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COT TF ' BUTTE COUNTY '.
DEPARTMENT 'OF. DEVELOPMENT SERVICES;
'.BUILDING- PERMIT
JOT4,0, 24 HOUR INSPECTION #`(530) 538-7636 (OROVILLE) (530) 891`-2834 (CHICO)
OFFICE #:(530)'538-7541' FAX#>(530) 538-2140 _
• WEBSITE`. •www.buttecou'nty.net\dds t
;.f PROJECT_ INFORMATION ` •-moi
- - _
_ _ J _'1•" 9... •-� 51.` J...--5'
Site Address 57 ROSE CREEK. RT
Owner;;} ''
Permit NO $�( 2$%$
APM 043-690 0,72
„ ,PERSON; JOHNNY: & DAWN'
-
F;
I§sued Date: 01/16/2007 By GLB
,r t
Permit type ' 'MISCELLANEOilS
PO. BOX 7003
Subtype: Private1Poo1
CHICO,'CA 95927
Expiration Date: 01/16%2008
Description: PRIVATE POOL MASTER # 517=01
:(530)1345-1053,
11
Occupancy: , Zoning SR 1
Contractor -
Applicant:,
Square Footage:
BLUE HAVEN POOLS ,
LAURA DOUGLAS FOR BLUI
Building Garage RemdUAddn
2866 ESPLANADE .,
2866 ESPLANADE
CHICO, CA 95973
CHICO, CA 95973
(530) 899-8445. -
(530) 570-8064
.Other Porch/Patio Total
a " FEE INFORMATION
Drainage'Fees $0.00 °
Swim Pool -Master Plan Coord $467:-42
Total Charged: $467:42 ' Fees Paid: $467.42
Balance Due: $0.00 Receipt No: B1268
-�-
LICENSED.CONTRACTOR;S DECLARATION
' OWNER / BUILD_ER DECLARATION
.
Contractor (Name) State Contractors License No. / Class / Expires
hHEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
BLUE HAVEN LS 718849 r / C53 / 02/29/200.8
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that '
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance;
,I HEREBY.AFFIRM),JNDER'PENALTY O PERJURY that I tensed uncle[ provisions of Chapter 9
(commencing wits ection 7000) of'Divis n 3 of.the Busi and Professions Code, and my license
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 License Law [Chapter 9 (commencing with Section 7000)'
sin full force an effect. . ° " - -
of Division 3 of the Business and Professions or that he or she is exempttherefrom and the ' -:
basis for the alleged exemption. Any violation'of. Section 7031.5 by any applicant for a permit subjects
X Ol/16/2007
the applicant to a civil penalty of not more thanfivenhundred dollars [$5001;
-
Please check one of the following - - ,
❑ I, AS OWNER OF THE PROPERTY,•OR MY EMPLOYEES WITH WAGES AS THEIR SOLE-
C�FltractOrs:Signature - Date '�/i -.
(�
'66_-
C
WORKERS' ENSATION, DECLARATION.: , ,
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec: 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds orimproves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:- -
.
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. 1.f, however, the building or improvement is sold within one
WORKERS'.COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner-buildecwill Have the buFden of proof that he'or she did not build or .
performanbe of the work for which this pernit.is issued.
improve for thepurpose of sale.)
�AVE'AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as'regwred by' .
1_J, Section 3700 of the Labor. Code; for.the performance of the work for which.this is issued.
I, AS OWNER OF THE PROPERTY EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE.PROJECT (Sec. 7044, Business and Provessions Code:
permit
My Wo kers' Compansahon insurance carrier,and colic number are;
The Contractors License Law doves not applytc an owner of the property who builds or improves'.
thereon, and who contracts for the projects with a contractor(s) licensed, pursuant to then. -,
mer American Home Asspolicy Number WC3422016'' ' D ;te:08/01/2007
ca:
^Contractors License Law. ).
s section ne not coin leted if the er, is or one u r ollars $100 or less.
P, P. ( )-
4 =
.. i
I AM EXEMPT under Section P C for reason.'
El
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR. WHICH_ THIS PERMIT IS
ISSUED„I
r
X . O1/16/2QQT
shall not employ any person in any manner_so as to become subject to the Workers
Compensation I of C agree that if I should become subled to the workers'
'
compensation p i ns of Section 3 00 of the Labor C shall forthwith comply with those:-
hose:
'
Owners Signature '.. Date'
provisions.
provisions.
r —
7._ _ ..
X 01/16/2007 .
I hereby certify that I have read this application and 'state that the above information is correct I agree
to comply with,all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions ofpernit: I agree to defend, indemnify, and hold harmless
ature •' Date --j� ryl�
WARNING: FAIRE TO SECURE WO ER COMPENSATION,COVERA E'IS UNLAWFUL;
Butte County, its officers, agents and employees from any and all claims and liability for personal,
AND SHALL S ECT AN EMPLOYE TTO RIMINAL'PENALTIES AND CML FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with. ..
HUNDRED THOUSAND DOLLARS (;'100 j,JN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INS ON 3708 OF.THE LABOR CODE INTEREST AND-
ATTORNEY'S FEES y
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or perry of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Countynter the abo n ed property for inspection purposes. 'I herebycemfy that am the
'crepe owns} ora uthonzed l act on the prop owners behalf.
CON§TRUCTION'LENDIN0 AGENCY °
. -
0 01/16/2007, �
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction Mending agency
ame f Brmfttee [SIGN], P Date;
the Performance of the work for which this permif is issued..(3097 civ: -&de) i
A,
El Owner ' 0 Contractor. R '. , Agent for Owner Agent for Contractor
.. FILE: COPY
_.
Lenders Address City . State ” Zip'
.
'j'BUTTE COUNTY
owTrF.o DEPARTMENT -OF, DEVEL9PMEN:T SERVICES
:o o BUILDING PERMIT`APPLICATION... ,
c o AND SUBMITTAL REQUIREMENTS,
OFFICE # (530),$38-7541'w, FAX #:-(530), 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA dI
Website: www.buttecounty.net/dds 'r
CSU N�`t ' * *PLEASE `PRINT CLEARLY* * %
Mailing Address P
i
city G
Phone
E=mail•
PROJECT LOCATION
Name,. -
Address
City . f' C State
Phone Fax
.3
e_'
Zip
. 5.. U
E-mail', Lid: #
131 ,+ CC
Description or Scope of Work: '
- ARCHITECT/ENGINEE
Narr}e
a.
jA'detl
dress
WORKER'S COMPENSATION
c
City :..
( /
State G
Z1_-71�
,Phone -
j11/6 _1?33-3397
Address
Fax
)= mail
State License Number
Description or Scope of Work: '
-'Property Address=
Cr .: �:
tewrCiCAl
ty .
Cross Street .
D
WORKER'S COMPENSATION
Policy Number
W , 2. Z .
Carrier I L p
—t "e �C+ v r ,
' ffhiring 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: '
Sq FT- Living arage Open Coy .
❑ Structure Built without Permits
❑ , Proposed Change of Occupancy -
(Note previous use): ;
EXPIRATION OF APPLICATION _
Applicatioris 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
Refundscan 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'consiruction work has been done. Filing fees, .plan
check fees.for work plan'checked and other. department costs,a e not •
4
E.H. USE OP►L�
Plot Plan Attached
R" Plan /Washed
Sam to BD/DS /
TO: Building Division - Developmeot`Services
FROM: Environmental Health
SU ECT: Sanitation Clearance s1
Owner Location AP#
Plan Approved for: Sewage Disposal: ---- Water Supply: Public Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
Building Clearance 9/2005
Butte, County -Departmeni of Development Services , �V T TF•
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR • ? •
7 County Center Drive • •
Oroville,.CA 75965: • '
(530) 538-760.1 Telephone
(530) 538-7785 Hk , couN��t
www.buttecounty.net/dds.
PERMIT APPLICATION DATA SHEET
Reference Number,: B06-2875 Date: 12/20/2006
Location: 57'ROSE CREEK COURT By: TMP
Parcel Number: 043-6907072`' Sub Type Private Pool
Owner Name: PERSON, JOHNNY & DAWN Phone.. (530) 345-1053
Description: PRIVATE POOL MASTER # 517-01
The above permit:application has the following Clearances required prior to permit issuance. Please contact -each department.'.
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
F1 ❑ Thermalito.Irrigation District, 410 Grand Avenue, Oroville'CA 95965'- (530) 533-0740
❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑ ❑ City of Chico, -.545 Vallombrosa, Chico CA 95926.- (530) 895-4711
PARKS & RECREATION.DISTRICTS
❑ ❑ Chico Area.RecreationDistrict, 545 Vallombrosa, Chico'CA 95926= (530) 8954711
0 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 --(530) 345-1921
El. ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011'
❑ ❑ Paradise Parks &'Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
0 Chico,Unified School' District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
❑ ❑ Durham Unified School- District, 4920 Putney Drive, Durham CA 95938 -,(530) 895-4675
❑ ❑ Gridley.School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
❑ 0. Marysville School District, 1919 B Street, Marysville. CA 95901 - (530) 741-6000.
❑ ❑ Oro''ille Elementary School District, 2795 Yard' Street,,Oroville CA 95966 - (530).532=3000
0 Oroville.Union High, 221,1, Washington Ave, Oroville CA 95966 --(530) 538'-2300 Ext:105
❑ ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969'7 (530)'872-6400, `
- OTHER
❑ . ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
0 ❑ City. of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
❑ Other: `
❑ Other
❑ ❑ Other:
Signature of Property Owner:1 Date: 12/20/2006
FILE
Butte; County Department of Public Workspt7"""'''.
J. MICHAEL CRUMP; DIRECTOR' 1 O T r�O
;'
LAND DEVELOPMENT DIVISION o
Storm Water Managment Program A
7 County Center Drive : O O
Oroville, CA 75965
(530)53&7266 - Telephone'
.,
530 538-71Fax
. a
www.buttecounty.net/dd§
National pollutant Disharche .Elimination. System (NPDES) Phase" II Construction- Storm
Water Permit -and Storm, Water. Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN.1 ACRE 1.
Reference Number: B06-2875 ; Date: 12/20/1006'.,.
Location: 57 ROSE CREEK COURT. By: TMP
Parcel Number: ? , 043-690-072. Sub Type....Private Pool
Owner Name: PERSON, JOHNNY & DAWN Phone: (530) 345=1053
Description: PRIVATE POOL MASTER # 517-01
By. signing below, I the project owner/owners' agent, certify that this*project WILL NOT. DISTURB i 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.buildouts 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 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 this project that'disturbes one acre or
more of land mayresult in revocation of grading and/or other permits or other santions provided by law: '
Signed: Date: 12/20/2006 ;
Title:
FILE
Butte County "Departments of Deyelopment -Sery°ccs
V T? u.
.TIM SNELLINGS,"DIRECTOR :PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive •
``
Oroville, CA 75965 _ • •.
(530) 538-760'l;Telephone
(530) 538-778U
5'Fax 1 :�Ft: `. n.
www.buttecounty netJdds
.'NOTICE TO-BUILDERS
:.Before-your building permit canbe':issued;:your'plans must be checked for compliance with -the California Building'Codes "In
addition, your plans are routed to other regulatory entities`-including butnot.limited'to Planning,"Eublic-Works,-Environmental'
Health; and the California Department'of Forestry for their clearances and approvals. There are some. things:you can do `to-
expedite your permit: '
0 . Make'sure your application incomplete.
0 Be responsive.to requests from County departments for any additional materials or requirements: f
The Building Division places its highest priority'on processing building permits as quickly as possible and each day. that passes. -
withouf a coinple'te;application-adds to':processingtime.
Everypermrt issued by the Building` Official shall expire and become null and- if the work authorized by such permit is not'
started or completed within one year from the date of issuance of su&permit, A permit may be renewed (fora fee).priorto .
expiration an indefinite, number of times, provided` construction progres's has-beei ddocume nted.by ihe;Buildmg:Division during,
each year'during,scheduled inspections., No changes may be made-in the original plans and•,specifications for such work In'
orderto reinstate action on -permit after expiration, the'permittee shallpay a new full permit fee and ;additional plan'checking
and documentation may bei' require,&Upon completion of,.wbrk covered by-.this' permit, please- contact this ;,office for[ final -
msOction As;a,reininder to you, if�is illegalao occupy this building`"or any portion of the building for which this permit is.:'
issued' without a final inspection:
'EXPIRATION O.Y PERMIT APPLICATION AND l FFUND POLICY
Application for.:which a permit has n6f been-issued will expire one year after date of application. ; t
Refunds may only, be made upon written request, b the i person who` ori mall L `aid `the fees. Refunds for permit a lications'
Y. y P q Y P g Y P p PP
,(not,yet issued) must be requested within two years-from` the date: of fee payment.: Fees paid at the, time of application are
for•Plah.Checkand,admmistration. The Plan Check portion of fees is=refundable only if the permit. is cancelled or withdrawn'
before any plan checking is done Building Division costs will be:deducted;:prioi to authorizingya. refund"'and a charge`of
$54.99 to process the refund; application .will be assessed.: Refunds on permits (issued) maybe requested prior to. the expiration
of the permit, provided .no .work has'beeri done pursuant to .the permit,: An Inspection may berequired (andf deducted from any
` refund amount) to defermirie no work, was done, e,1
.F;
Fee/refund information can be _read on-line at.- http://muni6palcodes.le'xisn6xis.com/codesibdtteco/..:
Reference;Number. B06-2875 1 ' Date: 12%20/2006
Location: 57 ROSE CREEKCOURY�}
ParcelNumber: -043-690`:072 1 7
Owner.Name PERSON,,JOHNNY &-DAWN, ^ Phone: (530) 345-1053
Description i PRIVATE POO L'MASTER # 5.17 01
Signature of Property Owne Date 12%20/2006
FILE
. :.,.
PRO JEC;T
Site Address 57 ROSE CREEK CT •' ;
Owner:
:'PERSON
Permit No Q6 -U214
APN '043=690=072 t
JOHN. FLOVD & H
Issued Date: 10/18/2006 `BY: ICED '
Permit type:: RESIDENTIAL
PO BOX 7003' :''
Subtype: f SFD-Custom/Model
CHICO,"CA 95927
Expiration Date :,10/18/2007
Description:. NSF/GAR/COV
(530) 345=1053
`Occupancy: R-3 Zoning _..
Contractor
Applicant:
Square Footage:
LEETE'HOMES1 1
PEITZ;'GREGORY ARTHUR
:Building ' ' ,.Garage '. Reindl/Addn'
1074 EAST,AVENUE SUITE Bl
383 RIO LINDA AVENUE.
3,1.13. >: 022—:-.11,
„ _
CHICO, CA 95926
CHICO, CA 95926
'
Other •' ' Porch/Patio' Total
(530)624-6071-
(530) 894=5719- '7
. .'
802.: 6837
_ f'FEE INFORMATION k
County, Impact - SFD ' $2,175.34 ;
Drainage Fees $2,640.36 .
Dwelling - Custom, Model $2,960.66
Fun 1O BLDG $1,973.78
ImpactProcessing Auditor= .."$50.00 -
Impact Processing=DDS $50.00
Res Impact:Fees ='SFD $1,921.53
,Total Charged:: $11,808.40 Fees Paid:.$11,808.40-.
SM1P-.Residekial $36.73
Balance Due: $0.00 Receipt No: 11378 `.
LICENSED CONTRACTOR'S'DECLARATION
OWNERl'BUILD,ER DECLARATION41
4
.�
Contractor (Name) State Contractors License No. % Class / Expires
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
LEETE HOMES CSLB-869352 '/ B / 12/31/2007 '
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that -
requires a per it 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 Contractors License Law [Chapter 9 (commencing with Section 7000)'
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(oommencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in f 11 Qrce.and'
of Division 3 of the Business and Professions Cade] 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
10/18/20 O6
the applicant to'a civil penalty of not more than five`'hundred dollars [$500]
Please check one of the following: - - -
Contract6es Signature - Date -
1, AS OWNER OF THE PROPERTY, OR MY. EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL -DO THE WORK, AND THE STRUCTURE ISNOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business'end Professions Code: The Contractor's License'
Law does not apply to an owner of the property, who builds or improves thereon, and who does
' WORKERS' COMPENSATION DECLARATION z` e '
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND -WILL MAINTAIN A CERTIFICATE OF.CONSENT,TO SELF -INSURE FOR
WORKERS'COMPENSATION,
the work himself or herself or through his ,or her own employees, provided that such improvements
are not intended or offered for sale. f, however, the building or is sold within one ,.
as provided for by Section 3700'of the LaborCode,'for the'
performance of the work for which thispermit is issued:
year of completion, the.owner buildeP w 11 have the burden of proof that he or she did not build`or:
improve for the purpose of sale.): -
❑I HAVE AND WILL MAINTAIN WORKER'S:COMPENSATION INSURANCE as required by
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
E'CONTRACTORS TO CONSTRUCT THE PROJECT (Sec 7044, Business and Provessions Code:
Section 3700 of the LaboFCode, for the;perforiance of the work for:whic6 this permit is issued.,•
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers':,Compensation insurance carrier and policy number=are;
thereon,'and who Contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law:).
Career. Policy Number. Exp Date
(This section need not a competed rf the permd is or one hundreddollars'($100) orless.)
'
CERTIFY THATiN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT.IS..
I AM EXEMPT under Section B. & P C for this reason:
ISSUED, I shajl not employ any person.in any manner sous to become subject to the Workers'
..Compensation laws of Califo_mia, and agreethat if I' should, become subject to the workers'.
X - ,10/18/2006
oompensation provisions of Section 3700,of the LaborCode,-I'sfiall forthwith comply with those'
Owner's Signature Date
provisions. -
• /18/2006' '
.
I hereby certify that I have read this application and state that the above information is correct. I agree;
to comply with all City and County ordinances, rules; regulations; and State laws relating fo building "
. .' .�-" _ '+':' ;'. '` - -
SlgnatU[e. ,• - -'•'` - "� , , . - ' -'. ' _., _ Date.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to. defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all for personal
AND SHALL SUBJECT'AN EMPLOYER'.TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
HUNDRED THOUSAND DOLLARS S10o,0o0 , IN ADDITION TO THE�COST OF COMPENSATION,
( )
injury, including death, and property damage caused t is arising out of, or in any way connected with
t of, o in.an way
the issuencebf,this permit. I hereby acknowledge that issuance of this permit does not airtfiorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
'
use or occupancy of any sidewalk, street, orsubsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES .
County to a mentioned property for inspection purposes. I hereby certify that I am the
.owner,o onz �� yy� efs behalf. r -
10/18/200.6 '.
„ CONSTRUCTION,LENDING AGENCY ='
...
:��
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for-
Name Of Perm [ I Ni -P nt Date .
the performance of the work'for'which this permit is issued. (3097 civ. code)
ElOwner, Contractor QR; Agent forOwner Agent for Contractor
'FILE COPY.
Lender's Address' `City State Zip
`,,
BUTTE COUNTY PERA41T
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING'PERMIT APPLICATION NO.
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 --CHICO: (530) 891-2834 -BP
OFFICE #: (530) 538-7541
A FEE R7LL BE REQUIRED A T TIME OF APPLIC4 TION BIN#
Website: www.buffeco6nty.nettdds
**PLEASE PRINT CLEARLY"
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CON'tRACTOR
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Phone
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Lic. Class
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ARCHITECTIENGINEER
Name 6� V -f- cj Re ; t I
Address t?- � i
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City
State C.
Zip
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State Licensse Number
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. a f A APPLICANT NAME
Name
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City
State
Zip
Phone
Fax
E-mail
,-�PPLICAAFr$IGNATURE
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N� \,3
For office use on
Zoning
Po e ddres?�'
Flood Zone,
N-6 Shet
SRA
Policy Number
Carrier
If hifin
. g anyone other than license contractors,. a cerifficate of worker's
compensation must be shown at the tfme of penhit Issuance.
00C.
Type Const.
IN
Subdivision Name Map
Book .
I Page
Lot #
Planner
Date Approved:
LOCA TION
AP#
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WORKER'S COMPENSATION
Policy Number
Carrier
If hifin
. g anyone other than license contractors,. a cerifficate of worker's
compensation must be shown at the tfme of penhit Issuance.
LENDING AGENCY
Name
Address
Applications for which a permit has not been issued will expire one
year after the date of applica. ' tion. In order to renew action on an
application after expiration, a new application, plans and fee will be
reauired.
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.
RO y: -Tf Amount ��Bldg
SRA.
Receipt#: Sheriff
go//3ilo SMIP
I Date!
OVER FOR SUBMITTAL REQUIREMENTS I
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Other
Total
1�1
'9 REV 2-24-05
M
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 LFGIBLE 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.
Y
'n 3:..Engineered truss details layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate. ,
❑ 5; Statement of-lntent'"for Non -'heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) in inst, (B) Marriage line info, (C) FloorPlan; (D) Tie.down or fnd,plans, all in
du licate:
❑ 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 Blggs. ,
❑ -10. Letter of intent for non' residential buildings.
❑ 11.. Detached. Accessory Building Form filled out by the owner (ifrequire'd).
❑ 12. Hazardous Material Form (for Commercial Buildings only). Y "�
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 A "Comm&ioner's office (if required).
❑ 2 Impact.F.ees. .
❑ 3 California Department of Forestry plan approval (if required).
❑ 4: NPDES Form. I `
❑ 5.- Encroachment Permit for driveway from the Public Works Dept; (construction approval prior to occupancy).
El 6. Contractor's license information. i(Number, Name Style,'Classik tion): " a
Ej 11 -,Worker's Compensation Carrier and Policy Number.
❑ -8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization; (if required). `
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.'
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.,
If you have question's or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
I
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
K:IFORMSWILDING F0RMMBIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILD/NIVIS/O .62L
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541. Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ' : C> ' \, ASSESSOR PARCEL NUMBER " 6
69
I.3 v
Proposed Building Use:N Permit Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord-ir to apply.
C� 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.
'53� 4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential' buildi6p,
❑ 12. Hazardous Material Form
13. Ackno edge ent of Ilding permit app ication witrequired clearances.
14. Other 1P� � a4 �S .
Re aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)J l
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable K tw J
-
.,
OUN
16. Fire Sprinklers............................................................................................
11. 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by <
. !I
0 18. Soils Report and/or Engineered Foundation required ...........................................
❑ _ 19. Erosion Control Plan Required........................................................................
\ 0. Fees as shown on the attached Schedule of Fees Due Sheet .............................. f
21. City of Chico Plumbing permit........................................................................
❑, 22. Site plan and business license approval from the City of Biggs ..............................
o 23. California Department of Forestry Ian approval ❑ paid. Sent by:
C� ,( 24. Planning approval for (A) Use:(B)Parking: (C) Parcel Check:...v-
25. Contact Land. Development about _ Improvements, _ Drainage ........................
26. NPDES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
29. Worker's Compensation Carrier and Policy Number .....................
❑ A 30. Owner -Builder Verification (owner).. No.�r►
Given to owner, _Mailed to ......
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 ' .Po I In rlwliand hold for pickup.
I have been informed-of)the abov Jtems and requirements for obtaining a building permit.
Applicant: ; Date: /_ 30-06
1. Index permit application for thea items r Plan Check Letter
2. Additional items required
Contract esine wner, wa dvis of the ve da by ,phone, ❑ mail, ❑ counter, by Date:
Contract igner f7
ner, was advised of the above data by " phone, ❑ mail, ❑ counter, by Date:
Contractor, igner,as advised of the above data b ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date , Plans approved by:Date:
Structural reviewed by: / Date:2 / v C, Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
0
TO:
Buil g Division - Development Services
E.H. USE ONLY
Pbt Plan Attached ✓
Floor Plan Attached
Sent to BDOS
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal: °f Water Supply:. Public Private Well
µ
Clearance for dwelling. Other
Hold final for: �—
Final clearance O.K. for:
NOTE:
Environmental He
Building Clearance 9/2005
BUTTE COU -NTY,DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965] ,
www.buttecounty.net/dds PHONE (530).538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
043-(040-072_ 7 X
Owner JOHNNY PERSON APN No. �d3G$O-0S9
Application Date 1/30/2006 Permit No: BP 06-0214 Permit Type: NSF 5113 SQ. FT.
07
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION - $4934.44-
Plan Check portion of Permit Fee $1,973.78 $2,960.66 Balance of Building Permit Fee 3
2 FEMA Yes Flood Elevation Review $109.98 0
3 SRA* E]Yes Fire Plan Check - Non -Refundable $95.00 0
(State Responslbillty Area) _ Building I? n Inspection $109.98 0 - $204.98
- - � d _
NON-REFUNDABLE portion of: fees_ due at_appllcatloq;£
FEES DUEAND: AT TIME,'OF PERMIT APPLICATION . ,
4
5
6
7
7a
8
FEE8,(BELbwj DUE PRIOR -TO ISSUANCE OF PERMIT
Balance of Building Permit Fees (from No. 1 above)
SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system)
Additional,Plan Check Fees (NON-REFUNDABLE)
Other*:
IMPACT FEES -RESIDENTIAL*
Applications After 2/14/05
CHICO STORM DRAINAGE
MASTER PLAN—%
Per Dwelling
W--'P
llCEIPT DATE Tech/Asst
Zl fTC+6�
-
Per Dwelling
MFD
County
'. - 773 Big Chico Creek 6 596
1'
,, , 774 Lindo Channel $8,13
3071.1
Chico Urban Area
fAore than 1 acre, existing buildings -fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
5372.091
3995.4
EI Medio Fire. District
12 SCHOOL DISTRICT FEES*
12a RECREATION DISTRICT FEES*
3128.31
2297.7
North cnlco specltic Nlan
SR -1, SR -3, SR-1/PD 7938.53 '',, 6757
R-1 8031.53 6850
R-2 7541.53 6360
R-3 6780.53ir 5599
Processing Fee is automatically added to impact fee total
g WATER TENDER FEE (Not collected when Impact Feet Applicable) Enter Bat#
DRAINAGE FEES* 116
Per Dwell
x
7633.4?
7726.45
7236.45
6475.45
0 $100.00
$200.00
,L �,A,
'f,/.� RE DATE Tech/Asst
,� y
10
10a
11
11a
CHICO STORM DRAINAGE
MASTER PLAN—%
- 770 Butte Creek $7,736
W--'P
llCEIPT DATE Tech/Asst
Zl fTC+6�
-
771 Comanche Creek $8,069
New Construction, vacant
land, on 1 acre or less
Enter 1 or less acre value
„C_ r 772 Little Chico Creek $8 2
'. - 773 Big Chico Creek 6 596
1'
,, , 774 Lindo Channel $8,13
775 SUDAD Ditch $6,975
776 Mud -Sycamore Creek $6,070
777 PV Ditch $8,60.
fAore than 1 acre, existing buildings -fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
THERMALITO DRAINAGE AREA $652 Maximum
Per each new living unit on existing lots where full drains a fees have not been paid
Temporary Dwelling $130 JAt time of building permit
$130 annual renewal fee -for first 4 renewals. Not to exceed $652.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE'RECEIYED PRIOR TOISSUANCE OFPERMIT., Forms;will be prepared after plan -check;'
- is completed for,applicant to take to respective district office N '-
12 SCHOOL DISTRICT FEES*
12a RECREATION DISTRICT FEES*
Chico Unified School District 062
5-31-0 CbI�1' .,,. 3/
Chico
At the time of permit application, I was advised the above fees are required to,be.paid prior to issuance of the permit: These fees, may be changed during the plan
checking process.
Applicant: Date: `— 3o — 0
Pursuant to Government code Section 66020, you are"i4reby notified those Items followed by an "*" may have been imposed on your project. You have 90 days
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205
l l�
Butte County Department of Development Services �OTrF
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR o ,
0 0
7 County Center Drive o /� o
Oroville, CA 95965 0'e► =, c
(530) 538-7601 Telephone
(530) 538-7785 Facsimile �UN�
ADMINISTRATION ` BUILDING * PLANNING
September 15, 2006
Dawn,
I spoke with Tim Leets this morning and he asked me to fax you over a copy of the balance of fees that are still
due on your house permit.
Following is what is still due.
Bal of building permit $2,960.66
SMIP 36.73
Butte County Impact Fees 4,196.87
Chico Storm Drainage Fees 2,640.36
Total due $9,834.62
Please refer to the Receipt of Fees Schedule following this letter.
Also due before we issue the permit will be your. Chico School fee and Park and Recreation Fee forms.
If you wish to add Tim as the contractor to your permit, please give him a letter stating you wish to add him as
contractor to the permit and he can bring that in and we will do that for you. Or you can fax me a note and I will do
it for you that way. I will need his Contractors license number, state compensation information, address and
phone numbers to add to the permit.
Any questions please call me.
Sincere';
Ka E Jones
Permit Technician
2006-0054806:,
Recorded I REC FEE 13.1
AND WHEN RECORDED MAIL TO: Official Records I
County of I COPIES 3.08
BUTTE COUNTY BUILDING DIVISION Butte I
7 COUNTY CENTER DRIVE CANACE. J. GR IBBS I
OROVILLE, CA 95965 County Clerk—Recorderl
T BW
02:48PM 18-Oct-2NS I Page 1 of 3 .
" ,, • _ �: Illllllilllllllillllllilllllllllll _:
AGRICULTURAL: STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area-zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the .use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke,.noise, and odor. Butte County has established agricultural-purposes and residents within said zones and on .
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as, follows:
Date I/ IAS PROPERTY OWNERS:
�i�.;v "s�Orlhhy
Cr SQA DQvvjn E. NOr,i;iZ.-Pers,,,
State o California1 )
County of �/ )
On `� a efore me
personally appeared 3-01v) own ersonally
known to me (or proved to me ori-the basis of s • factory evidence) to'be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to in at he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the ument,.the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my. hand and official seal.
Signature' . - �iC^%' �t Seal:
i 1531955
A.P.4 04 (A6 CXA Cdllomb
4 2M8
Effective January 1, 2006, a change was made to notary acknowledgments that requires the verbiage.
be exact. Civil Code Section 1189 (a) has been changed to read as follows:
CIVIL CODE §'1189 (a),Any certificate of acknowledgment take"' ithin this state shallbe in
the following form:
State of California )
County of
On&D before me OA /�� personally
(date) Jphn n O 0 (here ert name and title of the officer)
appeared f1f.-AtY50n personally known tome (or proved to: me on the
insert name(s) of person(s) signing
basis_ of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS m hand and official seal.
Signature CAROLYN PICKARD
(officer) Coffrnwn 1531955
Notary Public - Ccdffomb
ButtA County
MYCOff"L D ca.2008
Most common reasons for rejection by the Recorder. •
Title of Officer missing
Aclmawledgment contains "in and for said County and State" or other verbiage not allowed
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
Q_FE HER RIVER RECREATION AND PARK DISTRICT (FRRPD)
`B'CHICO AREA RECREATION AND PARK DISTRICT (CARD)
❑ PARADISE RECREATION AND PARK.DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s)' ��� l )` 0r7 Building Permit Number`Q�Q 1
. _PropertyOwner (s)�of, 4 1'
)`
Project Location /Address O e _ C
SubdivisionName .Assessable Sq. Ftge �� I
Type. Residential Development (check one):`
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement -verified by.Assessor Department
Demo Permit (date issued ) verified by Building Department
-Comments: -
B •]ding bepartrne)qjkepresentative Date l�
❑ FRRPD Q CARD ❑ PRPD D DRPD certifies that:
plicant ame Phone Number
r State Zi
Mailing Address City -
.Has complied'with'requirements of the Butte County Board of Supervisors Resolution No.
by Payment of: _
l
QT)
Units @ $ .3 75 per unit for a total of
Square Feet @ $ per sq foot for a total of $
Remarks:
Paid by Check No: Paid by Cash:
Recreation and Park District Repr entative
3
Receipt No: _
Date
;pyi e"'-„• "•A_1:1=a'eY'=%—'� ''" .. - .' FF 5s'-
T `4` , - Y
a., BUTTE COUNTY SCHOOLS IMPACT-FEE CERTIFICATION FORM J
(One form per Building)
School District l ' hien U IL M C h D r�wi r. - Building Departm No..
A.P. Number09-1n. O�Z Jurisdiction:, City County
' Property Owner e {:, '
Al
_..Property LocatioNAddress C
Fpse if
t
Subdivision Lot No.
...............................................
Residential Development Q . r Q - . Q Sqj Footage ~] 3
No of Living Mobile Home Addition/ . 'Supplemental to (Group. R)
:S Units Installation Conversion Permit #'
... (No founds: n inspection) . e
:.. ,
Deed Restricted,Sq. Footage,
(Attach-a signed copy of Deed RestricU'`and Notice of Limited Use: Facility document)
I
Commercial/Industrial Sq.' Footage
r New Addition z; . (Including Exterior
Roofed Areas)
Building De irtment Repres ative Date
1
�Distdentification Ni
rict 1, L
�\- School District certifies that'�M " k
r + ;
0TTTo� a�°t est ®f c Publ Works
a� �0
�.
C o u n t y o f" B u t t e
o
c 7 County Center Drive
' oroville, CA 95965
O y 0 J. Michael Crump, Director,- : ",(530)538-7681
OU N� (FAX) 538-7171
p�1-1c W Shawn H. O'Brien, Assistant.Director
Assessors Parcel Numbei : / 9-/ �%4%�Building permit #
Owners Name: r' D
- Owners Mailing Address:
Property Address:
ENCROACHMENT PERMIT ACCEPTED:
PERMIT NUMBER:
ENCROACHMENT PERIVIIT EXEMPTION:
Reason for exemption:
[j Not a County maintained road "
Existing driveway conforms to County S-31 standard
[� Other
Approved by
Printed Name
Title
Date : 40
CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT
1: An existing home with•a driveway 10 years. or older and doesn't cause any problems with
the county road or. drainage.
2.. An existing home With only minor remodeling or repairs
09/15/2006 15 24 5308991523 DA6N'HORWITZ PERSON:. i PAGEu 02,°;
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REQUEST FOR ADDRESS.VERIFICATION.
DATE: AP4
OWNER S NAME Aiaa�4
OWNER'S PHONE # Q
OWNER'S MAILING ADDRESS
PRESENT ADDRESS OF BUILDING(S)
1.
2.
3.
4.
ASSIGNED ADDRESS(S�� cnee'-� e,L) Ch tc6
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2.
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:"Y
CHICO
URBAN AREA DRAINAGE IMPACT
FEE DETERMINATION SHEET
Dear Builder/Homeowner: _
In some areas of Butte County, ordinance 3910 requires the payment of drainage impact
fees prior to the issuance of a building permit. The parcel on which you have applied
building permit is in the ?3 drainage area.
It is your responsibility to attach a site plan to this form, and deliver as =soon as
possible to the Land Development Division, Department of Public Works; 7 County
Center Drive, Oroville, CA 95965 so that your fees may be calculated, and the issuance
of your building permit may be. facilitated. Land Development processing time, is
approximately 3 weeks, not delivering this form in a timely . manner may delay the
issuance of your building permit.
Information for Land Development/Public Works:
Scope of project:
❑ Addition to existing Single Family Residence Square Footage
/ Single Famil Residence / 1 Acre + Square Footage .
0 New S y
❑ Commercial
/o, Gov
Assessors Parcel Number:
Owners Name:
hg
Owners Mac ,
'n Address: _ Q'1 'Lleo9S l�
Property Address:
?Applicants Name and Phone Number: n
Form completed by: 1 Date:
Fee er acre $ G 9 6 Fee. calculated by Q�-S Date: $ I r� /0 6
P
AMOUNT DUE: $ a. Form returned to Develo ment� Services on:
Butt( `,CountyDepar&nent o1 DevelopineljtSet vrr
7 County Center Drive
oroville, CA' 95965 ���. °
(530) 538-7601 Telephone
(530) 538-7785 Facsimile cougl
)BUILDING PERN[IT APPLICATIOlo1-WITHOUT _REQUIRMCLEARANCES
I request and authorize the Building Division top rocess this building pen -nit application through the plans ,
examination process WITHOUT first obtaining all necessary; related permits and clearances from other
regulatory entities, : including but not limited to, Planning, Environmental Health, Land. Development, -
County Fire, and Agriculture..' ..
.I hereby acknowledge: :
a i an or }yell to Butte Coun Environmental Health
r etc d/
or need. to submit a lications o s County.'Environmental. PP
.f P
immediately.
• I'.ant required to bring the approved Environmental Health site, plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
• ' I amresponsible for notifying Development Services, in writing, to stop processing of: the
application and to arrange for disposition -of plans.
The Building Division will :process the application through the plans examination process, as submitted;
-.without. input from other regulatory entities that could prohibit issuance of *the building permit or require
submission of amended building plans to. the Building' Division. Once the plans. examination process
• begins, there will be no refund:of plans examination fees.' Any changes requiring submission of amended
plans to the 'Building Division will incur additional fees.
` Within one ear';from the `date of a lication for a,buildin ermit all other required permits and clearances'
Y PP g p ,
from other -,entities must be obtained for the permit to be issued... Failure to obtain these permits/clearances
will void the application
Typically."other required permits/clearances include,. but .are not limited to, verification the parcel was
legally created; adherence to all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access,' and applicable set -backs and environmental issues (fire; agriculture
buffer zones, and habitat/species):
Please print: Oq0
Applicant Name:"'
ame �/ Y1, �/75 0 APN:'
Building site address:. , �� -ems Permit No.:
Ihave read, `understood andr accept the terms and ' conditions as expressed herein as -'indicated ,by my ;.
submission of the above=referenced building permit application and my signature below: ;
SIG RE OF APPLICA DATE .
I �__..._ .__c___.iruirn_ - ... :.�K•Fnrrris/R1AvPermitwiihnuK'lraranGCS0��70$ .
vn
7i
r
af.�a_7; �w d �ti w s t fi t s rk utr a x��;. + g 4 d 9
H ealth Condition me-ans an i6ess, �njury imp�j
A
.... .. .... .... -al or mental condition physic that involves oJ_ C��.
7 _r folloWng-
I HDS-Qtal Care
Inpatient Care (j. a-, an overnight stay) In a hospitai, ho- -pica, Or Ta side
incapa(,.FIY 2 jT&aTFTlent in connection iripalien-f Car.&-.
coC0,11sequarl- fo,�.-,Uc�
L ,
2- Abserce Plus -Treatment
(a), A p ' --riod bf,incapaCjty2 Of More than three consecutive
onsecutive calendar da I y-,� /including any 'subsequent treatment or
per � t
lo � 01 jnCap�ojfy2 reJating Io the sarne c-ondffioD), tha� also i
-1 - .. rivb!vas:
-TTea . tm6nt 3,two.or, more times by a health carepy . c -oviderby a nu' -.,,e or pl�ysjjar, s assts
UT)Oel, t-ilreCt,
supervision ofa health care provilder, or -res,
.11 by.apr6yiderofhe'althca services e_g., physical tf-jerapisL)
under orders ofj'or On referral by, a health. care provider, or.
(2) Treaiment by a health. care provider on at least one occasion which results , i I h a . re ir , Tien of continuing
treatmerit4_und.erlthe supervisjorl, ofthe health care provider.
3. PreonancV
Any ;period of incapacity due topreginaricYr preyiata! care.
, or fo
4. Chronic Qonaibon' Requiring.Treatments I
Achronic condition which:
Requires periodic visits for treatment by a health care provider, c*rby a nurse or physician..s assistant under
direct supervision of a health care iprovider;
(2)Continues over an extended peri Old oftime (including recurring episode
and episodes a single underlying condition);
(3), May cause episodic rather than a continuing period of incapacity'.2
(e -g., asthma, diabetes, epilepsy, etc.).
5. Permanent/Long-term Conditions Reguiring Supervision
A period of IncapaCi I ty2 which is permanent or long-term due to a condition -ition forwhich treatment may not be effective. The
employee or family member m u . inclst be under, the continuing supervision of, but need not be receiv
by, ahealth care provider. samples inude Alzheimer' ing active treatment
s, a severe, stroke, or the terminal.stages ofa disease.'
6. MultioleTr I eatmFmfiq Nnn . N
Any period of absenceto receive multipl&trleatr -hents (including any period of recovery there . from),by a health care'*
provideror by a provider of health care services under orders of, or on ref6rra'd by, a health care provider, either, for
restorative surgery after an accident or other injury, or for a condition that
of more than three consecutive I would likely result in a period,6f IncapaCity 2
secutive calendar days in'the absence of medical
(cherhotherapy, radiation, etc,), severe . ' I cat-iptervention 6r&dat'
arthritis (physical therapy),ment ,such as cancer
and kidney dfs_ease (dialysis):
This optionailform may be used.by employees to satisfy a mandatory requirement to furnish a medical certification (when request e m
a.health care' provider, including secbnd,orthird opih'io d) fro
ns and recertification (29 CFR 825.306).
Note.- Persons are not required torespond to this coilection of information unless it displays acurrently valid OMB control number.
Treatment dudes examinations to determineif a serious
physical ir, atims,reye examinations, or dental exami
A regimen ofconfinuirig treatment includes, for example,
to resolve orallevlaie the health condition. A regimen of
antihistamines, ors'zaves; orbed-rest, drinking fluids, exe
'WE., estimate that it will take an average of 10 p
instructions, searching exisLino data sources,
c011ectidnof information, If you have any coninformation, including suggestions for reducing
-,:
of Labor, Room -,:,5o2, 200 Cons . . .
-—LILution Avenli.
DO NOT S'-.ENM
D THE COF�I =TEDFojR 44 TO
Ihealth
condition exists and evaluatims ofthe-candifion. Treatment does notin . clude routine
nations,
I ourse of piescriptiol
�medicaltion.(..e,g,an,antibiotic) or-thet-�6�,recuiri,-Ig
special equipment
reatment does not include the takirjcl-of over -th—"COLIn t
erM icatio, ns SU ',as aspirin,
rase, and other similar acfivi6es that can be initiated withovisit to a4)eaith 6ifeprovider,
I Public Blirden Statement:
inutas to Complete this coll&ution of informatj
on, including:) wtimn fcrrevie wing
athering and the {rata needed, and completng,a�
I I U . ravipwing,thR
ments regarding this burden estimat=e or aljy.other aspect of ti�js_c-ollecboj of
Pis burden, sa.ndffiem to the Administrator, WaOe and Hour Division, D-np_ar-;-n a-)
NA, Washington, D.C.'20.-2I'(J_
�HJS OFFICE; IT GOES TO T,;VE Ej,�'pL L)y�,=
GREGORY A. PEITZ
ARCHITECT
383 RIO UNDO AVE. CHICO CA 95926 (530) 894=5719
PROJECT:
I have reviewed the truss submittal for the above project and all loading
design criteria have been met.
Creg A. Peitz
Architect
f
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= OK�i . -
.:'o =Not OK'..-
M'ANUFA CTU,RED HM.ES..
M:1.SC`ELLANEO.US
DATE PERMANENT FOUNDATION .. _, SOFT -SET
DATE
D E C K S`C O V E R'S`C A R P O R T S `G,A R A:G:
1 Zoning -Setbacks -Easements- ' :
- `
1 Zoning=Setbacks,-Easements _`
2 Soils; Special MH Support Sketch
2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel
.3 Sewer;-.Loctn-Test;•.FaIUC/O-Concrete
3 Decks, Girders/Joists-Dcking-Brcing .
4 Wtr, Loctn-Test-Easement Needed -Regulator
Stairs-Guard/Handrails
S Elec-Loctn'-CIrncs-Grnd Amp -Concrete
4 Wood Awn; Posts-Beams-Rftrs_-Cnnctrs-Shthg
6 Yard Gas; Loctn-Test-Wrap - 'Nat or. LP.Q.
Frmg-Brcng
Inch Sz Ft Lngth.
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
7. Blckng; Si-Spacing=Marriage Line
6 Carports; Wndws-Doors
8 Gas;; MH Test-Demand-Valve-Cnnctr
7 Electric -
9 Elec'MH Cntnty Test-Crossovers-Breakers-Clrncs
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
10 Drain;'MH Test -Fall -Flex Cnnctr
9 Siding; Nailing -Veneer -Stucco -Lath
11 Wtr & Sewer Connected -C/O to Grade`
10 Roof; Shthg-Roofing
12 Gas and Electricity Tagged
11 Ext; Steps -Doors -Landings
13 Tie Downs: Q Foundation 0 .
12 Braced Wall pnls: .
14 Exits .`
_ 15 Cert of Occupancy
'
°'•
°� °�•
.16 HUD Label/insignia Numbers Serial Numbers
DATE
IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men - Lining
4 Elec Rcptcle/Lting; Distance-GFI
_
5 Elec Pool Lting; 15 voltsmGF1.
enc
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7. Elec Bonding; Metal w/5-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcl ng Eqp-Pool Ightg
-
Bozes-Enclsrs-pniboards4nsultn to Main, Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
-
12 .Enclsr, Fencing - Alarms
13 Bonding, Diving board or Slide .
i
OK -
= Not OK - -
RESIDENTIAL
DAIS JUNDERFLOOR �
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd �_ Ftg Dpth
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth,
5 Stemwalls Main; Steel -Blockouts-Wrapped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
69 Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
Anchrs-Sz UF, Gas Pipe; Sz Anchrsz Test
11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgmd
13 Plenums & Ducts; Clrnc-MaterialSuppo l -Insultn
14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
15 Acc & Vntltn
16. Insulation f
1,
DATE IFRAMING
17 Sills Proper Materials &-Anchrs
18 Walls Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders & flr Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac'TrussShihc
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht &I Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Oulrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts Undrfir Acc
i
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 lnsultn-Walls-Ceilings
391nfiltration-Walls7Wndws
i
DATE JELECTRICAL
40 Fxtr & Tmsfrmr Clmc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches It Doors
42 Sz Boxes & No Of Cndctrs Stapled 1
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndcir Sz GiFl
47 Subfeed Wire Sz ye ❑ CU or ❑AL
AC Wire Sz o
ga O CU or AL
48 Range Circ a, O CU or FAL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral ❑ Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clmcs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
SIng[& &.Duplex)
DATE IPLUMBING
53 Wtr Htr Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tub & Shwr; 2nd fir - Tub-Acc
58 Gas.Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
40' ``
m o'er o
DATE MECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
r
o'er o` a o
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace. Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69. Bedroom Exiting .
70 GFl & Bath Fxtrs & Tub Acc-Spa
71 GFl Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard[Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr, Vnts-DImc-Com Air Cnnctr-PRV;.abv fir
Mech Prtctn; LPG Appince Undr House 3- drain
81 Plmb; Elec & Mech Eqp Listed for Loon
82 Elec Rcptcls in Garage (GFl) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole.Door Drnge & Wood -Earth
86 Clrnc Drnge Planters aYes FIN.
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-DIrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous lnspctns
_ 95 Gas Test -Meters Tagged, Gas-Elec
_ 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert4Xb6r Certs
98 Address Posted
99 Fire Sprinkler
06/01/06 THU 15:23
FAX.530
894 1523 PEITZ ARCHITECT
0002/002
1 -8"
8" CONIC, HALL
b... THIN
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DANT.
BETA I N I NO NALL
RETURN TO CHICO EH
TO _
P,444//1///L/G �, h2
SITE PLAN R, EVIEW APPLICATION
Dater D AP#
Permit Number (if applicable) 0'2- i � Bea Number
APPLICANT INFORMATION Parcel Size:
Owners Name:
AG& x/
Owners Address: 2
Telephone No.: J `(%5 Email.
Situs -Address:
Proposed Use:'
1Residenti2l
New Single Family Residential.
❑ Single Family Addition ❑ Single Family Remodel `S
❑ Mobile Home MQoT 61F ��'�°VD�,1�0 13�
Residential Accessory
Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie) /
❑ Temporary Travel' Trailer
❑ . Multi -family
Non-iresiden ial
❑ New Commercial
❑ . Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial -Remodel
` Cher - -
tic Well
Agricultural Exempt Building Agricultural Buffer Form ❑ Applicable F-1N/A
❑ Other:'
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Ise)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
. aflIlStam 1pPr®veal
By Date jn:yk/t, S eD,
-Page l of 5
Y. TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: El Verify residence can be built per contract
m
❑ Nitrate Action Plan (See Environental 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 Plana: (See attached)
® .Flood Zone: y
® Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be, obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
❑ Oroville Enterprise Zone
Use Requires:
❑ Use Permit
❑ Minor Variance
El Minor Use Pen -nit ❑ Administrative Permit
❑ Variance
❑ Detached Building Use Form
❑ Agricultural Worker Affidavit
❑ Encroachment Permit
❑ Agricultural Acknowledgement Statement
Zoning: / - 6r, &z212
Applicable Building Setbacks:
Zoning Code
Front 90
Side
Side Street
Rear
Height
Waterway N/A
❑ Setbacks drawn on site Plan.
Streets & Highways
N/A
Fire Prevention
N/A
Subdivision Map
CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Subdivision Map/Parcel Map:
Map Date of Recording: tb (3 2w
Lot: Book: Page: 2
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
Pairee91n✓llap/Subdivision Map[Use permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ . Norte
❑ 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.
Page 4 of 5
OWNER'S CERTIFICATE
WE, MICHAEL J. LEITNER AND SARA F. LEITNER, HUSBAND AND WIFE, AS JOINT TENANTS, AS
OWNERS OF THE LAND SHOWN ON THE ANNEXED MAP, AND REGONTRUST.-COMPANY N.A.,
AS rTU5T66" . UNDER A DEED OF -TRUST RECORDED IN THE OFFICE
OF THE RECORDER, COUNTY OF BUTTE. ON 50M.20, 2005, UNDER SERIAL No. 2005-5 8 543
DO HEREBY STATE THAT WE ARE THE ONLY PER§ONS WHOSE CONSENT IS NECESSARY
TO PASS CLEAR TITLE TO SAID LAND AND THAT WE CONSENT TO THE PREPARATION
AND RECORDATION OF THIS MAP.
WE HEREBY ESTABLISH FOR PRIVATE PURPOSES THE FOLLOWNG:
1. ROSECREEK COURT, A NON-EXCLUSIVE- EASEMENT FOR INGRESS, EGRESS, ROAD AND
PUBUC SERVICES PURPOSES, TO BE RESERVED IN DEEDS AND IS HEREBY OFFERED
FORDEDICATION TO THE COUNTY OF BUTTE.
2. A 15' WIDE STORM DRNNAGE EASEMENT ON PARCEL 1 FOR THE BENEFIT OF PARCELS
T AND 2 TO BE RESERVED IN DEEDS.
.2�4_ 44el
MICHAEL J. UEI�
01WR
LCLU�__
SARA F. LEITNER
OWNER
PRf3+D6�Y mal S��INgs
�OFFSSt1W
Vr�
R15EgNTRUSY (1jA1 DANSIJ.N.A.
t .A NOTARY PUBUC,
rRUST�.
AF��Y.''T'
4
ACKNOWLEDGEMENT
PERSONALLY KNOWN TO ME OR PROVED
- STATE -OF- CALIFORNIA -2- S.S.
GATED: L0/7T/—f
COUNTY OF BUTTE S
�OFFSSt1W
ON BEFORE ME.
t .A NOTARY PUBUC,
PERSONALLY APPEARED
AF��Y.''T'
4
Ura F. LLLihLY
PERSONALLY KNOWN TO ME OR PROVED
TO ME ON THE BASIS OF SATISFACTORYEVIDENCETO BE THE PERSON(S) WHOSE NAME(S)
IS SUBSCRIBED TO THE WTHIN INSTRU T AND ACKNOWLEDGED TO ME THAT HE/SHE
LUTED THE SAME IN HIS/HER/ R AUTHORIZED CAPACITY(IES), AND THAT BY
HIS ER/�NATURE(S) ON THE INS
ENT THE PERSON(S) OR THE ENTITY UPON
BEHALF- OF�7FlICH THE PERSON(S) ACTED, EXECUTED
THE INSTRUMENT.
WITNESS MY HAND AND OFFICIAL SEAL
SIGNATURE
- •TuY►G oY q
PRINTED NAME OF NOTARY
MY COMMISSIONORES:
IN BUTTE COUN
ACKNOWLEDGEMENT
STATE OF CALIFORN��IA�����))}i SS
COUNTY OF EOR"''
ON SDI Sl I-) BEFORE ME, H> ,A NOTARY PV8UC,
PER ALLY APPEARED ]� 5-1r'1�
PERSONALLY KNOWN TO ME OR PROVED
TO ME -ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S) WHOSE NAMES)
IS/ARE SUBSCRIBED TO THE WTHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SME
4
15� /THEIR 9CNATURE(S) NONH
NI ST/
INSTRUUMENT THHEI PERSONS) ORIETHE ENTITYHAT BY
UPON
BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT.
WTNESS MY MANOiAMD OFFICIAL SEAL
SICNATURE(_ *47a+
PRINTED NAME OF NOTARY
-Y=
J 'GM.ODv�tl
ENGINEER'S STATEMENT
RECORDER'S CERTIFICATE
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, A74:01 A.M. ON TRE DAY OF DCTDAE0. 20Q& IN BOOK ..
I&SS-OF MMS, AT PAGE AT THE REOUEST OF MER
CONSULTING.
SERIAL. NO. 2,005 - 44971 /
CANJ. GR B - DEPUTY
BUTTE COUNTY RE ORDER
COUNTY SURVEYOR'S CERTIFICATE
1, STUART EDELL DEPUTY COUNTY SURVEYOR OF THE COUNTY OF BUTTE,
AO HEREBY STATE THAT I HAVE EXAMINED THIS PARCEL MAP AND IT IS
SUBSTANTIALLY THE SAME AS IT APPEARED ON THE TENTATIVE MAP AND
THE APPROVED ALTERATIONS THEREOF, THAT ALL PROVISIONS OF THE
SUBDLNSION MAP ACT QF.TIIE STATE OF CAUFORNIA AND LOCAL ORDINANCES
HAVE BC
EEN OMPUED WITH AND N AM SATISFIED THAT THE MAP IS TECHNICALLY
CORRECT.'ROS�TRI COURT, AS OFFERED FOR DEDICATION HEREON, IS NOT
ACCEPTED AT THIS TIME I
I
GATED: L0/7T/—f
SSU ART EOEIL RCE 29132
DEPUTY BUTTE COUNTY SURVEYOR
couNTr a BUTTE
�OFFSSt1W
REGISTRTIN E%
AO%RES 3-31-07
f
C
OR CONDITION ALLY APPROVED TENTATIVE MAP,IF ANY, AND THAT ALL MONUMENTS ARE OF
AF��Y.''T'
4
THECHARACTER CD OCCUPY THE POSITIONS INDICATED AND ARE SUFFICIENT TO ENABLE
«. n1ss
THE SUR Y T RUE RETRACEO.
MARX E 'RISSO RCE 24016
7 m Y
REGISTRATION. EXPIRES 12-31-05
or L
THIS MAP WAS PREPARED BY ME OR UNDER MY DIRECTION AND WAS COMPILED
FROM RECORD DATA AND IS BASED UPON A FIELD SURVEY IN CONFORMANCE WTH
THE REQUIREMENTS OF THE SUBONSION MM ACT AND LOCAL ORDINANCE AT THE
REOUEST OF MICHAEL J. UOTNER.
I HEREBY STATE THAT THIS PARCEL MAP SUBSTANTIALLY CONFORMS TO THE APPROVED
OR CONDITION ALLY APPROVED TENTATIVE MAP,IF ANY, AND THAT ALL MONUMENTS ARE OF
THECHARACTER CD OCCUPY THE POSITIONS INDICATED AND ARE SUFFICIENT TO ENABLE
THE SUR Y T RUE RETRACEO.
MARX E 'RISSO RCE 24016
REGISTRATION. EXPIRES 12-31-05
PARCEL MAP 03-09
A PORTION OF LOT 5 OF MOREHEAD RANCH
SUBDIVISION No.1, SECTION 34, T 22 N. RIE, MOB h M
FOR
MICHAS. 1 AND 504 F. LEITRER
Mm CONSULTING
7788. SKYWAY PARADISE, CA. 95969
P.O. BOX 3249 PARADISE, CA. 95967-3249
(530) 876-9431 FAX (530) 876-9435
Av A 043-090-DI9 SHEET 1 OF 3 13eArrorE
BOOK 165 PAGE Z8
�y CHICO '
B\G ' Be -..o
CREEK
SCA 1'- 40'LOCATION _ '`* i n �r
0 ply -
man AVE
N 8110'00° E130.00' (R4) LOCATION MAP
- FO 3/4' DIP (R4)_ WEBB - FD 3/4' OIP AVE _ - - FD 3/4' OIP (R4) •s.1. NO SCALE
(R4) TAKEN AS'NE CCR LOT 5
- , FaD7 SPIKE BENT _ N 8170'00' E (Co RI h R4) - - 599.95' (C) 600.00' (RI) 600.20' (R4) _ - - MOREHEAD, RANCH, SET
II 199.98' (C) 200,00' (R5)1 TAG RCE 24016 LEGEND
79.00' (R3) - PROPERTY BOUNDARY
' I _ EASEMENT UNE
SET 3/4' IP TAGGED RCE 24016
FOUND MONUMENT AS NOTED
• 3v (C) - CALCULATED
Iw¢ SR No. 2001-60371 'SR No. 98-35978 g$I I v - P.S.E. --PUB MEASURED
EASEMENT
00 10. G0' PG k E 1 No. 98-41138
n I SERNCE EASEMENT
o BK 2453 O.R., P 118
w I- 'a of REFERENCES
I' > 30.00' DEEDED TO BUTTE COUNTY. - $ R1 - BOOK 9 OF MAPS, PAGE 14 (MOREHEAD RANCH)
Q' SR No. 2005 °i I FD 3/4� DIP R2 - BOOK 45 OF MAPS, PAGE -39
? CONTAINING 900 SF3' - - 41'05'03' I _o BENT R3 - SR No. 93-049675
_ 60' EASEMENT FOR INGRESS, EGRESS -B P.S.E. R - 50.00' R4 - BOOK 124 OF MAPS, PAGE 75
- TO BE RESERVED IN DEEDS AND OFFERED `! SR No. 98-6565 _
60' EASEMENT FOR INGRESS, EGRESS k P.U.E. FOR DEDICATION TO THE COUNTY BUTTE L 35.85'- R5 - SR No. 2001-60371
m K2299 O.R. P 762_ S 8770'00' W _ 490.981C) 491.00' R6 \ I R6 -'SR No. 88-35173
30.00' 402.58' _
RO CRE - 88'40 I R7 - BOOK 45 OF MAPS, PAGE 71
(M FD 3/4" DIP
URT 2560: I BASIS OF BEARINGS
e.aB' I
N 0 E 8.98 C) 39. R - 1 0 - 51'41'02' 1 SOUTHWESTERLY UNE OF LOT 3 OF THE MOREHEAD
• - R -50.00' SUBDIVISION No. 1, BOOK 9 OF MAPS, PACE 14,
g SR No. 97-33322
L - 45.10' .� BUTTE COUNTY RECORDS. TAKEN AS SOUTH 08'
50' DO' EAST BETWEEN FOUND MONUMENTS.
I w^ e( u
co -� 30' EASEMENT FOR INGRESS, EGRESS & P.U.E. - 60' EASEMENT - o
0 2 BK 2010 O.R., P 598 4 - 8056'27 -
�' - Ig R - 20.00' PER 88-35173
b 'L - 21.27' ; om
T
I`75.GO' STORM DRAINAGE EASEMENT no
n A - 125'05'56' -
FOR THE BENEFIT OF PARCELS 1 k _ u N SR No. 2002-9559 - -
2 TO BE RESERVED 1N DEEDS - R -50.00'- -
SR No. 2G02-58431 �'1 L - 109.17'
3P 13 I -
RCE3336PARCEL- 1 ^ 3 PARCEL 2
1.09 AC -GRS1.09 Ap GRS N
.63 AC NET . 0 1.08 AS NET -
fR m
zI v A PORTION of oTMDAFPo03-0AD 9tH
' SUBDIVISION No.1, SECTION 34, T 22 N. R1E, MOB k M
J0.00' 30.00' -
FOR
(R7) (R7) 193.58
_167.39' PCL 3, BK 45 M, P 39.. MICHAEL J. AND SARA F. LEITNER
• _ N 8710'00 E (C) 569.95' (C) FD 3/4' DIP (R2) _
SET TAG RCE 24016 -
SR No. 2001-52642 SR N0. 2003-41750 SR No. 86-43247 SR No. 95-1568
RCE 7294
41 _ _ _ _ - CONSULTING
7786 SKYWAY PARADISE, CA. 95969
FD' SPIKE - - P.O. 3249 PARADISE. CA, C 95967-3249
(530) 876-9431 FAX (530) 876-9435
OAK PARK AVE SHEET 2 OF 3
—� — AP! 043-690-069 .roe! 1354FM.
NOTES
490.96' L) 491.00��—
(THE ADDITIONAL INFORMATION SHOWN ON THIS SHEET IS FOR INFORMATIONAL
7. BUILDING IDENTIFICATION AND/OR ADDRESSES SHALL BE INSTALLED IN CONFORM -
PURPOSES ONLY, DESCRIBING CONDITIONS AS OF THE DATE OF FILING AND IS
ANCE WITH -PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING
NOT INTENDED TO AFFECT RECORD TITLE INTEREST)OF
CONSTRUCTION AND MANTAINED CONTINUOUSLY THREAFTER.
'
8. FIRE SUPPRESSION SPRINKLER SYSTEMS SHALL BE INSTALLED IN ALL NEW RESIDENTIAL
1. THERE IS A 50.00 FOOT BUILDING SETBACK FROM THE CENTERUNE OF ROSE
STRUCTURES IN ACCORDANCE WITH THE NATIONAL FIRE PROTECTION ASSOCIATION
AVE,
STANDARD FOR THE INSTALLATION OF SPRINKLER SYSTEMS IN ONE AND TWO FAMILY
2. THERE IS A 50.00 FOOT BURRING SETBACK FROM THE CENTERUNE OF THE
DWELLINGS AND MOBILE HOMES, NFPA STANDARD 130, UNLESS A PRESSURIZED COM -
INGRESS AND EGRESS EASEMENT SHOWN ON THE ANNEXED MAP..
MUNITY WATER SYSTEM, WITH HYDRANTS, THAT MEET FIRE DEPARTMENT SPECIFICATIONS,
3. NO BUILDINGS ARE ALLOWED WITHIN THE TURN AROUND EASEMENT SHOWN
SERVES THE PARCELS.
ON THE. ANNEXED MAP.
9. PRIOR TO RECORDATION OF THE MAP OR APPUCATION FOR A BUILDING PERMIT, THE
4. DEVELOPMENT OF PARCEL 1 W!LL REWIRE CONNECTION TO A PUBUC WATER
APPLICANT SHALL PAY THE THEN CURRENT ESTABLISHED FEE FOR THE WEST CHICO
SUPPLY.
FIRE STATION FUND. I-
5. DEVELOPMENT OF PARCEL 2 WILL REQUIRE CONNECTION TO A PUBLIC WATER
10. PROVIDE AN ALL WEATHER ACCESS TO ALL STRUCTURES. THE ACESS SHALL HAVE A
SUPPLY, UNLESS PENDING WATER QUALITY TEST RESULTS INDICATE THE WELL
MINIMUM OF A 10 FOOT WIDTH AND A 15 FOOT VERTICAL CLEARANCE, AND BE ABLE -
WATER IS SATISFACTORY FOR DOMESTIC AND IRRIGATION PURPOSES.
TO ACCOMMODATE A 40.000 POUND FIRE APPARATUS.
6. PRIOR TO BUILDING PERMIT ISSUANCE FOR A NEW RESIDENTIAL DWELLING UNIT(S),
11. DEVELOPMENT OF THESE PARCELS MAY REWIRE PAYMENT INTO THE WATER TENDER
THE APPLICANT SHALL PAY ALL APPLICABLE DEVELOPMENT FEES AT THE RATE N
FUND.
EFFECT AT THE TIME OF ACCEPTANCE OF THE APPLICATION. SUCH FEES, MAY
12. THE DEVELOPMENT OF THIS PARCEL MAP REQUIRES A CONSTRUCTION STORM WATER
INCLUDE. BUT NOT BE LIMITED, TO: SHERIFF FEE, PARK FEE, SCHOOL FEE, DRAINAGE
PERMIT. CONSTRUCTION ACTIVITIES THAT RESULT IN A LAND DISTURBANCE OF LESS
' FEE, PERMIT AND PLAN CHECK FEES, WATER AND SEWER SERVICE FEES AND FIRE.
THAN 1 ACRE; BUT WHICH ARE PART OF A LARGER COMMON PLAN OF DEVELOPMENT,
PROTECTION FEES.
ALSO REQUIRE A PERMIT. DEVELOPMENT OF INDIVIDUAL LOTS MAY REQUIRE AN
ADDITIONAL PERMIT(S).
gl
w �
0?
x -u'
30.00'--I
WEBB AVE
13. NO PUBLIC ENTITY SHALL BE RESPONSIBLE FOR THE MAINTENANCE OF THE TRAFFIC
SAFETY SIGNS INCLUDING STOP SIGNS. IN. ACCORDANCE WITH CIVIL CODE SECTION
845, MAINTENANCE FOR THE TRAFFIC SAFETY SIGNS SHALL BE SHARED BY THOSE
PROPERTIES WITH A LEGAL INTEREST IN THEM.
14. N ACCORDANCE WITH CIVIL CODE SECTION 845, MAINTENANCE OF THE ROAD AS
SHOWN HEREON SHALL BE SHARED, BY THOSE PROPERTIES WITH A LEGAL INTEREST
IN: IT.
- 79.00' (R3)
s
SGLE: 1' - 40'
3�
80l 1
��I 1
W (CI —
5 81}0'00' )_
490.96' L) 491.00��—
402.56
ECREEK
COURT
208.98' (M)
�98TC)-39.00 R
70 BSL
�
— — — —
50' BSL
— —
_ N 0110'00' E (C) 569.95' (C)
o PARCEL
1
AC
•639
ERS
AC N
193.58'
_ N 0110'00' E (C) 569.95' (C)
o,.
z� g
o
88.40'
I �� 1c�
---J / 9
C R
p v
I
I
PARCEL 2
09 AC GRS
1.08 AC NET
167.39'
LEGEND
BSL - BUILDING SETBACK UNE
LFS13L - LEACH FREE SETBACK LINE
® - EXISTING WELL
PARCEL MAP 03-09
A PORTION OF LOT 5 OF MOREHEAD RANCH
SUBDIVISION No.1, SECTION 34. T 22 N. RIE. MOB k M
FOR
MN]1AEL 1 AND SMA F LDINER
WR CONSULTING
7786 SKYWAY PARADISE, CA. 95969
P.O. BOX 3249 PARADISE, CA. 95967-3249
(530) 876-9431 FAX (530) 876-9435
M 0 0431-690-069 S M 3 Ci -3
BOOK 165 PAGE 30
/H
UKhCiUK Y A. Yh1 1 G for.
A R. C H I T E C T JOHNNY and DAWN. PE
Y 383 Rio Linda Ave. Chico, CA. 95916 (530) 894 5719 P.O. BOX 1003, 'GH I GO GA,
(530)545-1055
NORTH
JL 3.:
O I
W
.'
AVEL ._........
O.
.......:vuEFILACEME
FIELD•'•cf�
r
UKhCiUK Y A. Yh1 1 G for.
A R. C H I T E C T JOHNNY and DAWN. PE
Y 383 Rio Linda Ave. Chico, CA. 95916 (530) 894 5719 P.O. BOX 1003, 'GH I GO GA,
(530)545-1055
NORTH
1
O I
W
.'
AVEL ._........
O.
m
UKhCiUK Y A. Yh1 1 G for.
A R. C H I T E C T JOHNNY and DAWN. PE
Y 383 Rio Linda Ave. Chico, CA. 95916 (530) 894 5719 P.O. BOX 1003, 'GH I GO GA,
(530)545-1055
NORTH
R 402.56' -
GREGORY A. PEITZ SITE PLAN
ARCHITECT for:.
383 Rio Lindo Ave. Chico, CA. 95926 (5 30) 894-5719 TO_ HNNY and DAWN PERSON '
ROSE AVENUE, CHICO, CA
�Ll3-iib- 07,
BUTT8 COUNTY"
APPROVE
Owner: MK4�J
BP#
-
DRIVEWAY
APPROVED .:.
= r�F PIING DVIS1 I -BUILDING PLAN.APPROVAL
Butt County
Envir
Use _ 0.: --
Date �L "L. OCo
O 4
I ~
nt Health
—.
— — — — -----
I
�"
Par}dng:
Landscaping:
�� L----------
I�
�G%
Sai$ tum
—
PROPO5Ef7
--J
— I .
Signature
_
-
w
y \ . LEACH LINES
z
L--- ---- =--------r-----�---.---------------------
--'_EASEMENT------------
>
LU
208.88'
I.
o
R 402.56' -
GREGORY A. PEITZ SITE PLAN
ARCHITECT for:.
383 Rio Lindo Ave. Chico, CA. 95926 (5 30) 894-5719 TO_ HNNY and DAWN PERSON '
ROSE AVENUE, CHICO, CA
�Ll3-iib- 07,
BUTT8 COUNTY"
APPROVE
Owner: MK4�J
BP#
!;,GENERAL.POOL SPECIFICATIONS:.
Designer
Lot /Block
Mapsco No.
- . SUR...
PERIMETER: 6 AREA:
MAXIMUM LENGTHffi
`POOL CAPACITY. _
POOL DEPTHS: :3' -
TURNOVER RATE:' Hrs.
EXCAVATION_.
DECKING
Access Eron Rear
��//
Type: h: 0 •p
Bob Cat huttle Dig
Color
Remove Dirt,1 Cy
Risers
Remove Stump(s)
Footings
Remove Fence%
Mastic Y 0 5
Replace Fence ;t
Drains = �'
Remove Concrete, _S:F,
Sawcut Concrete Ft:.
EQUIPMENT
T 'STEEL
Filter Type A fi : Size
Pumo'HP .'>^ . t{ . 2 Su 1'/.1 So
Expansive Soil Steel Patterns
Smart Box Yes (No _>
PLUMBING'
Smart Pure No'.:
iSmart
Filter Run-Ftg: rn G
Light .: es No
'• � �- N ,
Return Lines 3
P Trap L%'B/Wash Lined
.. .,1., �
500 W Liiaht Yes. -Nd
Gas Line QQ Ftg . J
Smart Vac II ;Mee$_ No
Heater BTU !Nat Pro
Drill Drive
-r .'
Div. Board �1
ELECTRICAL
Slide
--Run By T d4• Ftg q0
Water Feature .?ate
GUNITE
- . - . c 10� C_
Love Seat
PLASTER
Swim Out !'r
Color W /+ i 7 E_
Ext. 2nd Step. o
PT
R.B.B. �, in. X Ft.
SPA .
R.B.B. in. X Ft.
Size In —� Out
PlumbingRun a 5
COPING
Dam Wall Length' -
Type C A A/-rL c ER
Number of Jets _ t
TILE
Blower Hp L 'Yes No:
6� `
Type r e
Remote`Model # .
Spa Dam A
Spa Side Switch . Yes_ . No
Accent Tyle f
Smart Light Yes - No
100 Watt Light , Yes, _ o _
BUYER'(�
UTTr COU G F7 Initials 1
• Approve above specifica+o iU LDING 1�'
• ' Approve equipment location
AP�d
fl 6O
• Understand that decking shown is for illustration purposes only and
understand that they are to receive
y�`= square feet of deck.
Signature
Date
Prepaired Especially For: _
1--,
Strut/j_•
(
City 'H t G c
Zip
Home Phone -� �� 5 10 .S3
Work Phone i c� y-?
Designer
Lot /Block
Mapsco No.
GREGORY A. PEITZ SITEPLAN
ARCHITECT for:
383 Rio Lindo Ave. Chico, cn si
95926 cs3o, 89a ,v jOFINNY and DAWN PERSON
ROSE AVENUE, MCO, CA
�Lf3-bib-- 07�
DEPTH
(FEET)
' REINFORCING
WITH RAISED. BOND BEAM TO,.
t' HEIGHT ' -2' HEIGHTi 3' HEIGHT
3
#3 12" O:C.
#3 t2"O.C. #3 12"O.C: #3 12-O.C.
4
12"O.C.
#3 6" O.C.
S
.<
.. #3A6- O.C.
6
#3
#3@6--O-C. #3 4" 0:C.
7
#3 6"- O.C..
#3 4.. O -C'.1 «
g
#3@6" O.C.
#3 4." O.C. #3'@ 3"_ O.C.
9
#3` 4" O.C.
#3 3" O -C., " '(1)
P
I L� 2866 ESPLANADE. CHICO, CA 9s97,3
�TYPI 877482
EXPANSIVE
.EXPANSIVE SOIL'STEEL SCHEDULE. 530-899-8445 fou. FREE 8n
DEPTH
(FEET).:
REINFORCING
• ' WITH RAISED BOND BEAM TO
1' HEIGHT 2' HEIGHT` 3' HEIGHT -
3' :
#39:12" O.C.
#3 t2"O;C.
C�
#3
12"O.C.
#3
6 ..0,.
4
"
u
#3
6" O.G.
Bc �� 1!5rzA 5E E
" .
u
5
"
#3@6" O.C.
.,
5
#366" O.C.
L. SEED.
��0 T
#3
A 4" O.C.
7
"
#3
4" O.C.
#3
3":O.C.
'8
"
#3 4" O.C.
#3(93"
O.C'
#3
3"O -C-1
9
13g4" O.C.
1#393- O.C.
#3
3"O -C. 1
#3@3-
c:i
Q�pf ESSI N
EXP. 3/31/08
No: 266
lq� 0 .GAS\E���
F
,' ,. _
-.
� - ..
7 WALL
POOL
2501 Seeblick Ct.. Doiado: Hills, a 95762 .
PhoneJfar
Bc �� 1!5rzA 5E E
E ( (1)
, .
(916)933-337
71
L. SEED.
��0 T
v
SCHEDULE
MASTER PLA
0
I ol.
03ps12.oLEvI_
t�1a Id' �.P�rYP1Lld-�
,.5�1 ^dl -
--'
t
2
aSUITE
REV ISED 12/2005
COUNTAPP
rWf
RD
NOTES
L. Bond beam: Standard 343
Expansive 4-#9
2. Soil Bearing Pressure lOQQ
.
.VF RTt r.At_ 61`EEt_ P.ErZ
00. f �
_
3. Equivalent Fluid Pressure::
CA spu L. E
R�� V — J/
`� . �X(ED. VFrKT I GPS L ATE L _
3 5 psf Standard soil' '
45P
P sf Expansive soil
_
=tl�r) �4=" I1Yq FI ovR
4. Gunite: 2500 psis@ 78 days:
' 9''POOL
TO- 9 D E:PT
� POOL EXC"AT I O Iii ,
_
ELAN[ P g E h1 C 1�-1
SEAT DETAIL � .
: 5. Reinforcing: ASTM A-615, gr0:`
6. Spa steel: #3 12" ox e w
40.0 ,z.r ��rr0n�eryta
f�eBltPw
SAP 9(n
:EMENd
EPLA
• g`�J �6C
�. FIELD. •
PROPOSED
RESIDENCE
GREGORY A. PEITZ SITE PLAN
for.
ARCHITECT JOHNNY and DAWN PERSON
383 Rio l.indo Ave. Chico, CA. 95926 (530) 8943719
ROSE AVENUE, CMCO, CA
oil 3 -0o -ora