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HomeMy WebLinkAbout047-680-007COMPLAINT GIVEN TO INSPECTor1-a3Gi I L 047-68-0-007 00-1949 RITCHIE HOMES �,�L.-,o-Q . 13819 COMICE CT., CHICO CONTR: OWNER a' " O NEW SINGLE FAMILY 047-680-007 02-2406 1 KENNON, MARTIN 13819 COMICS CT., CHICO CONT: SUTHERLAND LANDSCAPING YARD SPRINKLERS (AS BUILT) #�I t 8 Ll 0. U COMPLAINT GIVEN TO INSPECTor1-a3Gi I L 047-68-0-007 00-1949 RITCHIE HOMES �,�L.-,o-Q . 13819 COMICE CT., CHICO CONTR: OWNER a' " O NEW SINGLE FAMILY 047-680-007 02-2406 1 KENNON, MARTIN 13819 COMICS CT., CHICO CONT: SUTHERLAND LANDSCAPING YARD SPRINKLERS (AS BUILT) #�I t 8 Ll M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� --�� (Rev. 12/96) APPLICATION AND PERMIT oz. ASSESSOR PARCEL -11 NU , x/ � — / �7o—OO� l/LTJ 7VC ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS ILI1-3 D SS�� ' CONI 'S NA E .� La TELEPHONE CONTRACjQRS MAILING AD S �3 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS '3191 iy _04- ``--1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF)' Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ RemodelR��11� ❑ Utilities ❑ Installation ❑ Other ❑ �— Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home ISI GLWJ 920.00 S «Ot� PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LES 'OOV OR Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / _ / {� License Class Lic. No. (�/�� 13` !/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DW EWNG OCCUP. OR ADDNS. 6 ACC. BLOB, SO 3.5¢FT. No R6IU MULTI.OUTLET 97,50 POWER APPARATUS SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDRURES .00 BAL @ I.50 FU(ED APPU�. OR Ex. Occup. .,rLE, S RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S a WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. )dl1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. a workers' p�nsatio i�sur,® eperr3�er,�nd o y um b�r.ere;, �� Carrier a 'LS (/_ %V %rG0'((i /V ;j,(/(- I MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if 1 should become subject to the ars' compensation provisions of section 3700 of the Labor Code, I shall o it comply with those provisions. �j 'q X Date I / �y Sign t re o p ant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excava ons over 60" deep and demolition or construction of structures over 3 stories in height. Aol Mobile Home Installation Fee $ Energy Inspection Fee $ 2Occ /!�,/� ,��`` T. TYPE TOTAL FEE $ iii Uv HAZ. D FE IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate Bove for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. nDate - 3 -� a % —3-703 (Date) Receipt No. . WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i / SR -1 047-68-0.007 00-1949 RITCHIE HOMES�t�,-,o-P 13819 COMICE CT., CHICO CONTR: OWNER d.ApL D NEW SINGLE FAMILY Ki COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7t411 Main Street • Chico, CA • (530) 891-2751 ounty Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER ._ PERMIT NO. �Y A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �. WO 0A,0 rn Date y~ -� .�C2� Inspector ` REV 10/92 Name IMARTIN KENNONJ DPM &EDYTHE R ELKI Addr1 113819 COMICE COURT Addr2 I CHICO CA 95973 Addr3 Addr4 Comments IWAS PT N 047-260-138 S 147-99/102 Creating D oc# 1999R S 147-99 Date 8/12/1999 Current D oc# 2001 R 0000149 Date 11 /3/2001 Killing Doc# Date Asmt D esc CO M I CE CT & S uplCnk I4 Zoning D well Acres/S q Ft 10.82 N /C 047 Asmt # 047-680-007-000 Fee # 047-680-007-000 Status ACTIVE Status Date 8/12/1999 Tax [00-0 INORMAL OWNERSHIP TRA 062-222 Situs F13819 CO M I CE CT CHICO Base D t 11 !3/2001 Timber Preserve AgPres Etal I'vo N rtes F 8 onds multi Situs Flag1 Flagg 910 MH Asmt PP Pen Tax PP Pen Appeal Pending F Split Pending Land S tructure Fixtures O rowing Total L&I Fix. RF MH PP PP E xemptl 91,800 245,208 0 0 337,008 0 0 0 0 Net 337,008 R!C#j— T!R DtI — R!CStat PHY I OWN I ERCP I TAX I H H N I AT T I SIT APF PCL Find - . - - I - - - - - -- -- - - - f BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: - Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 i I :� I���n�:_���=���� ._:_'����'� .�� � .� s r_x�� __ ± � � , �-'.���2 I�sa�O�/23i2002�5 OZ'_[IU�N1,�,�� fi=�`�� � ., �� {' � �. !i i SR -1 0 w 047-68-0-007 00-1949 RTTCM HOMES 13819 COMICE CT., CMCO CONTR: OWNER d•vXPL- D NEW SINGLE FAMILY dr oq NOTES 10)) Axl., t RESIDENTIAL 1047-68-0-007 00-1949 PERMIT NO.. RITCHIE HOMES 13819 CONME CT., CHICO CONTR: OWNER NEW SINGIi FAMPLY A SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS,. VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Addrr ess � �+7 YGff' 1 T GAS 1 I Meter By 1 'ELECTRIC t *,Meter By • - Date 1 JOB FINALED (Date e� Signature �P t RESIDENTIAL 1047-68-0-007 00-1949 PERMIT NO.. RITCHIE HOMES 13819 CONME CT., CHICO CONTR: OWNER NEW SINGIi FAMPLY A SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS,. VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Addrr ess � �+7 YGff' 1 T GAS 1 I Meter By 1 'ELECTRIC t *,Meter By • - Date 1 JOB FINALED (Date e� Signature V = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 9. 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Sketch 11. 3. Sewer; Location -Test -Fall -C/O -Concrete 12. 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Sits Proper Materials & Anchors Underfloor (Plans) OK except #'s Studs -Nailing Spacing & Braces -Plates -Sound P'Zon ing-Setbacks- Easements- Flood -S lope 43. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs i3. i4. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 71, 5. Stemwalls, Main; Steel-Blockouts-Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 5Y 6a. Ho Downs and Special Anchors (n, . Slab, Steel -Wrapped Y 41 8. P' rs-Fireplace Ftg.-Steel Shear Walls; Nailing -Bolts ill 60. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test �( . 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Infiltration -Walls -Windows 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 L7(� Card B-1 Date Card B-1 Date C �d B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1 ater Htr.; Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Q Card B-1 Date Card B-1 Date VIECTRICAL (Permit) OK except #'s lure & Transformer Clearance -Ins. Protection 4. Etec. Receptacles Spacing -Lights & Switches at Doors 2� Sixe Boxes & No. of Conductors Stapled 2omex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI feed Wire Size /7- / ga. - r AI-A.C. Wire Size / / ga Cu or AI 391."Range Circle /C / gaCu or Al -Oven Circ. / / ga Cu or At ,6ulated Neutral was O No rvice-Riser Conductors & Ground Main Disconnect 3 . Equip. Clearances Panels-Motors-Mech. Equip. 33 clothes Closet Light -Shower Light -Spa Light 3 Smoke Detector Date Card B-1 Date Card B-1 Date IFCard B-1 Date Card B-1 DateECHANICAL (Permit) OK except #'s 3j. A . Ducts Insulation & Support X. ant Fan, Exhaust above insulation W Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date D f Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 49'.' Sits Proper Materials & Anchors 4///Walls Studs -Nailing Spacing & Braces -Plates -Sound 4k. Pearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. eaders & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 49'.' Hangers -Post Caps -Anchors -Connectors 47%Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 8. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50 Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5 Garage Fire Protection Framing 71, Property Line Firewall & Openings 2. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5/. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5Y Plywood on Roof Overhang -Attic Vents -Rafter Outriggers V. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 77. lazing Area -Glass Protection-Skylights-PIa . Shear Walls; Nailing -Bolts ill 60. Xace Interior/Exterior Wall Panels ,G nl �( . Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s be,&. Steps -Door & Sidelight Protection -Landings W. oke Detector , a Vents -clearance -Comb, Air -Connector- 4 I age; Above Floor -Ducts -Mach. Protection i Broom Exiting I. & Bath Fixtures & Tub Access -Spa Elec Trim & Subpanel, Breaker Sizes & Labels 69. irs & Rails Firepl �or Stove, Clearance -Hearth i 71, c. Outlets at Wood Panel, Int. & Ext. 2. 1<110.C& Applian ound-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 74. Gdage 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 f } 77. PI ., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Laoked under Flbor ❑ Yes 82. FOIIowi nslld./Drive C es ] NoMalks 91fes :1 No/Planters � es J No 83. ccc Brown -Finish to Openings 7, xterio ec. Trim, G.F.I. Receptacle -Underground 88. V elation Throughout House Glass Protection e 90. ga<reclions from Previous Inspections 3 V Gas Test -Meters Tagged, Gas-Eleciri ,- 2 ./<Z 92. Water ,& Sewer Connected -C/O to Grade -HD Approval 93. Ep6rav Compliance Certificate -Other Certificates Address Posted Date 12- Card B-1 Date Card B-1 Date ,7.. W Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: LOERKE INSULATION CO., INC. INSULATION CERTIFICATE Chico Number and StreetCity Autumn Park 9 Lot 7 C9suity Subdivision Lot N umbjr DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches �f. 2. CEILING Brand Name Thermal Resistance (R -Value) Batt or Blanket TypeFiberalas-sBatts Brand Name Johns Manville Thickness (inches) 13" Thermal Resistance (R -Value) R38 Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. .659 Ib. Minimum Thickness 16.25" inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL Material Fiberglas_s_Batts Thickness (inches) 3.5" 4. RAISED FLOOR Material __Fj.f rglasasBatts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches 6. FOUNDATION WALL Material Thickness (inches DECLARATION Brand Name Joh s Manville Thermal Resistance (R- Value) R13 Brand Name _—Johns-ManAle Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C14499150 _ Item #s v11i nature, Date Item #s Signature, Date Item #s Signature, Date LOERKE INSULATION CO., INC. Installing Subcontractor (Co. Name) Or General Contractor (Co. Name) Or Owner Installing Subcontractor (Co. Name) Or General Contractor (Co. Name) Or Owner Installing Subcontractor (Co. Name) Or General Contractor (Co. Name) Or Owner COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE l % C4llc- toT -7 Cm PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. S2WZL z�— ;Mc G1611r /N h'I GCUSG? COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Countyc Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PERMI1 NO. (Rev. 12/96) APPLICATION AND PERMIT % 0- / q ASSESSOR PARCEL NUMBER 047-68-0-007 ZONING SR 1 BUILDING PERMIT OWNER RITCHIE HOMES TEADN0162 SO. FT. OCC. BUILDING VALUATION 9 - ✓ 9 . OWNERS MAILING ADDRESS 389 A CONNORS CT., CHICO 95926 7., U 7 /96.00 CONTRACTOR'S NAME OWNER TELEPHONE 9U1. 00 7 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1 500.00 LENDER'S MAILING ADDRESS Total Valuation $ 174 395.00 ARCHITECT OR ENGINEER GREG PIETZ LICENSE NO. FII In Fee $ 2 O • D O Permit Fee $ 902.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 13819 COMICE COUTRT, CHICO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $988.00 LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1P 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.66 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ NEW SINGLE FAMILY DWELLING Describe work: MASTER PLAN 97-002 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 grin. er yard y . PERMIT FEE $ 186.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.".A Do,, 23.00 23.0' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS iritll force and effect. a l f7Al/9+ License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING LDS. DR ADONs. ( a ACC. BLos. SO 128. 0 3.5¢FT: I...c., DT' MULTI.OUT U, @7.50 PSTN. APPARArus a SINGLE PPARAT cIR. OtmtT OR FIXTURES Ex. Occup.BAL 20 O 1.00 @ .so Ex. Occup. OFlxuT E�s R= DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $171.05 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers',compensation 'nsurance carrier and policy number are: Carrier �' T Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 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. X ^_ Date .Signature of Applicant - Owner IrsbContractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 5 Hood 6.50 Ventilation `• PERMIT FEE $ 81.00 Mobile Home Installation Fee $ Energy Inspection Fee $ 4 .00 Occ CONST. TYPE TOTAL FEE $ 1,472.05 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD E This permit is hereby issued under of the Butte County Code and/or indicated above f r which fees have By PERMIT EXPIRES ON q// the applicable provisions Resolutions to do work been paid. Dat //0 afs Receipt No. 3 ®ZZ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FAI 47-680_ Do 7 emte- COUNTY OF BUTTE • DEPARTMENT OF ElEVELOPMENT SERVICES -BUILDING DIVISION 7 Count -Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 NO. �Rey. 12/96) ' APPLICATION AND PERMIT -- Do -/ -_ i, �• /Z_ BUIL DING �� lTWAPHOON Sa. FT. . .U.-V� �c �lYYID� Ste] �•-�rr � rurl-wbu tl L OOftTW MR1 VALM A00I162e OOMTNJCTM IlJ001 MCHff= 011 0+Oa401 . MCNTECT 011 0*M8 jrV* 4kADOMS LOT NO. I ITTI W M 00 i.ARCEL YA. USEOFSTRUCTURE SFA Duplex O Mobilehome O Other >1r>wr TYPE OF WORK New O Addition O Remodel /O� "Utilities O Insulation O Other O Describe Work: 1- !&(,IA nrtl n,-SCS RI Total Valuation Is Feng Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee PERMIT FE' PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G W FEE ELECTRICAL PERMIT �0 0DA OR S io0A S oa LEEss RECEIPT # ` OWELUNG OCCui A Aa` eros 20.00 PERMIT FEE $ �i-00 SRA $ SHR $ 3(06.()() CSA 87 $ .0c) CUA $ TUA $ REC $ OTHER: RI Total Valuation Is Feng Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee PERMIT FE' PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G W FEE ELECTRICAL PERMIT Main Service ( 0DA OR S io0A S oa LEEss Main Service ( 300A TO 1000A NEW COMT. OR ADONS. OWELUNG OCCui A Aa` eros J J, VV i 20.00 Hiring Fee 20.00 7.00 23.00 15.00 cJl 15.00 15.00 /5, 15.00 @20.00 F o Filing Fee 20.00 23.00 Z3 -co ap 46.00 3.5¢Fr°. �j Q7.50 EX. OCCU . OUnZT OR fOn .00 20 00 1•W GAL .90 EMO APPLM. OR X. Occup. oUT ETs EsiO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. wiring 23.00 PERMIT FEE I S MECHANICAL PERMIT I Fling Fee 1 20.00 e.5o & U•S0 114, Mobile Home Installation Fee I S Energy Inspection fqe Is 4(r,, O -Z) «` `oNsT' Typ- ITOTAL FEE $ 14 4 5 e. FEET 1r/ I FLOOD I WI This permit is hereby issued under the applicable provisions TOTAL S of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON - _:,h COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT "PLICA TION DATA SHEET OWNER: 2,t ck.A-- ASSESSOR PARCEL NUMBER: n 9:4- 13 13 Building Proposed Bding Use: S r=Building Inspector: Date: �/ U . a, L. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------------------------- ---------------------- D3. --------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ D 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ pact fees as shown on the attached schedule.;— �cc,�- --% 2. California Department of Forestry plan approval/fees. _--�- �-` --y{! �1-�UT __________________ ❑ Wtamtal elevation certificate. --------------------------------------------- ion and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license ap oval from the City of Biggs. ---------------------- [IV. --------------------- ❑ . Planning approval for (A) Use (B) Parking: 18. Contact Land Development about IdImprovements, ❑ Drainage, eLegal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- 1323. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- 026. Letter of intent on building use. ----------------------------------------------- 1127. ---------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. other: —Z3 -00 (Date) IfWhen you issue the permit, process as follows ❑ Mail to owner, 11 Mail to contractor. ❑Telephone O 93 _61 Gc� and hold for pickup a �' office. ❑ Deliver with inspector. Y<Applicant:/O-'�"' "—r" Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep t, 11 Air Pollution Date: By: Copy of plans sent 11 Health Department, ❑ Fire Department, ❑ ther: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. A ' ' nal items required: C r, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, b Date: Con actor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ i Di ision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ u' i ision counter, by ate- Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE S'.r. 1. BUILDING PERAM FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ A.P. # O'f7 — Q(06— I mpM DATE RECEIPT # DATE REC -- evised Plan Checking Fee ..... . ,$ 2. CHOOL DISTRICT FEES o paid at District Office) 3. SHERIFF FEES (pard at Building Division) Residential ........ x $360.00 Units Commercial (sq.ft.)... x $0.03.= $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x•, _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $51 00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 36z z-9 g 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) �- 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 362Z4� 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process.. APPLICANT DATE 5-ILAd-OW Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) '_ , ,� ..,,� `� ._ __ .v_*..NiF�rya�Yti.•� w .�1 �.� ' .:►T ^.`YThh7MbA"i'(i�R+r J�:v. it$!I".FT: tiS � � ��•'-'IF'/T1i`..fS !f�'•' ... , ' ' i"`il4' . Y`lv }�t.(rr-.-+ r.rYh..,.. °t•:IYf ., fL^...�.�fv ` tm• y h ' . BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number (s) Property Owner11pp Project Location/Address- Subdivision ocation/Address Subdivision��_�iinM ��� Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: )m�QPL.41 V r4: 8 - t ti-,;Iwb lding Department Representative Date rr�r�r�r�r�r�r�r�r�rvr�r�r�r�r*x��r�r,r�r�r*�r�r,��r�r�r�r�c,r�r�rrr,�*,�vr�rvr�r�rw�r�c�r�rvr�r�r�r�rvt�r�cx*�r*�r*�r,r�r*x�r�r*�cx�r Chico Area Recreation and Park District(CARD) certifies that (Applicant ) -acme) / (Phone Number) (Street Address)% :r 1 9 City) 1. .(State) Zip Code) has complied with the requirementts of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,L89 for total payment of $(VVd A/ M_ /07) �V• i 'tARDJ Rep esentative Dat PAID BY CHECK NO:� REMARKS: BANK NO q6- UZ.0 Z' 1 . PAID BY CASH RECEIPT NO. Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. 09/11/00 02191 10a224AM i*XXTQTAL $1189.00 park.fee (form revised 11/90) BUTTE COUNTY SCHOOLS IMPACT FEE. -CERTIFICATION FORM (One„form per Building) School District C” Building Department No. A.P. Number }FOV—/8 Jurisdiction: City County ep % —J Property Owner Property Location/Address (�1 Subdivision r1luAtm�Lot No. y , .................................................................................................................. Residential Development �pC� -' Sq. Footage o1337 7 No of living Mobile Home , Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)' ................................................................................................................... Commercial/Industrial New Addition Department Representative Sq. Footage (Including Exterior Roofed Areas) 8- ly-aoo6 Date moor rians revieweo Dy acnooi uistrrct rersonneo Diiss�trict Identification No. C S! 1 School District certifies that L e (Applicant) C o ayry,oae S C�� �'�3 -0/log. (Street Address) • (Phone Number) i (City) has complied with the requirements of Resolution No. representing p� 3� square feet. School District Representative Paid by Check tt Remarks:' (State) "7 q -6 0 Code) by payment of $ S1? / S $ S7 - AB AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm s E IN6LUDING-'' r''LL STRUCTURES AND BAR O MALL EAEM NTS- OVERHANGS SHALL BE CL D FI". FROM THE SIDE AND •A SET BACK OF �.- �o �,• .FROM THE BE PROPERTY ERL NE SHAL BE FT. FROtjj THE ROAD CEOT BLEAR OF STRUCTURES AIN, EQUI�PNiEQ C FOR A 2 FT. SAVE OVEIHA p (' IkSTM � 1 I DoT ml REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions er attacherl sh-at. re VOW S�p'nL SYSiENI .s ,_ (0to - Im rt ' GOUWVI - -7F N REVIEWED �D-T 7 59= t+.L7-lot lo,T. -.-AUIU M 4.. rAr,,K,�p�ll)sl dl•� 5144 571 °1 jLITLN ( E _ Pom a5. 6,4ico GAL tF. -,of 24- a CDF FIRE SAFE REQUIREMENTS 66 -(V'(9 4wtg-rr AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County. local 'regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. j 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. (�] 1273.03 Grade., Not to exceed 16 percent unless paved.- - 1273.04 Driveway Radius ~- l`fJ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of -4- feet shall be added to curves'of 50- 100 feet radius; 2 feet to those from 100-200 feet. (�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�} 1273.05 Turnarounds-. If'required, will have a minimum turning radius of 40 feet...from the center of the road. [ `�l 12.73 .,05 Turnouts. Shall be a minimum. of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [� 1270.10' Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 11 of 3- ? —6 00, 0 0- Iq V17 7 C-_ 4 > " AP # PERMIT # NAME [l 1273.10 Turnouts. Driveways exceeding 150 feet in length, but I1 less than 8.00 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at.all building sites on driveways over 300 feet in length and shall be within 50 feet of the.building. 1273.11 Gates [r 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway.and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road -with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels l acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [�] 2: For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal.of vegetation and Fuels. Disposal, including -chipping, burying,-- burning --or removal to a landfill site approved, .by__thew-local jurisdiction, o.f flammable vegetation and fuels caused by site development and construction, 'road and driveway -construction and fuel -' modification shall be completed -prior to completion of road construction �r f_ial inspection of a building permit. -- ---- Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 3.0 Feet: - Class" A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet. Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic Epri_zkler system per NFPA 13D - Glass area not --to exceed 10%.of wall area toward.property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date -� Signature , Page 3 of 3 September 21, 2000 Job Number 99-032 Mr. Rocko Ritchie Ritchie Homes 389-A Connors Court Chico, CA 95926 Project: Autumn Park 1385.9 Winesap Court (Lot 18) 13819 Cornice CC rt L'ot"7) Chico, California - CLAY PRESATURATION OBSERVATION NEIL O. ANDERSON & ASSOCIATES, INC. ` Date`RepresentaHve'L p E R SOS y` Time i '' , `Mileage GEOTECHNICAL • ENVIRONMENTAL • GROUNDWATER • INSPECTIONS • TESTING • LABORATORY SERVICES P 9-11-00 C. Johnson N CORPORATE OFFICE SACRAMENTO OFFICE > Z y, 22 Houston Iane 4229 Northgate Boulevard, Suite 3 C CHICO (530) 891-6304 Lodi, California 95240 Sacramento, California 95834 q �P STOCKTON (209) 472-1091 (209) 367-3701 (916) 929-9267 S S O C RANCHO CORDOVA (916) 631-4455 FAX: (209) 333-8303 FAX: (916) 929-9269 September 21, 2000 Job Number 99-032 Mr. Rocko Ritchie Ritchie Homes 389-A Connors Court Chico, CA 95926 Project: Autumn Park 1385.9 Winesap Court (Lot 18) 13819 Cornice CC rt L'ot"7) Chico, California - CLAY PRESATURATION OBSERVATION � - ` Date`RepresentaHve'L r y` Time i '' , `Mileage 10:_ - - - - 9-11-00 C. Johnson 4 hours 188 miles SUMMARY OF SITE OBSERVATIONS: Lot 18 Observed subject lot, expansive clays present, moisture penetration adequate (18"). Okay to pour concrete when ready. Date Representative 1'l Time • { ' s Mileage -, N. Smith 4 hours 190 miles SUMMARY OF SITE OBSERVATIONS: Lot 7 Observed subject lot, expansive clays present, moisture penetration adequate (18"). Okay to pour concrete when ready. Based on these test findings, it is our opinion that these lots meet the requirements for special foundation treatment. We, therefore, recommend that these lots be approved for construction. We have employed accepted engineering and testing procedures. However, we do not undertake the guarantee of construction nor do we relieve the contractor of his primary responsibility to produce a completed project conforming to the project plans and specifications. NEIL O. ANDERSON & ASSOCIATES, INC. vi Neil O. Anderson, President Geotechnical Engineer 2245 NOA:bf [99-032 presat-f wpd) cc: Butte County Building Division C] APPROVED CO DITIONALLY APPROVED ." . ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE •• Permit #: 00 — / � y 9 Date:' tS — 2 3 —0 v Genera/Information Owners Name: --2C C,/1 / e., //OPP) -. S Parcel Acrea;: ► 2 Owners Address: 3 p y A Cb lm o k-,� �t ► C�l�l iC t� Building Site Address;t- - t Prooerfvinformation Permit Type: ❑ Agriculture Bu'lding ❑ Commercial ❑ Industrial ❑ Mobile Home JB�SFD C] Residential Accessory ❑ 2nd Dwelling ❑ Muhl -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: v r� ! Date of Zoning Ordinance: General Plan: A Development Agreement: Use Permit: Parcel Is In: ► Variance: Land Conservation Agreement ZNo ❑ Yes, check use Minimum Acreage: Nitrate Action Plan RNo ❑ Yes Violation Area RNo ❑ Yes 4 4q V Specific Plan y0 NO Yes Chico ❑ D2N ❑ Cohasset Enterprise Zone JHNo ❑ Yes, check use Floodplain JgNo ❑ Yes Zone:_ Panel Number: D, - 'No ❑ Yes b Watershed Protection Zone • Proposed Use Comolies With:' aGeneralPlan - &Zoning Proposed Use Recuires: ❑ Use Permit ❑ Minor Use Permit �t/0V A;i /Gory /,-, -e ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: Parking Requirements are OK as Shown Landscaping: Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Aoolicabie Setbacks: ❑ Other ,ri Other Zcning Cc de Street & Hi hwa s Fre Prevention Subdivision Ma Front 5 L Side - Side street Rear O O reicht �� • Septic Permit Review: Well Permit Review: Land Development Review: Permit C/earance Agriculture AfiAdavit Required ❑ No ❑ Yes ' Designated Well Site ❑ No ❑ Yes _ Drainage Plan (ConVLWMuiti) ❑ No ❑ Yes Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed Reference: Legal Required: ❑ N0 ❑ Yes Parcel Frontage on Publkiy Maintained Road: ❑ No ❑ Yes, Road'Name: Compiles with county standards for Deed Creation: ❑ No ❑ Yes Comments: _ Map a v')'trv✓) h P4� - -' le cf, v,* s,- a �► �h�� I 117 Ato O ® Date of Recording: p Lot: Block: Book: ` . Pte' _ -onditions That Must be Met Prior to Tec, ance of Permit, r. ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to n Meet narrPI c7P rpmarnA r -I u....► n :er.eral Comments- c. E.H. USE ONLY 1 Plot Pian Anachad R� • Floor Plan AnachadeS Sant to B.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 7 0r7 Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public Private Well Clearance for Awelling= Other / drm /arn e Hold final for: Final clearance O.K. for: MOTE: C, 1&6,711-e //- �i / Z-11r2Z Environmental Health Specialist 8/96 Date --3g�-3 11:0: -: Lr�-laa� -. ��I�� •� ..... �.I�t�S� IL -JL n, j