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042-010-107
R Y NOTES Lj_ RESIDENTIAL 042-010-107 PERMIT NO. NAZARI, MAHMOUD b �o WELDING WAY, CHICO . t Cont: MBD INC", NSF-MASTER#97-44 OFF ►ArmiptAN of SPECIAL CONDITIONS ` { CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER � /FBFU (� v' E Cppo Address (/' GAS M t r Date Meter B Date r7/ f JOB FINALED (Date) Signature J y f rR is *. .f 4 Y Z t r Lj_ RESIDENTIAL 042-010-107 PERMIT NO. NAZARI, MAHMOUD b �o WELDING WAY, CHICO . t Cont: MBD INC", NSF-MASTER#97-44 OFF ►ArmiptAN of SPECIAL CONDITIONS ` { CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER � /FBFU (� v' E Cppo Address (/' GAS M t r Date Meter B Date r7/ f JOB FINALED (Date) Signature �• = OK 0 = Not OK . = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/0 -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG 10. 7. Well Clearance & Disconnect Cert. of Occupancy 8. Utility Clearance Gas; MH Test -Demand -Valve Card B-1 Date Card B-1 5. Electricity; MH Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector - 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy t - MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Date 3. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Electric 8. 1. Zoning Requirements -Setbacks -Easements Siding; Nailing -Veneer -Stucco -Mesh 10. 2. Footings; Size -Spacing -Marriage Line Ext.; Steps -Doors -Landings 12. 3. Blocking Date 4. Gas; MH Test -Demand -Valve Card B-1 Date Card B-1 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t - MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails,,. �. 4. Wood Awn.; Posts- Beams- Rftrs-Connectors,, Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining - 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDE,bf'FLOOR (Plans) OK except #'s Main; Soils-Elec. Grnd. LL" Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth -4- Fta.. Porches & Decks; Soils -Steel-/ /" Ftg. Depth &veld Downs and Special Anchors V Slab, Steel -Wrapped 4- P' rs-Fire lace Ftg.-Steel ge'D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test A10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 44, Water Pipe; Test -Anchors -Regulator -Service Test 42- Electric Underground V•, Plenums & Ducts; Clearance -Material -Support -Ins. tt4- Girders -Sills -Anchor Bolts-Joists-Vents-Crippies T5' Access & Ventilation M. Insulation Dateh, VjCard B-1 Date Card B-1 Date Card B- Date Card B -1 - Date PLUM G (Permit) OK except #'s 1 r Htr.; Vent -Access -Combustion Air Baffle er , e; Test & Anchor -Nail Protection Test Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 21. Tes ub & Shower, Second Floor -Tub Access s Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date ELE RICAL (Permit) OK except #'s �fC r lLWFixtjire & Transformer Clearance -Ins. Protection Card B-1 ec. Beceptacles Spacing -Lights & Switches at Doors MECHA L (Permit) OK except #'s oxes & No. of Conductors Stapled Outlets & Receptacles at Kit. Counter . o 6 talled Close to Edge of Studs & C.J. 2 qu' . Ground made up w/Mech Fasteners -Bond Gas & Water 2 ppliance Circu i rL Kitchen & Conductor Size GFI 30. Subfeed Wire Size/jqff,Ck,6r AI-A.C. Wire Size/ a or Al 31. Range Circle/ g C r AI -Oven Circ. / /ga Cu or Al Insulate Neutral es O No 32. S -Riser Conductors & Ground Main Disconnect ttic Access & Platform if Furnace in Attic i earances Panels-Motors-Mech. Equip. Date es Closet Light -Shower Light -Spa Light Card B-1 Smoke Detector lu' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA L (Permit) OK except #'s is s; Size & Romex Protection -Draft St o Ins. Baffles Outlets & Receptacles at Kit. Counter 2t.:jg�Dipt6linsuiation & Support 2 , Garage Fire Protection Framing annel . V Fan, -xhaust above insulation Pro i irewall & Openings 4. . Con nsate rain & Overflow, Size & Grade 55. Stairs; - eadroom-Rise-Run-Landing-Fire Protection 38 urn -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Overhang -Attic Vents -Rafter Outriggers ttic Access & Platform if Furnace in Attic ming -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI (Permit) OK except #'s 4 Sill roper Materials & Anchors 4 all t ds -Nailing Spacing & Braces -Plates -Sound 4 g Walls over Girders & Floor Nailing sk- aft Stop in Walls (rat proof) %A 10 JU I 4 ire ops, Furred Ceilings -Stairs -Chasers -Tubs ,.+ 46. eaders & Beams -Size & Bearing Date FRAMIN ontinued) 4 n er ost Caps -Anchors -Connectors 4 < do --Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. Outlets at Wood Panel, Int. & Ext. irepl es or Type A Flue -Fireplace Throat Clearance K' t. & Appliance; Ground -Air -Gap -Cooking Clearance is s; Size & Romex Protection -Draft St o Ins. Baffles Outlets & Receptacles at Kit. Counter m. Windows or Exiting Doors -Sill Ht. j2f&nsions 2 , Garage Fire Protection Framing annel g,ttSuct in Garage -Damper Pro i irewall & Openings 4. -ors-One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; - eadroom-Rise-Run-Landing-Fire Protection 5god-Iii-Roof Overhang -Attic Vents -Rafter Outriggers 5p6d Rails & Deck Construction -Post Caps ming -Nailing Veneer 16. (p, YR jr. 5 tucco rip Screed -Fd. Vents-Underflr. Access 5 ng Area -Glass Protection -Skylights -Plastic ( �4 r 6P.. -Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration- n ows Dat _ G. Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date FINAL ns) OK except #'s 65-Xoke teps-Door & Sidelight Protection -Landings Detector Furna ents-clearance-Comb, Air -Connector - 11 a%e; Above Floor -Ducts -Meeh. Protection o m Exiting . & Bath Fixtures & Tub Access -Spa 690*'Elec. TtiK& Subpanel, Breaker Sizes & Labels 70. r -& Rails epIpe or Stove, Clearance -Hearth 9 Outlets at Wood Panel, Int. & Ext. OT"Address 96. K' t. & Appliance; Ground -Air -Gap -Cooking Clearance 7 Outlets & Receptacles at Kit. Counter 7.0"Gpege Fire Door; Swing -Landing -Closure Dat g,ttSuct in Garage -Damper 77 tr. H , Vents -Clearance -Comb. Air Connector-P.R.V. in rage; Above Floor-Mech. Protection 7 . II c. & Mech. Equip. Listed for Location Receptacles in Garage (F.F.I.)-Romex Protection tr Insula 'on -Foam -Looked in Attic 81. 5p6d Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth CI agce Looked underFloor O Ye _ /- ing Instld./Drive es D No/Walks es ❑ No/Planters es 7 No ucco Brown -Finish /(�A.qeeit Disconnect, Electrical -Plumbing 8 e bove Roof, Plbg-Appliance-Fireplace-Clearance to Opening ater Well, Disconnect, Electrical, Plumbing xt � r Elec. Trim, G.F.I. Receptacle -Underground en ' tion Throughout House X o ections from Previous Inspections as Test -Meters Tagged, Gas -Electric Wa & Sewer Connected -C/O to Grade -HD Approval 9 gy Compliance Certificate -Other Certificates OT"Address 96. Posted Fire Sprinkl Date and B-1 Date Card B-1 Dal Card B 1 Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final: A COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico; CA - (530) 891-2751 7 County.Center Drive - Oroville, CA - (530) 538.-7541 CORRECTION NOTICE "� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected.. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please con tact -this office Immediately. po N 0 VV I p, INTER -DEPART I'MENTAL MEMORANDUM aura COUNTY TO: BUILDING DIVISION, OROVILLE JUL 1. 4 2nO4 DEVELOPMENT FROM: , ENVIR. HEALTH, CHICO SERVICES DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: d SEPTIC: � WELL: 1Z AP#: d q,� —� M —/D ADDRESS/LOCATION: 7 el"el i/Ze' 7 Comments: GL/memos/releasehold COUNTY OF BUTTE _.. BUILDING DIVISION rt DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER Y PERMIT NO. > A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed: If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. x /1 G,1 27647 Ar 4 r t Wo Date Inspector REV 10/92• ;, iso .� a� CertainTeed Col' Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation Homeowner Name / Jobsite N me Home Add, s vc-, 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. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18'/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 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. , 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02. R -VALUE THICKNESS AREA (SQ. FT.) INSULSAF 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS WALLSfi S-5/ FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. , 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02. Manufacturer Insulation Fact Sheet This is CertainTeed Corporation i nsU Sae 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW CertainTeed C11 The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 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 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'/2 11 6.6 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 5'/2 16 19.8 51 0.533 4 15 17.9 56 0.484 31/8 14 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. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040866 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' 05/27/2004 APN•' 042-010-107-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address' Date: Contractor: Map Index: Description: NSF MASTER 97-44 (3303)GAR (821) DECKS 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 (498) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner'' NAZARI, MAHMOUD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1418 CREEKHAVEN PLACE 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 95926 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 Applicant: NAZARI, MAHMOUD 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, I and who contracts for such projects with a contractor(s) licensed Contractor: MBD INC. pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 3110 SHADY GROVE CT CHICO, CA 95973 Date: owner: 530-8934816 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: 651702 ❑ 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 is issued. Architect: 131 have and will maintain workers' compensation insurance, as 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: 3303 S.F. Policy#: Valuation: $214,695.00 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 Census Code: become subject to the workers' compensation taws 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 thoseprovisions. Date: ria t1 , 'Reee U� q 2 "J `Y Applicant: .4/—p /`(✓1�CiJn"1 f WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code a..nrue 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.) Resolutio s t do work indicated above for which fees have been paid. �--� 7-aName: BY s Date: 4f o Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: .L%%/6 Z Signature: .. Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. DATE: 3 >O _ © APN. Q lO'� O 103 t O —7 ONING: /0 OWNER'S LAST AME: OWNER'S FIRST NAME: HONE c/ G 141 FAX CITY, ZI E-MAIL: SITE ADDRESS:.bid CITY. ZIP: '_� C f� NEAREST CROSS STREET' v . /�� TRACT/LOT APPLICANT, NAME: V �- PHONE' STREET RE ^ N FAk�L ` � v CITY,21 E-MAIL CONT NA E: PH�NE ( S 3o 8�i3 5� ,OR t�_ .�n�• / FAX 50(9 CITY. ZIP: _ / � C � . �f � � E-MAIL LICENSE NUMBER 7Q LICENSE E ARCHITf-CT/ENGINE R NAME: -z, PHONE: 8 9 STREET ADDRESS: FAX: CITY. ZIP: G - / LICENSE NUMBER: E-MAIL DESCRIPTION OR SCOPE OF WORK: sj 9 ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) Flifr � ; X 7 03 2 6> EXPIRATION O APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: �(m I f T'ee Notes: Sl-cUn yne/f Ucn Al./W7 Gv 3 Application Received by: r Date:' Receipt number:R�� c� n Cv�l Amount Received: a �7S h MG; .,,.r � t1'. i } ••�'"� . ""�'�_T��'1�'T�^w '7..;� � .. ^ r.ln...i.. r.' -r' � � - s �. ...' ' . " T-,. ,1 . � _ • l i � ' • � r, .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �J PERMIT APPLICATION DATA SHEET /` J ` OWNER: (� `t t� ASSESSOR PARCEL NUMBER vq�' cl v Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. I❑ 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. 0 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 orad plans, all in duplicate. ❑ _•* 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers................................................................................:........... 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by O K ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... 20. Erosion Control Plan Required........................................................:1.............. ,,...1.... 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use:Q 14-(B)Parking: (C) Parcel Check: L1 22- 3 ❑ , 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. j6V-' 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... �k32. Letter of Signature authorization..................................................................... _. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. S ' ❑ 34. Manufactured home utility clearance............................................................... _ ❑ -35. Existing violations and/or expired permits......................................................... _ O36. Deed Restriction......................................................................................... 37. ❑ Grant Deed, ❑ IVLH. Title/Statement of Facts, ❑ Letter from Legal Owner, Check to H. 38. Other: o 39. Other: _ When issued Telepho nWold for pickup. -'t --- r . r -vl , 1 have been informed of the ab-670tems and requirements -for obtaining a building permit. Applicant: Date: -�30 .-01�/ 1. Index permit 'applicatiqn;WlAd above items numbered: Plan Check Letter 2. Additional items requi tl �� / Contractor, designer -010 was advised of the above data by one, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: I Yellow: Building Division E.H. USE ONLY ? , Plot Pian Anachad eloor Plan Attached Sant to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 140-111mu d 11% a v -i% t o t 1 11� Odd; � .� D C/a o /0 10 17 Owner Location AP# / Plan Approved for: Sewage Disposal '� Water Supply: Public Private Well `� Clearance for iki dwelling. tether - final for: EidA clearance O.K. for: NOTE: Environment H alth Specialist Date 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 A.P. # Uv�• �� V CU PROPROSED BUILDING USE DATE �U G RECEIPT # DATE REC. BUILDING PERMIT FEES -- Balance Due ..................... $ -- Additional Fees Due......... --- Revised Plan Checking Fee.... $ • ' -0� o 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) -11 Way Uv' SHERIFF FEES (paid at Building Divis' (�` n s Residential............ $360.0 =$ G� N '�1/ o�' / ' c3 ' Q'i 7P nits , Commercial (sq. ftg.)..... 4. URBAN AREA FEES Residential (per unit)..... X $0.03 = $ Sq.Ftg. (paid at Building Division) X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ 5. RECREATION DISTRICT FEES Q \ ' i O Gwn 'p t O IJu (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) op� 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. Ftg. Amt. 10. OTHER 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 M, A19J2.#M DATE Pursuant to Government Code Stdion 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) National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb I acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. • Signed: Title: Date: AND WHEN RECORDED MAIL TO: IIIIiIIIIiiIIIIIiIIIIIi0lilllllll Recorded 1 REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION Official Records l COPIES 2.50 7 COUNTY CENTER DRIVE Count Of l OROVILLE, CA 95965 BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON 1 Assistant I Kathy 11:03AM 27 -play -2004 1 Gage 1 of 2 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. arm `operations. All that real property situate in the County of Butte, State of California, described as follows: ✓ see attached legal description ap#042-010-107 pin Date March 31, 2004 State of California County of Butte PROPERTY OWNERS: The Hahmoud R. Nazari and Paula J. Nazari Rgvocable Trust BY: Mahmoud R. Nazar, Trustee On March 31, 2004 before me, Tami Barlow, notary public Mahmoud R. Nazari personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to'the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or'the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signa a ZD.1 �'�--�-'��� A.P. # .�••• TAMI BARLOVII COMM. # 1289725 NOTARY PUBLIC -CALIFORNIA Q s . COUNTY OF BUTTE Comm. Expires Jan. 7, 2005 Preliminary Report Order No. BU -219164 TB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: . BEING LOT 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CHICO PRUNE ORCHARDS", WHICH MAP WAS RECORDED IN THE OFFICE 'OF THE RECORDER OF THE COUNTY OF., BUTTE, STATE OF CALIFORNIA, -ON NOVEMBER 3, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 27. `RESERVING THEREFROM A NON=EXCL-USIV-E -EASEMENT-FOR INGRESS- AND -EGRESS -AND-. -. FOR PUBLIC UTILITIES OVER THAT PORTION ,OF LOT A LYING WESTERLY OF THE CENTERLINE OF MUD CREEK, AS SHOWN ON SAID MAP. APN 042-010-107-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES , OVER THAT PORTION OF. LOT A LYING WESTERLY OF THE CENTERLINE OF MUD CREEK, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CHICO PRUNE ORCHARDS", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE: OF CALIFORNIA, ON NOVEMBER 3, 1913, IN BQOK 7 OF MAPS, AT PAGE(S) 27. r. w CHI/C e RECORDING REQUESTED BY MID VALLEY TITLE AND ESCROW CO. AND WHEN RECORDED MAIL TO: Mahmoud R. Nazari Paula J Nazari 1418 Creekhaven P1 Chico, CA 95926 2004-1010 1 42 1 0 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 16 -Mar -2004 Above This Line for Recorder's Use Only REC FEE 10.00 TAX 247.50 Kathy Gage 1 of 2 A.P.N.: 042-010-107 Order No.: 219164TB Escrow No.: 219164TB GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $247.50 (X ] computed on full value of property conveyed, or [[ ] computed on full value less value of liens or encumbrances remaining at time of sale, ( X ] unincorporated area; [ ] City of Butte County , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, Kathleen M. Hayes, AN UNMARRIED WOMAN hereby GRANT(S) to Mahmoud R. Nazari and Paula J Nazari, TRUSTEES OF THE MAHMOUD R. NAZARI AND PAULA J. NAZARI REVOCABLE TRUST the following described property in the (/Vf JfUnincorporated Area, County of Butte State of California; See legal description attached hereto and made a part hereof. Kathleen -M . Hayes Document Date: March 9, 2004 � s TAMI BARLOsW t~ COMM 1229725 f3l.i s - 'T'E u ComTi. Expires .!2n. 7, 2015 � STATE OF CALIFO )SS COUNTY OF -ib ) '� On_��l r�L f l� �/ before me, Q / )1�-1 personally appeared h f -f .P w? S personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signatu� ///////(/( This area for official notarial seal. Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Order No. BU -219164 TB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCELI: BEING LOT 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CHICO PRUNE ORCHARDS", WHICH MAP WAS RECORDED IN THE OFFICE *OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 3, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 27. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER THAT PORTION OF LOT A LYING WESTERLY OF THE CENTERLINE OF MUD CREEK, AS SHOWN ON SAID 'MAP. APN 042-010-107-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER THAT PORTION OF LOT A LYING WESTERLY OF THE CENTERLINE OF MUD CREEK, AS SHOWN ON THAT CERTAIN MAP ENTTTLED, "CHICO PRUNE ORCHARDS", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 3, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 27. h BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) a School District. l,/t Building Department No. A.P. Number Vv ` V ()10, l v �7 Jurisdiction: .t City E=EffCounty Property Owner Property Locabon/Address `./ Subdivision Lot No. . ................................ .............................. :...................................... Residential Development Q Q °j rir Sq. Footage 3� No of Living Mobile Home Addition/ 'Supplemental to, r. 1pl2 Units Installation Conversion Permit # *(No foundation inspection) „ .................................................................Deed Restricted SgFootage ." a (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage New Aodifion (Including Exterior Roofed Areas) ' rk) 4/16/04 fIuilding Department Representative TA 1 Datef District Identification No. School District certifies that CNN "--,o L C\ \ 4 pin OAt y.; (Applicant) (Street Address) (Phone Number) (City) + (State) (Zip Code) ere , has complied with the requirements of Resolution No. representing ,,���� -j square feet. School District Paid by Check #r "-� Remarks: 1%11--1y - Cby payment of $ �C UKAl F 292s iLL MRIGATION $ t5 \1 . Date Mode : You may protest the Imposition of the fan Merdifled above by subs ting a written protest to the Dlstr14 In compliance with Government Code Section 66020(a), within 00 days from the date fen are paid. Failure to submit a timely written protest wlll'prohW you from challenging the Imposition of th s fen In any court adlon. K, subsequard to the School District Reprnenfatlw signing this Butte County Schools impact Fn Cerdfladon Form„ the School District is " ' rrothfled by the appliable Local Planning Agency that this project Is being rwlewad under the California EnvirOnnienhi Quality Act (CEQA;h this project may be subject to additional school fen to fully ~s. Its Impact on the school dletrkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ds (to/OUrnm ..a�, sr•..,j�ii,.�..:...,.�_7..'�trr��'�t�'1�:...,; } 4 �W11w}r:`,�,t`il^.`�i•1�y.^+'+•:r•�".-�"'i.�.iF'tiA'dvr'�.t'kr:tir::ri�;i,;3 'Iy-)-11,1`I.,.'� BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION ��AND �PARK DISTRICT Assessor Parcel Number (s) ��'ct 1...� V ' D Property Ownermol &" �,Q {� r Project Location/Address Subdivision Lot Number(s) Residential Development: (check one) ' New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: { ;Y. Bui ding Departmen ep esentative Date ' x �X ����7k7_k�7k*�7k�7k�lklt 7k �l1k1k 7k 7k�7k*7k��7k��1k�7t�*�*�7k*�llf�7k7k*7k�C�YC �Ik��t1k*��7k�lk.�*�����**� Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) V (Phone Number) (Street Address) :•� (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @.$1,189 for total payment of $ RD Representative Date PAID BY CHECK NO.���< REMARKS: BANK NO. PAID BY CASH RECEIPT N0. 05/25/04 #78i TO LARRY PAINTER rc r• 1 "�" 1" �l'1` " �.�. �``_ SITE PLAN REVIEW APPLICATION Date: AP# n y,2—O/0_/a�7 Permit Number (if applicable) Bin Number APPLICANT INFORMA TION Parcel Size: A C Nam ckdl 14 c. -4i — �wier ddress: c_ n �Y�plB� e No.: (�� - ���` Email: . O Address: hot I JL WP—Ll k CL Proposed Use: gq5 _ LLt l G Residential _MLNew Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other Septic Well Agricultural Exempt Building ❑ Agricultural Buffer Form *9 Applicable F1 N/A ❑ Other: Brief Explanation (if necessary). DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: N ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: O 3 2�O ib 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) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A " j 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 �� C—L Side O 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 i • Applicable Development Fees: Standard Fees ❑ Fire ❑' School* ❑ . Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. " Parcel Created By Deeds: r✓, ., Date of Creation: rj'�1 _ 95 Legal Access Provided: ❑ No Yes Deed of Reference: 33 8'5D H Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ® No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: F1 No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). . ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ----------------------------------------- Page 3 of 5 r a Subdivision Map/Parcel Map: GN Map Date of Recording: 11 - 3-)c) i 3 Lot: 1 G-. ❑ Use Permit/Minor Use Permit Permit Number: Book: 7 Page: 2-7 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. u Page 4 of 5 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify 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: Mailing Address: E -Mail address CAC -f,(' k i Phone: Q Assessor's Parcel Number. O T Z . Ol D Reason you believe you qualify for the unusual circumstances exception:��� tAe nen b' in I Lr avilit (A); 1„ f#Cj) P s N Owner or -�� a5 +Vn(a 60 11110 IA signature Date kn:�)Wnc')( CKs 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 In o: ❑ Env. Health Nanning ❑ Bulding ❑ Other Contact Person: // __ Phone: - M FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING .......................................................................................................................................................................................... � For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Plannina) MINISTERIAL PERMITS Buildin 6 ❑ - Exception Recommended Exception Granted with the �v ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: hOr4 r� L_Lr-'� T � .S �....�:..,�4V-�t.�_br.:..-� 3:, ,�52 �ktr9!�,:,> 2- Agricultural Department Signature: L,_ Dat _ e: 01 zg C!,, YMC 7/1/03 IIII SII I�" IIIA I II I'�I� III �� VIII II AND WHEN RECORDED MAIL T0: a004-003 1 83 1 �V� ' {i 04 Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION ��S OfficialRecords I COPIES .2.50 7 COUNTY CENTER DRIVE County Of OROVILLE, CA 95965 E CANDACE J.GRUBBSRer I ROSEMARYrDICKSON I Assistant I Kathy 11:03AM 27 -May -2004 I Page 1 of 2 i AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. L All that real property situate in the County of Butte, State of California, described as follows: see attached legal description ap#042-010-107 pian Date March 31, 2004 PROPERTY OWNERS: The Mahmoud R. Nazari and Paula J. Nazari R vocable Trust BY• ,!/ Mahmoud R. Nazat4, Trustee State of California ) County of Butte ) On March 31, 2004 before me, Tami Barlow, notary public Mahmoud R. Nazari personally appeared personally - known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized. capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signa e AAAAAAAA I' �••. TAiVII BARLOW > A.P. # O V 1 O NOTARY �MPUBLIC-CALIFORNIA y Q i . COUNTY OF BUTTE W Comm. Expires Jan. 7, 2005 Preliminary Report Order No: BU -219164 TB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: BEING LOT 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CHICO PRUNE ORCHARDS', WHICH MAP WAS RECORDED IN THE OFFICE ' OF THE RECORDER OF THE COUNTY, OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 3, 1913, IN BOOK 7 O MAPS, AT PAGE(S) 27. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER THAT PORTION .OF LOT A LYING WESTERLY, OF THE CENTERLINE OF MUD CREEK, AS SHOWN ON SAID 'MAP. APN 042-010-107-000 l PARCEL II- A NON-EXCLUSIVE' EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER THAT PORTION OF LOT A LYING WESTERLY OF THE. CENTERLINE OF MUD CREEK, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CHICO PRUNE ORCHARDS", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA; ON NOVEMBER 3, 1913, IN BOOK 7 OF MAPS, AT PAGES) 27. Y 660.72' CE WELDING WAY 111=50 1-0 GREGORY A. PEITZ SITE PLAN ARCHITECT for: 383 Rio Lindo Ave. Chico, CA. 95926 (530) 8945719 ANDY MEGHDADI WELDING WAY, CHICO, CA } S�0' ARC ®. C 21 83 t� REN. �. ITOMAN c�cw. i1 C� WELDING WAY GREGORY A. PEITZ SITE PLAN ARCHITECT for: 383 Rio Lindo Ave. Chico, CA. 95926 (530) 8945719 ANDY MEGHDADI WELDING WAY, CHICO, CA t rr�rM.� 660.72' l CL WELDING WAY T Cx0 —lCr7 A114 21 -k- / GREGORY A. PEITZ SITE PLAN ARCHITECT for: Y 383 Rio Lindo Ave. Chico, CA. 95926 c530> 8945719 ANDY MEGHDADI WELDING WAY, CHICO, CA ENVIRONMENTAL HEALTH MAR Z 5 2004 CHIC®, CALIFORNIA r00 - f