Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
047-720-002
AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 20 -Jun -2006 2006-0031433 Has not been compared vith original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Seg aiic�c��c� Date `j _a - OG PROPERTY OWNERS: e J John G State of California ) County of Butte ) On 5/22/2006 before me, J. Tunison, Notary Public ton Lusk personally appeared Diane Jean Lusk and John Benton Lusk 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 �d,,and official seal. _ O1 Fr SEAL Signature _ %e Seal:J. UNI SO(� NOTARY PUBLIC - CALIFORNIA l� e ) 0 u SUTTECOUI�'TY Z A.P. # ° . my C ^r. Fap res Dec embw 2r, 2CvE IN .• , r c 047-720-002 + 06-1124 - �J % f�?/ wBut s av LLSK JOHN NOTES 7C+ cCHICOj1557�MERIDIAN, (5 31 TiM o ti , xLrr.Y n'44's� r - M/H PERM FND(NEW) -W 5-1-WE'N T IA:Li APN:. Permit No. Owner. ` Site Address: ' Contractor: `t Type of Permit: { OFFICE COPY i `y4 .Address ' GAS / Meter By Dates /_# G4 ' - ELECTRICe / Meter By Dat :17 •� . SPECIAL CONDITIONS CHECKED BY RA 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 El r �Y •rte DATE JOB FINALED: ' - �-• ' SIGNATURE: - v=OK , 0 = Not OK RESIDENTIAL (Single & Dup-lex) DATE JUNDERFLOOR DATE IPLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn . - 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth' :'_' 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalis Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd DATE IMECHANICAL " 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials'& Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SldeLt Prtctn-Landings '19 Bearing Walls over Girders & flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers & Beams -Si &'Bearing -69 Bedroom Exiting 23 Hangers-Post_Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 'A 71 GFI Arc Fault 25 Frplc Ties or TypeFlue-Frpic Throat Cirnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails . 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs . 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace InUExt Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drn e & Wood -Earth 86 Clrnc Drnge Planters [] Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb • 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires In Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz , ❑CU or DAL 98 Address Posted AC Wire Sz ga ❑ CU or DAL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or DAL Oven Circ ga [::ICU or ❑AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 0s' I >=OK 0 = Net OK MANUFAC URED HOMES MISCELLANEOUS DATE ERMANENT FOUNDATION SOFT -SET DATE ID E C K S -C OV E R S•C A R P,O RTS •G A R A G ES ? 1 ZoningSetbacks-Easements 1&U etbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C10-Concrete a 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator j Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPQ { i 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg, Frmg-Brcng InchSz gth 6 z-6 acing-Marria ine i ! 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors LGes MMR'Test-Demand-Valve-Cnnctr 7 Electric ec MH Cntnty Test-Crossovers-Breakers-Clrncs i 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses ,amain; MH Test -Fall -Flex Cnnctr a>441tr & Sewer Connected -C/O to Grade i 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing as and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs Q Foundation 12 Braced Wall pnls 155 Cert of Occupancy 6 belllnsignia Numbers Serial Numbers ' y 01 s °� 0 DATE IPOOLS l 1 Setbacks -Easements A 1 b 1 2 Soils; Compaction -Structure Stability b / 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining a -45 -d7 s�C ( 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr j i 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test Wtr Supply Test r! ECT2 I C/a Qk U t 3 11 Lt Niche , 12.Encisr; Fencing -Alarms }_ 13 Bonding, Diving board or Slide � G , ' -s Pool Drawing cc)RE 9oH Don) ,SCC -(ISL L 8030 b,009i486-c 1 ti. ,.. COUNTY OF BUTTE BUILDING DIVISION AIR DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE LUiSIL OWNER PERMIT NO. 3 A routine inspection indicates that the following violations of Butte County Ordinances exist at f the above address and should be corrected. Please call for re -inspection when correction of, work is completed. If you have any questions pertaining to this matter, or need additional .. explanation, please contact.the Building Inspector as indicated below. ()) VUIDC ()ROU140iofG "ECOFC_TnaOC-" 1tPR6,u /!JC Ari OGR/ P" POETIC) A s—r A I P- - H A n/ D /zA-1 L A -NI p } R6-rUr?_ �:1 o/L- f EcrroyE till-"612AIL ��T�AI S / oa/ P�- S? 607 �rn�► S � Ems- (3) CRO U (06 cnly / 2d Aij�7 e/v7 /- C_ HCALTq CCEArzANCE ttl(� �QC1 Wb(zKs c CEFl pAW y r PRO U t !;� TcV_� LFal �— G A S S NU? - QF F (JA c u6 Y9eIIJ r: �.d Date / Inspector '�C- POP AH CA rc-Fc&rTE - REV 4/05Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 'Xa } BUTTE COUNTY PERMIT'NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061124 OFFICE #: (530) 538-7541 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: 07/05/2006 APN:O47-720-002-000 the Business and Professions Code, and my license Is In full force and effect. O License Class: License Number: Site Address: 15575 MERIDIAN RD CHI Contractor: \ e I. Q�S Date: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW MH EX SITE PERM FNDN (1890) Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: LUSK JOHN B & DIANE J to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of P O BOX 9175 the Contractor's Stale License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95927 she Is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business.and Professions Code: The Contractors' Slate License Law does not apply to an Applicant: RED LINE INSTALLATIONS INC owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 13407 GARNER LANE sale. If however, the building or improvements are sold within one CHICO, CA 95973 year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of (530) 895-5543 sale.). O I, as owner•, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: RED LINE INSTALLATIONS INC and who contracts for such projects with a contractor(s) licensed ; pursuant to the Contractors' Slate License Law.). 13407 GARNER LANE O 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 Date: Owner: (530) 895-5543 License #: 848025 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit /Is' issued. Architect: 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 wprkers' compensation Insurancerref and pol�mbare: . Ce� Carrier: �����©5 Total Square Ft: 1890 S.F. Policy #: Valuation: $122,850.00 O I certify that in the performance of the work for which this permit Is Census Code: 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 the Labor compensation, damages as provided for In Section 3706 of code, Interest, and attorney's fees. ` — CONSTRUCTION LENDING AGENCY under the applicable provisions of the Butte County Code and/or This permit is here0y is>1nd, I hereby affirm that there Is a construction lending agency for the this Is issued (Sec 3097 Clv.) Resolutions orkaced above for which fees have been paid. -7 • 5 performance of the work for which permit BY� Date: Name: � �j / -y� PERMIT EXPIRE ✓ 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 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representati es of Butte County to enter upon the above mentioned property for Inspection purpos s. Print Name: C U Gu I Signature: Date: ❑ for Ownergent for Contractor [ owner O Contractor Agent B. G. Building Permit 0i .16-04 pg 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** APPLICANT SIGNATURE X For office use only: OWNER Last Name First Name Address WORKER'S COMPENSATION Address Occ. I Type Const. C r� City7 State State C� Zip 73 Zip q95 73 PhoneFax State License Number PhoneM� f ,� U _ 6 7 Fax E-mail Lic. # APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Name Address WORKER'S COMPENSATION Address Occ. I Type Const. E— City Phone State Fax Zip q95 73 PhoneFax State License Number 9 _ 6 7 E-mail Lic. # Clash, APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Nam Address Address WORKER'S COMPENSATION City Occ. I Type Const. State Zip Phone _ Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: Zoning AZ4,6 APPLICANT NAME Nam Address J kr WORKER'S COMPENSATION City Occ. I Type Const. State Zip Phone _ Fax ' ZzD E-mail APPLICANT SIGNATURE X For office use only: Zoning AZ4,6 I Flood Zone I Y SRA WORKER'S COMPENSATION No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO �'. 1 0 BIN # LOCATION AP# _ Property Address r City Cross Street WORKER'S COMPENSATION Policy Number 17 95V-05 Carrier lJ 7k If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 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 fqr work plan checked arulpthgr �dep�rtnt costs are not Received by: Amount: Bldg `� SRA Receipt #: Sheriff -� SMIP Date (J 6� Other Total OVER FOR SUBMITTAL REQUIREMEN I 5 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT B. - 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. 0 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 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: UA ASSESSOR PARCEL NUMBER X/V �! D6 Proposed Building Use: V � )11 6 Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 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. C 8. Manufactured homes: (A�nstallation m nuat)ncluding marriage line info, (Floor Plan, Q(Tie down or fnd plans, all in duplicate. i\ H 15:; +r 'j ❑ 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 t 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other j R fn nt g items needed to issue the permit. (May require additional plan review upon receipt of the following items.) . Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 0 15. ire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑/ _ . Erosion Control Plan Required........................................................................ d Q9. ees 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........... California Department of Forest plan approval paid. Sent by: c... d Planning approval for (A) Use: No (B) Parking: (C) Parcel Check:......... - 06 ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... .k7 Vontractor's PDES Form............................................................................................ jncroachment Permit for driveway from the Public Works Dept ........................... _ZY-— ❑ license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑'30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... O 31. Letter of Signature authorization.................................................................... t CO Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing vii9lations and/or expired permits......................................................... ❑ 3 De�'Re7triction.......... .. ........... + al description, H. Title, title search, registration",o MCO... ❑ / Other: Other: -W i rQ GYv-, Df' i When issued Telephone �� 1 • �� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:\\J. Date: - ff &' 1. Index permit application for the above items numbered: ' Z . Plan Check Letter 2. Additional items required e r, designer, owner, was advised of the above data by ❑ phone, ❑ ail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, yvasadvised of theabgye d to by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: 6 Plans approved by: Date: 7" Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 SE Y Plot Plan Attached Floor Plan Attad>ad C Sent to BD/DS ,•r TO:. Building Division:.— Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance L a s.& /557 5 /�Ir�-�'�✓ �a/ ��`7- 72,0 ooz Owner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well X Clearance for Other 2 �o%rrn /LI Hold final for: Final rlaarance n K. fnr- Environmental ff Building Clearance 9/2005 Ith Specialist Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner LUSK, JOHN APN No: 47-720-002 Permit Type: Subtype: App Date: 5/15/2006 Permit No: BP 06-1124 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA Res Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 1 - $204.98 5//_5 R�CEIPT Tech NON-REFUNDABLE portion of fees due at application $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424.94 CC Cc /QCI AIA/1 r%1 I DC 1r%0 TA 100 IA W/,C AC 171CO11I11T &—A e -i ^L u1V II111e ui perinn appncauun, 1 was auvlseu me aoove Tees are requirea to De para prior to Issuance or the permit. I hese fees may be changed during the plan checking process. Applicant���� Date:5)5 - Cx- �a Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) 1> School District (JAI) Building Department N 66 �I2.c./ N A.P. Number (/7� 770 —002-'jurisd'iction: city .. 1-1, Building Property Owner Property Location/Address Subdivision Lot No. ........................................................................................ Residential Development Q Q Q :Sq. Footage 45 No of Living Mobil ome Addition/ *Supplemental to (Group. R) Units Installation Conversion Permit # .(No foundation inspection ...............................: *"***'***********'**************!!... J Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use.Facility document), Commercial/industrial 0 Q Sq. Footage New Addition (including Exterior Roofed Areas) Building'Bep-ar'tment'Representative Date District Identificatio'n No. School District certifies that (Street Address) C'L2-- Cd �� CSC (�� � W/Lt �(�� � . 4 (� � (Applicant) (City) (State) has complied with the requirements of Resolution No. representing square feet. 13 2926 Paid by Check # Ai ) 1 Remarks: (Phone Number) (Zip Code) by payment of $ W� $ 11 JIFULL MITIGATION $ Date You may protest the Imposition of the fen Ident"Ied above by submitting a written pr~,to the District. In cairriptlance with Government Code Section 66020(a), within 90 days from the date is" are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the few In any'court action. ff, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cwfflcwdm Form, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the Qffilarrda Environmental Quality i Act (CEQA). this project may be subject to additional school fen to fully mitigate its kr4wict on the school distrWe'schools. White (school district), Yellow (building department), Pink (applicant). feeformide (3M5)d = BUTTE COUNTY (DEVELOPMENT FEE CERTIFICATION FORM ❑ EATHER.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) 7 7— 7�' ©�� Building Permit Number /�%� Property Owner (s) Z1,04 U� C Project Location /Address / ��% �/%�/ �/ C cc Subdivision Name Assessable Sq. Ftge / 4 5 (� 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 ya4fi-eid by Assessor Department Demo Permit (date issued ) ie y Building Department Comments: Building Department Representative Date O FRRPDU CARD ❑ PRPD ❑ DRPD certifies that: �fiOUIS 6-� � Applicant Name Phone Number .r, Z n LN _ n V) n Address City State Zip Has complied with requirements of the Butte County Board of "Supervisors Resolution No. by Payment of: Dwelling Units @ $ V per unit for a total of $ _ Square Feet @ $ per sq foot for a total of $ 07 Paid by Check Recreation iid Park District Representative by Cash: Receipt No: 7 SITE PLAN REVIEW APPLICATION Date: �-/ a AP# Permit Number (if applicable) 43(J d6 IIo?L( Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: Parcel Size: 04 5-2 Zone: Residential GP: (�L– ❑ 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 ❑ New Industrial . ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) XApprov ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval E] Resolved By Date Ali —� 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: General Plan: Applicable Building Setbacks: Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: 19 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 ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page. rA 3 W ADDRESS -; — Bldg. No. S1ruc1 }� 1� G. Sale p' Ad I / X/.,V oar/?i4c7 RECORD PARCEL 1 ..X_ SHEET 2 OF Z SHEETS /0 - L9 S ss We", Second Story Floor 8 Interior Detail or Loft Year Built Est Tot. Life Yrs r �, � ;d •etc. .��p,;.�L�?.tG���'•"•� �• ;o -.�.j.�_ 2000 3 5 t X60 WOO �.�'d ' q.0o OZ5o y5- J 200 1` rrr,. 9zGUS ESC. SD - 9 0 s- 9 S 120 1 ovp X.S"�► © 3125- 35 -lo 9�- 3330 tee, L> 303eo 45 0 8 -2d -f1 ¢ _!�%'- ew�/ 3?r/=t • �S try, �f d67-�F'tl. �F S$G�' - y COMPUTATION * i _ -.4 a .. ' /0 - L9 S 19 pr We", (.19 l , % R.C.N ood L. Al. D. Unit Cost Cost % R.C.N. Unit Good L. N. D Cost Cost `/o R. C. N. Good L. N. D. 2000 3 5 t X60 WOO �.�'d ' q.0o OZ5o y5- J 200 1` rrr,. /5"/V SD - 9 0 s- 9 S 120 1 ovp X.S"�► © 3125- 35 -lo 9�- 3330 tee, L> 303eo 45 0 8 -2d -f1 ¢ 30 000 csc UCI<� 19 19 19 Unit t Cost % R. C. N. Unit Cost /m R. C. N. — -- — - ------ — - Toto 1 -- — — Alf 531-H 9-'46 REGORD PARCELI-17-05� el SHEET 2 OF 2- S HEE T,� �GS I Second Story Year Est Tot. I r Floor 8 Interior Detail or Loft Built Life Yrs Wo will )A10 1A16 N F_)? of 7% / lylfa OMPUTA TION R, R y Appraiser -Date R 1960 k-rC %-3 -J'Z> l9el 19 As 19 CIO Bld ' No. Area Unit Cos f Cost Good R.C. N. I,. N. Q. Unit Cost Cost Good d R. C. N L. N. Q. Unit Cost Cos f % Good N R. C. P. L. N. Q Wilt Cost Cost % R. C. N. Good L. N. Q. 9"00 2- QZ5-0 Zr 2000 0 C:)(5 477 4tO.... 3 500 I O)ZOO SO() 4/0 0. 1350 4/19 50 - 2 0Z,,- 95- 17ZO 0 3,251 3 570 5'✓- 3330 3=0 3 9 0 450 g,-0-.9 Total Appraiser -Date r9 x71/09 19 - 30000 19 19 Bldg. No. Area Un Cos % GoQ0__.. C -.-N—. L.N.D. Un It Cgst Cost __.�kood C. N. L, N, Q. Unit Cost % kood R. C. N. L, N. D, Unit Cost jR. C. N. o-od L, N .1200 _CgAl 500 3V 1 M10 Akono _T Total ® ro Q ¢e y O H to L _ W ® ro Q ¢e C O H to L _ W W w .cv t i0 O IEM N n 0 w Yl of Vi I I\ t Ij to lqa,, 1 TLt . ! O -14 hit fp II `�.•@ 4k. n s Pt I. Il b� o th `V Eu o y 1 so r t� Vi I I\ Ur I I I I I I I II I I I I I I I I I I I I 1 1 1 1 1 1 1 1 _� _ 11111111111111111 11111111 - j . Itul Ii 1LLi_1jP'I 'ENCROACHMENT PERMIT County Of Butte Department ofPub fic Works 7 County Center Drive Oroville, CA 95965 Phone: (530) 538-1691 Fkix: (530) 538-4356 All inforanation except signature must b.c.-typed ov legibly printed Permit 4: NOTIFY COUNTY 24 HOURS BUOR:F WORK IS TO BE STARTED Assessor" Ppmel vrupciTy owner's Marnc- Number (Required): Phony, Property Afldjc!x: PROPERTY 21,; ?S OWNER Mailing Address (if oiffercrit)- Wook will be 'M , 0 Iroweriy Owner Cendf.cLof's Name r. pti-forincd by: Coni-clo, L YI-1C V - d Phone: Addre%%: sqo FAX; -L-0 Ccitiritoe Of Insurance currolly WORK (:,mtractor's Numl. 0 Yes ID No PE11FORNED AV C Applicant is: n Property Owner 0 PinpetTy Owner's Agent ❑ Contractor II WE -j --- , lie undersigmd, hereby apply to the County of Butte; for an encroaclimen( permit to do the following work under or (?yc�jt ,ul.l in accordincr with_ County ordinances nnd.);iFncrul luNAq. S _ ignattui-c- DsLtc Signed; Road affected; 11 iic'and Dimmim P To .fFoct-oachmeni: Perenanctit Eticroachment ❑ Temporary: From LOCA'nON ')'ypenf EP Driveway C3 Roadway ❑CLIIVCrt El r-cnec 0 pipcipipoine 0 Sigioillimrd El Other Site 111alm Attached: Yes 0 No PF,RMIT CONDITIONS (To be filled in by County) PERMY17 IS: -X GRANTED El DENIED irlons: In compliance with the L)bovc request, and subject to ull terms',* conditions (including those on page 2 of permit fom;)""' and special conditions ted. - 1. 0 Underground Service Alert (U.S.A.) must be notified two working days prior in any excavation. 800.227-2600 2. 0 All wurk shall con rurm 10 occompanying: 0 Detail 11 Plans 0 Speci:il Conditions 3. 0 011ict-Crindiliunr: kw / S OR i 13 fa- Dict Expiraiinn file:/ Oat Paid Check lt—ipl V.id 11V No: 2Zz;, No.: Mi 4e Crump, Director of Public Wurlc% 13Y Road District: Inspected By: I In.sprmi.... Cl OK 0 C.-npIcicil - Not OK I I Resk-W.:❑Additional Comment, Attaclmd For County X-J.—L . . .... U.Sc Only Comments: No1c: I'f*pen ,.i,.....,,.c.(,x,Oin.�"-,;.,..ut-,—bc.sidc.$"(',3o) Page I of 1-cl SSE* Beg oeg s-IjoM oilqnd oo a-a-:inS eEE:Bo go 20 ung 992P els 029 Butte County Department of-DeveloprnentServrces ° u ATF°° 7 County Center Drive ° �- Oroville, CA 95965 ° * ° (530) 538-7601 Telephone ° y (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: • 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! • 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: ��1 [ ��P� APN: (OY7 — 7Z_Q — M2 Building site address: 1c5<��� t T Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: UU SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BidgPennitwithoutClearances 020705 p�QPRTMENr 0. ,v / T• rF oo o _ C 0 0, A -Iftm6new- 5 UeCIC W�Oc Departmeat J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement (LESS THAN 9 ACRE Project Description: Project Location and/or Parcel Number: (W7' l 5573 rfr i 6i6 azq )ql' By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTIM 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: 0 VA, Title: Date: L— czo 1.4 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Department ®f Public Works C o u n t y o f B u t t e O C 7 County Center Drive C Oroville, CA 95965 J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 �eCIC WO�� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: D(-(7 7,�D-60)__ Building permit # "X12.1/ Owners Name: Owners Mailing Address: 41730 3 Property Address: 15-575 Ad ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: 060 541 9 ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Not a County maintained road Existing driveway conforms to County S-31 standard Other Approved by Printed Name Z-Ou s -- d�i�soh Title �ix�inPes 1'na%�e - Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existirig home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING. May 26, 2006 Redline Installations 13407 Gardner Lane Chico, CA 95973 Owner: John and Diane Lusk Assessor Parcel Number: 047-720-002 Building Permit Number: 06-1124 Thank you for submitting the plans for your building project. The plans have been reviewed and . comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. COMMENTS: 1 vide location of manufactured homes from two property lines and show distances on 3 copies of plot plan. ? Complete enclosed MANUFACTURED HOME SUPPORT DATA form for all piers using 1000 PSI as required by CCR Title 25. Not 1500 PSI as submitted on sheet. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Carl Nelson Plans Examiner PLAN REVIEW RESPONSE FORM in order to expedite the review of your plans, please complete the following information and return this form with your re-submittaL this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a va response to every item requested in our plan correction letter. "By othed' is not considered a valid response. Please indicate yc response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WrM REWISED AND ORIGINAL PLANS. OWNERS NAME DATE: LVA -GIXIDG. ASSESSORS PARE! NUMBER PERMfT NUMBER 0 - X AU DO 06 RESPONSE FOR PLAN CHECK .LETTER DATED:, AA n n /1. "'p PLAN CHECK ITEM IF- �Yl���� /2/p 6 �jaLlt�C,o ON PLANS/CALCS: - . California Department of Forestry and Fire Protection Butte County. Fire Department Fire Safe Requirements Permit# O 6 _ I 1 "LLA Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space -Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane, and unobstructed vertical clearance of 15 feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be,established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway -Grades [XI The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves -of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) 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 Roadway Turnarounds [X] Turnarounds are required on driveways and dead-end roads -as specified in this article. Thenummum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "'I" shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts [XJ- Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. bej 0 , Y BUILDING Revised 02/28/06 NJ F IR E I R E M E N T S 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] . (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for,Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each .dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall. be visible from both the'intended direction of travel and the opposite direction. , [X] (c) Where multiple addresses are required at a single driveway, they shallbe mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road [ ] Your parcel is larger then 1 acre but your minimum setback for buildings and -accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same ,practical effects requirements fisted on page three. [ . ] (b) For parcels less than l acre, the local jurisdiction shall provide for the same practical effect. Seepage three for same practical effect requirements. Revised 02/28/06 BUILDING APP'R(,)\'17 Same Practical Effect for Buildings less then 30 feet from property line: If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property fine with insufficient setback .0 Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte. County Fire Department approved materials 1276.02 Disposal of Flammable' Vegetation and Fuels M., Disposal, including dhipping, burning or removal to a landfill site approved by the local jurisdiction, of 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 or final inspection of a building permit., .Other Requirements- Installation of Residential- Fire Sprinklers [X], If your property was part of a parcel split after Janiiary, 1, 1991, you are req uired.to install residential fire sprinklers. It is your responsibility to:mspect the official parcel map to confirm if sprinklers are required. MAY Darren Read D ' ate Fire Protection Planning Revised 02/28/06 3 BU U)ING Dm��;Ild APPROVED VW4+. �� 1; - rH• s 1rt:Aa :,� N a'•.:b�.7 .,:s :,.: tf ss.::: Vector Dynamics "Foundation System" by TIE DOWN ENGINEERING, Inca Installation Instructions for the State of California, Wind Zone .1, 15 PSF Wind, Seismic Zone 4 Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. . . General The Vector Dynamics Foundation System resists lateral & longitudinal wind loads by anchoring the two longitudinal main rails. The system is approved to be.used on single or multi section homes: • These plans and specifications meet the requirements of Title 25 section 133( and 1 cecl` requirements. • Maximum eave width (roof overhang of sidewall) of 12" for Zone I. The Vector Dynamics Foundation System has not been designed for use on exposure'Y homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. • � i Engineer Approval State Approval 1 ANWACTURED HOMFJMOB= HOU1 FOUNDATION SYSTEM . . MALTHAND SAFETY CODE. SEcno" imi APPROVED BLWXT TO CORRECTIONS NOTED APTROVAL DOW NOT AUTAOREM OR APPROVB ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATS LAWS AND REGULATIONS Bb" of Caltfornit DeyerQneae Of Hvoeins and Commanta, Devaiopmad MN OF IDES AND STANDARDS ATI BT 1'i0L %1 Plss Appro�d � T1E DOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336 TSF www.tiedown.com • (404) 344.0000 • Fax (404) 349.0401 ®WN LAT. INSTRUCTIONS Site Preparation It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. 1, Footings and Frost Lines The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete to comp';, .pith local requirements for footer depth. Foundation/Footing Specification for Vector Pads Vector Pads are used in place of conventional foundation pads. One Vector pad provides 2 sq. ft. on single block and 3 sq ft. double block pads of bearing support. Vector Systems should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal founda ion pads. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 36 inches under one or both main rail(s). Multi -section homes limited to 50 inches. Unequal Pier Heights Multi -section homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Vector Dynamics Foundation Systems component Parts List Vector System tPart # 59018 n ,o, #" Single piece pads with straps - and slotted bolts g Vector/LSD Kit �gul�®; Part #59013K for single block pads woo Vector Foundation Systems fP orthe State of CaliforrnaW /28120 Y �� age ::.. . � c, .k .a•..ds "2; ; 13'-W CARPET LAYOUT STANDARD CARPET GREAT ROOMB MASTER EDROO CO) 0 - - - - -- . ......... kAM BATH EDROOM J2 : LIND LV0 LINO i i EORDOM 13 HALL & WARDROBES N L040 A UNIT N IUIAL 3-2 IM' 3`2 5/8' 1'-8 V? V-33/4' 5'-3 3/4' ------------ ------- 20'-0 OPTIONAL CARPET JIF2i Pw '3'0'PSF PSF Z 30 F — - — f PSF r3iO lk� 30 1% -2FFS� 30 PSF 30 PSF (D 30 PSF DINING ROOM 12'-0* KITCHEN 17'-5' PSF - — - — -- GUEST BATH B'-9' T UnUIY ROOM 6-:6- ENTRY SCRAP -- — - — - — - — - — - — - — - — ----- MASTER BATH SHOWER AREA SCRAP N ------------ ; J! LM B UNIT L a i LNO ----------- -- - ------ i 1 M (BEARING WALLS) -- - ----------------------------------------------------------------------------------------------------- (CLEAR SPAN) Marwfacturing Wesel Inc. bkj rf E COUNT( Albany Division - Plant #972 2445 S.W. PACIFIC BLVD . ALBANY,OR 9732 1 OING DIVISION I 11.n. 54) 926-8631 Fox (866) 491-6847 DRAW c TITLE !i IPPIPFIZOVED CARPET & PIER LOC. ORIGINAL DRAWING BY : G. LUND SIDMALL,' 4" OR S' 6• WALLS PRODUCT COUNTRY MANOR MODEL NO. CM 662E PIER PIER FOOTING SIZE REQUIRED (SO. IN.) PIER PIER FOOTING SIZE REQUIRED (SO. IN.) I PIER PIER FOOTING SIZE REQUIRED (SO. IN.) PIER PIER FOOTING SIZE REQUIRED (SO SO. DATE NO. CAPACITY (LBS.) ------TI500 PST 2000 PSF 1000 PST N1- CA%p[FY 1000 PST 1500 PSF 2 000 PSF No. CAPACI) (LBS. 1000 PSF 1500 No. CAPACITY IOOOFPSOF 1500 PST 2000 PSF 1,710 12-07-04 2000 288 144 4000 576 384 288 6000 864 576 432 10000 1440 960 720 2500 --L2 3 ---f 2940 180 -5000 720 480 _ 360 1 U6 I 8000 1 .1152 1 768 576 QB 12000 1728 1152 864 Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: WAYN, 6011M u UU P, Home Manufacturer: TI&O PS* Model Number/ Name: CVVI G6z� Width: �,g� (ft.) Length' (ft.) FOOTINGS: Wood - pressure treated or foundation grade[ SUPPORTS: Concrete block [Other:[ 1 -.7.20-002 e Year: 2006 ] Other:[✓] Abs WS Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rIC1 rUUl111U JILL, d11U LUUMIUI1, SINGLE WIDE Line 1---------------------- Line 2 �� section 1 Line 1 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Section 2 Section 3 MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load: Q psf [ ] X [ iz ] Snow Load requirements may be obtained at http://www.upstate-ca.com/butte/butte—county/ Insert AP #, view snow load in lower right corner. Line 1 Openings: [ ] X ] Minimum size pier: [ 6 ] X [ zzy ] Q " Required at each side of openings over 9 wide. -U& v w® 1 If `ems V 9;;i 4 1�c PPP a Coy �ea�ch � J ietc N Te \ , o�meo� G 105 `/� 1 N TiT t 1 1 t -i Y MAoclel'CM662F 66, 17 or, 11,-4., ,.4„ .12'-0" • ::_` . .10 quare.,Fee _ t W-6� w -s w•s W.19 ie w-16 _ I ` ; H a ----- ----------- 48" �Cellong rcd 1 O 2 tl };3 -Bedroom o Corner Shwr a '''r'��, rub BATH: ? o KITCHEN 1218"ath, }' BATH I ". :z 4; I' i, ' ! ! ; ' 3 BEDX # DINING 1 Unin t-.86 -I "JE .t"t��l-�t ��.t�i I -j :<<.1_i:��� y'�-t:i:. .i j��,j •i �- '''`—r � ♦ t ��y'�'l-f-J tit tu�r',i'-,}-1 '-,t!r,iti ' 3 } t 1 r^f i, ;«i Fi x r + t y — — bion C Hered — —' ! K'yi w �1 Ceiling f��z;ii�l,'r11,id MAS ROOM 11Vra:p A______••r"""TTTTTTo.und, �,-}; .._ .:� Boas FAU �j'� t-"{}•1 '�-i-yt.i' d' -i;+ +. i.,:..,_, ice : GREAT R00 3 5 T.i! �r tT"' 7�-�}t^1. .21.11- , j'I.: j'.1 --=1_. fl4l GT — 43 ' 92 FOYER @, �.., , , amour S:ty: 3 _ Walk -In — F.$ W — — _ ;Master;Bath ... --- _ _ T pion' Sld Gab _ holvo� Llnon r ;'i`';MomW. t w-21. W-21. ;W21 T,;t 'i: i`:;; W63 •tto n Door . r• Garage Locallon ---------------- Optlo I Saddle Roof ----- ' j l r Golden -West I, "1- Albany i 'tltWa :. c c�' o �� �' � �i C � �' cr b ���� ' ( . zC 00 2 � `y(dIT Of� � STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ry • DIVISION OF CODES AND STANDARDS . ` l id MANUFACTURED HOUSING PROGRAM "���. MANUFACTURER CERTIFICATE OF ORIGIN c 1 .. DISTRIBUTION: ORIGINAL (PINI) FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). _ COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. ' COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. .COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUPACTURER. HCD 483.0 - Side 1 - (7/97) ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: Ci`A OlUFACTLIRING WEST, INT. f�11:5ta° MANUFACTURER ADDRESS: -SUGGESTED RETAIL PRICE: stne'i t5' WMFlC BLVD , a), N-MmY, GR 973:1 Ci State(zip). MANUFACTURER TRADE NAME: "` ` ' " "' ' MODEL NAME AND/OR NUMBER: " '' ' "' ` " ' ' ." ' DATE OF MANUFACTURE: PLID YR rp r Ai J- T rm [roc 'YJtY,rl'S] a mur: lx i. r Inc NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO).' - CALIF. DEALER NUMBER OR •---. -- DATE OF TRANSFER:- -- -- TRANSFEREE DESIGNATION: 6ZtiLrlEN MCIFIC-CH109 4?5!18! DEALER OR TRANSFEREE ADDRESS: t'-07 GANEF LAW MICL0, CA 55973 sv , C• state r INVENTORY CREDITOR NAME: ^'ST WRTRAW. ATM FI Mg Vi WN'TNP INVENTORY CREDITOR ADDRESS: 20 MARKS' STIES . '#1ITE 100., ATTN: AMIE .H13'i,• i�woXItILJ_Ei TN 77981. (Street) State ,SECTION - •--•-•-• MANUFACTURER SERIAL NUMBER -.:HCD INSIGNIA OR HUD LABEL NUMBER .-LENGTH S_ .;—WIDTH ._ _..WEIGHT._..: 1.6 INCHES INCHES (POUNDS) I ALN1312859OR P OF.E� 9£�2 79'e 162 30,458 "c AU, 5 OR PAC CRE4896+3 -;aA 162 )' IIS 37t� TRANSPORTER NAME: TRANSPORTER ADDRESS: _ - ... �.-.'i.:v: .e, - �� ar .. .. ,- •. _ ...-. .- ..., <. t -a'2 `.. �:"`. .. ..:.. .... ._ `y^:._ ` 2£i� L" f: 7,:5'. �T. .'J 05."!-i' :"5 •_ _._ �':7:.J.�...'.�a"`Jd Lam_. _'1....•..r�I'3 _._....-.....-,_ .. .. .._.__.-.-....•,-�« _.._...._•___ .-.. _,.. ... _,. , ..._.... ..... ..... ,.. .. _._ . ._ ,..:.,C'C^ $Neel C' Stete_... -----_ DESTINATION FOR UNIT DESCRIBED ABOVE: -7 m NAME. ---(City)._..._ _ State Zi `•S: wS I certify under Penalty of perjury under the laws of the State of California that the above facts aro true and correct -c• - EXecuted on at rlt n. k,f - (Date)7 (CM) (County)' .. _ (State) ��l SIGNATURE OFAUTHORIZED AGENT: c 1 .. DISTRIBUTION: ORIGINAL (PINI) FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). _ COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. ' COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. .COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUPACTURER. HCD 483.0 - Side 1 - (7/97) ............ ...... ............ ...... ............ ...... ............ ................... ...... ...... ................... ............. ...... ...... ............ .............................................. ................................................................................. oo .. . ............. .......... . . ......... .................. ............ * ............. I .� ...... ...... ... ...... ......... 4— ..* ............. ...... ...... I ..... ...... ...... ....... . . . . . . . . . . .. . . . . . .. . . . . .. . . . . .. . . . . .. . . . . .. . . . . .. . . . . .. . . . .. . . . . .. . . . . ... . . . . .. . . . . .. . . . . .. . . . . .. . . . . .. . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . .. . . ....... ;r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... ............. . . . . . . . . . . . . . . . . . . . . . . ....................... ...... ................ ...... ............ ................. . .......... ............ ...... * ..... Z ...... ................... ...... ........................... ...... ...... ........... ............ : ........... ... ......... * ...... * ..... .......................... . . : .................... ............ ...... ...... ............. ...... ...... ...... .................... ............. ............ .............. I .... ...... ..... .... ....................... ..... ............ ...... ............. ...... ............. ..... ............. ....... ................... ................... ............ ........ .......... .... ........ ..... .............................. ...... * ...... ...... ...... ............ ...... ...... ............ .......... ... ...... ....... ................. .............. ............ . ............. ............ ............. ...... ...... * ..... Z ...... ...... ............ .................... ...... .... N ............. ..... ...... ...... ...... ...... ...... ...... ...... : ........ ...... ...... ...... ...... ...... ... ..... ...... -! .............. : . ...... ...... ............. *---- ..................... ....... * ...... ............................ ...... ...... ...... ...... ..... ...... ...... ..... ...... .. ... ........ . ........................... * ...... ...... * ..... ............ ...................... ............. ...... ............ ...... ............ 4�- . . . . . . . . . . . . . . ..... ...... *---?i.....7G ... . b7 ...... ...... z ...... ...... * ...... ...... ... ...... ............ ...... ................... ...... ............ ....... ...... ............ ...... ............ ............ z ...... ...... ............. ...... ....... R 7a) . . . . . . . . . . . . . ...... ..... . . . . . . . ............ ............. ...... ............ . . . . . . ....................................... ...... ..... ...... ...... ...... % ............. ...... ............. ...... . . . .............. ..... ...... ...... ...... ....... ..... .... ................... ............ 4 .......... ..... .......... ... .............. .... ............................................................................... ............ . ..... . .................. . .................. . .................. . .................. . .................. . .................. . .......................... ............. ...................... .... CD .............. * ...... ............ ...... ............ * ...... ...... 'I ..... ...... ............ . .......... ...... . ..... . . 'cz Ti . . . . . . . 01'7: .......... .... .............. ...... ............. ...... ...... ...... ...... ...... ....... :- • . . . . . . . . . . . .................... ...... ...... ...... ......... ... ...... ... 40r.,= ............... I ..................... ..................... ..................... ..... .......... ...... ..................... ...... ..................... ...... .............. ....... ...... ...... ...... ............. ...... ............................ .... a.) :cz ..................cry . .......... . .......... . . ............ ................... ....... ..... ...... .... ............ ..... .... ...... ..... . ............ ..... . ............. ..... . ..... ............. ............. ...... ........... ........... ...... ............ ...... ..... ................. I .... ------ ....... ... . ................................................ lif 3... ------------------------------ 4—f . . . . . . . . . . . . . . . ............. ..................... ........ .................... . .............. ...... ............. ..................... .............. ...... ...... ............ ...... ............ ...................... ...... ............ ...... .............. ..... ..... - - F-- J-11 \U cl): 9** 0 .......... .. ............ ............... ........ ... ...... . . .... ...... . ................ . ..................................... ................... .................... ............. ...... ..................... ...... ...... ...... ................... ..... ... an ...... Z ...... ...... ..... ...... ............. ...... .......... . .. ..... ............. ...... .. * ...... ...... ............ z ...... * .................... ....... ..... ...... ....... . .............. ..... ...... O '-=3 - 0 4-4. . . . . . . . . a) ............. ..... ....... ..... ... . ..: ............. ............ ...... ... ..... .. ..... ............. ...... ............ ...... ... ...... ....... .... ! - --r . ...... ... . ........................ ..... 10 O O. ............ ...... ................ ..... ......... ...... ..... ...... ... ...... .... . .......... ...... ..... ...... . ..... .. ....... .. .... . ............ ...... ............ .......... ................... ............ ...... ...... ..... ... :— :— — -4-Q � 0 . - .", . . . ..... ! ...... .... . ... ... v1jQ cc Irl 03 . . ... . . . ..................... ....... ....... ....... .... ........ .............. ...... ...... .......... ...... ..... ...... 2 errev Cl ............ ...... .... ... . . xu 0: -1� ... e;n .......................... ......... ............ .................. ... ......... 4n .. ............... ...... ....... — .. U. W 9z F.4 O i WAI Cd Z Z .......... 4.4. " U .9O ....... ...... ....... ..... ............. ...... ...... ...... ............. ... ... -i- - ...... .... on ... ..... ... U 0 C). ........... ..... ............react .......... * ...... .................... ..................... ......... ;.C..*: ....... * ....... I ...... to 75 %n LA ...... 4 U V. C-- M Z Z M ........... 00 .......... .. ....... ... ............ ..................... ................... .... ....... Cd L ....... ............. 4A.- . . . . Doi 0 V) J) <1 pr;A ... ... 1 -LL ...... 7-4 ............ ................ c ........... .. ...... ..................... s -o PC .............. . .... ...... ...... .. ..... ...... ...... ...... cd, ..... ...... .......... U ....................... . ........... 4: ............ ...... ...... * ..... . . ........... . .................. .... .... ....... I ............. .................... :*--- . (0 �:__ . 0. .11 - Wp4 11 . . IrT1- ..O ...... ... ............................................................ ...... ...... ...... ...... ........... ....... A ............. : ............. ............ .... ............ ................. . . . . . . . . . . . . . 4' ...... ................ . . . . . .................... --- - ---------------- - - ------- - ...... En ........... ...... ............ ...... ............ ...... ............ ...... ...... * ..... ...... ............. ...... ............ ...... .............................................................................................................................. ...... ............ ...... ............. ...... ...... * ..... ...... Ij ...,� ..... ...... Assessor's Parcel Number U FO EA 0 F41 El- — E E 0 Scale: Owner Name Address / Phone No. c. Site Location FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: tiZ ►1 -,go #�91 Z,C,aQ -0?.L -L-t,o Ndi 'yS () -7 iaumo XdoD3H) 1 tiZ ►1 -,go #�91 Z,C,aQ -0?.L -L-t,o Ndi 'yS () -7 iaumo XdoD3H)