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Home My WebLink About061-350-052061- 350-052 u JABORSKI, ANDREW TIPSOO PEAK DERRY CREEK Rn Cont OWNEROP NEW SINGLE PAA4IL .V f ; tit` 5 s'ry$ i ryr.�r '{`+�'P J, P, a5;4nW W, - . } z,t+ �x�£ } � �+ a _ � t � � e; � , j t t. t „ � sj fa • - '; F}, li I }, tli�; �y � �.. ya'�t4� � � , x , �r • ;�, - ' # _� •iw s l +1 tf vhii�-.xy.h �{i4 " ��" [ i .�f 'i7 4t��,.b, t t 1'' t .I:. - s 'w:i i�lif +afei �,+k} ia�y 4-�s� t• r � r 4 i�_ N �? 9 iii { i g } r 4 t = ' -a�F dt + i+}} s f f`�lii� 3�._ ' � < • � `, t r � d S { yet () 1 t t�f. f y P! y{p �4 r r f{.� � r �-, �. t tyt- .S� { s ,�j •�xf f-'� 3 -4 e. 1'r�i:' , �tt�:.; ,J'. , - Y' T . :.1 {-_p t .t S � �•a N7 .. '� - 11 jBUTTE PTY 43 am o mos DEVELOPMENT OSERVICES- Ih " li�we Qainree � /v<.P�l�e�unme�t.1_ Ali ill r9?. o -� _ .t�i� lit III C'A—uJE�F Zr� ,e er P0. �3o SS /o7p-!SOL-,> I'l I he CLee-K. CA SII 1 i X11 i, I, I IIlilIs r'I I?I ill B TTE COUNTY -PERMIT DEPARTMENT OIi DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION < /� ? AND SUBMITTAL REQUIREMENTS (�J' (JO 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 61 • I BIN # Website: www.buttecounty.nettdds n "PLEASE PRINT CLEARLY" OWNER Last Narp�v_ J/ irst Name Address, P0 ZO .a_,77q_I ,. a City "� Sta e 11-71 Phone.,� 00 Fax 331 E-mail ARCHITECT/ENGINEER CONTRACTOR NameR: r - � &s Address Po C.x 11-71 City c� '1)1)y - ' i � Subdivision Name StateC-A Zip Phone _)30 . �4- 3 Date Approved: Fax E-mail Lic. # �nCG$r Class ARCHITECT/ENGINEER Name Address, W5-7 City 60 Statg, „ -f d�� Zip9,79 1* Phone 676? Fax 3 �T/ ,L 1 E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning S I Flood Zone City SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION AP# 0 0 5 2 Property Address Psi City Cross Street C WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Nsr(.j_Mq r-�&mt,._(6g4 CNC_i$oloo�.(4�g1 Sq. Page 1 of 2 ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ffl46 Received by: Amount:1, 1l0 �• Bldg c� t SRA Receipt #A Q5_ Sheriff c a q- /q SMIP Other Date: C7 �L?Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ ' 3. California Department of Forestry plan :approval (if required). ❑ 4. NPDES'Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7-27-04 Rddres;: Po box 55 Burry �Qc�vA yds ' � � J 1 f Rddres;: Po box 55 Burry �Qc�vA yds ' Applicant: Jaborski, Andrew Permit No: 05-0358 Project Type: NSF/Gar/Cov/O en APN: 1 061-350-052 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN Fee $ 817.40 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other r Butte County Department of Development Services vT TF YVONNE CHRISTOPHER, DIRECTOR o° 0 M7 fid\/ o _ o County Center Drive °.� ° o _®� o Oroville, CA 95965 COUN�y (530)538-7601 Telephone (530) 538.7785 Facsimile M C TO: WILLDAN I N FROM: Scott Rutherford (530) 538-7160 ■ A sruther%rd@buttecounty.net /) I SUBJECT: Plans Transmittal For Review Per Contract ® DATE: 2/11/2005 Applicant: Jaborski, Andrew Permit No: 05-0358 Project Type: NSF/Gar/Cov/O en APN: 1 061-350-052 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN Fee $ 817.40 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other r •.. v.�v+Sr-vim+-v�..✓-"� ".-+..-•-�--«•��---A..,------- - �-..a.s•--.�-...--. ti--:.�.{-�z«u-`.�.D-;vr. �.'1,... .. .`.- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SER. VICES-BUILIN D V1271 � 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: //1 Ancke ASSESSOR PARCEL NUMBER Proposed Building Use: Sec, Counter Technician: - Dater Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ;F- 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 faxes! ❑ 5. Letter from Engineer or Architect for truss design review. p, 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner a ❑ / 1 za rdous Material Form mQS t 15. aniation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. - ❑ Other D, � , WKAA - Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ................. I......................... ........ ❑ 20. Erosion Control Plan Required......................................................................... ........ 21 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ , 2. City of Chico Plumbing permit........................................................................ 23. California Department of For try plan approval jP aid. Sent by: 24. Planning approval (A) Use: ' (B)Parking: (C) Parcel Check: i ❑, 25. Contact Land Development about _ Improvements, _ Drainage ......................... -61 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... • ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... R05L•N 31. Owner -Builder Verification (�iden to owner, �vlailed to owner) ..................... • ❑ Letter of Signature authorization......................................:............................. vo 33 Recorded copy of Agricultural Acknowledgment Statement ................................. 114. Manufactured home utility clearance............................................................... 003 ns and/or expired permits......................................................... n......................................................................................... t Dee 0 M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 8. Other: ❑ 39. Other: When issued Telephone /9 and hold for pickup. I have been informed o1, the above items and requirements for obtaining a building permit. Applicant: Date:, O O 1. Index permit application for the above items numbered: a nNo Plan Check Letter 2. Additional items re s - Contractor, designer owner as advised of the above data by p one, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: 11 Ala Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: *A Date: Yellow: Building Division COUNTY OF BUTTE ' 05 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER S,, 10 bar's L &f it A. P. # PROPROSED BUILDING USE DATE / a�� l � • � � ® ✓ 1. BUILDING PERMIT FEES RECEIPT # DATE REC. Balance Due.. $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES/� 1 lv/ / (paid at School District Office) (form available after Pla eck) cyv 3. SHERIFF FEES (paid at Building Division) Residential............ X Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. . Commercial (Sq. Ftg.).... X = $ Sq. Ftg. (� Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) JP4 7. SRA FIRE INSPECTION AND PLAN HEC FEE $M. 0 (paid at Building Division)�� O� 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X, _ $ Sq. Ftg. Amt. 10. OTHER �%}%�, �D' At time of permit may be changed ( APPLICANT was advised the above fees are required to be paid prior to issuance of the permit. These fees checking process. R lj DATE �CO Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) WTAjE r 0 Department of Public Works o C o u n t y o f B u t t e 7 County Center Drive J. Michael Crump, Director - Oroville, CA 95965(530)538-7681 A �r 5 AX 538-7171 C�Uc WOO Shawn H. O'Brien, Assistant Director Assessors Parcel Number: Vf(-&S:YO •-05--Z _ Building permit # Owners Name: —)q b, cc k A a r -e �j Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: 13P-# 05'-- Dz5-g PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Not a County maintained road ❑ Existing driveway conforms to County S-31 standard ❑ Other Approved --by Printed Name fl Nomdcl-s Title F g Date ZA o CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. OWNER -BUILDER 'VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor aTld material for construction of this proposed property improvement: YES [ . ,] NO 2. I HAVE [ - ] HAVE NOT [ V] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: ADDRESS: 0. Y D_X ( I S '---S PLI 0 5.51 5 PHONE:c; -- h -144 (o ._3'7:9(o CONTRACTOR'S LI ME NO: 70S S/53 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: ft -2 --lo, s> 1/0 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. . Rev'd 11/4/2004 Butte County .Department of Development Services 60T T� ADMINISTRATION ° BUILDING ` GIS f PLANNING o I�/ o o - i. o 7 County Center Drive Oroville, CA 95965 Ws o (530) 538-7541 Telephone 00U (530) 538-2140 Facsimile OWNER -]BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious o T with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an `owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. p�,PRST LENT �o 0TrF J i 1 0 C \� 0 .. A-1ft%WdaW"- 67.)Crc Wo : Department ..0 o u n t J. Michael Crump, Director Public F B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner'-s-agent; certify that this project WILL NOT DISTURB' l acre o"r more of landdand-that I--therefoie�` .6-- d . o: apply for a Construction Storm Water:Permit ....: .frarn the State ofCalifornia..-.Regional'Jaafer?�naiit?y=-Control Board. Phased projects that contain multiple site buil&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 b law. Signed: - Title: argc4( rgef - 4�'v- e- �-- Date: f Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 w A WILLDAN Serving Public Agencies February 23, 2006 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95.965 (530) 538-7169 i (530) 538-2140 FAX 938 14th Street, Suite E-100 Marysville, CA 95901 530/749-2373 fax 530/749-2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Willdan Project No: 14353-1393 Jurisdiction Job No: 05-0358 Assessor's Parcel No: 061-350-052 Description: Jaborski-NSF/Gar/Cov/Open Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ✓ Plans: Two (2) copies sheets Al through A-14, S-1 through S-3, MPI and E1 dated 02/13/06 by Arcademe Studio. ✓ Enerzy Calculations: Two (2) copies dated 02/1.5/06 by Marty Runnells. ✓ Truss Calculations: Two (2) copies dated 02/16/05 by Endeavor Homes. ✓ Structural Calculations: Two (2) copies dated 02/08/05 by Arcademe Studio. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Cc: Alice Mefford: amefford@buttecounty.net Andrew Jaborski, P.O. Box 2791, Oroville, CA 95965 Arcademe Studio, Fax: (530) 343-3649 WILLDAN938 14th Street, Suite E-100 Serving Public Agencies Marysville, CA 95901 530/749-2373 fax 530/749-2199 www.willdan.com APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the 2001 California Building Code (CBC). • . Part 6, known as the 2001 California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the plans and/or permit documentation. Specific Use Type of Occu anc Type of Construction Stories V Floor S9 Ft 2nd Floor Sq Ft Total Sq Ft Dwelling R-3 V -N 2 2068 656 2724 Garage U-1 V -N 1 694 N/A 694 Covered Porch R-3 V -N 1 180 N/A 180 Open Deck R-3 V -N 1 978 N/A 978 Wine Cellar R-3 V -N 1 174 N/A 174 CONDITIONS OF APPROVAL Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. Revisions and/or notes as red -lined on the plans. *Permit application building areas specified in the scope -of -work shall be reconciled.with plans to Butte County's satisfaction. 4. The Architect of Record (AOR) shall stamp and sign each set of structural calculations with his seal showing a current expiration or- renewal date, and his original signature per CBC 106.3.2 & California Business and Professions Code 5536.1, 5537, 5538 & 6737 SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Since�r�l , �r. Isaac Kuster Plans Examiner Page ? of TP J P. County 05-.1.393 Willdan..PC2.F TO: Building Department FROM: Environmental Health ' SUBJECT: Sanitation Clearance USE ONLY 'Piot Plea Attached Floor Plea Attached Seem to S.O. I w Oea •-os 2 - Owner Location AP# . Plan Approved for: Sewage Disposal Water Supply: ublic Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE': �l ronmental He 8/96 ecialist Date I� (RIGHT OF WAY tj p FUTURE LEACH LINE , PARCEL 4 p IrnLEACH LINE 100' D� RAIN FIELD ►J O Y SETBACK TOP OF TANK OAK / rn I 2868.98 \ / - I 50 —� ' SEPTIC HO =p TANK SETBACK , I/2' REBA�_ MANZAN I TAS O MLL GE AR � - , sem+ P > T I L I1j \ d / AN I TA' LE %s� 'O� (N),ZRIVEWAYj 2" DEG,GMP05ED GRANITE o/ COMPACTED VED -LA55 11 AGGR. BASE gum Countty N Ero mental Health cry O 1/2" REB R / RIGHT OF WAY C-0 Date 150. � / / N9 C.c.-tau-.- a -►...o 520 00'00"E (R) GUL E SAG TIL}�TY POLE (O gna JABORSKI RESIDENCE TIPSOO PEAK ROAD '°B#0" BERRY CREEK CALIFORNIA 3.FCBRUARY2005 A R C A D E M E - architecture o' zo' o' FEET 80 / APPROVED \ County Environ ental Health a • .7- 5 �\ ate igne re \\ -.TABORSKI RESIDENCE TIPSOO PEAK ROAD JOB #0401 BERRY CREEK CALIFORNIA 3-FEBRUARY2005 ARCADEME- architecture 20 80 FEET 320' l� I� / APPROVED \ County Environ ental Health a • .7- 5 �\ ate igne re \\ -.TABORSKI RESIDENCE TIPSOO PEAK ROAD JOB #0401 BERRY CREEK CALIFORNIA 3-FEBRUARY2005 ARCADEME- architecture 20 80 FEET 320' 1 � 1 - FLOOR PLAN JABORSKI RESIDENCE TIPSOO PEAK ROAD '°B# BERRY CREEK' CALIFORNIA 3.FEaItuARr200s A R C A D E M E- architecture FEET 80' Setback for Structure Defensible Space (X] Maintenance of Defensible Space. 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 in these standards, annual maintenance must be provided for by the landowner. 1. 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. [ l 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Buildinq Setback is 15 to 30 Feet: ✓ Class A or B roof ✓ Enclosed eaves (] If Building Setback is Less Than 15 Feet — ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal --0 'Other Butte County Fire Department approved materials (] 19 a -off GM Date ign ture C D F IN E Q U CDF FIRE SAFE REQUIREMENTS AP# �� - 3 S� -'O�a� PERMIT # 05- D 3 SS NAME Under authority of Public Resources Code Sec. 4290, the following checked items are required T by the Butte County Fire Department and made a part of this permit. These requirements are 11 Jl minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. T Driveway Standards Pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. 16 I Pq Grade. Not to exceed percent unless paved. Driveway Radius Pq 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. Pq 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 T feet radius. x Pq Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. Pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. Pq Width. All driveways shall provide a minimum 10 -foot traffic lane and T T unobstructed vertical clearance of 15 feet along its entire length. U Pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in T length, shall provide a turnout near the midpoint of the driveway. Where a 1 driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. R Gates pq 1. Gate entrances shall be at least two feet wider than the roadway E they serve. 2. The gates must be located at least 30 feet from the roadway. and M shall open to allow a vehicle to stop without obstructing traffic on the roadway. E 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. T T 0 ,a Department of Development Services Building Division 7 County Center Drive Oroville, CA -95965 (530) 538-7541` (530) 538-2140 FAX Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes of alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 C.B.C.), 2000 California Plumbing Code, 2001 California Mechanical Code, and the 2001 California Electrical Code. The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out of missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL REQUIREMENTS • Guest rooms and habitable rooms shall have natural light equal to 1.0% of the floor area and natural. ventilation equal to 5% of the floor area (Sec. 1203, C.B.C.) • , Provide required room dimensions and ceiling height. (Sec. 310.6, C.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, C.M.C.) • Approved vent and adequate combustion air for gas water heater and/or, furnace. (Ch. 7& Ch. 8, C.M.C.) • Provide minimum one Y-0" exterior door. (Sec. 1003.3.1.3,C.B.C.) • Provide adequate clearance and type A flue for fireplace/woodstove. • All stairways to comply with C.B.C. section 1003.3, for rise, run, headroom, width, landings and handrails. • Hallways to be minimum 36" wide (C.B.C. 1004.3.3.2). • Underfloor access and ventilation per Sec.2306.3 & 2306.7, C.B.C. • Attic access and ventilation (CBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per C.E.C. Article 410-8. Page 1 of 3 Owners Name: , J ('05 IL 1 Building Permit Numben . 0 Plans Examiner: Willdan } • Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide '/2"x 10" anchor bolts @ 6' o.c. max. and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt. (Sec. 1806.6, C.B.C.) • Provide 1- #4 bar top and bottom of footing, U.N.O. (Sec. 1806.7, C.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, C.B.C.) • Veneer per Ch. 14,'U.B.C. • Exterior plaster – weep screeds (C.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, C.B.C. • Protect plastic foam insulation per Sec. 2602.4, C.B.C. • Ground fault protection shall be required in al bathrooms, garage, kitchen, wet bar, and exterior. receptacles (CEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the California Electrical Code, California Mechanical Code and California "Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (C.P.C. 408.6). , • Minimum shower compartment size of 1024 sq. in. & 30" circle (C.P.C.,412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per C.P.C. SPECIFIC REQUIREMENTS, 1. Provide safety glazing in all hazardous locations (C.B.C. section 2406)." 2. Garage firewall separation –`required on garage side. (C.B.C. section 302.4 exception #3). 3. Install smoke detector's as per the requirements of C:B.C. section 310.9.1. 4. Special roof covering required, class B minimum. 5. Provide 2 separate exits from the third story (C.B.C. section 1004.2.3.2 exception #4). 6. Every bedroom shall have at least one. operable window or door. Windows, shall have a ' minimum net clear openable area of 5.7 square feet. Additionally, the window shall have a . minimum net clear openable height of..24" and a minimum net clear openable width of 20". The windowsill height shall not be more than 44" above the floor (C.B.C. 310:4). COLOR CODE USED ON PLANS Blue = Engineering Pink = Firewall Green = Braced wall panels Yellow = Important ' Page 2 of 3 Owners Name: 3A 15&r6 k Building Permit Number: o,5 — o 35 $ Plans Examiner: Willdan `. COMPLY WITH ITEMS INDICATED BELOW W Your parcel lies within a designated, 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood. Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. . 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. ❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: ® All structures and equipment including overhangs shall be clear of all easements. A setback of ' from the side and ' from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ❑ Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 3 of 3 Owners Name: 5 A46,ro6I -k Building Permit Number: p5- 03s6 Plans Examiner: Willdan N When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 N Space above for Recorder's Use (rev.5/04) Owner Name: Andrew J. Jaborski, Jr. and Cathleen E. Jaborski Building Permit No: 05-0358 (cellar) k DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 1st day of March, 2006, Andrew J. Jaborski, Jr. and Cathleen E. Jaborski, hereinafter referred to as owner(s), is the record owner of the following real property: Assessors Parcel Number: 061-350-052, and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described -above; and IV. WHEREAS, Building Permit No. 05-0358 was applied for on February 9, 2005 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the. use allowed by Building Permit No. 05-0358 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable. restriction and remain in effect until a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such _ change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 05-0358 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 05-0358 to .Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: no living, sleeping, cooking or eating. Additionally, this space will not be heated or cooled. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of Scott Rutherford, Manager, Building Di ision execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 05-0358. DATE: , 20, Owner Signature: Print or Type Name of Above Owner Signature: Print or Type Name of Above Y Scott Rutherford, Manager, BuildingD'pis' n/ U �10 NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On Public, personally appeared before me, Notary personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand'and official seal. Signature (Seal) STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On before me, Public, personally appeared , Notary personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford, M ager, Bui ing Divi on r � This is to certify .that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. , Dated: ��E Scott Rutherford Manager Building Division, Department of Development Services STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) Onbefore me, f M 1� L,J , Notary Public, personally appeared S+�orr 12u-rNEreFOQr� personally known to me (eF PF to be the personWwhose name* is/.am subscribed to the within instrument and acknowledged to me that he/shegUiey executed the same in his/her/their authorized capacity(ias� and that by his/bar4tbek signature(a�ron the instrument the persooko, or the entity upon behalf of which the person acted, executed the instrument. aM McwauM WITNESS my hand and official seal. CO"WAM M0186M) Mo1aq►^ac - CMo w Caur • • �� M�►Carm. b, w S' na re (Seal) i tr 1-09,834,97AJR R,=cording Requested by: LAW OFFICES OF JOHN M. 12396 World Trade Dr., 'San Diego, California Mail Tax Statements to Mr. and Mrs. Andrew J. 78715 La Palma Drive La Quinta, CA 92253 When Recorded Mail to: Mr. and Mrs. Andrew J. 78715 La Palma Drive La Quinta, CA 92253 PRESTON) Ste 212) 92128 ) Jaborski, ) Jaborski, Till III III I ILII i lilt II I I IIIII I IIII Recorded i REC FEE 13.0@', Official I CONFORM 1.00 yyRecords CoBUTTEOt I , CANDACE J. 6RUBRS i Recorder I ROSEMARY DICKSON I Assistant I Myles 09:02AM 08 -Jul -2003 I Page 1 of 3 Jr.) Jr.) Space Above For Recorder's Use QUITCLAIM DEED The undersigned declares that the documentary transfer tax is $ 0 since this is a conveyance transferring grantors' interest into a Revocable Living T-ruzzst . V Signature of Agent Det ning Tax -Law -Offices of John M. Pre,^tun Unincorporated Area X City of Tax Parcel No. 061-350-052-000 WITHOUT CONSIDERATION, ANDREW J. JABORSKI and CATHLEEN E. J*ABU.RSXT., Husband and Wife as Joint Tenants, hereby quitclaim to ANDREW J. JABORSKI, JR. and CATHLEEN E. JABORSKI, Trustees of the Jaborski Trust dater March 1, 1999, (Living Revocable Trust), the real property in the. County or Butte, State of California, described as follows: .SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF. Q Commonly known as: Dated: J\JAB03497.7 ANDREW J. JAB S - 1/2 cx 'I CATHLEEN E. G SKI o6 1.098,3497AJR EXHIBIT "A" DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BU'T'TE, AND IS DESCRIBED AS FOLLOWS: PARCEL 1: PARCEL 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TIPSOO PEAK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 16, 1987, IN BOOK 104 OF MAPS, AT PAGE(S) 86 AND 87. APN 061-350-052-000 PARCEL II: A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT OVER PARCELS 1, 2, 3,'5 AND 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TIPSOO PEAK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF'THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 16, 1987, 1N BOOK 104 OF MAPS, AT PAGE (S) 86 AND 87. J\JAbU3497.7 A 1$)983497AJR STATE OF CALIFORNIA / SS COUNTY OF (: tv:5 Ld4� On 6�' before me, ��(, perscn.ally appeared ANDREW J. JABORSKI, and CATHLEEN.E. JABORSKI, am a l ty„r,c,i.Lr � mP (or proved to me on the basis of satisfactory evidence) to he the persoris whose names are subscribed to the within instrument and acknowledged to that they executed the same in their -authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my hand and official seal. RALPH P. DAY Comm. A 1336556 rn �I1 NOTARY PUBLIC -CALIFORNIA N •s. N Sen Bemerdino County My 6emm: Eappea Bee: Z7,F80B J\JAB03497.7 4 When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 7 F• ejI�ej OWW 3A106 a. I Space above for Recorder's Use (rev.5/04) Owner Name: Andrew J. Jaborski. Jr. and Cathleen E. Jaborski Building Permit No: 05-0358 (cellar) DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 1st day of March, 2006, Andrew J. Jaborski. Jr. and Cathleen E. Jaborski, hereinafter referred to as owner(s), is the record owner of the following real property: Assessors Parcel Number: 061-350-052, and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 05-0358 was applied for on February 9, 2005 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 05-0358 has been reviewed'and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses Ap otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 05-0358 which enabled *Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 05-0358 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: no living, sleeaina. cooking or eating. Additionally, this space will not be heated or cooled. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use'facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of Scott Rutherford, Manager, Building D' ision t �/�6 execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 05-0358. DATE: , 20 Owner Signature: Owner Signature: Scott Rutherford, Manager, Building Division Print or Type Name of Above Print or Type Name of Above NOTE TO NOTARY PUBLIC: Ifyou are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct 'notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA SS. COUNTY OF BUTTE On before me, , Notary Public, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature STATE OF CALIFORNIA SS. COUNTY OF BUTTE _ (Seal) On before me, , Notary Public, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford, h4 ager, Bui ing Divi on ,. i9 6 This is to certify that the ' Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. , Dated: '? � p6 Scott Rutherford —V— Manager Building Division, Department of Development Services STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) On ►�A��N 8, zco� before me,+M 1� Public, personally appeared ScoTr �u-rEi2 r-ci Notary , personally known to me to be the personal whose name* isLam subscribed to the within instrument and acknowledged to me that he/shell ey executed the same in his/bet/their authorized capacity(iea�, and that by his/bwftbetr signature eyon the instrument the persorkej, or the entity upon behalf of which the personLs� acted, executed the instrument. aM MCMLM WITNESS my hand and official seal. _ oon 0don#iftmi "Dwy hexa - cooaa w !uft cwj* Mrcomn. eApr e. 1-1m - `VY) _ I l S%bnatbre (Seal) 109834.97AJR Recording Requested by: LAW OFFICES OF JOHN M. PRESTON) 12396 World -Trade Dr., Ste 212) San Diego, California 92128 ) Mail Tax Statements to: ) Mr. and Mrs. Andrew J. Jaborski, 78715 La Palma Drive ) La Quinta, CA 92253 ) ) When Recorded Mail to: ) Mr. and Mrs. Andrew J. Jaborski, 78715 La Palma Drive ) La Quinta, CA 92253 ) ILII IIi 111 l 1111 { 111111111{111 I IIII Recorded OfficialRecords Count CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AM 08 -Jul -2003 Jr.) Jr ) Space Above For Recorder's Use QUITCLAIM DEED REC FEE 13.00 CONFORM 1.00 (kyles Page 1 of 3 The undersigned declares that the documentary transfer tax is $ 0 since this is a conveyance transferring grantors' interest into a Revocable Living Trust. V Signature of Agent Det ping Tax -Law Offices of John M. Preston Unincorporated Area X City of Tax Parcel.No. 061-350-052-000 WITHOUT CONSIDERATION, ANDREW J. JABORSKI and CATHLEEN E. JABORSKI, Husband and Wife as Joint Tenants, hereby quitclaim to ANDREW J. JABORSKI, JR. and CATHLEEN E. JABORSKI, Trustees of the Jaborski Trust dated March 1, 1999, (Living Revocable Trust), the real property in the. County of Butte, State of California, described as follows: SEE EXHIBIT "A" ATTACHED HERETO.AND MADE A PART HEREOF. Commonly known as: Dated*: z6)3 /as J\JAB03497.7 r'. r 1098,3497AJR , EXHIBIT "A" DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL l.: PARCEL 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TIPSOO PEAK SUBDIVISION", WHICH MAP.WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 16, 1987, IN BOOK 104 OF MAPS., AT PAGE(S) 86 AND 87. APN 061-350-052--000 PARCEL II: A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT OVER PARCELS 1, 2, 3,- 5 AND 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TIPSOO PEAK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 16, 1987, IN BOOK 104 OF MAPS, AT PAGE (S) 86 AND 87. J\JAEs03497.7 10u83497AJR STATE OF CALIFORNIA ) SS C0bNTY OF On before me, ��c � (��.�. --' perscna12y appeared AND EW J. JABORSKI , and CATHLEEN E. JABO SKI, reran ^' 1rr+nc ,ri1 n +,ia (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on the instrument,the persons, or the entity upon behalf of which the persons acted,'executed the instrument. WITNESS my hand and official seal. RALPH . P. DAY • Comm. A 1336556 rn N NOT PUBLIC.CAUFORRIA N Sen BemerCmo County My Eounm: ExFkee Qee 27, SOB J\JAB03497.7 SITE PLAN REVIEW APPLICATION Date:F3 . , 02vrs6 AP# 66 l ' �S�U - o S72 Permit Number (if applicable) Bin Number'' �2 APPLICANT INFORMATION �/Parcel Size: Owners Name: � � 6-dq</ A^1 opc Lo Owners Address: Telephone No.: Site Address: jof4w lea • �,G i Proposed Use: Zone: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building' ❑ Other: Brief Explanation/Issue: GP: A -k ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form— DEVELOPMENT SERVICES INFORMATION (For Staff Use) MI Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date *06. 1, q-,&0 1 V r 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: X • 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: it -;5-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 0• Side 36 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: ❑ 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: ow Lot: jam► K Book: Page: - $ 3 ti 4 Q �eQ e �Wi W P� yQa�i4,� �A4b� ti CVQQ�v � �bQCQ� o 41.CCii` Q. e �Q h cACC�yyW��2 g�4Ct T �ieW��W e V � QVC • ee�c�� , c W� a WheQQW d Q� C� �' CQo�WQ d �Q'ti V �M?v W e 3.� o e 3Wo Cg oc Q6W W�.e Q We�CC?� s. C�W �v�r Q �eQ e �Wi W P� yQa�i4,� �A4b� ti CVQQ�v � �bQCQ� o 41.CCii` Q. e �Q h cACC�yyW��2 g�4Ct T �ieW��W e V � QVC • ee�c�� , c W� a WheQQW d Q� C� �' CQo�WQ d �Q'ti V �M?v `a erste E N J w Q Q , � Sq NM •ik iWS)k �a1.se •arm ��,�' .s� v Q �ji bWee, lJ W I C e8 � OO W rn A �VN a °CA NOTES RESIDENTIAL � 2 U61=350-05 u5-us�a PERMIT NO. � JABORSKI, -ANDREW TIPSOO PEAK RD, BERRY CREEK Cont: OWNER NEW SINGLE FAMILY SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 16. Insulation 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 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 G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 23. Fire Sprinkler; Test Stairs & Rails 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 74. 24. Fixture & Transformer Clearance -Ins. Protection 75. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 76. 26. Size Boxes & No. of Conductors Stapled - 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb.; Elec. & Mech. Equip. Listed for Location 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Insulation -Foam -Looked in Attic 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Guard Rails & Deck Construction -Post Caps 32. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 33. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 34. Clothes Closet Light -Shower Light -Spa Light Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 35. Smoke Detector Stucco Brown -Finish 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 88. 36. A.C. Ducts Insulation & Support 89. 37. Vent Fan, Exhaust above insulation 90. 38. Condensate Drain & Overflow, Size & Grade 91. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 92. 40. Attic Access & Platform if Furnace in Attic Date Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 96. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size &'Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test-Wrap; -/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1