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058-690-018
�. - r 5 —�� 058-69rm -0-018 99-0008 A CHARLES H KEEN 058-69-0-018PATTON PEAK ROAD, OROVILLE KERN, Charles H. 99-0323 E (AG EXEMPT -HA STr 188 Patton Peak Road,FFFn FTS — (power pole/lot dev ORoville '. Orsillo C n t ///y �/4 %(� 058-690-013 99-223(1 • G/ / KEEN, CHARLES & PAT. 058-69-0-018188 PATTON PEAK. OROVILLE KEEN, Charles & Pat 99-0575 BPFry CONTR: STEVE ORSILLO 188 Patton Peak SUNROOM (new SP Road., Orovil e (/��� Z/7/z� _ )Steve Orsillo � • J i 6 �„ia�►la B07-2613 058-690-018 MISCELLANEOUS Phtovtaic Sys Roof WIND TURBINE (70' GUYED TOWER 119. 188 PATTON PEAK RD KEEN, CHARLES H & PATRICIA BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. �-/ UQd Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. �® ,_6 j Q� ZONING r /� OWNER ' PHONELiC) OWNER'S yIItD95SB .p'Z G faN <4 L ` CIA LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE X � � _ � � � SO. FT. TYPE OF CONSTRUCTION:�dT WOOD FRAME STEEL —,/K CONCRETE fa OTHER (Specify) TYPE OF SIDING p'- ROOF COVERING FLOOR TYPE eL ML ESTIMATED COST OF CONSTRUCTION $ u.&0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r C - r FRONT 55 �f'i1`}'SIDES 2--J /j''%41— REAR '.4. AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approval ith the requirements 'n effect at that time and before occupancy. _ Date ! Signature of O Permit Fee - $60.00 The above described AG Building is exempt fro Ilding permit. ' FLOOD LPn I P.D. OC Receipt No. 0Q "-- Manager Building Division M J4 ! L By Date J 7,2 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant JT--�M �N Ci'Wrc �Q � jQ•�t ya v � CSL`/ V S'�� N S d i-•� `rL'�L 20 t� A STS L Co s -r-- Yrs,-�' ,.` 1 \ d coo . ;Z r AG. At- RED� • JAN .L � 1999 gut;��I� �T SIV IS 401 Q5-'"- 6?�o - 0 1 ?, NOTES RESIDENTIAL i _ t 058-690-018 Jc 9-2230 PERMIT NO. _' _KEEN, CHARLES & PAT- ----- 188 PATTON PEAK, OROVILLE CONTR: STEVE ORS.0-LO SUNROOM �iX /0 _ l _ 00 II SPECIAL CONDITIONS �0 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature /= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except N's Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 4 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ ' /"L"ft./ PLPG 7. Well Clearance 8 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 ti'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 tt's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 4 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing # 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 1 7. Electric M 8. Frmg.; Sills -Anchors. Studs- Rttrs-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 ii'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- Pan elboards-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 M ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning•Setbacks- Easements- Flood- Slope Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Ca,d B-1 Date Date Card B-1 Date Card B•1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. 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 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Faste2e24s-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wife Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. 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 Card B•1 Date Card B-1 Date Card B-1 Date Card B•1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearina P'Ingle & Duplex) Date 80. FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings Date 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. 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 Looked under Floor ❑ Yes 82. Following Insild./Drive :1 Yes , No/Walks J Yes ❑ No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California, 9.5965 s Telephone (530) 538-7541 P MIT NO. (Rev.12/96) r APPLICATION AND PERMIT q_q_- ASSE$,S��Ai{C�}NLjlLIBEa1O ZO"I"G . BUILDINGPERMIT OWNER QUARTFS AND 1?A_T KERN TELEPHONE — 2409 SQ. FT. OCC. BUILDING VALUATION 5 R 23 409.00 . OWNES HARING ADDRESS R' CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS 29 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 23 409.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 243.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 157.95 BUILDING ADDRESS 188 PATTON PEAK, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 420.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF b Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition U( Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD SUNROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oonoRESS 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 i I force and effect. D „ C 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 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 bor Code, for the performance of work for which this permit is issued. My worker ompensation insurance carrier and policy number are: Carrier 2 <2-!!" Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( & ACC. BLDS. 3,5¢so. FT. =RaloT' MULTI.00LmET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FOCTURES Ex. Occup.BAL 20 @ , 00 o ,50 Ex. Occup. o,n,FEO,S Ra D 0.1, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi those provisions. - �_ Z� —' Q, X \ D to / Signature of Applicant - Owner ❑ Contractor P Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE2O. 77 TOTAL FEE $ HA D. F IMP C PARC PD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which ees have been paid. By Date / PERMIT EXPIRES ON OTd 0 Receipt No. 280306 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ., ` - ... r-'`4V••v...9Pc'7-;7k./`:V�'►'�'`YEr{'dV.,1rv�(�i�:ty �a'''"'M+".�'/"'��:'4r.+.i^R'r��i,[;; r:•(a'�►b``+�^t#sr�Yr�`'0 *. �f;:::��,�y'�' • [ (jUNTY�01 BUTTE - DEPARTMENT OF'DEVELOP`�HUNT SERVICES - BUILDING DIVISION 7, OJNTY CENTER DRIVE - OROVILLE; CALfFORT�IIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET c OWNER: /Z'zd`N/. ASSESSOR PARCEL ER: Proposed Building Use: (2-47ZY-;- Building Inspector: Date: At time of permit application, I was advised the following data must be su muted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .----------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------- i ------------------------------------- J ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. 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! ------------------ ❑ 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 ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 133.. Hood elevation certificate. --------------------------------------------- YE,r4. Sanitation and plot plan approval � Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: Q j ,'_' (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier, and policy number. ----------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). - (Date) ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- i ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- Wh,nyou issue the permit, process as follows 1:1 Mail to owner, ❑Mail co tractor. and hold for pickup at office. ❑ Deliver with inspector. Q Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution D : By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date. By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: t Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, 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, ❑ Buil ' g rvision counter, by D e: Plans reviewed by: Date: Plans approved by: Date: /-¢ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. /rte ��cJ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.O. — / OhA r Ze-� 4/u t*� P Owner Location AP# Plan Approved for: Sewage Disposal� Water Simply: Pu lic Private Well Clearance for dwelling.' Other X S /V1 C Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 -Cie Date • . ........ ............ Bedroom #2' Kitchen 00 V, ......... JAM V /)/A Hall t ......... .. Bedroom #3 NY( /V O -V Com"O iv) 70 . ..... . . ... I LUU A -DING DE4)+*�O,, NG C P N D ---------- 058-69=0-018 r KERN 99-0323 E , Charles H; 188 Patton Peak (power Road, ORoville pole/lot dev :Orsillo Consi 0 OFFICE COPY Address G7S-�'y ELECTRIC *A7, Meter By Date �..-�...-wr..-+y`�yw^7"_`^-^Ks.ie.'+ef*^Fr_+•pr"`_�a!'7°lt`-+a"ar.�"'.,�,,,�.`�w'r'S��'i�N' ;, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION , 7 County Center Drive • Oroville, California ,Q5965 • Telephone (530) 538-75 PERMIT No. (Rev. 12/96) APPLICATIONANDPERMIT ASSESS�yp ZEI�i^ �V�,�•,.�i,�+��»� ZONING �4� BUILDING PERMIT OWNER N KEEAN 402 (Il'SV.�AiES33, 7E79-'�2Z4G SO. FT. OCC. BUILDING VALUATION . OWNER('S��Id MORGAN HILLS, CA 95038 CONT E MEORSILLO CONST NE T589-4202 D"O 9f1*&'LhW LANE, OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ` Plan Checking Fee $ BUILDIN 8gE%TTON PEAK ROAD, OROVILI.E Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNIS IONS NAME f PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 - USEOFSTRUCTURE POM POLE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7:00 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C( Describe Work: PW.R POISE FOR IPP DRY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZoOAORLESS 23.00 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 ull force and effect. 'lao3 t y License Class LIC. NO. J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1 ❑ 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. 4 ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW NG Occup. OR ADONS. ( a ACC. BLDS. so 3.5¢,. NEW CONST. MULTI.OUTLET NON-RESID. @7.50 8 PSINGE OUR.ET CIR. OWERLAPPARATUS OUTLET OR FIXTURES Ex. Occup.BAL. 20 Q 1.00 o .50 Ex. Occup. PUT 7APP q p,OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION I 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. ❑ 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 insurance carrier and policy number are: Carrier 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any�peq In a'ny manner so as to become subject to workers'-, p compensationlag vs f Callornia, and agree that if I should become subject to the+ workers' corn 66 ey, on provisions of section 3700 of the Labor Code, I shall forthwit c m ith tlfoseo�irovisions. X �: Date "1 _ Signature>�o App icsnt"�C] Owner ❑ Contractor [3 Age 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 Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE ti TOTAL FEE $ HAz D. FEES IMP FLOOD Cpf PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By lllttt??? /// ���, PERMIT EXPIRES ON 1 l the applicable provisions Resolutions to do work been paid. Date �?-516 h N Date ReceiptNo. 2 a f'_?I'7 WHITE-D.D.S.-B.D. V CAfJARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PERMI o. (Rev.12/96) - APPLICATION AND PERMIT ASSESSQ� CEtrt�I{M_ 018 ICJHARLLEJ' ZGN,NFR-40 BUILDING PERMIT OWNER S H KEAN 402 779.2246 SO. FT. OCC. BUILDING VALUATION . OWNERV'V'fffSt33, MORGAN HILLS, CA 95038 OONTRAMWEORSILLO CONST 7ELEPHO 589.4202 OONTRAM IIndMIEW LANE, OROVILLE 95966 �l v CONSTRUCTION LENDDEjRJ�j�+, LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING 88 SPATTON PEAK ROAD, OROVILLE 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE POWER POLE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: PnWFR Pup FnR T,nT T)FU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 60200' OR 0v oR LESS LESS 23.00 2 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 II force and effect. License Class Lic. No. V.) o3 y 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 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. ❑ 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 insurance carrier and policy number are: Carrier 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.) I certify that in the pert a of the work for which this permit is issued, I shall not employ any n a y manner so as to become subject to workers' compensa a or a, and agree that H I should become subject to the workers' om 0 ro isions of section 3700 of the Labor e, I shall fo it ith a rovisions. X Date Signatur App is n - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and de olition or construction4. of structures over 3 stories in height. Main Service 200' TO IOooA 46.00 NEW CONST. DW !ILING OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.50M ,LO" Np NST' MULTI.OUTLET @7,50 POWER APPARATUS a SINGIE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 9 .50 UNS Ex. Occup. ouriErs PES,6.OEEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ L G CONST. TYPE TOTAL FEE $Ly 64 HA2. D. FEES IMP FLooO COF PARCEL Po HD LSS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ate PERMIT EXPIRES ON Z Z Vv Dei ReceiptNo.2s 317 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LAND DEVELOPMENT OE / CHICO 9— BUILDING / ENVIRONMENTAL HEALTH -PERMIT CLEARANCE Building Permit No. RS NAME `PiI� `CJJ NUMBER D `�� �LJ —' 6D 1 PRINT LAST NAM FIRST ADDRESS / LOCATION: COUNTY ZONING DESIGNATION: �� FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION:. DATE OF RECORDING: 617/ q I LOT BOOK (Z 3 PAGE (-07 COMPLIANCE WITH OLVSBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YESNO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. —5. Maintain a "ft. leachfield setback from )(6. Pay water tender fees in the amount of $ 2 to Battalion Number of the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 'r 8. Connect to a public water supply. _ 9. Connect to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. SEE l Z3 M -1'3 4F�t-10- urEA6cE 5c-5ce D15 jaosA-1, F��c 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish A Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23. 24. 25. 26. 1380).3JV�Nb7 N dr QA13a3a LD 6/98 FORMS\BLDG PERMIT CLEARANCE LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH. - PERMIT CLEARANCE Building Permit No. NAME RS NUMBER PIT LAST NAME FIRST ADDRESS /LOCATION: �G O /A/ D N ;Pig �r l COUNTY ZONING L/ DESIGNATION: 7 D 'FLOOD MAP FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL PARCEL CREATION BY DEEDS OR MAP V a DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: - LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: / DATE OF RECORDING: LOT �o BOOK_ 23 _ PAGE 7 COMPLIANCE WITH OLD SUB IVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. - 2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all eiasting wells. —5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. XT Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Connect to a public water supply. 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. S� 23 �iol� CoND��io�S —11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ —12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would. then be able to assess the site significance and suggest appropriate mitigation measures. 21. —22. 23. 24. 25. 26. /UO 1N3Wd013A30 0Nb', 311118 30 k1Nn0� 6661 t 0 8dV a3A133311 LD 6/98 FORMS\BLDG PERMIT CLEARANCE z •A . APN: OS ('-� (::) S-0 00 R BUILDING PERMIT SITE PLAN CHECKLIST Building Permit No.: '� - O S-1 Proposed Use: SFD 0 MH 0 Res. Accessory 0 Ag. Bldg. 0 Commercial 0 Industrial O Other: Zone District: `� 1 General Plan: n� The Proposed Use Is: Permitted: '7> <— Not Permitted: Requires a Use Permit: Requires a Minor Use Permit: Requires an Administrative Permit: Accessory Bldg. Use: 91 --?g /" 9 Parcel Created By Map? No: Yes:% - Book/Page s ti- --o fz) 2 Map Conditions? No�� Yes: , See reverse side Use Permit: Variance: Dev. Agreement: Applicable Setback Zoning Code Streets & Hwy. Fire Prevention Subdivision Map Front Side Side, street Rear ) 3 0 Height Parcel in Land Conservation Agreement? No: x Yes: , Check Use Parcel in North Chico Specific Plan? No: k Yes: , Check NCSP Zoning Parcel in Floodplain? No: -X Yes: , Zone: - Panel No.: d fo©O 1 -7 -- Parcel in Enterprise Zone? No: � Yes: , Check Use Commercial/Industrial Uses Parking Requirements: OK as shown Other. Landscaping Requirements: OK as shown Other Comments: �� 1 Reviewed.By: Date:' ti CHECK SPECIAL CONDITIONS WHICH APPLY TO PARCEL. UNLESS OTHERWISE NOTED. —1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced by planting replacement trees of equal number and not less than _ gallon size. _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be retained as part of the project, shall be fully protected through the use of root protection zones (RPZ). During constrtxtion, RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the trunk to the dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed. The RPZs shall be maintained after the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed. _3. Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at _ least 16" above the ground and the upper strand shall be no higher than 48" above the ground – _4. Pay the required CSA 87 Traffic and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambed the following entitilements must be obtained a California Fish and Game 1604 Streambed Alteration permit and an Army Corps 404 permit or exemption certificate. _6. Pay the current West Chico Fire Station Fee of $75. —7. Pay water tender fees in the amount of $200 to Battalion Number of the Butte County Fire Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 131), unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. —9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish 8t: Game at 916-355-7010. 10. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of 3750 as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be mace to the Planning Division. _ 11. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. —12. —13. 14 KABLDCsC114.FR.IA N e ' jJeny Newland General FmonmrWg & Building Conbudor 11313692 I Village Concepts, Inc. Phone: 916 672=0163 Office P. O. Box 181 Fm 916 672-1031 Rescue, CA. 95672 916 672-1922 Hom G 4 NOTES �j RESIDENTIAL P74RMIT NO..0' 58-69,0-0184 ; 99-0575 BPEM _ KEEN; Charles & Pat 188 Patton Peak Road, Oroville (new SF)`Steve'Orsillo t All t a " ,t SPECIAL CONDITIONS I CHECKED BY +" SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 OFFICE COPY Address k M GAS Meter By Date } EL C ` i Met a"=- r JOB FINALED (Date) U �% Signature r. " /=OK 0 = Not OK = Not Applicable =Not Ready MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap; -/ /" L'ft. ` / /'Nat. or/ /"L"N./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance 8 Discorinect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 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 0 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.-Con nectors 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- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Licht 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 9nderfloor (Plans) OK except #'s oni g -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grn . / " Ftg. Dgpth 3 g., Garage; Soils- Steel-Ele . Grn - /- Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors (Single & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. ueplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -*<—Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing (6 roperty Line Firewall & Openings 458-EkT Doors -One 3' -Check Garage 3rd Story, 2 Exits Width -Headroom -R' e -Run -Landing -Fire Protection Plywood on Roan -Attic Vents -Rafter Outriggers 45& -Nailing Veneer rip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. Brace Interior/Exter' all Panels --n ulation-Walls-Ceilings `- 62rintiftration- Walls -Windows Date Z2,j _ Card B-1 Date Card B-1 Date C/ " Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s f -t. Steps -Door & Sidelight Protection -Landings 4. Smoke Detector Furnace Vents -clearance -Comb, Air-Connector- In_Garage; Above Floor -Ducts -Mach. Protection /i86. Bedroom Exiting F.I. & Bath Fixtures & Tub Access -Spa ;tw-bec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails Fireplace or Stove, Clearance -Hearth dj!Efec. Outlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure _jam A -G Buct-m Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connecto P.R. . in Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location (i7T.—Elec. Receptacles in Garage (F.F.I.)-Romex Protection L,7,�nsulation-Foam-Looked in Attic L8ar- 'Guard Rails & Deck Construction -Post Caps Z.&I—F—dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes o/Walks ] Yes 6/Planters a Yes 4w- 0—cc_ _o9r_o_w_n_F finish L44-ZC. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings gjwr.- Vater Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House /89e -Glass Protection 90. Corrections from Previous Inspections /,P Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 4f9rgy Compliance Certificate -Other Certificates 94. Address Posted Date7- Z$ -QO Card B-1 Date Card B-1 Date Card B -f Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 7. Slab, Steel -Wrapped 8. PipF ireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, s Pipe; Size Anchors - Yard Gas Piping; Size Test 11 ater Pipe; Test -Anchors -Regulator -Service Test 12. Elec nderground ri lenums & Ducts; Clearance -Material -Support -Ins. 6 A. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date L Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Htr.; Vent -Access -Combustion Air Baffle ( ter Pipe; Test & Anchor -Nail Protection 9. 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 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection 0924- Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled 4(2 Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI =im' Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Y-30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Conductors & Ground Main Disconnect 32 Eouio C eerances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Ca•d B-1 Date MECHANICAL (Permit) OK except #'s Ducts Insulation & Support Vent Fan, Exhaust above insulation CpLadensate Drain & Overflow, Size & Grade F nace-Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date. -FRAMING (Permit) OK except #'s Sts Proper Materials & Anchors . WPW -Studs -Nailing Spacing & Braces -Plates -Sound 42�earing Walls over Girders & Floor Nailing . ro Stop in Walls (rat proof) Fa Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. ueplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -*<—Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing (6 roperty Line Firewall & Openings 458-EkT Doors -One 3' -Check Garage 3rd Story, 2 Exits Width -Headroom -R' e -Run -Landing -Fire Protection Plywood on Roan -Attic Vents -Rafter Outriggers 45& -Nailing Veneer rip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. Brace Interior/Exter' all Panels --n ulation-Walls-Ceilings `- 62rintiftration- Walls -Windows Date Z2,j _ Card B-1 Date Card B-1 Date C/ " Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s f -t. Steps -Door & Sidelight Protection -Landings 4. Smoke Detector Furnace Vents -clearance -Comb, Air-Connector- In_Garage; Above Floor -Ducts -Mach. Protection /i86. Bedroom Exiting F.I. & Bath Fixtures & Tub Access -Spa ;tw-bec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails Fireplace or Stove, Clearance -Hearth dj!Efec. Outlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure _jam A -G Buct-m Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connecto P.R. . in Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location (i7T.—Elec. Receptacles in Garage (F.F.I.)-Romex Protection L,7,�nsulation-Foam-Looked in Attic L8ar- 'Guard Rails & Deck Construction -Post Caps Z.&I—F—dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes o/Walks ] Yes 6/Planters a Yes 4w- 0—cc_ _o9r_o_w_n_F finish L44-ZC. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings gjwr.- Vater Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House /89e -Glass Protection 90. Corrections from Previous Inspections /,P Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 4f9rgy Compliance Certificate -Other Certificates 94. Address Posted Date7- Z$ -QO Card B-1 Date Card B-1 Date Card B -f Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . LOERKE INSULATION CO:, INC. ULATION CERTIFICATE 188 Patton Peak Oroville Number and StreetCity DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches) 2. CEILING Batt or Blanket Type__Fib---- ss Batts Brand Name Thermal Resistance (R -Value) 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 b. Minimum Thickness 16.25" inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL MaterialFiberalassB s Thickness (inches) 6.5" 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 6.5" 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) DECLARATION Brand Name _Johille Thermal Resistance (R -Value) R19 Brand Name Johns Manville Thermal Resistance (R -Value) R19 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. C.L.#499150 LOERKE INSULATION CO., INC. Item #s Signature, Date �r 2 8 1999 Installin Subcontractor (Co. Name) r General Contractor (Co. Name) Or Owner Item #s Signature, Date Installing Subcontractor (Co. Name)) Or General Contractor (Co. Name) Or Owner Item #s Signature, Date I Installing Subcontractor (Co. (Co. am) Or General Contractor Co. Name)Or Owner ' � 9 r r. j - '� a "�1 1 J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 E 1 (Rev. 12/96) APPLICATION AND PERMIT 9f— ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 270 SURLING WAY, BENLODR-JND 540 11 Q,79n CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDERS MAILING ADDRESS Fireplace I A- Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee _ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 47932 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ RR IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7-0070.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑XAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDROOM Gas i in stem 1 - 5 outlets 15.00 15-00 Buildin sewer 15.00 Mobile Home I S I G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 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. Sq Z®°3 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 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. ❑ 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 workerensation insurance carrier and policy number are: Carrier rAIM d4ga Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR AODNS. ( & ACC. BUDS. SO 3.5QF7.g7. 01 NON-pCSID. T. BRANCH MULTI -OUTLET @7,50 POWER APPARATUS 8 SWGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B2* 4 "00 .50 Ex. Occup. ourLFrs AID,GEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling2 Hood 6.50 .50 Ventilation 4.50 PERMIT FEE $ 76.00 Policy Number 10�1 S P7, ot (The above sections need nbe 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 a rnia, and agree that if I should become subject to the workers' co tic p ovisions of section 3700 of the Labor Code, I shall forth m provisions. /z -5-h X Date Jindicated Signature ofwli nt - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction_ of structures over 3 stories in height. 41 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ 1,661.89 2.A D. FEES IM FLO j CD PAR HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above f which fees have been paid. `Date PERMIT EXPIRES ON 5" T - 74VO Da Receipt No. 264 % OiI WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECT GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, Cx1MOR14IA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: _ Z40, / /-1 y (c3 ASSESSOR PARCEL NUMBER: ,!�—E - (6,57d - / G Proposed 9 ding Use: j' Building Inspector: Date: — At time of permit application, I was advised the following data must b submitted prior to permit processing a d/or issuance: Date Received By ❑ 1. All items have been submitted .-----------------------------------------------------------------'------------------ ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------- ------------------- 04. 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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ Manufactured Home data and installation instructions including Tie Down Specifications. Fees of $ ------JI © --1---------------------------------------------- pact fees as shown on the attached schedule. -- ;&I V12. California Department of Forestry plan approv fees. ---=J----------- ❑13 .. lood elevation certificate. =------------------------;/------------ X14. Sanitation and plot plan approvalK9&d— Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 7. Planning approval for (A) Use: OK (B) Parking: -------------------------- t�d 1 . Contact Land Development about Improvements, ❑ Drainage, dLegal Parcel. --------- ------------- 4j� Encroachment Permit for driveway (construction approval prior to occupancy).i%'`'�-j ----- ❑ 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- El 22. Workers' Compensation carrier and policy number. ------------------------------------------------ 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------- ❑ 4. er of signature authorization. -------------------------------- Recorded copy of Agricultural Acknowledgment Statement. - 26. Letter of intent on building use. ---------------------------------- 0 27. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. --------------------- 1--129. 13433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: as � (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at e ' er with inspector. �J Applicant: Date: 3 s/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O er: Date: By: 1. Index permit application for the above items numbered: lan Check List 2. Additional items required: ac o designer, *owner, was advised of the above required data by ❑ phone, Mmail, ❑ Building Division counter, by Date: 2-°= on ac esigner, owner, was advised of the above required data by ❑ phone mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner as advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'vision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: _ Sets of plans on h inlan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H USE ONLY ^+ J Plot Plan Attached Floor Plan Ana had Sant to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ON W-14 Owner Location AP# Plan Approved for: Sewage Disposal ,l Water Supply: PTrYA lic Private Well Clearance for dwelling. Other � 22,(y/11fL�Y►,J (1�r7 Hold final for: Final clearance O.K. for:.. NOTE: 01 Alcv, / Environmental Health Specialist Date 8/96 1 COUNTY OF BUTTE 1 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER /C C' `/V i �r�� A.P. #" Ei 0 o ( P PROPOSED BUILDING USE DATE_, j RECEIPT # DATE REC UILDING PERMIT FEES - Balance Due ................. $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES—Ile" (paid at District Office) esidSHERIFF FEES (paid at Building Division) ential ........ ( x $360.00 = $� Units Commercial (sq.ft.)... x $0.03 = $ z 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) , x . = $_ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt: 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89:00 (paid at Building Division) WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advise boy, fees are required to be paid prior to issuance of the building permit. These fees may be changed dur' an ec ing process. APPLICANT DATE ,� S 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 Govemment.Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ,School District I 0� I/ (It 6 A+, Ci k Sr- Building Department No. A.P. Number a:a- 4"" Jurisdiction: city County Prop" Owner C HAr2 CcrS AA6 Property Location/Address Subdivision Lot No. Residental Development ........... No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # to . . . ..................................................................................... *(No foundation inspection): Commercial/industrial New Addition Building. Department Representative bcnaoi uistrict Fersonneo Sq. Footage (Group R) Sq. Footage (including Exterior Roofed Areas) Date District Identificabon No. A—ito School District certifies that A n (Applicaintl (Street Address) (City) has complied with the requirements of Resolution No. representing 19 k& square feet Paid by Check # & Remarks: (Phone (State) (zip Code) xi- 7t by payment of $ 7: 5 JP�B 2926 $ IFULL MITIGATION. /Y4, 1:, Date 5 111 Notice: You may, protest the imposition of the fees identified above by submitting a written protest to the District, incompliance with Government Code Section 660201al, 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 (CEGA). 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) I . teefQrrn.x1s (10/98)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 04 -Kay -1999. 1999-0018981 Has not`been compared with original BUTTE COUNTY RECORDER AGRICULTURAL LTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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 Count, of Butte, State of California, described as follows: Date: --4--330 --9q PROPERTY OWNERS: State of California ) County of On '-} - _M before me, F1 personally appeared�,�i y�� personalh kn*"W40VW forproved to me on the basis of satisfactory evidence) to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged tome 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. WITNES4�yhand;a official seal. M CYNTHIA A. COST�AA- COMW 1103301 X -: NOTARY R)BUC-CALIFORNIA y Signature CO06"L OF BUTTE My 06"L 6xplra 04L 90, 2000 l Dt R. -0'7' 99OYEW 09:47 CUSTOMER SERVICE TET,:330 893 1833 0 _L DEC. -I0' 98(THU) 14:06 FIDLLM NTL. TITLE . Order No. iCJ5:1 Beginning at the stated corner of said parcal of land in the center of Lower Gulch Road; thence aiong'sal road, South 360 40' 09" West, 141.65 feet; thence South 430 51' 47" West, 300.99 et; thence.North 820 31' 21' Wer, 131,81 feet; thence South 73° 44' 1W. We t: 158.98fset; thenbe South 330 48' 31" West, 224.35 feet,,. thence South 609, 00' S" West, 32,64 fest, thence north 630 27' 18" West, 31.49 feet; thence North'250. 17'43" West, 210: 1 feet; thence North 01 ° 52'00u East, 45.34 feet; thence Nor westerly to a point on the west boundary of Section 15, Township 21 North, Ratigs 4 East, M.D.B. $ M„ that beers South 000 33' 41' West, 1268.83 feet from the l4orthwast corner of said Section 15 and the and of the heroin described line, Assessor's Parcel No: 58-690.01.8 ff(DORDER's MDAO: 'rPOOk RECORD IS DUE M QUAD Y OF ORIGINAL DOCUMENT' I r I DEc', -10` 98(THU) 14:06 FIDEWP' l"' T ITLE Parcel A: Parcel 6, as shown on tl North, Flange 4 East, M Recorder of Butte Coun Page(s) 67, 68, 69, 70, Parcel 8: ExtumT .14- Order No, 40083 i r.=1l1Fses ►Eng POOR RECORD Is DUE TO QUALM OF ORIGKU DOCUMEW tat certain Parcel Male of a portion of Section 15, Tuwnship 21 D.S. & M., which mao was filed In the Office of the County y, California, an Augi,st 7, 1991, in Book 123, of Maps, at 71, 72 and 73. A non-excluaive right *I way for road and put!ilc utility purposes and drainage purposes over the private roadwi ys shown on the map of °Pear Peak Lake Estates Unit No. 1 which map was filed In the office of the Racorder of the County of Butte, State of California, on October 0, 1982, in Book 86 of Maps, at pages 80 thru 8d, inclusive. Parcel C: A non-exclusive rightsf way for roads, public utllltles and drainage purposes as shown on map of "favor Peak states Unit No. 20, wnI0 map was filed in the office of the Recorde► of the Count of Butte, State of California, February 13, 1984, In Book 91 of Maps, at Pages 79 thr 93, Inclu9lve. Parcel D: A non-exclusive easent for road and public utlilty purposes, shown on boundary line modlficailon 'by parcel of Lot 33 of Door Peak Lake Estatss Unit no. 2 and a portion of the Northwest quart r of Section 15, Townshlp 21 North. Range 4 East, M -0.13.M., which map was fil d In the office of the Hecordar of the County of Butte, State of California, on January a, 1987, in Book 106 of Parcel Maps, at Papas 61 and 62. Excepting therefrom al, that portion of said acsement In 5ectlan 16. Parcell E: A non-exclusive eason ant for ingress and egrass and for public utilities over a portion of that certain parcel of I nd, as shown on that certain boundary line modification by Parcel Map filed Irl the office of the Recorder ,)f the County of Butte, State of California, on January 28; 1907, n Book 105 of Maps, it Pages 81 and 82, and more particularly describad as follows: A strip of land 50,00 described tine: -- Beginning at the most Gulch Road, thence al Parcel F: A non-exclusive eater portion of that certain modification, by map 1 California, on June 27 described as follows: A strip of land 30 described line: of In width, lying Westerly of and contiguous to the following sterly corner of said oarcol of land in the centerline of Lower f said centerline, North 050 261 09" West, 533.52 fast, int for Ingress and eerasa and public utility purposes over it arcel of land shown a3 record of survey of a boundary tine r ed in the office of the Recorder of the County of Butte, State of 1991 in Book 120 of Maps, it Pago 98, `and more particularly In width, lying Northerly of end adjacent to tha following r PRE`INSPECTION OWNR : LOCATION: /89�� CONTRACTOR : S PRE -INSPECTION FOR: DATE 2 / A. P. # ZONING • 1 DATE TO INSPECTOR ;PERMIT HISTORY: 1-3 NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: A r OCCUPIED 'HAS ELECTRIC HAS GAS TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: A OCCUPIED 'HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES [: ] HEATED -COOLED E) PERSON CONTACTED_ OTHER COMMENTS: z' �r ACTION ECOMMENDED: ; ISSUE Q HOLD FOR P