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047-100-167
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION 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 PROJECT INFORMATION Site Address: 5237 MALLARD ESTATES RD Owner: Permit No: B07-2768 APN: 047-100-167 HILL, RANDY Issued Date: 3/24/2008 By GLB Permit type: MISCELLANEOUS 5237 MALLARD ESTATES RD Subtype: Ag Exempt CHICO, CA 95973 Expiration Date: 3/24/2009 Description: AG EXEMPT BARN FOR HAY & H( (530) 892-1918 Occupancy: Zoning: Contractor Applicant: Square Footage: HILL, RANDY Building Garage Remdl/Addn 5237 MALLARD ESTATES RD CHICO, CA 95973 Other Porch/Patio Total (530)892-1918 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 Total Charged: $191.68 Fees Paid: $191.68 Balance Due: $0.00 Receipt No: B5923 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 3/24/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, 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 -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. The Contractor's 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.). Cartier: Policy Number: Exp. Dale: (This section need not be competed if the permitis oror on�dred dollars ($100)—or-Fes—s.) / El AM EXEMPT under Section B. & P.C. for this reason: — CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS i ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 3/24/2008 compensation provisions of Secti 3700 of the labor Code, I shall forthwith comply with those rs. Owner's Signatur Date provisio 3/24/2008 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 / Signature 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 claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County toe ter the above mentioned property for inspection purposes. I hereby certify that I am the property o err or am au h ri d t act on the property owner's behalf. 3/24/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for 'Iof Pr ee [ Date ptB e m the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR; DAgent for Owner1-1 Agent for Contractor FILE COPY Lender's Address City State Zip 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 AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials —ZOG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials G Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials G Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a —(49residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 5237 MALLARD ESTATES RD Permit No: B07-2768 APN: 047-100-167 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: Permit Subtype: Ag Exempt Zoning: Description: AG EXEMPT BARN FOR HAY & HORSES Required Setbacks: Applicant: HILL, RANDY Front: Side: 20' Rear: 20' 5237 MALLARD ESTATES RD Type of Construction: CHICOCA95973 (530) 892-1918 Type of Siding: Metal Owner: HILL, RANDY Est. Const. Cost: $ 25,000.00 5237 MALLARD ESTATES RD Roof Covering: Metal CHICO, CA 95973 (530) 892-1918 Floor Type: Dirt I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at t"t time and prj�or to occupancy. Signature of FILE COPY Date: 12/31/2007 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. _ BIN N "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name Name First N e Mailing Address /State City Gig Zip gd88,3 cl Zip 9S-� 3 Phone 5 Fax S3©- g99 -///i E-mail i k 1 l- Ae, ARCHITECT/ENGINEER CONTRACTOR Name 1 // /rL ZIA, Address S� c �l r5,411,f _Pr City Zip gd88,3 State CW Zip 9597K I Phone 92 19 /S State License Number Fax X99-1/ j9. E-mail �illla4i la i k 1 l- Ae, Lic. # •7 60y Clas ARCHITECT/ENGINEER Name 9 61" aVl u tdc+F�ui Address 91 t) kAer ( wv,J 4 - City n_ ro� State ,1 Zip gd88,3 Phone 915-/- 277 -2 y3 Fax 9SI — 7 77 _ 7 E-mail State License Number APPLICANT INFORMATION Name // a!1?r fZMWA Address 23 �l>�� is / Pr, / �&A City " 4 (/ v � State Zip Q5_27 I Phone (� C�z _ 9 Q D V Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# "7 Property Address &/I ��7 City e'er! / WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name A/ ,v Address DESCRIPTION OR SCOPE OF WORK. 6 Sq FT- Living Garage Open Cov��� 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office use only: Zoning - Flood Zone I Z I SRA I Yes Occ. Tye onst. ,/ CA Butte County Department of Development Services. 7 County Center Drive, Oroville, CA 95965 . (530) 538-7601 vnvw.buttecolinty neVdds 4 purTE _AREA RESIDENTIAL APN: Permit No -6& ®� Owner. Site Address: Contractor. Type of Permit: r i �' 0� , � �-_, �- 0 �> SPECIAL CONDITIONS SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY DATE JOB FINALED' ;11�/ J SIGNATURE: 6 ' :r OK c unr nK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S'C O V E R S`C A R P O R T S `GARAGE S i 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . NatE] or LP❑ 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-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 -00, to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 14 Exits 1S Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers °'0 0` °�• do DATE P 0/0,L S etbacks-Easements 62 Is; Compaction -Structure Stability ool Structure; Steel-Cnnctns-Thickness Dead Men -Lining C.51 ltcls/Lting; Distance-GFI 5 Ef%�l;ool Lting; 15 vo1Ls GFI le nclsrs; Conduit Entries -Terminals -Listed lec Bonding; Metal w/5'-Crcltng Eqp-Htr Sf+ G ndng; Eqp w15' Crcltng Eqp-Pool Ightg clsrs-pnlboards4nsultn to Main Conduit pt Apprvl—vo'6 Test-Wtr Supply Test eeD 1 sr, Fencing -Alarms 34-Bendins"Diving board or Slide Pool Drawing lip 7"� WV LV W6_,6 11P OK = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dplh 3 Fig Garage; Soils-Steel-Elec Grnd Fig Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1i Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr Bolts Joists-Vnts-Crippies 15 Acc & Vntltn 16.lnsulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 1S Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir 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-TrussShthg 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 & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrtlr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnis 38 Ins ultn-Walls-Ceilings 39 Infiltration -Walls -W ndws o'er m`� o'`� m• DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 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 & Cndctr Sz GFI 47 Subfeed Wire Sz 93 ❑ CU or ❑AL AC Wire Sz_ 9a ❑CU or ❑AL 48 Range Circ 9a ❑ CU or F-1 AL Oven Circ 93 ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimes pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 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 r oma^ 4 O O' p UAIt MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 0. o'e `. o'er o FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls atKtchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn B3 Insultn-Foam-Looked in Attic _ 84 Guard Rails & Deck Cnstrctn-Post Caps .85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth .86 Cirnc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cirnc 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 Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs _ 98 Address Posted 99 Fire Sprinkler O'er 4 \1 \C 10 411 O\ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE r OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 4 the above address and should be corrected. Please call for re -inspection when correction of )5 work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. y., .'r `,;. ,' � ��1 � � i 1 ►' � 17 � � I (l/j i CL I� � ►�Vl VVl I �1 z}ti' � � kl � ✓ C:t�:' n , �: i , L , �w w ,�r r r Date 22 t� Inspector REV 4/05 Phone # r'" FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ......... COUNTY OF BUTTE . ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 call for re-inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional s explanation, please contact the Building Inspector as indicated below. l [10 GHQ L\)4e tl -�e O� id Date Inspector ' II Vul — ; REV 4/05 Phone # Z, FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 `' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060167 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/21/2006 APN: 047-100-167-000 the Business and Professions Code, and my license is in full force and effect. License Class : C—SS 3 License Number: / u Site Address: 5237 MALLARD ESTATES RD CHI Date: 1-13-0Contractor: 131 wE- Li E a Map Index: Description: POOL MASTER #517-01 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HILL, RANDY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 44 CARUTHERS LANE signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any 530-892-1918 530-899-1919 violation of Section 7031.5 by any applicant for a .permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BLUE HAVEN POOLS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does DIVING LADY INC. such work himself or herself or through his or her own employees, 275 FAIRCHILD ST, STE 100 A provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-899-8445 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 Contractor: BLUE HAVEN POOLS not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed DIVING LADY INC. pursuant to the Contractors' State License Law.). 275 FAIRCHILD ST, STE 100 A ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 530-899-8445 Date: Owner: License M 718849 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: c) Carrier:v otal Square Ft: 0 S. F. ��f Policy #: (�O / a –7 Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 i code, interest, and attorney's fees. _ 1 CONSTRUCTION LENDING AGENCY This permit is hereby is tled under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d ndicate a ve for which fees have been paid. <.11 ^� C/5` performance of the work for which this permit is issued (Sec 3097 Civ.) W� BY Date: Name: j Q PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly aut ' d 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 subs��"6rformor cument of Butte County. I hereby pection p authorize representatives of Butte County to enter upon the above entioned property foui)sg Print Name: vu : �o naIure: /-/3— Q L Date: ❑ Owner ❑ Contractor ( ❑ Agent for Owner GlF�tgent for Contractor B. C. Building Permit 01-16-04 pq 1 NOTES RESIDENTIAL i PERMIT NO.- - 04-1175-- 1 047-100-167 HILL, RANDY ES1: ATES RD, CRI.CO 5,2 1 3 i MALLARD RANDY HILL CONST ; Cont: RA T/Cp�� DECK , NSF/GAR/ J r, j CAA 9&,o( I v I UM CAN F" C! z-- SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY t — USE PERMIT CONDITIONS — SUB=STANDARD HOUSING LETTER OFFICE COPY i Address—C23-1 P&Lw-b &TkTe—S ' GAS Meter By b SDate� I ELECTRIC i Meter By Z�SAMVbUIS Date _2 -M ` 'JOB FINALED (Date) �w Signature �'�'� / G t^►vl S -e �Z�� J=OK 0 = Not OK NotReadyab1e Soils; Compaction -Structure Stability MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements 6. 2. Soils; Special MH Support Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 3. Sewer; Location -Test -Fall -C/0 -Concrete 9. 4. Water; Location -Test -Easement Needed (Sketch) Plumb.; Cir. Test -Water Supply Test 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG ' 7. Well Clearance & Disconnect Date 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line t Date 3. Gas; MH Test -Demand -Valve -Connector 1. 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Compaction -Structure Stability MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements 6. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 9. 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Plumb.; Cir. Test -Water Supply Test 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 12. 6. Carports; Windows -Doors ' 7. Electric Date 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 V 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s / tY. EW , Main; Soils-Elec,vGrnd.-/I'X' /" Ftq. Depth /,1 *-5g., PorelTes & Decks; Soils -Steel-/ /" Ftg. Depth V S walls, Main; Steel-Blockouts-Wrapped mwalls, Garage; Steel-Blockouts-Wrapped Held Downs and Soecial Anchors -;R.' D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Te •1D ("vv 10. UF, Gas Pipe; Size Anchors -Yard Ga g; Size Test(Z) 11. Water Pipe; Test -Anchors -Regulator -Service Test 12.' Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date (i Card B-1 L/ Date - • A37- Card B-1 Date Card B-1 Date PLU BING (Pe mit) OK except #'s V/Aater Htr.; Vent -Access -Combustion Air Baffle 1V)/Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 2 Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s W. fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors 26/5de Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 8FXuip. Ground made up w/Mech Fasteners nd,Gas. . nt Fan, Exhaust above insulation p fiance Circuits jo Kitchen Conductor Size GFI ubfeed Wire Siz a. Cu A A.C. Wire Siz _ /g C or Al Range Circle _ g or Al -Oven Circ. / /ga Cu or Al Insulated NeYraT ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date . D Card B-* a Date Card B-1 Date Card B -Y Date Card B-1 Date MEC ANICAL (Permit) OK except #'s Ducts Insulation & Support . nt Fan, Exhaust above insulation 3 feondensate Drain & Overflow, Size & Grade Fy nace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date lZ , (� ward B -f? , - Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 1. Sills Proper Materials & Anchors 4 alts Studs -Nailing Spacing & Braces -Plates -Sound 4 pearing Walls over Girders & Floor Nailing 4 ft Stop in Walls (rat proof) F' a Stops, Furred Ceilings -Stairs -Chasers -Tubs 46/ Headers & Beams -Size & Bearing ' Date 48 / ing. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. eplace Ties or Type A Flue -Fireplace Throat Clearance 5N%AttW Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht.kuimensions V+ 2. Garage Fire Protection Framing-RCQfannel 53o,1%ooertv Line Firewall & Openings 6A!F*t'. Doors -One 3' -Check Garage 3rd Story, 2 Exits _ , 56/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. V ing-Nailing Veneer S cco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazinq Area -Glass Protection -Skylights -Plastic <W. >Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior-WaltjPanels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date I L5 Card B , / Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64"Sx,t. Steps -Door & Sidelight Protection -Landings e Detector Furnace Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection room Exiting .FI. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels firs & Rails %Ifreplace or Stove, Clearance -Hearth C?gjElec. Outlets at Wood Panel, Int. & Ext. i . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter age Fire Door; Swing -Landing -Closure Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage (FF.I.)-Romex Protection CEV Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps M2-�dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 1131rtr 83. Xilowing Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters O Yes ❑ No ucco Brown -Finish ra�A.C. Unit Disconnect, Electrical -Plumbing S6-V2Ff Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. WateMell, Disconnect, Electrical, Plumbing Aff-S—te(ior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House ass Protection rrecti s from Previous Inspections iR st-Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates dress Posted 96. Fire Sprinkler Datee ZI-CCO Card B-1 rju&S, Date Card B-1 Date , $ - C > Card B-1 �� Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final: „Dec 29 05 12:30p RTC DATE: 12-15-05 (530) 891-4243 p.l APPLIED NG CONSULTANTS MATERIALS' ENGINEERTNG TESTING AND TNSPECTION REPORT OF EPDXIED ANCHOR INSPECTION/ TESTS CLIENT: Randy bill 5237 Mallard Estates Drive Chico, CA 95973 Type of Adhesive: Simpson Set 22 Number of locations: 1 Hole depth: 10” Hole diameter: M." Anchor type: 518" Placement: North Wall Kitchen DESCRIPTION OF WORK: PROJECT: Randy Hill Residence Arrived at job at 1200 hrs to provide special inspection of epoxy -grouted seismic anchors in the foundation as described above. A total of 1 anchor was installed per engineer's detail attached. All holes were brushed and blown clean with compressed air. The adhesive was injected into each hole in sufficient quantity to cause exudation of the material when the anchors were inserted. The anchor bolts were rotated during and after insertion to insure proper bonding of the adhesive to the bolts. K. Coy Inspector 3060'fhomtrcc Drive, Suitc 10 ° Chico, CA 95973 ° Telephone_ (530) 891-6625 ° Facsimile: (530) H91-4243 1 01/07/2006 TUE 11:43 FAX IZ001/00 1 INSULATION CERTIFICATE Job Number: . 36 ... .Estates.... . . . Lk�- Hill CdAstiw.fion ..... ....... M -Chien Contractor/Owner Name Job Address (strict, city, state) ......... . .. .... . ....... . . ....... . ... ... . . .... ..... ...... . .County Subdivision Name IM Number Brand Name; Thermal Resinvice(R-Value):, ........ : 2. CEILING' Batt or BlanketType.-:,.*..-...Ili Brand Nnxne:'.:"'.*..': Thickness (inchcs).-:-'::::-. Thermal Resistance (R-VaWe).- loose Fu Type.. Brand Name: Minimum Installed Weigbtfft:--:--Uf.-lb Afininmin Thickness.:--:.:.: inches manvracturces installed weight per square foot to achieve Thermal Resistance (R -Value): 30 Brand Brand Name: .... . ..... Therinal Resistance (R-Vahie)::**., . ..... . . ..-:%:.. ....... ... ....... Brand Nam= Thermal Resistance (R-Value)4-7- Brand Name; Thermal Resistance (R-Valuc):... Brand Name: ....... . Thermal Rksistance . .. ..... ..... ...... DECLARATION I hereby certify that the above insulation was installed in the building It the above location in conformance with the current Enerff Efficiency SAwdards for residential buildings (Title 24, Part 6, California Code of Regulatiomi) as indicated on the Certificate of Compliance, where applicably .... :&:.3 .. . ...... ............ . . ..... . d92-� :& . .... ... .F n In vp. Item Number's Signature and Date Installing Subcontractor (Co. N-1 or .. .. . . . . ..... .. .... ..... % ...... ..... . . . .... *:.:,:.:*. .... . . . ..... Item NmbcrS Signature and Date General Contractor (Co. Name) or Owner .......... . Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner APA�NAv Certificate. of Conformance Certificate 054097 THIS IS TO CERTIFY that the glued laminated timber products Identified with a collective mark of Engineered Wood Systems (EWS) were manufactured In accordance with the applicable standards and associated specifications indicated below: ' ANSI Standard Al 90.1-1992, For Wood Products, Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 – Manufacturing – Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced In a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include Inspection of the manufacturing process and evaluation of the In -plant QA program with adequate sampling to vetlfy Fonformance to industry standards for lumber grade and glueline bond qualiy�L ° •. by —4�1 SEALr �r� �W e'er Thomas G. Williamson s .` Executive Vice President lll�ll�� ENGINEERED WOOD SySrEMS Is a related carporellon of APA — THE ENGINEERED WOOD ASSOCATION 7011SoUlh 191h SOW - P.O. box 11700 - Tacoma, WA 98411.0700 Telophona: (253) 595.6600 - Fas Numbor. (253) 565.7265 I T0a 1792, ' ON 6ti6S668 F A-iddns SN I a -i i na SS3-IAUd bO : ZT 900E/LE/M Nov 08 05 01:06p C f Timothy 7. Crete, Architect 254.0 Suite 12, Esplanade License No. 024094 Chico CA, 95973" ....experience you can build on.... Ph. (530) 345-6676 Fax (530) 898-0586 ' Architecture & Planning www.cretedesign.com November 8, 2005 Butte County Building Department RE: Randy Hill Residence 5237 Mallard Estates Rd. Chico, CA 95973-9524 The following field changes were made and approved, 1. Shear blocking manufactured by Truss Manufacturing does not have to have plywood applied to create shear. The blocking; panel is designed to with stand the specific amount of shear as calculated. The blocking panel'will be connected to plate with clips as per calculation and plan, and connected to roof sheathing with end nail specifications. Thus creating the top to bottom load path. 2. MTS 40 straps at corner of guest room in garage area connect comer post to plate and will be nailed as per manufactures specifications_ 3. 4 x 6 posts as specified for shear wail end nailer maybe substituted with (2) two 2 x 6's laminated together using 16d nails at 6" on center staggered_ 4. 2 x 4 frieze blocking which does no;: reach the roof sheathing for end nailing shall be connected to the plate with A-35 clips as specified and to adjacent truss and both ends. Those trusses shall be connected to plate with H-3 ties. This connection maybe substituted for the end nailing frieze block to roof sheathing. If you have further questions please contact me at 530-345-6676 Sincerely, Timothy 1. Crete, Architect Crete Design cc: Randy Hill via fax 1 Cpl I f " RANDY HILL CONSTRUCTION9 INC. 5237 Mallard Estates Dr., Chico, CA 95973 License N 754604 DATE: 2/23/2006 FAX: 530-538-2140 ,e ATTENTION: Tonia Trent PHONE: 530-538-7541 COMPANY: Butte County Inspector PROJECT: Randy Hill's House FROM: - Heather Baker Tonia, Please find attached the septic system inspection certificate, Please call ASAP if you need anything further. Thank you, Bather Baker Office Manager Randy Hill Construction Bundy Hill Constr1. uction P110110: 530-892-1918 Fax; 530-899-1919 Mobile 530-514-9990 E0/I0 39Vd 1SN00 -11IH AGNV8 61616680E5 0Z:60 900Z/EZ/Z0 m u) r, m am M M m in . m N 01 m LO m W N I- M M N N M BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE 411 MAIN STREET • P O. BOX 5.364 CHICO, CALIFORNIA 95927 7 COUNTY CENTER DRIVE TEL: (916) 891-2727 OROVILLE, CALIFORNIA 95965 FAX: (916) 895-6512 TEL: (916) 538-7281 FAX: (916) 538-2140 The Sewage Disposal System was inspected at 52-3 FOR ------------ SEPTIC TANK LEACHING FIELD Site /,)-Z)o Gallons Length w A-1) Materia! ('�,,.,i.,. feet Width G inches No. of fines .S Rork Under Pipe ^ q r.; Pinches The above dimensions meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area wiJI be required if experience shows it to be necessary Remarks: . , Date: Z 23 S2 - 778A (Rev. 8/84) EtQWROM E V FAL HEALTH •SPEGALIST 02/23/2006 09:20 5308991919 -RANDY HILL CONST. PAGE 03/03 BUTTE COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH P. O. Box 5384 7 County Center Drive Chico. COINOmla'95927 Oroville. California 95985 (530 89142727 (5311 =-'Mai WELL COMPLIANCE CERTIFICATE Public Water Supply .g Individual Well F1 Destruction Owner A-z-or's Parcel No. 4(-7— 1 A Location - alvfE city Orliler'3 Report Approved: (Now welts) Driller's Log Received: Report No. Disinfection Report Racgtved © Destruction Report Approved Satisfactory Final Inspection (when required) Date of Final Approval (J 11 E. H. S.'Preannt for Snaling Yea No Comment The well e5 Installed meets the minimum requirements of the Sutfe County Code, Chapter 238 Environmental HaaM Specialist !i ,• �G% y Date /O rr � A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHIjrO) OFFICE #: (530) 538-7541 PERMIT NO. BP060167 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/21/2006 APN: 047-100-167-000 the Business and Professions Code, and my license is in full force and effect. License Class: S3 License Number: I e6i Site Address: 5237 MALLARD ESTATES RD CHI Date: _r 1—O Contractor: • g l LA—e— &_O eo Map Index: Description: POOL MASTER #517-01 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HILL, RANDY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 44 CARUTHERS LANE signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any 530-892-1918 530-899-1919 violation of Section 7031.5 by any applicant for a .permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BLUE HAVEN POOLS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does DIVING LADY INC. such work himself or herself or through his or her own employees, 275 FAIRCHILD ST, STE 100 A provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-899-8445 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 Contractor: BLUE HAVEN POOLS not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed DIVING LADY INC. pursuant to the Contractors' State License Law.). 275 FAIRCHILD ST, STE 100 A ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 530-899-8445 Date: Owner: License #: 718849 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrierandpolicy number are: Carrier. J � -tt— (0 n rotal Square Ft: 0 S. F. Policy#: G -3 12 y3 Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 r code, interest, and attorney's fees. 4q CONSTRUCTION LENDING AGENCY This permit is hereby is ed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d ndicate` a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) (' L✓ By Date: Name: ' lJ Address: PERMIT EXPIRES ON: C 1 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 aut d 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 o form or current of Butte County. I hereby authorize representatives of Butte County to enter upon the above entioned property for�pection purposes. Print Name: Oo o. gnature: / Date: ❑ Owner ❑ Contractor ❑ Agent for Owner &ARgent for Contractor B. C. Building Permit 01-16-04 pp 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** 4PPbWNT SIGNATURE X� For office use only: OWNER Last Name a e —D Nam ' I Address n Address MA-dA1 E -,4,4,,r, 937 State City E-mail State GA Zip O Li 9S y 7 Phone / 8 7/881-/l Fax E-mail 4PPbWNT SIGNATURE X� For office use only: CONTRACTOR Name a e —D Address o_e Address n State s City c � State Zip _ E-mail Fax — EEa Li 2ss5.3 / 8 7/881-/l 4PPbWNT SIGNATURE X� For office use only: ARCHITECT/ENGINEER Name a e —D Address SRA City n State Zip Phone Map Book Fax E-mail Planner State License Number 4PPbWNT SIGNATURE X� For office use only: APPLICANT NAME Name rb Address SRA City n State Zip S Phone Map Book Fax E-mail Planner 4PPbWNT SIGNATURE X� For office use only: Zoning Property Address I Flood Zone I x SRA Yes No A Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 016 BIN # LOCATION AP# 0'-/_7 0 6 ` 16 7 Property Address city Cross Street WO KER'S COMPENSATION Policy Number l(o31aL3 Carrier If hiring anyone other than license contractors, a c rtificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope ofork: P40 0 — Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received byq, Amount: Receipt #: `T Lfa5�3 Date: I ;2_3 0 SRA Sheriff SMIP C� Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS f`—` -- The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed,❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER. FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 T COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER _7_ UD / / / l�J Proposed Building Use: � Permit Technicia r. Date: -).3h jv Items required in order to apply for a permit. All boxes MUST be checked OR marked NA or ero apply. ' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bidgs: (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. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site -plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. g, ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. - (9(<23. Planning approval for (A) Use: ^--(•B) Parking: _-.(q Parcel Check: ............I7F6�or, #r- ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ► 0 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization..................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction: .......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: q �1 Q� When issued Telephone 1 1 Ell �� /l TS^ and hold for pickup. s.. I have been informed of the above items and requirements for obtaining a building permit. ��' Applicant: Date: 1. Index permit applicati for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: j ans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Ip Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 E.H. USE ONLY Plot Plan Anechad Raw Plan Attschad Sent to ®.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance caner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other rb v ✓t q ro u Hold final for: Final clearance O.K. for: NOTE: 64 EE vironmenial Health Specialist 6 4 8/96-25 TT D"< Date t pSTMENT /; °��V T 7F°� 1 o °Q �o \\� 0 0 \Ac�UNA 5 CLIC Department C o u n t Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE] Project Description: Lt kl` A1%11, Project Location and/or Parcel Number: :.3 �z , &,C, ny7- C ;z By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: V /3—O6 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Butte County Department ol'Developinent SelTlces 7.County Center Drive o Oroville, CA 95965 ��_, r 0 : o (530) 538-7601 Telephone o - "'_ :m o (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon'as clearance is obtained o I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: L o Q APN: 04/7- lo 0 - 16 - Building site address: 52 3 7 M ES- "S a Permit No.: cUr-c" I have read, understood and accept the terms and conditions as expressed herein submission of the above -referenced building permit application and my signature below SI N OF APPLICA DATE Copy to Applicant/EH/File K:Forms/B1dgPermitwithoutClearances 020705 as indicated by my 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.netldds PERMIT NO. BP041175 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/14/2005 APN: 047-100-167-000 the Business and Professions Code, and my license is in full force and effect. Q License Class: 1 License Number: ' �Dy Site Address: 5237 MALLARD ESTATES RD CHI Date: -!�"OS Contractor: Kaiv Map Index: Description: NSF (4856) GARAGE -(1106) COV DECKING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the (3585) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior; to its issuance,; the for --• • _ �,4 Owner: HILL, RANDY also requires applicant such permit to file,: signed statement that he or she is licensed :pursuant to the•prooisions of. . r. ' ''44 CARUTHERS LANE s thQ Contractor's State'License Law (Chapter 6'commr en`cing with Section '. CHICO, CA 7000)'of Division 3 ohttie'Business and Professions Code) or that he o; , _ she is exempt therefronvand the basis -for the alleged exemption. Any - - 95973 ' violation -of sectio6-7631.5 by any applicani•for' a permit.iubjects the -dollars,($500).): 530-892-1918 530-899-1919 applicant t,o 2-civil„penalty of not more than five hundred ❑ 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. X044,, Business and, f?rofessipns, Code: The Contractors` State -License Lawidoes'not apply to an Applicant: HILL, RANDY - ..,owner .of. property who.builds or,improvesthereon, and who does 1. 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 ry year of completion, the owner -builder will have the burden of provlrig that he or she did not'liuild'or improve for the "purpose of sale.). ,O� ,,..I,>as.,,.owner,,:of..the-property;.,.am.,exclusively, contracting.,. with.,. licensed contractors. to construct the.project. (Sec. 7044, Business 1,t.,.and Professions Code. The (Zontractors' State License Law does --,:e not apply to an -.owner of property who -builds or,improyes thereon, Contractor: HILL CONSTRUCTION; RANDY and.who-contracts for such projects with a contractor(s) licensed .,; pursuant to the Contractors' State License Law.). 44 CARTHERS LANE f' O:,u-1 am ExempPunder Article 3 of the Business and Professions Code , :; . CHICO, CA -95973 ,• ._ `.Owner_- ° 530-892-1918 530 's. hillcando@aol.com +>i rt - -;.`WORKERS, COMPENSATION DECLARATION ' • ' I hereby affiRn under -penalty of perjury one of the following declarations,'- License #: 754604 ❑ '•,1 have iand maintain a certificate of consent to self -insure for r , _ �..- „...,.r .Will 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: ..,-,r......�+r:.rv.b _-.,n.- 4 ru'. �ri:va. M•. r...i... ",ai•,.. N.,.A..- w-+. have and.•will••maintain:workers'•compensation,. .s.. ., insurance, as Engineer: ...required -by Section 3700 the Labor Code, for the performance.of the work for, which this permit is issued. My workers! compensation insurance carrier and policy number are: `f� Carrier: _�O 'bol ✓ GI 12 Ge_* Total Square Ft: 9487 S.F. J Q Policy t1: ©V J ©� O 2 ( g 7v r Valuation: $395,644.00 Yb ,,..ti:Vrr- i - w',r..C. ..,n iw «..i.... -N. ....,.♦ :. )Iun. i:4.,:1 ,n+r ., .nr ; ❑� I certify.that•in:the'performance'of.the work'for'which this permit is Census Code: issued,Pshall :not employ any'person -in 'any.manner so as to become : subject to•the, workers'.compensation laws of California, :,.and agree-- that .,if I,should, become -subject to 'the workers' compensation provisions;of Section 3700 of the Labor Code, I shall forthwith: comply with those provisions. , 5 S7 S Date r `rte' 43 WARNING Fa'il'ure to secure workers compensation 'coverage' -is unlawful; and shall "subject an employer to criminal penalties and one compensation; ompehundred"' tio ; dadrid Adis is "($100,000),dfo `ir' Secti n' to the a st Labor compensation; damages as"provided for 'in Section'370fi of the Labor (iL code, interest,'.and attorney's fees. ;CONSTRUCTION LENDING AGENCY- This permit is hereby issued under the applicable provisions of the Butte Cnunty Coda and/or I hereby'affirm *that there is a'construc'tion lending agency for the Resoluti s dq work indicated abov for which fees have been paid. performance of the work"ffor "Which this permit is issued (Sec 3097 Civ.)"O (r Name: ' B Date: J Address: I�j P MIT EXPIRES ON: ate ❑ ' I hereby certify,thatthe,use�of this.facility shalt 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. ❑ Att_ached are copies of the required E.P.A. notification'forms. - I hereby ceRifythat thaye 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 e-nter,upon the above mentioned property for inspection purposes. 9U Print Na'-me:"Signature: 4�/t/- J t 'i. Date: /. „ . •.i.YOwner Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT BUILDING PERMIT APPL 24 HOUR INSPECTION #: (530) 538-7636 (OROVILL OFFICE #:.(530) 538-7541 PERMIT NO. BP DATE: y`�t J7! 0� APN: 4 7 '/ /j ZONING: A V O OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE: > > d -00 STREET ADO ESS ray pis ung FAX MCI -1` 19 CIN, ZIP: E-MAIL: SIT AD s es a CITY, ZIP: LO NEAREST CROSS ST ET: TRACTILOT #-. APPLICANT ME: -- - --.- ._.. _._� .�`1 PHONE:* STREET ADnoccc• _ - FAX E-MAIL: rrY,ZIP: -- .. �— ----_. ,_,.._� _ _ _ CONTRACTORAME: it 1 6 PHONE 6 not 4-4 r > REET ADDRESS: // A FAX /u e 3 LGadZ Fry, ZIP: / , C 0 S C/ 9 E-MAIL: LICENSE NUMBER: -LICENSE -ScI60V TYPE: IS ITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: o to ,t e aXi eA( R XVr X(ArL JJZ ❑ Structure Built without permits 4f—L ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which'a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and 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: Notes: q443.1 Application Received by: Date: umber: 5 57 :9 Amount Received -U Receipt number:-3q557'Y �,Q go i Master application 311-04 Butte County Department of Development Services �1TtF YVONNE CHRISTOPHER, DIRECTOR o 00 0 0 LO 7 County Center Drive o o Oroville, CA 95965 (530) 538.7601 Telephone c�UNty (530) 538-7785 Facsimile �. TO: LP2A ' FROM: Scott Rutherford (530) 538-7160 !� srutherford(a)buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract O DATE: -5/24/2004 Applicant: Hill, Randy Permit 04-1175 Project Type: NSFLGara a/Car ort/Cov.Deck APN: 047-100-167 100% 70% Plan Check Fees $, 1,877:33 $ 1,314.13 $ 1,877.33 $ 1,314.13 LP2A Fee $ 1,314.13 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations - Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVEL P EQT ERICES-BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBS 6 l M D_/ C!/ Proposed Building Use: 1 % Counter Technician: Date:A �& 4 - required in order to apply for a permit. All boxes MUST be checked OR marked NA in or er to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. r 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. / 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du licate. ❑ 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.) FireSprinklers............................................................................................ Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ Soils Report and/'or Engineered Foundation required ........................................... ►�. 0. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. I C'kffl ❑ 2. City of Chico Plumbing permit........................................................................ 23. California Department of For stry plan approval ❑ paid. Sent by: ......... P14'e Planning approval (A) Use:(B)Parking:(C) Parcel Check: 75. Contact Land Development a out _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 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) ..................... Letter of Signature authorization......................................;............................. 33 Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34.'. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: f% Date: �- 2-C 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required 0�1 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed ty. Date: Structural approved by: Date: Note transfer by: Date:. Yellow: Building Division t� E.H. USE ONLY C� Piot Plan Attached �- - # p^ f Floor Plan Attachad-7 Sentra `�'',,A', u+z Y �"'v F : TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ow er / Location AP# / Plan Approved for: Sewage Disposal V Water Supply: Public Private Well a/ Clearance for �-U dwelling. 'Other old,f nalxfor.- . ._:. n clearance O.K. f OTE: Environmental a tW 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 PROP OSED BUILDING USE I ' . 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due......... --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES / (paid at School District Office) (form available after Plan Chec . SHERIFF FEES (paid at Building Division) �31 Residential............ X $360.00 =$3( Units Commercial (sq. ftg.)..... Sq.Ftg. 4. URBAN AREA FEES X $0.03 = $ RECEIPT # 06137 DATE REC. 0 (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. A t. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION #, $200.00 (paid_ at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial ft .) ......... X = $ Sq. Ftg. A t. 6a/10. OTHER S At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE 11-24 -0'1 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: /� vttS By signing below, I, the project owner/owner's agent, certify that I am aware that a. construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made • ., payable to the State Water Resources Control Board to obtain such a permit if my project ' disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. rDate""—)_ : �" 4'' ' D Ru n �r s N-27�o Birt June 20, 2005 'kutherford of- Butte 7tQ660 ty Center Drive Oroville, CA 95965-33397 Re: Plan Review: Hill SFD and Guest House Address: 3 Mallard Lane Dear Scott: County of Butte -FINAL REVIEW Jurisdiction Application No.: 04-1175 LP2A Job No. 2040015-053 Linhart -•Petersen Powers Associates (LP2A) has completed an FINAL review of the following documents: 1 Plans: Two (2) copies Plan Sheets Cover through C1 (22 total sheets) Title/Cover Sheet undated with a revision date of May 20, 2005 by Randy Hill. 2. Title 24 Energy Compliance Documentation: Two (2) copies each dated November 9, 2004 by Dailey Enterprises. 3.' Prefabricated Roof Truss Calculations: Two (2) copies dated February 25, 2005 by Longfellow Lumber Co., Inc. Two (2) copies-ofTruss Approval Letter dated April 5, 2005 by Crete Design. 4.- Structural Calculations: Two (2) copies undated by Crete Design, Timothy Crete. Two, (2) copies of structural responses with additional calculations. The 2001 California Building, Mechanical, Electrical-, Plumbing and Energy Codes (i.e., 1997 UBC, 2000 UMC, 2000 UPC, and 1999 NEC as amended by the State of California) were used as the basis of our review. We have no further plan review comments. Enclosed for your use are the above documents bearing the "LP2A Plan Review Approval" stamps on all appropriate sheets. Please let us know if you have any questions. Thank you, -Sincerely, -LINHART PETERSEN POWERS ASSOCIATES Robert T. Berna I.C.B.0-Plan& Examiner RTB:ag Enclosures: LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard * Citrus Heights, CA 95610 (916)725-4200 * FAX(916)725-8242 0 Toll Free (877) 235-0653 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) v4 • 1 1--7 School.Districty Building Department No. A.P. Number V �� ' bLr Jurisdiction: City County Property Owner Property Location/A Subdivision Lot No. :..................__ .... ....................... .......... :.... _....................... ... r " Residential Development Q Q Q Sq. Footage (10 No tving Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) :.......................................................................1....................... _... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification,No. 0—(AM School District certifies that (Applicant) , (Street Address) (Phone Number) (City) } (State) (Zip Code) has complied with the requirements of Resolution No. (V� ` Q by payment of $ 0, 299 0' representing 0 5� square feet. 2926 $ FULL MMGATION $ � 6 • " /�3 D � School District Representative Date Paid by Check # Remarks: No#Iw: You may protest the Imposition of the fess kientMied above by submitting a wriltsn protest to the District, in compliance with Gowriment Code Secdon 66020(a), within 90 days from the date tees are paid. Failure to submit a timely written protest wlil'prohiblt you from challenging the Imposition of the fess in any court action. If. subsequent to the School District Representative signing fhb Butte County Schools Impact Fes CertiNeation Form, the School District Is r. notHled by the applkrebie Local Planning Agency that this project Is being reviewed under the California EmrlronmenW Quality Act (CEQA] this project may be subject to additional school fess to hdy mitigate. Its Impact on the school dbtrlet s schools. White (applicant), Yellow (building department), Pink (school district) feeform.xla 00/03)dmm 'BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) ' U b l Building Permit Number Property Owner (s) 1 Project Location /Address So� ''1 M aOQ -cJ Subdivision Name Assessable Sq.�Ftge�S��o Type of Residential Development (check one) /'New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments:T. Building Departmen epresentative Date 0 FRRP /D 0 CARD ❑ PRPD ❑ DRPD certifies that: /�;/,1 S i a- g 2- 2/ 6 A licant Name Phone Number r2 37 /LI„ Mad es -a1ay Qi.'d � Z4;e v CA �I'S5%?✓- Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ O� per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid tw Check No: - Paid by Cash: Receipt No: Recreation and Park District Representative ill/ 13 E15 #1M4 11= Date "',?:TOTAL $1880.0iI i K:\FORMS\BUILDING FORMS\park-rec standard form rev Ldoc 'r AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 14 -Jul -2005 2005-0040982 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See A#cac4ed x; A Date_ `7- 13 - D S. PROPERTY OWNERS: State of California ) County of • 1 \ 2 ��y ) On J 1 �(' ✓ , U.l before me, + L- UA41R A 1; personally appeared Ka JA personally known to me (or proved to me on the basis of satisf ctory 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 alpd official seal. A.P.# ©q%— /00—/4 9 F waw 2m y till i!i:l2ptio ?WZd Y:' L:J YTVU3J 2 ?TiU4 Ira 11e,.lRr.� ANN i RY I3� c�,gs aon�3aRaa�lt ��ri'0.= ' � J r ltri : Order No. 00212187-002 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: ALL THAT CERTAIN REAL PROPERTY SITUATE IN SECTIONS 24 AND 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO BASE AND MERIDIAN, COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SECTION 23, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO BASE AND MERIDIAN SAID POINT BEING MARKED BY A ONE-HALF INCH IRON PIPE TAGGED RCE 11553 AS SHOWN ON THAT CERTAIN MAP RECORDED IN MAP BOOK 87 AT PAGE 83, IN THE RECORD OF SAID COUNTY AND STATE; THENCE SOUTH 890 59'29" WEST, 480.40 FEET ALONG THE SOUTHERLY LINE OF SAID SECTION 23 TO A ONE-HALF INCH IRON PIPE TAGGED RCE 11553; THENCE LEAVING SAID SECTION LINE NORTH 18° 40'20" EAST, 1457.69 FEET TO A ONE-HALF INCH IRON PIPE TAGGED RCE 11553; THENCE NORTH 570 53' 54" EAST, 37.75 FEET; THENCE NORTH 860 18' 49" EAST, 177.95 FEET; THENCE SOUTH 37° 40'27" EAST, 706.52 FEET; THENCE SOUTH 00° 09' 19" EAST, 865.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL; THENCE CONTINUING SOUTH 00'09'19" EAST, 1314.55 FEET TO A POINT IN THAT CERTAIN AGREEMENT LINE PER THOSE CERTAIN DOCUMENTS RECORDED AS SERIAL NUMBERS 89-15587 AND 89-11590 IN THE RECORDS OF SAID COUNTY AND STATE FROM WHICH POINT THE TRUE POINT OF BEGINNING FOR SAID DOCUMENTS BEARS SOUTH 890 45' 51" EAST, 1356.70 FEET; THENCE ALONG SAID AGREEMENT LINE SOUTH 89° 45' 51" EAST, 1356.70 FEET TO SAID TRUE POINT OF BEGINNING SAID POINT ALSO BEING THE TERMINATION POINT OF THAT CERTAIN AGREEMENT LINE PER THOSE CERTAIN DOCUMENTS RECORDED AS SERIAL NUMBERS 89-11588 AND 89-11589 IN THE RECORDS OF SAID COUNT -17 -AND. STI ATE; THENCE AL. ONG LAST SAID AGREEMEN i LiNE'NOkTH 00Z ill' 38" EAST, 1305.42 FEET; THENCE LEASING SAID AGREEMENT LINE NORTH 890 22' 50" WEST, 1360.95 FEET TO THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED PARCEL. THE BASIS OF BEARINGS FOR THIS ENTIRE DESCRIPTION IS THE LINE BETWEEN THE SOUTHWEST CORNER AND THE SOUTH ONE-QUARTER CORNER OF SECTION 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO MERIDIAN AS SAID CORNERS ARE SHOWN ON THAT CERTAIN MAP RECORDED IN MAP BOOK 101 AT PAGE 23 IN THE RECORDS OF SAID COUNTY AND STATE, THE BEARING OF SAID LINE BEING NORTH 890 33' 16" WEST. EXCEPTING THEREFROM 50% OF ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES AS RESERVED IN A DEED EXECUTED BY RUTH J. HENNIGAN, ET AL, TO FRANK G. BENNETT, ET UX, RECORDED JUNE 25,1974, IN BOOK 1919, PAGE 218, OFFICIAL RECORDS. y - _ Order No. 00212187-002 PARCEL HEREIN IS PURSUANT TO A WAIVER OF A PARCEL MAP, APPROVED BY THE COUNTY OF BUTTE, RECORDED NOVEMBER 28, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89-46989. AP NO. 047-100-167 PARCEL II: A 60 FOOT WIDE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES THE SOUTHERLY, EASTERLY, AND SOUTHERLY LINES OF SAID EASEMENT BEING COINCIDENT WITH THE FOLLOWING DESCRIBED LINE: COMMENCING AT THE NORTHEAST CORNER OF SECTION 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M., AS SHOWN ON THAT CERTAIN MAP BY D.R, ROPER, RCE 11553, RECORDED IN MAP BOOK 87 AT PAGE 83 IN THE RECORDS OF SAID COUNTY AND STATE SAID POINT OF COMMENCEMENT BEING MARKED BY AN OPEN END IRON PIPE AS SHOWN ON SAID MAP; THENCE NORTH 890 50' 15" WEST, 2314.33 FEET TO THE CENTER LINE OF THE PRESENT US HIGHWAY 99; THENCE CONTINUING NORTH 890 50'15" WEST, 32.44 FEET TO A %2 IRON PIPE TAGGED RCE 11553; THENCE NORTH 890 59' 00" WEST, 14.42 FEET TO A POINT ON THE SOUTHWESTERLY RIGHT-OF-WAY LINE OF SAID HIGHWAY 99 AND THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED LINE; THENCE CONTINUING NORTH 890 51'50" WEST, 1360.95 FEET TO THE TERNIINATION OF SAID LINE. THE SIDE LINES OF SAID EASEMENT ARE TO BE EXTENDED OR FORESHORTENED SO AS TO PROVIDE A CONTINUOUS 60.00 FOOT WIDE EASEMENT FROM SAID HIGHWAY 99 TO THE PROLONGATION OF THE WESTERLY BOUNDARY OF THE HEREIN DESCRIBED PARCEL. PARCEL III: AN EASEMENT OVER THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING AN EASEMENT OF A UNIFORM WIDTH OF 30.00 FEET THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE EASTERLY LINE OF THAT CERTAIN 44.57 ACRE PARCEL OF LAND DESIGNATED AS PARCEL 4 ONHAT:CERfAIN RECORD OF S RI VEY FILED FOR RECORD DECEMBER 5,1989 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA IN BOOK 114 OF MAPS AT PAGES 76-78; SAID POINT BEING THE NORTHWESTERLY CORNER OF PARCEL 3 AS SHOWN OF SAID RECORD OF.SURVEY; THENCE LEAVING SAID POINT OF BEGINNING, NORTH 85° 22'44" WEST, 611.23 FEET TO THE TERMINAL POINT OF THE CENTERLINE HEREIN BEING DESCRIBED. SAID EASEMENT BEING BOUNDED ON THE EAST BY THE EASTERLY LINE OF SAID PARCEL 4. Other Septic. I&Well Agricultural Exempt Building 65 61 ❑ Agricultural Buffer Form ® Applicable ❑ N/A ❑ Other: j Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved 10 Site Plan, Stamped Approved •B y Date -) 7 ' Page 1 of 5 ❑ Resolve Problems Prior to Approval l �'I SITE PLAN REVIEW APPLICATION Date: -]2- AP# OX,-1dO-/(o Permit Number (if applicable) O 3 �} bA Bin Number (S-" • oq-1)7,9 APPLICANT INFORMATION Parcel Size: `� - to A �. r _ Owners Name: H) Lt- , � LU .' d' X G Owners Address: L CA Q 0 T N G e'S L. 7J . ci4 i C o C- A q 5 q� Telephone No.: �-- Situs Address: Proposed Use: Residential ,• New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ' ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family • Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other Septic. I&Well Agricultural Exempt Building 65 61 ❑ Agricultural Buffer Form ® Applicable ❑ N/A ❑ Other: j Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved 10 Site Plan, Stamped Approved •B y Date -) 7 ' Page 1 of 5 ❑ Resolve Problems Prior to Approval l �'I ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: i ❑ 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 att!c ed) • Flood Zone: • Flood Panel No.: 013 1 O Index Date: Ll -Q-d— C�-O ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement zoning:—A " H 0 • Applicable Building Setbacks: 4ZES I 'Dl✓Nct= ,A&. (zFL-b6- . ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2of5 Zoning Code s Fire Prevention Sub ' ' Front Side ,L� 3� 0 Side Street Rear 2 5 O O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2of5 Applicable Development Fees: Water Tender ❑ J - Standard Fees Amount Formula ❑ Fire F-1 School* • ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road. ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other •. Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) " Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By E Deeds: Date of Creation:I 89 i--,> J Legal Access Provided: ❑ No Yes Deed of Reference: g C) — y 69 87 q90 Legal Access Required [INo ElYes Parcel Frontage on Publicly Maintained Road: 10 No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments:> Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: 1 2- �'" 69 Lot: ❑ Use Permit/Minor Use Permit (RS )1y-'7Cp Permit Number: Date of Approval: Page: 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 0) ❑ 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. 1 ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plie 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 • Y RCEL/4 -- 1.57 AC. 0• 89-46990 E.) M R N Es M -ACCEPTED AS in a SW COR. SEC. 24 • 3 m a) O 0 Q 2 629.98' V 1/ 16 SEC. 25 8, 26 p �,p s �I s 10 0 • ��o S pm .i 9 PARCEL 2co 40.03 AC. yam SERIAL NO. 89-46988 60.00 RIGHT - OF- WAY TO BE SEE DETAIL B RESERVED- IN DEEDS FOR I/4 CORNER i� ( F 20.32' INFORMATION �- N.89° 22 50" W. 1360.95ti I N. 890 5100" W. 927.65' - SEE NOTE 3 SEE DETAIL A FOR \ FENCE LINE LOCATION S//T. 2 OF 3 l_ PARCEL 3 40.86 AC. SERIAL NO. 89-46989 AGREEMENT LINE PER S.N. 89-11587 S.N. 89-11590 S.N. 89-46984 BOUNDARY LINE MODIFICATION APPROVED BY COUNTY OF BUTTE OCT. 2, 1989 1356.70 N.89°45 51" W. 1986.67' (N.89051'23" W. 1978.52")R8&Rii COUNTY ADVISORY AGENCY APPROVED VC A DADrCI &JAD — -Ur 11....... 3 OD M O 0 O O AGREEMENT LINE PER S.N. 89-11588 S.N. 89-46985 S.N. 894 589 BOUNDARY LINE MODIFICATION APPROVED BYCOUNTY OF BUTTE OCT. 2, 1989 0 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSORC6EA(`i�J✓L�JO._17 ZONING OW R ,-�LG4 PHONE NO. 0- o%? ` % 1/9 .S p OWNEfi2Ri' awS�f ¢�3 �A sr G : C a ION OF BUILDING LOCATION 4,ld vl ` USE OF BOILPING Q. c �J SIZE OF STRUCTURE �b 2O �_ 260 X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SSIDI G C4/-4 u / / ROOF COVERING /"le��, FLOOR TYPE `in [/ e4iL ESTIMATED COST OF CONSTRUCTION L04000, C)O 46. 86 AC_ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: > , 55 r � 5 �5 FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 9-12--6 Signature of Owner Rece Fee - $60.00 ') The above described AG Building is exempt from ,Iding Cilna Buil Division `tel �L Date White —DPW, Yellow — Assessor) m — . ., —Applicant a SITE PLAN REVIEW APPLICATION Date: -12= AP# Dy I -100-/ b 7 Permit Number (if applicable) 3 ""� �8 AG Bin Number APPLICANT INFORMATION Parcel Size: Li - to A e.. Owners Name: 1 L P -A) Owners Address: Ll �-j CA Q V T H-1 q S L -7-J. c1 -A i C 0 C - A Q15 9 Telephone No.: C) 2- I Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition. Other Fj Septic IN Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):_ ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well . ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved IN Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By�2- Date Page 1 of 5 •.T ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 5 3 15 5 Index Date: Ll -'Z b— C -o ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A - H 0 Applicable Building Setbacks: A G. RL -b 6-, ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 AJ Zoning Code vats Fire Prevention Subdivisien Front�— Side 2 3� 0 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 AJ Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender _ ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: - 2 J Legal Access Provided: ❑ No Yes Deed of Reference: 990 Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: 9 No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: - ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 II Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ 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. El ❑■ Page 4of5 0 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Sep 15 03 02:54p Randy Hill 530-699-1919 p.1 RANDY & TAYCE MILL 0 lllt(:I.�f'I' ❑ 1101t Itl;V)IiW ❑ 1'1.I;A. lV ("OMMEKT ❑ 11I.F.A1H III?IIIN ❑ 111.1;.A\I! ' Nq'1'Ii�/f.OMM1iN'I�S: Please find copy of the official Grant Deed, for Parcel No_ 047-100-167. Copy of Receipt frum your office for building permit AG -03-167 ®UP I OF BUTTE .- 0 v'cl LRECEI .O IF NICE 7�1 Mk 1'rSSU EIP ' - 2 Received from The Sum of C 1 Received: 1C� \ -+t- � G� - � lQ 1 Received EIV CASH Title CHECK � ar� --- ._................ OAVOO BUSINESS FORM.^. • (SM) 74340 1 Form 757trl KAREN JONES Plan Application Assivarn AUT TF Land of Natural Wraith and Keauty o • 11ULMU DlV=N o 7 DEPARTMENT OF DEVEWPMENr SERVICES o 7 COUNN CENTF1t DRIVF, CSU OROVILLF, CAIII'ORNIA 95965 Ntj (530) 538.7541 FAX 1530) 538.2140 44 CARUTHERS CANE — CHICO, CA. 95973 PHONE: (530) 892-1918 - FAX: (530) 899-1919 Sep 15 03 02:54p Randy Hill RECORDING I11tQUESTED BY Indwell Title & Escrow Company AND WIICN RCCORDED MAIL TO Nui,e Rondy 11111 str^I 3 Mil11aT.d Estates Dr. Addru, Chico" CA 95926 cttr. cr.,� zq, Ont.r N •. 002121147-001. 530-899-1919 p.2 c"'0103 -12%10633S9 Recorded 1 REC FEE 13,00 Official Records I TAX 236.50 Countp Of I MONUMEN 10.00 BUTTE 1 CANDACE J. ORUBBS I Recorder i ROSEMARY DICKSON I Assistant 1 Andrew 09:0081 12 -Sep -2003 I Page I of 3 IS LINE FOR IIECO1lDER'S UCP, Pt,R�iNo. ons-ion-tc�. GRANT DEED THIS I'OIkSI FURNISIMI) BY DIDWELLTITLE& Ii5CROW COMPANY Vw Undersigned Grnntot(s) fkc•lure(s) Documentary Transfer Tax is $23 6.50 0 Cityfl'own of IZ computed on full value of interesl or property conveyed, or 0 1JninC0rporated Arco 0 full value Icss value orhens or oneumbrances Tcmaininb ut the time of sale 0 Monument kce of $10.00 FOR A VALUABLL CONSIDERATION, receipt of which is hereby acknowledged, Curtis Dronner and Andrea Roberta Bronner, husband and wife hereby GRANT(s) to Randy Hill and Tayce A. I{ill, huoband and wife, as joint tenants the following real property in the 0 City of CEJ Unincorporated Area County of putte, Statc-of California: SEL; EXHIBIT A ATTACHED IIERF.TO AND MADE A PART HEREW corLi`i-$r07a ltcr ea Robertu gronner DOGUMCM Date: '!},p .tantbnr 10, 2003 Statc of California County of } SS. On _-�--L-4 before ma, the undersiLmcd, a Notary Public in and for said County and State, personally appcarud Curtis Bronnerand Andrea nobPrte .Dronner Personally known to me (or proved to me on the basis of satisfactory FOR NOTARY SEAL OR. STAMP evidence) to be the person(s) whose narnc(s) is/arc subscribed to the within instrumcm ttnd aeknowlcd0ed to me that helshelthey executed . the sane in his/laa9thcir authorized capacity(ics), and that by his/htrAhcir si e(s) on the instry t the person(s), or the entity upon behalf aahic th rson(s) u ed c, used the iltstrument. CHERIE L. CoMBALV'O CoMmloaloni 1357881 5 WlTNE ' my 11 a ffi 1 sea. ! ¢ Notary public -- fo CSI mla II San Diego County Signat rt _ WYConntl•Entirm Jun 14.2006 MAIL TAX STATEMENTS TO : $ante as Above BMCiGRANTOCCD r. A�- Sep 15 03 02:55p Randy Hill 530-899-1919 p.3 Order No. 00212187.002 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE Or CALIFORNIA, DESCRIBED AS FOLLOWS: PARCELI: ALL THAT CERTAIN REAL PROPERTY SITUATE 1N SECTIONS 24 AND 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO BASE AND MERIDIAN, COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SECTION 23, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO BASE AND MERIDIAN SAID POINT BEING MARKED BY A ONE-HALF INCH IRON PIPE TAGGED RCE 11553 AS SHOWN ON 'T FIAT CERTAIN MAP RECORDED IN MAP BOOK 87 AT PAGE 83, IN TIME RECORD OF SAID COUNTY AND STATE; THENCE SOUTH 890 59'29" WEST, 480.40 FEET ALONG THE SOUTHERLY LINE OF SAID SECTION 23 TO A ONE-HALF INCH IRON PIPE TAGGED RCE 11553; THENCE LEAVING SAID SECTION LINE NORTH 18° 40'20- EAST, 1457.69 FEET TO A ONE-HALF INCH IRON PIPE TAGGED RCE 11553; THENCE NORTH 57° 53' 54" EAST, 37.75 FEET; THENCE NORTH 860 18' 49" EAST, 177.95 FEET; THENCE SOUTH 37° 40' 27" EAST, 706.52 FEET; THENCE SOUTH 000 09' 19" EAST, 865.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL; THENCE CONTINUING SOUTH 00° 09'19" EAST,1314.55 FEET TO A POINT IN THAT CERTAIN AGREEMENT LINE PER THOSE CERTAIN DOCUMENTS RECORDED AS SERIAL NUMBERS 89-15587 AND 89-11590 IN THE RECORDS OF SAID COUNTY AND STATE FROM WHICH POINT THE TRUE POINT OF BEGINNING FOR SAID DOCUMENTS BEARS SOUTH 899 45151 " EAST,1356.70 FEET; THENCE ALONG SAID AGREEMENT LINE SOUTH 89° 45' 51" EAST, 1356.70 FEET TO SAID TRUE POINT OF BEGINNING SAID POINT ALSO BEING THE TERMINATION POINT OF THAT CERTAIN AGREEMENT LINE PER THOSE CER'fA1N DOCUMENTS RECORDED AS SERIAL NUMBERS 89-11588 AND 89-11589 IN THE RECORDS OF SAID COUNTY AND STATE; THENCE ALONG LAST SAID AGREEMENT LINE NORTH 000 01' 38" EAST,1305.42 FEET; THENCE LEAVING SAID AGREEMENT LINE NORTH 890 22'50" WEST, 1360.95 FEET TO THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED PARCEL. TRE BASIS OF BEARINGS FOR THIS ENTIRE DESCRIPTION IS TRE LINE BETWEEN THE SOUTHWEST CORNER AND THE SOUTH ONE-QUARTER CORNER OF SECTION 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO MERIDIAN AS SAID CORNERS ARE SHOWN ON THAT CERTAIN MAP RECORDED IN MAP BOOK 101 AT PAGE 23 IN THE RECORDS OF SAID COUNTY AND STATE, THE BEARING OF SAID LINE BEING NORTH 890 33' 16" WEST. EXCEPTING THEREFROM 50% OF ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES AS RESERVED IN A DEED EXECUTED BY RUTH J. HENNIGAN, ET AL, TO FRANK G. BENNETT, ET UX, RECORDED JUNE 25,1974, IN BOOK 1919, PAGE 218, OFFICIAL RECORDS. Sep 15 03 02:55p Randm Hill 530-899-1919 p.4 Order No. 00212187-002 PARCEL HEREIN IS PURSUANT TO A WAIVER OF A PARCEL MAP, APPROVED BY THE COUNTY OF BUTTE, RECORDED NOVEMBER 28,1989, UNDER BUTTE COUNTY RECORDER'S . SERIAL NO. 89-46989. AP NO. 047-100-167 PARCEL II: A 60 FOOT WIDE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES THE SOUTHERLY, EASTERLY, AND SOUTHERLY LINES OF SAID EASEMENT BEING COINCIDENT WITH THE FOLLOWING DESCRIBED LINE: COMMENCING AT THE NORTHEAST CORNER OF SECTION 25, TOWNSHIP 23 NORTH, RANGE l WEST, M.D.B. & M., AS SHOWN ON THAT CERTAIN MAP BY A.R. ROPER, RCE 11553, RECORDED IN MAP BOOK 87 AT PACE 83 IN THE RECORDS OF SAID COUNTY AND STATE SAID POINT OF COMMENCEMENT BEING MARKED BY AN 01%, N END IRON PIPE AS SHOWN ON SAID MAP; THENCE NORTH 890 50' 15" WEST, 2314.33 FEET TO THE CENTER LINE OF THE PRESENT US HIGHWAY 99; THENCE CONTINUING NORTH 890 50' 15" WEST, 32.44 FEET TO A %: IRON PIPE TAGGED RCE 11553; THENCE NORTH 89° 59' 00" WEST,14.42 FFET TO A POINT ON THE SOUTHWESTERLY RIGHT-OF-WAY LINE. OF SAID HIGHWAY 99 AND THE TRUE POINT OF BEGINNING OF TI -W HEREIN DESCRIBED LINE; THENCE CONTINUING NORTH 89'51150" WEST, 1360.95 FEET TO THE TERMINATION OF SAID LINE. THE SIDE LINES OF SAID .EASEMENT ARE TO BE EXTENDED Olt FO12k HORTENED SO AS TO PROVIDE A CONTINUOUS 60.00 FOOT WIDE EASEMENT FROM SAID HIGHWAY 99 TO THE PROLONGATION OF THE WESTERLY BOUNDARY OF THE HEREIN DESCRIBED PARCEL. PARCEL III: AN EASEMENT OVER THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING AN EASEMENT OF A UNIFORM WIDTH OF 30.00 FEET THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE EASTERLY LINE OF THAT CERTAIN 44.57 ACRE PARCEL OF LAND DESIGNATED AS PARCEL 4 ON THAT CERTAIN RECORD OF SURVEY FILED FOR RECOIZD DECEMBER 5,1989 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA IN BOOK 1.14 OF MAPS AT PAGES 76-78; SAID POINT BEING THE NORTHWESTERLY CORNER OF PARCEL 3 AS SHOWN OF SAID RECORD OF SURVEY; THENCE LEAVING SAID POINT OF BEGINNING, NORTH 8S° 22' 44" WEST, 611.23 FEET TO - THE TERMINAL POINT OP THE CENTERLINE HEREIN BEING DESCRIBED. SAID EASEMENT BEING BOUNDED ON THE EAST BY THE EASTERLY LINE OF SAID PARCEL 4. doo_ b. U. 0 ts 40 su Aw 2005®0040982 Recorded I REC FEE 13.00 AND WHEN RECORDED MAIL TO: Official Records I County of I COI�OMB COPY 1.00 BUTTE COUNTY BUILDING DIVISION Butte 1 7 COUNTY CENTER DRIVE CAMW J. 6RUBBS I OROVILLE, CA 95965 County Clerk-Recorderl 1 I SA 01:51PN 14-Jul l!-M I Page 1 of 3 - IIIA"III"I�I'IIII��I�I'�I'II'I�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. All that real property situate in the County of Butte, State of California, described as follows: .See t A e Date 2-13- 0-f PROPERTY OWNERS: State of California ) County of ) Onawv s u-bJ before me, 1 L. 12 111.7 e, personally appeared wkpl6wvj 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 d official seal. SignatureAAA Seal: L VIERRA COMM. #1563814 NOTARY Rae . CAUFORNIA G) N BUTTE COUNTY r `_A.P. # 04 %- / (70 -16 % CWft EWM AW. 22, 2009 3 1\ ARRIV J XMIGILM -TAMAIA "WIN w da A!.1 (,1 61 - 'i Order No. 00212187-002 C':' EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: ALL THAT CERTAIN REAL PROPERTY SITUATE IN SECTIONS 24 AND 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO BASE AND MERIDIAN, COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SECTION 23, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO BASE AND MERIDIAN SAID POINT BEING MARKED BY A ONE-HALF INCH IRON PIPE TAGGED RCE 11553 AS SHOWN ON THAT CERTAIN MAP RECORDED IN MAP BOOK 87 AT PAGE 83, IN THE RECORD OF SAID COUNTY AND STATE; THENCE SOUTH 890 59'29" WEST, 480.40 FEET ALONG THE SOUTHERLY LINE OF SAID SECTION 23 TO A ONE-HALF INCH IRON PIPE TAGGED RCE 11553; THENCE LEAVING SAID SECTION LINE NORTH 18° 40'20" EAST, 1457.69 FEET TO A ONE-HALF INCH IRON PIPE TAGGED RCE 11553; THENCE NORTH 57° 53'54" EAST, 37.75 FEET; THENCE NORTH 86° 18' 49" EAST, 177.95 FEET; THENCE SOUTH 37° 40'27" EAST, 706.52 FEET; THENCE SOUTH -000 09' 19" EAST, 865.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL; THENCE CONTINUING SOUTH 00° 09119" EAST, 1314.55 FEET TO A POINT IN THAT CERTAIN AGREEMENT LINE PER THOSE CERTAIN DOCUMENTS RECORDED AS SERIAL NUMBERS 89-15587 AND 89-11590 IN THE RECORDS OF SAID COUNTY AND STATE FROM WHICH POINT THE TRUE POINT OF BEGINNING FOR SAID DOCUMENTS BEARS SOUTH 890 45' 51" EAST, 1356.70 FEET; THENCE ALONG SAID AGREEMENT LINE SOUTH 89° 45' 51" EAST, 1356.70 FEET TO SAID TRUE POINT OF BEGINNING SAID POINT ALSO BEING THE TERMINATION POINT OF THAT CERTAIN AGREEMENT LINE PER THOSE CERTAIN DOCUMENTS RECORDED AS SERIAL NUMBERS 89-11588 AND 89=11589 IN THE RECORDS OF SAID COTiJiai T Y AND STAT& THENCE AL 6NI G.LAST St AGREEMEN-i 'LlINE NORTH 00" 01' 38" EAST, 1305.42 FEET; THENCE LEAVING SAID AGREEMENT LINE NORTH 890 2115011 WEST, 1360.95 FEET TO THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED PARCEL. THE BASIS OF BEARINGS FOR THIS ENTIRE DESCRIPTION IS THE LINE BETWEEN THE SOUTHWEST CORNER AND THE SOUTH ONE-QUARTER CORNER OF SECTION 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, MOUNT DIABLO MERIDIAN AS SAID CORNERS ARE SHOWN ON THAT CERTAIN MAP RECORDED IN MAP BOOK 101 AT PAGE 23 IN THE RECORDS OF SAID COUNTY AND STATE, THE BEARING OF SAID LINE BEING NORTH 89° 33' 16" WEST. EXCEPTING THEREFROM 50% OF ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES AS RESERVED IN A DEED EXECUTED BY RUTH J. HENNIGAN, ET AL, TO FRANK G. BENNETT, ET UX, RECORDED JUNE 25,1974, IN BOOK 1919, PAGE 218; OFFICIAL RECORDS. Order No. 00212187-002 PARCEL HEREIN IS PURSUANT TO A WAIVER OF A PARCEL MAP, APPROVED BY THE COUNTY OF BUTTE, RECORDED NOVE3dIBER 28,1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 8946989. AP NO. 047-100-167 PARCEL II: A 60 FOOT WIDE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES THE SOUTHERLY, EASTERLY, AND SOUTHERLY LINES OF SAID EASEMENT BEING COINCIDENT WITH THE FOLLOWING DESCRIBED LINE: COMMENCING AT THE NORTHEAST CORNER OF SECTION 25, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M., AS SHOWN ON THAT CERTAIN MAP BY D.R. ROPER, RCE 11553, RECORDED IN MAP BOOK 87 AT PAGE 83 IN THE RECORDS OF SAID COUNTY AND STATE SAID POINT OF COMMENCEMENT BEING MARKED BY AN OPEN END IRON PIPE AS SHOWN ON SAID MAP; THENCE NORTH 890 50' 15" WEST, 2314.33 FEET TO THE CENTER LINE OF THE PRESENT US HIGHWAY 99; THENCE CONTINUING NORTH 89° 50115" WEST, 32.44 FEET TO A %2 IRON PIPE TAGGED RCE 11553; THENCE NORTH 89° 59' 00" WEST, 14.42 FEET TO A POINT ON THE SOUTHWESTERLY RIGHT-OF-WAY LINE OF SAID HIGHWAY 99 AND THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED LINE; THENCE CONTINUING NORTH 89° 51'50" WEST, 1360.95 FEET TO THE TERMINATION OF SAID LINE. THE SIDE LINES OF SAID EASEMENT ARE TO BE EXTENDED OR FORESHORTENED SO AS TO PROVIDE A CONTINUOUS 60.00 FOOT WIDE EASEMENT FROM SAID HIGHWAY 99 TO THE PROLONGATION OF THE WESTERLY BOUNDARY OF THE HEREIN DESCRIBED PARCEL. PARCEL III: AN EASEMENT OVER THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING AN EASEMENT OF A UNIFORM WIDTH OF 30.00 FEET THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE EASTERLY LINE OF THAT CERTAIN 44.57 ACRE PARCEL OF LAND DESIGNATED AS PARCEL 4 PN -THAT. HA.T. CER'1:AIN RECORTD- OF SURVEY FILED FOR RECORD DECEMBER 5,1989 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA IN BOOK 114 OF MAPS AT PAGES 76-78; SAID POINT BEING THE NORTHWESTERLY CORNER OF. PARCEL 3 AS SHOWN OF SAID RECORD OF.SURVEY; THENCE LEAVING SAID POINT OF BEGINNING, NORTH 85° 22'44" WEST, 611.23 FEET TO THE TERMINAL POINT OF THE CENTERLINE HEREIN BEING DESCRIBED. SAID EASEMENT BEING BOUNDED ON THE EAST BY THE EASTERLY LINE OF SAID PARCEL 4. !:;_ I- IIII - ' I VIII' VIII IIII 29 4 F-7 1 635 60 13� 5ef�'L N w N Rl �• � SIt7 3 Ela- lqi g A«ess01-s Pu,�el # oy7-goo-/G7 _ �o `017 Cl e- - PAAdv - 89 -19/8 - - L.�Ga�c� south ocY_cN�cc ,n 99 N w N Rl L<J j�� J 63.1 gra' 135��70 APPROVED Buft la-domea� !,ciL"ad /oa f Dam > zs o6 r BUTTE COUNTY BUILDING DIVISION. APPROVED 1-52 's' A, 0 q 7- L Es 0 Ac/e er CA V 73 Co..,, -�- • 1 N ak-�k,- Poi L�- 899- gyys PLANNING DIVISION- BUILDING PLAN APPROVAL Use: Date:l!/`�� Parking: scaong: �- Other• ? Signature: N s 1�r^ rani Stele e. c d _ � �L cn 1= ® C N 4 01's to be Code" Res'�to'eseH-ctosii,laan !n Color Sr,� f 2 f! i i all it.down GUNRE twiioe slally4bt seven days ` SPA :y i S'• Size c s Plumbing Run 32 Dam Wall Length co Number of Jets V • Understand that decking shown is for illustration purposes only and Blower Hp m4 J 3.�y i Remote Model fi� (y square feet of deck. 1 - IIILILA Yes . No cc •,`�r No Ii I � ,`•/ Vii' `;� A ' rr''s" '•a:tV *3:'-�t+ �;. W 22 %HHUM rgeu �a YV r M 7 7v n T Wleal{ muswualwe a3noaddv r i' - QBqLU HEN. PODLS) — BLUE HAVEN OFFICE: 9 .n S,. c. JA P. C .. _. f- r✓ � .. _ .Y.Ile BUTTE COUNTY BUILDING DIVISION APPROVED GENERAL POOL SPECIFICATIONS: (Temp.# SUR. MAXIMUM WIDTH: PERIMETER: AREA: S LENGTH -MAXIMUM ' POOL CAPACITY: Pnnl nFPTHR• Z . '7/ T110K1nv1=0 OATC- EXCAVATION Access Front hy, Bob Cat Shuttle Remove Dirt Remove Stump(s) Remove Fence Replace Fence Remove Concrete S.F. Sawcut Concrete ' Ft. STEEL Expansive Soil Steel Pattern PLUMBING s ,':-7, jr erS Filter Run Ftg: D Return Lines J P -Trap -a'- J B/Wash Line Gas Line Fig Drill Drive Cil ELECTRICAL Run By—E; • H , Ftg 12 GUNITE Love Seat ef, T I Swim Out Cff Ext. 2nd Step P= F, I`;- Ani R.B.B. " in. X �" Ft. R.B.B. in. X F Ft. COPING Type A' TILE Type 'All t- 3 7 Spa Dam Accent Tyle - N 1< 113 3 .), DECKING Type Color Risers Footings Mastic Drains EQUIPMENT Filter Type TS . hi. Size Pump HP Li , }{ 2 Sp /. 1 Sp 500 W Light' Yes Q o Smart Vac II tiles= blo Heater BTU Nat Pro. .Slide =� Water Feature PLASTER Color Sr,� f 2 f! i i Q SPA i7 i S'• Size c s Plumbing Run 32 Dam Wall Length co Number of Jets V • Understand that decking shown is for illustration purposes only and Blower Hp Yes _' No Remote Model fi� (y square feet of deck. 1 - Spa Side Switch Yes . No cc Yes'; No 100 Watt Light Yes ;-N 6 I✓ Stree/ S a 3 7 �'1 a (- c', r <s:l City C h r c ri Zip J S-973 Home Phone ED 9 ' 21 G 2 Work Phone BUTTE COUNTY BUILDING DIVISION APPROVED GENERAL POOL SPECIFICATIONS: (Temp.# SUR. MAXIMUM WIDTH: PERIMETER: AREA: S LENGTH -MAXIMUM ' POOL CAPACITY: Pnnl nFPTHR• Z . '7/ T110K1nv1=0 OATC- EXCAVATION Access Front hy, Bob Cat Shuttle Remove Dirt Remove Stump(s) Remove Fence Replace Fence Remove Concrete S.F. Sawcut Concrete ' Ft. STEEL Expansive Soil Steel Pattern PLUMBING s ,':-7, jr erS Filter Run Ftg: D Return Lines J P -Trap -a'- J B/Wash Line Gas Line Fig Drill Drive Cil ELECTRICAL Run By—E; • H , Ftg 12 GUNITE Love Seat ef, T I Swim Out Cff Ext. 2nd Step P= F, I`;- Ani R.B.B. " in. X �" Ft. R.B.B. in. X F Ft. COPING Type A' TILE Type 'All t- 3 7 Spa Dam Accent Tyle - N 1< 113 3 .), DECKING Type Color Risers Footings Mastic Drains EQUIPMENT Filter Type TS . hi. Size Pump HP Li , }{ 2 Sp /. 1 Sp 500 W Light' Yes Q o Smart Vac II tiles= blo Heater BTU Nat Pro. .Slide =� Water Feature PLASTER Color Sr,� f 2 f! i i Q SPA C=) i S'• Size • elfi — Out Plumbing Run 32 Dam Wall Length -- Number of Jets V • Understand that decking shown is for illustration purposes only and Blower Hp Yes _' No Remote Model fi� (y square feet of deck. 1 - Spa Side Switch Yes . No Smart Light Yes'; No 100 Watt Light Yes ;-N 6 BUYER f1pN :# PY7-� l00--/�7 , i Designer /' Lot I Mapsco No. j �/1- Job No Initials Q Approve above specification C=) wY) • Approve equipment location V • Understand that decking shown is for illustration purposes only and () understand that they are to receive (y square feet of deck. Signature ��_ Date 1-12-06 Prepaired Especially For: Stree/ S a 3 7 �'1 a (- c', r <s:l City C h r c ri Zip J S-973 Home Phone ED 9 ' 21 G 2 Work Phone f1pN :# PY7-� l00--/�7 , i Designer /' Lot I Mapsco No. j �/1- Job No 4 W V-60, X25 ;�o 04 • S%fe Lm eta/h --. � ov1 ' 3 a/(a.a/s F 1 e s J OCA n o ro pen a ' ,____LN.f '�" Iia s � /yi ¢ /�•_% �; a.�]1_d . 00 Peoi scf�-� i Environmental Health O MAR )n^4 . 60 Cdr Ito { N f 117' i 13sc-7o` a w s 1 'r= Ian' stele t •