc: Alice Mefford, E-mail: amefford@buttecounty.net Toni & Richard Hartman, 2863 Chico Avenue, Chico, CA 95928 Page 2 of 2 County of Butte Permit N umber 04-2450 Willdan Project .Number ,14353-1117 SITE PLAN REVIEW APPLICATION Date: Lo%& y AP# Permit Number (if applicable) "e2L/6-0 APPLICANT INFORMATION Parcel Size: Owners Name: 4 Owners Address: Telephone No.: Situs Address: Proposed Use: �A &,t C/ e Residential ® New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential Accessory g5��Ie jv F] Permanent Second Dwelling ��l/ ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition - Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): CAt 'co ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 10 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior -to Approval Site Plan Stamped Approved LM Date 10 7 f 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) kQ� SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) o Flood Zone: X Flood Panel No.: A40 1 CI)'S O D 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: 01—l0 GP -OFC, 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 ao , Side Side Street Rear O , 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 5 Applicable Developn ent Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87. ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other T' `Formula ------------------------------------------------------------------------------------------------------------------------ Subdivision -------------------------------------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 pa Al Deeds: �v Cd n' Deeds:. A-VIY Date of Creation: t 1711 2 Legal Access Provided: ❑ No Yes. Deed of Reference: `t Q' Legal Access Required ❑'No ❑ Yes Parcel Frontage on Publicly Maintained Road: V No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: [I No ❑ Yes Comments: Q77V ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements --------------------------------------------------------------------------------------------- --------------------------------- t Page 3 of 5 Illy/ - pmotL 4,11 maJ_5 Subdivision Map/ParcelMap: Map Date of Recording: /* / 9/3 Lot: -q ❑ Use Permit/Minor Use Permit Permit Number: Book: 17 Page: oz7 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa A Page 4 of 5 t F El Summary of Specific Requirements: A ' This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 f Butte County Department ofDe velopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 7, 2004 Richard Hartman 2863 Chico Ave. Chico, CA 95928 Subject: APN — 042-010-103 Dear Mr. Hartman, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2450, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Attached, please find a copy of any use permits, or map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincer ly, ana Adler Assistant Planner r AFTER RECORDING RETURN TO: Butte County Public Works Dept. LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 NOTICE OF COMPLIANCE Assessor's Parcel Number: 042-010-106 COPY of Document Recorded 01" -Apr -2004 2004-0018292 Has not been compared with original BUTTE COUNTY RECORDER This Notice of Compliance is hereby issued by the County of Butte to certify that the condition(s) imposed on the Certificate of Compliance, recorded on January 7, 1992, under Butte County Serial Number 92-000646, have been fulfilled to the satisfaction of Butte County on property identified as: Issued to: Thomas R. & Sheila E. Vickery, Trustees of the Vickery Family Trust 15029 Woodland Park Drive, Forest Ranch, CA 95942 Property Location: On the north side of Angelena Way, approximately 1400 feet east from its intersection with Meridian Road. West Chico area. Description: All that certain property located in the County of Butte, State of California, more particularly described in attached EXHIBIT "A". This certificate relates only to issues of compliance or noncompliance with the Subdivision Map Act and local ordinances enacted pursuant thereto. The parcel described herein may be sold, leased, or financed without further compliance with the Subdivision Map Act or any local ordinance enacted pursuant thereto. Development of the parcel may require issuance of a permit or permits, or other grant or grants,of approval. Issuance of this Notice of Compliance is pursuant to the Butte County Code Chapter 20-167. State of California, County of Butte, on April 1 2004 before me, Thomas L. Blixt, Notary Public, personally appeared, Stuart Edell personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. County of Butte THOMAS L. BLIXT, NOTARY PUBLIC MART EDELL NOTICE OF COMPLIANCE - Page 2 f Thomas R. & Sheila E. Vickery, Trustees of the. , Vickery Family Trust AP 042-010-106 "EXHIBIT "A" All that certain real property situate in the County, of Butte, State of California, described as follows: BEING Lot 11, as shown on that certain map entitled, "Chico Prune Orchards", which ma0 was recorded in the Office of the Recorder of the County of Butte, State of California, November 31 1913, in Book 7 of Maps, at page 27. RESERVING THEREFROM a non-exclusive easement for ingress and egress and for public i utilities over that portion of Lot A lying westerly of the centerline of Mud Creek, as shown on said map. TOGETHER WITH all rights-of-way as shown on said subdivision map. END OF DOCUMENT , 92-000648 1 Total I Recorded I Official Records I County of I Butte RETURN TO: Candace J. Grubbs I .� Public Works Recorder I 1:23pm 7 -Jan -92 I PUBL X Land Development Section CERTIFICATE OF COMPLIANCE Issued to: Donald W. and Kathleen M. Mayes Jr. 4444 Bell Road' Chico, CA 95926 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on a private drive approx. 1400 ft. east of Meridian Road and approx. 1350 ft. north of Bell Road. Northwest Chico area. 2. - Assessor's Parcel Number: AP 42-01-42 Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: Being Lot 11 as shown on the subdivision map of "Chico ,Prune Orchards", according to the Official Map thereof, filed in the office of the Recorder of the County of -Butte, State of California, November 3, 1913 in Book "7" of Maps at page 27. TOGETHER WITH all rights-of-way as shown -on said subdivision map. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter'20-167 and Government Code, Section 66499.35 (b), to protect the public health and public safety: 1. Provide evidence that the parcel complies or can comply with the sewage disposal requirements of the Butte County.Flood Plain Ordinance. B%Lher rge P 42 1-4 55 nd 5 in on AP rn hi o�the a� po on Lo 10 the is ru Orcd st�b��s +jt not le ve eve d pi e o ro rty. County of Butte Subdivision Violation Committee END OF DOCUMENT END OF DOCUMENT . - .00 ` 1 ' - 4. 3. S. j 1. . y eN•U w a)%X e ra A. 10.sj $�� f 292A. 10.00A. 10.00A. 10.17A . �.v '• ,.e ]y=arw x _ 1OAOA. y_e eyrww saa.y 14. 13 18. r,.ay nq•ajw —A - `x' . c it. 12. 13. w.= O.w ]a•q'c c»x• ' e 9. 10. IaA, laA. w -a ])ryw =tea 10. A. 10. A. IPA. `t IAA ' \t•a +44 eaa« dale yw[wTwa.d\ld.ea ..ft •. ,�-,.Lx"' -.,_ �' [ �. ' .•r'O moe anew Aase\d. h:•.. .. , y4- � an�ada.daF.ad'+q on\d4,naty« 89. 'dl, !i 20. 19. ,..map\daaeewe.ce»,w.e. "• IO.IPA. I0. A. A - •S�' 'I ,iw i y .r IP;BA. - O.A. IP10. A. A. 10.A. I w 3L 28. 28 27. 28. E9 as — ' 7'S Sa'IPA. IPA. 3�•y�c+ y.( '� �a - 10." 7' IO.A IMA. S 10.4�A i �: `• � � t - ..,� w a couwrT wowo fww�i.,.y oma. � o••r .boa ..dam. ��ti �.. na .' ' LF�r�t.a,.r�.,� v� .J6:.*�� ..nmh-G..a...' .r•a...�-r dw...e.. - p - ,`r' orf o -..y aeaw •' �,wrs ...F.•+.. u -w �' F . 'ny�.l-x-i-j `.::?j r.,lvw rales sr lN=.x Pac]ca[f].N,d w.,F.aw.- a,accwc\>tai[.n1.�«. aMlc.+v •/M �c t7... p,..i�.....A+w.Crw.' ir.,..... �•••• *`. F, : ;; ;F✓+�. ;� Nywe.m «ma w'A aq ua ,.. on a� e..waw, awe Pepi.dma cANRR OT OVRC �.w..r.i��-...s r✓... -ti .s. a7••.n:.w.'....... s.......r.-.+ +s - .1{' - ttia ewO.wM wa. \.f.a..�'t\[,4M•Sler dao•Goweyde\aa.Ondad • ,•.e.e.[•+•�"'. r,r.. ,f.\.........r... r.,..iy......�.a... r.l.T .. 'w•.7 7 fy E•1 m«w a.. \ore .. e. «.vq.n oM \o,e mA',.. \da te. K,. p,wy>« w.�+:. « Kw.m....acM mann ,a yd pat M. a p+e0. - . '-T_ .�•:,. 'J�. ,Y •..Z. : - �n- ,16x'- _Y d «\\:wq .oa'\de y .elarr:wq aBeUet.R,e'.wWa\«la[xp`e(cwOaRaGNw'A.\R. CK]u,CAw...p. McwVdye \+ w\^W ,w� Rn\ae •daaw=e Fwawmm «\t9 T1 a,ard mM M AP OF TNC CHICO PRUNE ORCHARDS. �y�.yV��. � i 'f�� • by__�L•�/�wr.�j. �_ �'__�. "CM•_r��''•x'G'�.__ P1.OPCRTY Or Tr.0 Ca ' 1 t •;"' eta,= Of G1Ai,ORn\. 6T•TC OT Ge\1.OwN\a. K / ] - BUTTE COUNTY ORGM/CBDS CO. <•s �:�..4- ,=�z'Ez_:�� ow 'la�aq of aMw++. \,a.GVOva. ?w.qe. dN,.ewat ei 6dla,�mad - � Ci.,oea Cal�for.a:o. 'K . -';^a •: € ..3'. - -. j �� eaW,ary pl.M\iwab ... 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AQ yy - .tk It JFa- a:�-w+:.�i,:•.. \:...+ti �ww.,cn',....n.. _ ... .. .. - .. .0:1"1 CO U/V B UST E COUNTY Re�e�Ved 004 SEP 16 2 , AGRICULTURAL BUFFER 9TIFICATIC UNUSUAL CIRCUMSTANC '� AND/OR Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: IZ1 FWD WTKANI Phone: gR a' jl � Mailing Address: Zb3 C41CO MC C41CC CA- q5-1-13 COUNTY E -Mail address ..,.,� «� t Assessor's Parcel Number: 0�A - b 1 0 - w3 DEVELOPMENT • Reason you believe you qualify for the unusual circumstances exception: B,V'C' (,O JkISEAVICES Owner or signature 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(Building ❑ Exception Recommended Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: PWC -9l Sli,& w= LI 11 It I Agricultural Department Signature: Date: &t Q YM 7/1/03 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ILII III III I IIIc l it N lilt i IIIII I II I 2��¢i4—i005663i® Recorded Official Records I REC FEE 7.00 1 CONFORM County Of BUTTE 1.00 I CANDACE J. 6RUBBS I Recorder' I ROSEMARY DICKSON I Assistant I Mark 10:27AN 14 -Sep -2004 I Page 1 of 1 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 M1/ 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: LOT 141M, 50-awnl ON THAT LEeT-A-,J Mgr' FNTVT1-ED°Ct4LCO ?2vnrE_ DR04AaOS!' W1fICH M -AP W4s RfLe(ZUCb IN TNFoa�l�O1=TA-f- ACCLDRO� 0� �t}�covv'r`( of l�v'+v�, 5 oF�gLtFofC�JrA;mA! NOLs• 3. (q13 11J 3ote- or BAPS 4; PAGE 2-7• gLrW"'All' idZAeM0A1 4- NvN -CX-LU5 ivy .EAyf-rki,1-f Fo2 tA/Mf-ss 4k) o 4GR&-sS 4,4D 'FOP, pv&) c Ui 1Ci Y1E-5- v,%e 7,-/g7r RORY-10A) OF LpFr 23 1-11A16 W45-rW LY o1='r�1� C�zN i �t l�� �1� Mu►� �f L R� St?aL W on1 SAt0 MAP, Date PROPERTY OWN RS: I N ETI -C M. 44,T"AJ State of California County of ,6 1Ai1 On 9'/ ?e- 0/ before me, personally appeared if eras F- field rhq rL and( 70:nP4M• H4/0 i1ocn 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, executedthe instrume t. WITNESS my h nd Od off ial s 1. Signature 01 Seal: MICHAEL N. OBER COMM. *1492433 catp IV ftm Eob" Mal► 28.1008 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., BP052870 B. C. Building Permit 01-16-04 pg 1 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: 10/28/2005 APN: 042-010-103-000 the Business and Professions Code, and my license is in full force and effect. License Class : C_ `� License Number: -39101?,;� Site Address: 4587 ANGELENA WAY CHI Date: Contractor: p000 Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: pool master 502-01 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HARTMAN RICHARD E & TOINETTE M 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 2863 CHICO AVE 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 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 95928-9570 applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does. not apply to an owner of property who builds or improves thereon, and who does Applicant: CARE -FREE POOLS such work himself or herself or through his or her own employees, g ALYSSOM WAY provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 8689 year of completion, the owner -builder will have the burden of CHICO, CA 95927 proving that he or she did not build or improve for the purpose of sale.). (530) 342-4639 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prgfessions 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: CARE -FREE POOLS pursuant to the Contractors' State License Law.). g ALYSSOM WAY EllI am Exempt under Article 3 of the Business and Professions Code PO BOX 8689 CHICO, CA 95927 Date: owner: (530) 342-4639 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: 380826 ❑ I 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 issued. 014 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: fUS^ 1 01Z co Applicant:.. f0-1%-05 WARNING: Failure to secute workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Counly Code and/or I hereby affirm that there is a construction lending agency for the Resolutio/n�s�t'oo doo work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) c)p ((��CC�� Name: By- Date: 10.23 -W —1�. `rr,, �j n PERMIT EXPIRES ON: I & p — l J �f1 Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Q Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with .all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County toenter upon the above mentioned property for inspection p es. Print Name: �� U/ Signature: µ� Date: �—L� L0 ❑ Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 . ,� � vY......n.,..,,,._.r. ,. Y " wr.y/ - r � �. .,e•`-.-r-.;r .. -�..�. r-�-, rl.,•^••�-f.,,.Y.._-^.s ..� . ,. '���-.ti a ._ - - .-- ,. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS/OIUM 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 4yZq-M'' ° ►' ASSESSOR PARCEL NUMBER Proposed Building Use: P66 L /' U�� 9%2 5DZ-01 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 0 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 caics in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent fog non-residential` buildings' ❑ 12. Hazardous Material Form ❑ 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.) t5- jAj 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ �O� All of these ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 0 19. Erosion Control Plan Required.............................................� ........................ �j (� 20. Fees as shown on the attached Schedule of Fees Due Sheet. */;>;�-.p. ❑ _ 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. Sent by: ............ ❑ 24. Planning approval for (A) Use: Parking: (C) Parcel Check: ............ 1A A ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ rV 26. NPDES Form.....................................................................: ....................... Cl 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: When issued Telephone LLQ 3 �G X63 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. / Applicant: D Date: 1. Index permit application for the above iterrit numbered: Plan Check Lettgr 2. Add" nal items required C) ontr , designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by ate: ractor, 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 b Date:Structural approved by: Date: Note transfer by: Dat : Yellow: Building Division BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.neUdds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name O L.S irst Na e 'cN Address �Ec6 A. W k City c Stated State's Zip Phone 89at, l 9 Fax E-mail State License Number APPLICANT NAME CONTRACTOR Name O L.S Address >✓S W City Fax 6'19 �- Stated Zip ,_,999 Phone Book Fax E-mail Phone State License Number Fax A.-;)-Q79� E-mail Lic. # .s Class 8-_,U APPLICANT NAME ARCHITECT/ENGINEER Name WQ C— Address Zip %5�7 City Fax 6'19 �- State zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name &ems POoGJ` Address n o 96 1 City C ; C 0 State._ Zip %5�7 Phone 3q0-,?(- 3 Fax 6'19 �- E-mail APPLICANT SIGNATURE X -ety For office use only: Zoning L tb I Flood Zone Cross Street SRA Yes No Occ, Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPo: 267 BIN # LOCATION AP# Property Address City iC0 64co Cross Street WORKER'S COMPENSATION Policy Number U Carrier —4 S,. to 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: GU iYI�S�Z�n �D 2-v 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. 14'L. Received by- Amount: Bldg V� SRA Receipt #: t7 " Sheriff qV 7q, SMTP b5 Other Date:1Total OVER FOR SUBMITTAL REQUIREMENTS I I I ' K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding, this process, contact a Permit Application 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 � Public works QT{ Departmen a C o u n t Y. o f u LAND DEVELOPMENT DNISION J . Michael Crunp, Director storm Water Mana;ement Pro -ram ` .� `V� ® 7 C6unty Center DriveOUVA . o�y / Oroville, CA 95965 a 5 (53o) 538-7266 AUC WOF� (FA)) 538-7171 National -Pollutant Discharge Elimination . System(NPDES) Phase 11 ' Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN 1 ACRE Project Description: Project Location andlor Parcel Number: AP 0 q a 611d . / d3 By sighing below, I, the project owner/owner's agent, certify that this project W]I,L NOT DISTURB 1 acre or more of land and that�L 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 are that submitting false and/or inaccurate information or failure to apply for a Construction am aw Storm Water Permit from the State of California Regional Water Quality Control Bo or ether that disturbs one acre or more of land may result in revocation of grading and/or other permits sanctions provided by law. Signed: Title: Date: �I /7 05� to .... COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE Z OWNER PERMIT NO. 41 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction off *; work is mpleted. If you have any questions pertaining to this matter, or need additional explan on p ease contact the Building I ector as indicated below. , n,+ 0 Date 7—yl Inspector REV 4/05 Phone # • r 7 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 •t-t,i E i•�•ir i•i,•i. �'t'1•t'f•s.t.�`.=4 ♦•9•e•s•e•c. a <. .•.•� .. •e� ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street f Chico; CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE N-RITrn Pf�i OWNER PERMIT NO. r A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected.. Please notice this office when correction !bf work is completed. If you hav any questionslpertaining to this matter, or need additional explanation, please contact this fice immediately. 'I r�V('rrr,,1 i / t/ CTj2rz �; CT7o, e-1 -9 7 F ROM 11(S10'K1SFOR- UAL) Cot-MNuF_ owe Date to i3 -os Inspector REV 10/92 ;' (C)a ZZ COUNTY OF BUTTE BUILDING DIVISION " DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 I N .y CORRECTION NOTICE UWNhH PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building.4ispector as indicated below. p. -r ;t. S.s rc :[=t; =y• T° Date 0 / Inspector REV 4/05 Phone # �3h �) ifs ,. FOR RE -INSPECTION CALL: 538-7636 OR.891-2834 . < < . , . , . .......: COUNTY OF BUTTE-:-;-- .. 0F.. • BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICE 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 o. CORRECTION NOTICE H A EM R 1-4 OY- 2 y_S"o 4' OWNER PERMIT NO. r. A routine inspection indicates th t -the following violations of butte county Ordinances exist at the above address and should b corrected. Please notice this office when correction of work is completed. If you have questions pertaining to this matter, or need additional explanation, ' please contact this o •ce immediately. Al �P-OU r D Tt lz-" F c r L L &NO C &S 262 PZ A -At S ,Z1 ost�/� ('aP�lIV�rTio�/ FoP— A F4 T o Yl T ,1 nn -- Y 7 ^INetP Z ^ � L ;ST TD Y` P'00 Ys -r _ fJF NT► F --r� 2S 1A - T I A C_ :F "z /a rL c (--T a pz ^z Pf Rn". M 4 r? ve-z� L Nth S o2-- r- -er2r c s Iz SR V r, IZU (Cr - 7 -UB — (tai SNac�E�2 7 i1T rt 3 N: - c- TO )At t ► t H �L o ^ C179KE Date �- �7 Inspector �N 11 �444:.^A� REV 10/92 i a. f " COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 2 of 411 Main Street - Chico, CA - (530) 891-2751 t, 7 County Center Drive - Oroville, CA - (530) 53877541 CORRECTION NOTICE 114 A CZ -i Al,f AW rG4/'1��6. Date q11 inspector -7-t7- REV 2/05 Phone # :--71 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .7 County Center Drive • Oroville, CA e (530) 538-7541 CORRECTION NOTICE OWNER PERMIT N5. A routine inspection indicates that the following violations of Butte County Ordinances e)dst at the above address and should be corrected. Please call for re -inspection when correction of :J?l work is completed. If-y4have japy questions pertaining to this matter, or need additional. explanation,,please cqact eXilding inspgaor as indicated Wow. Al,f AW rG4/'1��6. Date q11 inspector -7-t7- REV 2/05 Phone # :--71 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive Oroville, CA,, (530) 538-7541, CORRECTION -NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 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I Tlld '97� ow s-nw agviw9 ' ucw d -m c IL19 'WV7 9lUlla7ob �y ' O 'dAl 13471 o O .Of NNLa aN00V .OL'NA•1 Ol bmmom d0 S1T/M 1V ----=----1 9GY19MId21071LL WO" I '09'&W'SM 3aNOtld I del I �'IWb M19 TV�15 I 'Q86 i�1�9 9 I '9d pillet b O M Tia 9 .9.01 37fid3a I H01109 dw dol sdftus I�l2 do v so of asrry mla Ii ----------� aMVN'rd /M xM SW HM &6 9►in011'dd 7; � A .all �Rbo� � I � Igor dOO1G r alaela+o7 4 '91.9 fN'dfy .b X .9/I i Vy l 9N ATMa; I A. P N' Angelina Road AVIR®PJMENTAL HEALTH ��� Qa�v i U L. 14 2004 CHICO, Ck) SIT �( V$cQ 9J �_tA i o AVf., I q E L A ooGi ZUY16 GRELOT 4 - CHICO PRUNE ORCHARD'S LOT GORY 'A", JTZ ANGELINA ROAD .T _vn R CH 11 for: Ml Rin T.Indn Avp. rhien rA. 096ioc f.C"3A'l QAA ETin lD*TV U A D11 A XT" rr nXTY. TT A rin X Ar A IL T S I T � ��' L. � � GREGORY I T Z A R Cff jI`T 383 Rio Undo Ave. Chico, CA.- 95926.:....(53Q) 89.4-5719 C -L 4'F' - y b I e) D r a, (�l�o� Zine AVARmtiENTAL HEALTH JUL, 14 2004 ChhCO, CA. Jr cAA co �- �?a 'd-1 ei CA qc5fi-�i (00 I -oil LOT 4 - CHICO'PRUNE ORCHARDS- ANGELINA ROAD for: RICHARD AND TONI HARTMAN LOT im �rck�of I h) `w 660.91' 13 .4. - PROPOSED 5 BEDROOM HOUSE • .l PRnpne6ED 216A, GONG ©RIV�WAY X31 GREGORY. A::: I T Z " MIN. 1200 GAL. 13 .4. - PROPOSED 5 BEDROOM HOUSE A. P. N. 042 1 An I Ino Road - AVIPRJ�4ENTAL HEALTH QC -t e) JUL 14 2004 Y Glna�� Ch N/di. 71 Ulf' .114 1A. _..... ..�......__.._... __. _—s�;�j ••::, PRnpne6ED 216A, GONG ©RIV�WAY GREGORY. A::: I T Z " MIN. 1200 GAL. 3R3 Rin T•inrin Avn rh;r� rA SEPTIC TANK LOC�TION :,an7.9 20.0' REPLACEMENT LEACH LINES 150 L.F. ROP05ED EACH LINES f 50 L.F. ��?�v�: fib':• ,.�:'. • 91' A. P. N. 042 1 An I Ino Road - AVIPRJ�4ENTAL HEALTH QC -t e) JUL 14 2004 Y Glna�� Ch N/di. 71 Ulf' .114 1A. LOT 4 - CHICO PRUNE ORCHARDS ANGELINA ROAD for: ATrTTA DT% A Wn ►rnikTT TT A "rnr,r A ,., LOT d, 41 GREGORY. A::: I T Z A R C NTT k 3R3 Rin T•inrin Avn rh;r� rA 09014C U.IAN one C"n LOT 4 - CHICO PRUNE ORCHARDS ANGELINA ROAD for: ATrTTA DT% A Wn ►rnikTT TT A "rnr,r A ,., LOT d, EJJ, USE ONLY Plat Plan AttacEad r6aaa Plan Attached San¢ to O.D. � TO: Building Department FROM: Environmental Health SU13JECT: Sanitation Clearance 6 q L "0!C'e — 103 Owner Location AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Hea Specialist 8/96 L� fb-13-f� Date N27734 LL,.,.w N27734 AP 8015-B REV. 5-71 (234) 'i