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061-460-007
elt BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO53191 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/01/2006 APN: 061-460-007-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 6DAA wr, Site Address: B E KENRIDGE CT BCK Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF (16770 GAR (480) COV (39) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ZEIER DOUGLAS AND LINDA to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of GILBERT, JACK AND JUDY the Contractor's State License Law (Chapter 9 commencing with Section 1064 VENTURA ST 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any RICHMOND, CA 94805 violation of Section 7031.5 by any applicant for a permit subjects the 510-236-0240 applicant to a civil penalty of not more than five hundred dollars ($500).):, I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: ,The Contractors', State License Law does not apply to -,an, Applicant: ZEIER, DOUGLAS AND -LINDA owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, GILBERT JACK AND JUDY , provided that such improvements are not intended or offered for 1064 VENTURA ST sale. If however, the building or improvements are sold within one RICHMOND, CA 94805 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 510-236-0240 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property.who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owne WORKERS' d_ONFtNSATidt4tECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect:,, ❑ I have and will maintain workers' compensation insurance, as Engineer! AUSMUS ENGINEERING g required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 2196 S.F. Policy #: Valuation: $121,149.00 ❑ I certify that in the performance of the work for which this permit.is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' 1 ll compensation provisions of Section 3700 of the Labor Code, I shall ,L forthwith comply with those provisions. �(� 12-5-05 Date: - Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost oft j- (`7 -OG compensation, damages as, provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY r This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the. Resolutions to do work indi aced above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) IDate: . V Name: By: I - Or7 PERMIT EXPIRES ON: U Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives County to enter upon the above mentioned property for inspection purposes . /of/Butte v'�v Signature: Print Name: ��lA Date: r. Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 a 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER y n �— �42 ^Q., First Name Ct amejiJd U K�c.r \ Address lo(.,( VQ ncr� �r Ci [c k_ / c nci— State 05- 0 ';'36' E-mail i\n %I h, l _ )OL.t Name -7-DO 2^ - 8j l btr-i- Address laoq Uo_nfur) -_ -5-r Cityt�.. 1^c)/t nd— I StateCA Zipq Lj Phone s(u-a-3b-oJ-yo Fax,,;ly-2-3b-o��lo E-mail 'cam,_ Class APPLICANT N ME Nam (- Addres city 'RCgM0 �jStat tA- Zip Cq u05 _d Pslo 23 (o 0a-4 0 Fax S LO & b _ 73--3 .� E-mail n _ APPLICANT SIGNATURE For office use op ly: Zoning Flood Zone I SRA I ys=:�j No Type Const. Subdivision Name Map Book I Page Lot # Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# 1 `- — v l PERMIT o5, -bl° BP BIN # etmz Cron` `Street k0D me pit/ Q WORKER'S COMPENSATION - Policy Number .,A /,j Carrier —1f hiring anyone other than license contractors, a certificate of worker's I compensation must be shown at the time of permit issuance. LENDING AGENCY Name n Address Description or Scope of Work: eu) ' l; I P, PL'M i /(/ I Sq. Footage 1&-T7 490/:,3;—,j , ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Vj Receipt #: Date: Amount I tP Bldg a� I SRA Sheriff SMIP `E' ( Total SUBMIT'T'AL REQUIREMENT'S 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 ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the prepares. NO GRAPHPAPER! ❑ 2. . 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculal?ion3 4'�ta : J ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5...-`"2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) * r 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SKEET OWNER:W `(_ ASSESSOR PARCEL NUMBER V`(/ + ' d 6 0 Proposed Building Use: Permit Technician: Date: 5 OS Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord r to apply. 'I. 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. d. Engineered truss details and layouts in duplicate. No faxesl Letter from Engineer or Architect for truss design review. •V 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs ri triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form T 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other nirKj items needed to issue the permit. (May require additional onal plan review upon receipt of the following hems.) I .anitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable ElFireSprinklers............................................................................................ ❑ 16: Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by { ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ Erosion Control Plan Required........................................................................ "19. ees as shown on the attached Schedule of Fees Due Sheet .............................. El 0: City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the Ci"f Biggs .......... ..... ,........ 22. California Department of Forestry plan approval 0 -paid. Sent by: 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check:.... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... rb26. NPDES Form............................................................................................. l� f 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification).......:........... ❑ .'29. Worker's Compensation Carrier and Policy Number .......................................... 1-9 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... / 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. C3"'. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction .................................... .... .................. .................. .............. El 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: F ❑ 37: Other: 5»'a3� ' oyc� �' �`��` When iss;�ed Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applican , �0�.�� Date:ZZZ 1. Index permit ap4,er, fpM a abo ite s mbere • Plan Check Letter 2. Additional items Contractor, design as dvi d ab a ata by on El mail, ❑counter, by Date: Contractor, designwas advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: D Plans approved by: Date: 12 d �- Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO: FROM: E. y Plot Plan Attached Floor Plan Attached Sent to BD/DS Building Division - Development Services C Y Environmental Health SUBJECT: Sanitation Clearance TA. Z.a- /D8 BI Aec+, RVAS -007 Own6r ALocation AP# Plan Approved for: Sewage Disposal: Water Supply: Public . Private Well X Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: s,MiM- E vironmental Heal h Specialist Dat Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner ZEIER, LINDA AND DOUG APN No: 61-460-007 Application Date 12/5/2005 Permit No: BP 5-3191 RECEIPT DATE Tech/Asst 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,642.39 1585.43I'17.6�A T" . Plan Check portion of Permit Fee $1,056.96 2 FEMAYes Flood Elevation Review $109.98 0 3 SRA* X Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $1,151.96 RECEIPTTech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,261.94 4 � 12's K Karen 4 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $12.11. 1 5 Additional Plan Check Fees (NON-REFUNDABLE) 6 Other*: 6a Other*: FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 7 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 2/14/05 u SFD MFD ,, MH County 1 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.53 675-70-81 7633.49 �c 0 R-1 8031.53 6850.08 7726.49 do R-2 7541.531 6360.081 7236.49 R-3 6780.531 5599.081 6475.49 RECEIPT DATE Tech/Asst $4,196.87 17,X ` V Processing Fee is automatically added to impact fee total 1 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 8 DRAINAGE FEES* 9 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 773 Big Chico Creek $6,596 RECEIPT DATE Tech/Asst 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works 9a Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $652 Maximum 10 Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling $130 At time of building permit 10a $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 11 SCHOOL DISTRICT FEES* I Droville High/Pioneer 101 i 0714 td } i 71 11a RECREATION DISTRICT FEES* orovlle 1)17/& At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applica : Date: A? Pursuant to Government code Section 6602e7lbu are hereby notified those Items followed by an " " may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105 LM95WN� Civil Engineering and Design PO Box 5115 Chico, CA 95927 (530) 521-2648 eda@ausmusengineering.com TRUSS CONCURRENCE LETTER December 5, 2005 Ausmus Engineering has reviewed the Truss Calculations provided and approved by: Endeavor Homes Oroville, CA 95966 Dated: loo The truss calculations were used in conjunction with the structural design for single story residence named: Gilbert Residence %, ;4 er' P.E. Ausmus Engineering Page l of 1 C:\Documents and Settings\Darren Diver\Local Settings\Temporary Internet Files\Content.IE5\OD2RSXEV\Truss [2] . doc 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 and material for construction of this proposed property improvement: YES [] NO [ ]. 2. I HAVE [<] HAVE NOT [ ) 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: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 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: n 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: �� S 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 ADMINISTRATION * BUILDING' GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious 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 confine 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. Department of Public Works LAND DEVELOPMENT DlViSION e ).'Michael Crump. Director. Storm Water Management Program 7 C6unty Center Drive Oroviile, CA 95965 A �5 (530) 538-7266 UC WOF (FAX) 538-7171 NationalPollutant Discharge EliminationSystem (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pi�llution .Preven#ion Plan (SWPPP) Acknowledgement BLESS THAN. ACRE Project Description* tion: j P Project Location andlor Parcel Number: g� &6 By signing below, I, the project owner/owner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit fom the State of California Regional Water Quality Control Board. Phased projects that contain but when combined with subsequent phases total more multiple site build -outs of less than one acre 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 fora Construction Storm Water Permit from the State of California Regional Water Quality Control Board for project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County. Department- o.f-Developinent- S'er wCes 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (5301538.7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 9 I need to submit applications for septic and/or well to Butte County Environmental Health - immediately. ®- I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. ® I am responsible. for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process,' as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or r uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: badQ Zde r Building site address: too Bad &Xg= �t%I „H 6lo (466 o07 Permit No.: I have' read, .understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: Z SIGNATURE�09 APPLICANT DATE SITE PLAN REVIEW APPLICATION Date: tJYG. 2 1. - Zlv r AP# pGl �lGd 067 Permit Number (if applicable) Bin Number OR 2 APPLICANT INFORMATION Parcel Size: Owners Name: 6GA 2 iztz e Owners Address: Telephone No.: Site Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) i] Temporary Travel Trailer ] Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑. Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: lam_ GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date �Z ? 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: 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: L4 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: 7 s Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 742, . Side Side Street Rear S 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: 7 s 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: Prt�_� c (t (q 7� Lot: Book: 7 3 Page: 2 3 314 /. P /N MOR NOTETHERE /S NO EVIDENCE OF DOM£ST/C //4 CORNER SECTION 29 _ L 3625 WATER AVAILABLE 2 I/2"8C LS3625 - 3 29 - • / SB8'55'39" A08 64589 299 _.. /322.95 -- `\ ... /32294 • 9 ` CW /// 6 CORNER NPrf GXMf rJ .YIYbBOfO ,w B•C Cld o.l LK0J9 - y o ROAD ALIGNMENT C DATA o P dc) d.c s9s vwY a//!tr rN/J �m�cer E 6d RIGHT OF WAY °a q COURSE DATA 40.74 AC. N59'/6'/O"W /4/.07 „� Q N r r 4058 AC. BLOOMER HILL \ n - SCALE' )' ^ 200' © ROAD � p O N.59 -16'10"W /676-9 �X 6p NP" LOCATION MAP © O=66°4459" Ra/20 L=/39.80 I �.\ ��\ 58912/'08"W /3.34 NTS 4=42°04.59" R=/20 L: 68./4 SW //16 IX?v?/ER NB8'42'30'W !2/27/..41 2 SECT/aV 29 ...: //2" /.P L529O7 - d =34'e'ij06" R=/20 L=719/ /355.A N22'26'/5'W 26588 v /32570 4Lli/O r.:•=.. -.� tee: -. r,...'• _ - 67785 \ 7 53. r. pi B \�, 67787 5 5 ///6 CORNER o`er =© Y B SIS OF BEAR/NG N 50'85L. J -"I i I �1 �, m THE BAS/S a, Bvmmo FOR THIS SURVEY /S TH£ SOU7H TOTAL Q OA7A �.' g s i I i .4 LINE OF THE SOUTH WEST //4 CF SECT/OV 29, T2/N, R5E, MOM, PER BOCK 63 a- MAPS PAGE 32, TAKEN AS = d=/43'/0'04" m q m IV W'2959"W. R=12000 ,n #, aI i h _ PARCEL / '9 038 RCEL 2 o L=299.85 ry eb /0.36 AC I / AC. p �r• O A{7JRA 60• NON-EXC..[.0!"VEFKBL� k 2 $ x EAREWANV var�I+EsIC LEGEND 'C. £GRE70 SE Fav PueUc uncm. :j AM) 70 B£ RESERVED /NOEEOS, S . 2 N AND THE 001#VTY OF lS HEREBY OFFEA£D Fav • FO[AD POINT AS INDICATED i OEDIC.AT/ 70 e„rn-.. .r SET 3/4"1 P. LS3625 68604 - JO CALaLATEO POINT ONLY 68665 - 1 (M) MEASURED DATA S6B'36%O E 3 . ' /37209 - (Rl BK 63 OF MAPS PC 32 `50.B -SL o_ i - v PARCEL d PARCEL 4 b /049 AC 1050 AG Qa OLP. P 11VTED YELLOW ` • BE/NG THE SOUTH EAST //4 OF THE SOUTH 1l -p WEST I/4 OF SECTION 29, T2/N, R5E, M.DM., MINTEO.YELLOW LYING /N THE UNINCORPORATED AREA OF 3/ /38849 69424 \ _ 6Y4.00 2.9 BUTTE COUNTY, CALIFORNIAW V16 COWER . 32 / NBB°29'59"WYMBR/2�76:.acca�.:: �r_'.. 32 FOR JIM HAVLENA NO 7f s dN 4X.9/04V/TOA OWNE?SN/P /S 9E/NG CONCU??ENTLY RECOROEO IN THE OFF/CE OF THE OUTTE CAUNTr QKw?ER UNDER SE?/dL NUMOE17 SvRVEYORY' CEQT/F/LATE COVAITY W&VEYOQY CERT/F/Cd7E RECORDERS ERT .-m4 F� WIS MOP WJS A?EPAREO NY AIEOPUNOFRMrO/RECT/ON dNO TR/5 MdP C0.VfORMS N/TN TRE ?ECU/REMfNJS OF We SUR- P/LEO Tu/ dY LK :97y 47 M. ENGFN£E?FN6 /S Rd SEO UPoNdF/E[O SU?UEY IN CO,VFORMdNCf W/)u JUE REOU//AF• 7/VIS/ON MdPdCT 4NO LOCAL OPO/NONCE. /)COR _ MAPS, dJ Pd555 Jr JNE REQUEST OF WozolIC104 SURUEYFNG MfN75 Of ME SU9O/V/S/ON"JR "74 dJ 7l/F Of ✓1M NAKENA el� L MANN/NG ON DECEMBER /478 , /uEPERY 5747E JN M4PAR7CFOUPES THE 60' NOV•EXCLUS/V£ EASEMENT aFFFR£D Fav p£O/GAT/ON Of JNE [OCAL dGENCY udYE REfN COMPC/f 7u/S PO.PCE[MgP /S NOT ACCEPTED AT TH/S 7/ME. CL ARK A. NfL sa �p tHCyr�'/F IyR�/ L+1Vw".4 TO 7REdAo.RJVf0 TEN147/VE E /oNs afdPP• '�7 ,�/ s7N4 ROV4C TNERFOF /Yu/C/JWfRFPR7///REO UCFCC 1O TF/E DATED: B -'z �' 19 cwNTr RECORDER N[/NG Of TOE Pd?CfL l.1dR J MIF, LYIdAPYM MlYS CLdY Cd 515 ERERAY PCE 14??d OFPUTY SSOC/4 TE5 WILL/A GEDO 3625 Couv)y suavFroR SHEET / a� / 9/EET 76-/47 P Op O?CAI�t BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORINT FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s)l^n r CDl )` Building Permit Number Q 5 -SI Property Owner (s)� I hF'rl �1 � 2_ t I £r Project Location /Address(1 f �E �e(li K(�PJ�rtl r� �` Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Sz Single Family -Detached Single. Family -Attached Alteration/Addition(s) Non -Residential to Residential Mobile home Demo Permit (date issued Comments: Mobile home replacement _17- Bu IdinR Department presentative Date Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD ❑ CARD 0 PRPD ❑ DRPD. certifies that: G'4e(t 1- 2e4a,(- SIU- Z 3 (, —0 a, Applicant Name Phone Number jOceq UQnhr& ST, _k" &L ' C/� os— Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: per unit for a total of $ ioyo .00 per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No f ecreation and Park District Representative , Date 'TRA 101-0 BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District �/ " .. H Building Departm t No. A.P. Number o W - g n - Jurisdiction: Q City County Property Owner C71' 4 Pf I -7-t 1 f -r. Property Location/Address Black Ben r ed tie r ry CrPt K Subdivision Lot No. Residential Development Q s Q Q Sq. Footage ice r No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Pefrnit # *(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial 0 New Addition Sq. Footage (Including Exterior Roofed Areas) -1-7-nr Date 60152 D' tract Identification o. ,} School District certifies that (Applicant) (Street Address) _ (Phone Number) (City) U (State) (Zip Code) has complied with the requirements of Resolution No. by payment: of $ r6presenfing 4497 square feet. B 2926 $ ULL MITIGATION f �D t'o School District Representative Date Paid by Check # Remarks: Notice: You may protest the Imposition of the tees Identified above by subndtting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wiltten protest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cw Mcodon Form, the School District Is notMed by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school districts schools. White (school district), Yellow (building department), Pink (applicant). feetam.xis (3M5Wnm �l AND WHEN RECORDED MAIL TO- BUTTE O: BUT E COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 9S%5 1--007 2006-0003840 Recorded I REC FEE 7.88 Official Records I County of I COPIES 2.09 Butte I COIEORKED COPY 1.88 CRNDRfE J. ems I County Clerk-Recorderl I I KL 89:8M 25 -Jan -M I page 1 of 1 11111111111111111111 U 1111111 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of, agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PAPCC-i P,4g(G.. 1, As 6Row.o on Tw*r car4mj �tauc�,vr�np,�c-�;cc�o w � or rad `of,r�cc Jccoce ,,u or- 'rub' 66[w"t Of 60% 16-m a of CAU"W-106 6 ah+ A ".r ZAP, IV? 'i,U, A"M 93 0 ►ri4PS P AeGb. Ti if tidy c-%�cws�+ t�.c�3u� G�ASfy►tcur w� INy�s E;�.l-c R 'rot i�S"c. U,il'�.+rr2S UU L'�L ' �'.,O Cpl �, /4S 5K f&,1J • I ,d i!'r OA1l C EL WtM9J Cp+W C -O !� 2Ctio�o�i'�' C>f'Pc c 'Of' flnT 1./t l a.Fo4Z « , A0 A.tt.6 V%1' Zd� IftV - 66 a4 1 j o P ~S *or 100" � Z Date 1.4;1, �n f ly, -axk O�u p `r . `-, State of California ph ' ) County of �F ) On IZ7*yif A;' /y 1000 before me, 04`zC. a wf-,094 4 •..moor personally appeared 40,ae, I ,fs y4,�E 2 •1F2--T,v.A- t Jmewo-to-we(or proved tome on the basis of 'satisfactory evidence) to be the rson(s) whose name(s)Jdare subscribed to the within instrument and acknowledged to me that•hflslre/tbey executed the same inJdWier/their authorized capacity(ies), and that by4rtQer/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. FSDc NINCINA C/'"fes / Conunggon O 181f0 Signature_ _ Beak � Notary R - CoEtomlo A.P. o 6/ - 40 -DD7 �f 07 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE. CA 9S%5 2006-0003840 Recorded I REC FEE 7,06 Official Records I County of I COPIES 2.06 But 1 CNORIIEd COPY 1.08 CRNM J. 6'Ri s 1 County Clerk-Recorderl I - I NL MOM 25 -Jan -x886 I page 1 of 1 ILII N!!Il l�glll�I ll�l�lllfll AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: TAi2. GL 1 PA12t:C4, i As 'Worm on Tu,,rr.car41N paucE. AAP -Rc- uoeo hu ;kF•or FJ or-rt-fc 16wca.ovu or- Tutt c tpll( Of 60M 1,5 -Ale OF cA"fv44.,k, cP /wlusr x% 1117? ,io, beat 93 of m"S 141 p jc Z• ygtp No 0(01,4b0-iioy if AMA) G-Y[Lus� JOU,1LIC, 644CfflCJX V- hAJJ tc'S5��.ftFsS /4 i LXX ' Vjg� �t`�>Zt c df, t% 5K tAWIJ JA) **f Pft LE(. ry *0 pxCVA oC-0 pure ► uFow t A , .o,L) Ar" u%r ,1414 -• Ke ax. 11 o r- WO S Date 1A,IIgAn f ly,.aaoy, *DpPERrTY pt_f t .. State of California County of On 1%L.f before me, rot KL&u. L ML4' 5 1A ft&. o -Y6 vf�s r D F *Ir 104JW lbert nAu_ ZJZ2t *-Y' personally appeared av .fs yLi:v zc•�trL - .T,ac.� aa' ./6cxT Jmwe-1!m we proved to me on the basis of satisfactory evidence) to be the rson(s) whose name(sWare subscribed to the within instrument and acknowledged to me tbaWrISMehbey executed the same iaJdWierhheir authorized capacity(ies), and that byNtheir 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. t�EtAt MNOFAA CDMdon:# 1882980 Signature Seal: Notary Rabb - caltiomb A.P. # 61- 46D -007 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I REC FEE Official Records I County of I COPIES 2.88 But I CONFORMED COPY 1.00 OUNCE J. GRUBBS I County Clerk-Recorderl I I KL 09:0M 25 -Jan -2086 I Page 1 of 1 7.08 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: I14(2C�� i i��riGG-I- I, As '7kow;n M THAT C6tr4)AJ rlic— or-rl(-G 7 Rct�2ac l or_ 'fkr dAA.0t 6r-6UTtE � 671q—,C-of Cain -un crlA , l�i� Atcr�uSr ��P, 19�f 111). /Saov 13 or- rnapS Or pAAa -l- " mb OW -4(-0-007 io'At6L, 0 '- A tiu.J C-116LLZIUE ►9uSu(- 0141,fMCWr oL)x *6tR4r- Na(646 a A� Date 1A,va f Y,.2,70P SKOWIJ 6A) �Y#r P4X8EL WW 94�CO&OC-o .o 0 A-tL6 L<s' Zy, 1419 1166 vt6 i1 o r- wAp 5 State of California 4. to ' County of CL 'i'r Foe 1°uALC, Lt,ri'L4TI(S J)J a�&"-.AeY6 OFFt'� 6F *q- V4'2(�6) Z• On JA -,O -,f fZY /5� Z ad G before me, personally appeared a&./,Ps rGi:v ,q 74.1 et - �'C'k hate% -n to-me(or proved to me on the basis of satisfactory evidence) to be the erson(s) whose name(s),io/are subscribed to the within instrument and acknowledged to me that-kfJ&he/they executed the same in4n&4her/their authorized capacity(ies), and that by4dOW/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. FEW MAYORGA COMMWIon # 1682986 Signature C/ - Seal: Notary Public - Calftmla Alameda County �� J �� D /1 / o O � My Comm. Exp May 28, 2009 A.P. 4 ` 1� Sw 1. {� ��`ti...•l7{tw��y,.+� t��Pr7�'A� Xi:�•i .:rr Y luoJ Dr mtl{i. r AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE; CA 95965 ,gyp, , COPY of Docutaent Recorded 25 -Jan -2006 .2M -@M84@ Has not been compared vitt, original BUTTE COUNTY COUNTY AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT " FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building . permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural ch-ornicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural -operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: P,4{2cc4_ 11 Ai .,kown o4 T)4.,,r car M)Aj ��accEs vn,�rp � �2<<�,coro t u i kC- cr-f1 c6' vr- "ri tr Cu> oGi1. 0r (1A(� Co(u�1� k< bUTI-G_c5"%lgic Or CRLct-�2ti=).Ec Uri P 'L � j 07(iii,U, 4604 13 OFi11/kPS >' � Z• .No OW -4i10-00'' P At C-(- 0 '- w2 l;u,` i2css c�,ai:5s #4,,:> k2 louse.,(: i t n'c.1rZ ji JVdAl C- GL"JJ; l;'j1/SLIG LA`i4lKc t3T 1 `�- UULSC 'VJlrri�•—VN;211N{G a.M 5Kvuwl-) '-'A) ��f19'f Qft,� EL iMtcn^. S }'Jr Cwr' Lv l�uf e �jigwTlj , „i#Ur-,�At,J:A , 0 hjs.L�5, 2-q, tg1q - Kc���;L 7"� �4' �°q`i Date .%A•vaAn v, iy, -2Xy " State of California County of ' '' before me, --: c personally appeared e z, /,,_�,- .lmewfl-�(or proved to me on the basis of satisfactory evidence) to be the erson(s) whose name(s)js/are subscribed to the within instrument and acknowledged to me that-hlV&he/they executed the same in4d.Wwr/their authorized capacity(ies), and that by4d9l ter/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. FEUXMAYORGA Commmlon # 1582980 Signature Seal:.m Notary PuNic - CaNfomla Alameda County J ,1 My Comm. Exi*es May 28, 2009 Y A.P. 4 �I D --d J 7 �kJTr o 0 DEC 2 s- 2005 OEC 14 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION **PLEASE PRINT CLEARLY** PERMIT NO. 6%�). BP BIN # 4 , CDF FIRE SAFE'REQUIREMENTS AP# 061460-007 PERMIT # 05-3191 NAME: Gilbert Under authority of Public Resources. Code Sec. 4290, the following checked items are required by'the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. (X] 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. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall. be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. ' [X] Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider on each end than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. C Fol F F I R E Is 10 Q U I R E M E N T S Addressing Pq All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke,. retlectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. 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. [X] 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. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for , the same practical effect. See "Other Requirements below. [Xj 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 [X], If your property was part of a parcel split after 1991, you may be required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Fully enclosed eaves [ J' If Building Setback is Less Than 15 Feet: ✓ Class A roof with fully 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 i setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal ] No Additional Requirements 12/28/2005 Darren Read Date Signature c up F Is E Q U I R E M E N T S =N' CDF FIRE SAFE'REQUIREMENTS AP# 061-460-007 PERMIT # 05-3191 NAME: Gilbert I C Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards 1 [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] 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. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. R Driveway Radius E [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert'water shall be not less than 100 feet radius. [X] Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [Xl 0 1. Gate entrances shall be at least two feet wider on each end than the roadway they serve. 2: The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Q U I R E M E N T S 47 Addressing [X] All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shallbe a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. 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. [X] 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. [ ] 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 [X] If your property was part of a parcel split after 1991, you may be required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 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Of% Assessor's Parcel Number E T-1 IT] R] 191 F21 ❑- M F5_1 EScale: 1 ov acL Ielay Rber� , bak -r bou4 -,_1 a 4 o� c Owner Name I Address/ Phone No. )D44"Vgnfltf'a '9f, Ychmond' MT Site Location log )31cv-LI r,Ie4r Rd- , De(rq Creel, Ntr4t� IA 9sq I (,a Contact: Name JLktq &[Lv+l 'NUA_-kiec Phone ;j0_Abq_51uq or Octaba 22,2003 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: vt a ,_n„ v.. v -7" 14'-7 2'-2j„ 7'-31" 7'-9„ I CNC. PAD L=4'r _ _ 8068 SL GL. DR. L=4_ r _ 50 0 SL ! 0 yy00 TEMP. P STOVi ®' I INSTALL BY ER N AN. SPECS. L S V.T.O. O Jn zm LJ_ 0 0 II T z1 _ O i oQ -AL-T- 1@7'" 804 SL — L=2 -8 w0 N .I =X X M M s (D I O En N X O ' I. N Io� L=4' I V I I j I, m A 206800 '-0" COV. I 0 x ©I - I ( CONCRETE I 00 L=FULLI PANTRY REF ( PORCH �. 3068 C. (©� E�. N SELF CL SER IL=4-&x1 2- DFo_ d' I ; L=4' �3 �+ �� 604 SL 604 SL �� r w.H. I � . VTO JFu L ASHER L=FULL =2'-8" L=2'-8" 18 PLAT Riv� I DRYER11 I �(54 I L V.T.O� I _ _ STEP AS REQUIRED BY SITE CONDITION CONIC PAd 18" MAX RISE 3068 SC 5/8 GYP BD ENTIRE 18 WALL FROM FLOOR TO 4 BOTTOM OF ROOF SHEATING '_8" '-0" -10" -4" 10'-8j" 2'-7" 12'-2j" ge '-6" w 25'-6" APPROVED o N Butte County Environmental Health I L=4 �.J r r 41X12 DF #2 HEADER CONTINUOUS 0/ WING WALLS G GARAGE _ WALL DETAIL GENERAL -NOTES 1. ALL LUMBER TO BIE DOUG FIR OR HEM FIR #2 AND BETTER, STUDS TO BE STUD GRADE OR BETTER, UINLESS OTHERWISE NOTED 2. ALL HEADERS TO 63E 6X12 UNLESS OTHERWISE NOTED 3. ALL CEILINGS TO SIE 8'-0 UNLESS OTHERWISE NOTED 4. PROVIDE 18"x24" F=OUNDATION ACCESS AT EXTERIOR WITHIN 20'-0" OF PLIUMBING CLEANOUT 5. PROVIDE OPENING .AS REQUIRED AND CONCRETE SLAB FOR H.V.A.C. 6. INSULATE AT TUB AND SHOWER EXTERIOR WALLS BEFORE NAILING UP SIDING 7. SEE TITS SHEET FOR 'ADDITIONAL NOTES 8. PROVIDE P.T. VALVFE DISCHARGE LINE TO OUTSIDE & ANCHOR STRAPS TOP & BOTTOM AT WATER HEATER 9. BLOCK FOR TOWEL BARS 10. WINDOW AND SLIDING GLASS DOOR OPENINGS ARE PER CALL -'OUT. DOOR OPENINGS ARE (^,ALL-OUT PLUS 2". 11. SHOWER AND TUBVSHOWER COMBINATIONS SHALL BE PROVIDED WITH INDIVIDUAL CONT ROL VALVES OF THE PRESSURE BALANCE OR THE THERMOSTATIC MIXING VALVE TYPE AS PER CPC SECTION 420.0. BRACED WALL LEGEND BP MINIMUM 3/8" APA RATED PLYWOOD APPLIED OVER 2X FRAMING AT 16" O.C. � WITH 8d (0.113 X 2 3/8") NAILS AT 6" ON CENTER EDGE NAILED, 12" ON CENTER FIELC) NAILED, COVERING 3 STUD SPACES. Y' FLOOR PLATE NAILED WITH 16d NAILS AT 12" ON CENTER. 0 a ,_n„ v.. v -7" 14'-7 2'-2j„ 7'-31" 7'-9„ I CNC. PAD L=4'r _ _ 8068 SL GL. DR. L=4_ r _ 50 0 SL ! 0 yy00 TEMP. P STOVi ®' I INSTALL BY ER N AN. SPECS. L S V.T.O. O Jn zm LJ_ 0 0 II T z1 _ O i oQ -AL-T- 1@7'" 804 SL — L=2 -8 w0 N .I =X X M M s (D I O En N X O ' I. N Io� L=4' I V I I j I, m A 206800 '-0" COV. I 0 x ©I - I ( CONCRETE I 00 L=FULLI PANTRY REF ( PORCH �. 3068 C. (©� E�. N SELF CL SER IL=4-&x1 2- DFo_ d' I ; L=4' �3 �+ �� 604 SL 604 SL �� r w.H. I � . VTO JFu L ASHER L=FULL =2'-8" L=2'-8" 18 PLAT Riv� I DRYER11 I �(54 I L V.T.O� I _ _ STEP AS REQUIRED BY SITE CONDITION CONIC PAd 18" MAX RISE 3068 SC 5/8 GYP BD ENTIRE 18 WALL FROM FLOOR TO 4 BOTTOM OF ROOF SHEATING '_8" '-0" -10" -4" 10'-8j" 2'-7" 12'-2j" ge '-6" w 25'-6" APPROVED o N Butte County Environmental Health I L=4 �.J r r 41X12 DF #2 HEADER CONTINUOUS 0/ WING WALLS G GARAGE _ WALL DETAIL GENERAL -NOTES 1. ALL LUMBER TO BIE DOUG FIR OR HEM FIR #2 AND BETTER, STUDS TO BE STUD GRADE OR BETTER, UINLESS OTHERWISE NOTED 2. ALL HEADERS TO 63E 6X12 UNLESS OTHERWISE NOTED 3. ALL CEILINGS TO SIE 8'-0 UNLESS OTHERWISE NOTED 4. PROVIDE 18"x24" F=OUNDATION ACCESS AT EXTERIOR WITHIN 20'-0" OF PLIUMBING CLEANOUT 5. PROVIDE OPENING .AS REQUIRED AND CONCRETE SLAB FOR H.V.A.C. 6. INSULATE AT TUB AND SHOWER EXTERIOR WALLS BEFORE NAILING UP SIDING 7. SEE TITS SHEET FOR 'ADDITIONAL NOTES 8. PROVIDE P.T. VALVFE DISCHARGE LINE TO OUTSIDE & ANCHOR STRAPS TOP & BOTTOM AT WATER HEATER 9. BLOCK FOR TOWEL BARS 10. WINDOW AND SLIDING GLASS DOOR OPENINGS ARE PER CALL -'OUT. DOOR OPENINGS ARE (^,ALL-OUT PLUS 2". 11. SHOWER AND TUBVSHOWER COMBINATIONS SHALL BE PROVIDED WITH INDIVIDUAL CONT ROL VALVES OF THE PRESSURE BALANCE OR THE THERMOSTATIC MIXING VALVE TYPE AS PER CPC SECTION 420.0. BRACED WALL LEGEND / —DBL TOP > 1' AT GARAGE FR NT FASTRAPS 20'-0" �- I_ ENUIRONMENI'AL HEAL 2. 3/8" PLYWOOD W/ SEARWALL NAILING DEC - 5 2005 4' EDGE 12" FIELD 7 COUNTY CENTER DRIVE 3. 4X MIN POST 5 g 4. "SIMP�,ON" STHD10(RJ HOLDOWN FL010R, P 1-1/2 MIN. EDGE DI�TANCE x OR -- °1 Q PHD2 SCALE: 1/4"=1 -O" W/ SSTB16 MONO POUR) SST8 ssre2o (Two POA ) HOUSE:1677 SQ. FT. GARAGE: 480 "r 5 RAS NOTED ON PORCH: 39(D—A6. 2x BLKG. BETW. STUDS 2 7. 6" WIDE CURB AT GARAGE FRONT WALL 4 _ t*7 _ :. ♦• ,' 5 G G�A1f AGS VML DIMM Y I BP MINIMUM 3/8" APA RATED PLYWOOD APPLIED OVER 2X FRAMING AT 16" O.C. � WITH 8d (0.113 X 2 3/8") NAILS AT 6" ON CENTER EDGE NAILED, 12" ON CENTER FIELC) NAILED, COVERING 3 STUD SPACES. W FLOOR PLATE NAILED WITH 16d NAILS AT 12" ON CENTER. 0 ALT. MINIMUM 3/8" APA RATED PLYWOOD,CC, CD, WITH 8d(0.113X2 3/8") BP NAILS AT 6" O.C. EDGE NAILED, 12" O.C. FIELD NAILED ON 2X DOUGLAS FIR FRAMING AT 16" O.C. COVERING A MINIMUM OF THREE � STUD SPACES. TVVO 1/2" DIA. ANCHOR BOLTS SHALL BE INSTALLED IN ACCORDANCE WITIH UBC 1806.6. ANCHOR BOLTS SHALL BE PLACED Oj 0 AT PANEL QUARTER POINTS. EACH PANEL END STUD SHALL HAVE 'A HOLDOWN N CAPABLE OF PROVIDING AN UPLIFT CAOACITY OF 1800 POUNDS. O M 0 cV V BP -2 O MING WITH 2COO WA B PCENTER m COOLERGYPSUM 5d OR BOARD NAILS TK 7" ON MAXIMUM, I BP -3 5/8" TYPE X GYPSUM WALLBOARD , UNBLOCKED, APPLIED TO 2X FRAMING WITH 0 6d COOLER OR WALLBOARD NAILS AT 7" ON CENTER MAXIMUM. / —DBL TOP > 1' AT GARAGE FR NT FASTRAPS 20'-0" �- I_ ENUIRONMENI'AL HEAL 2. 3/8" PLYWOOD W/ SEARWALL NAILING DEC - 5 2005 4' EDGE 12" FIELD 7 COUNTY CENTER DRIVE 3. 4X MIN POST 5 g 4. "SIMP�,ON" STHD10(RJ HOLDOWN FL010R, P 1-1/2 MIN. EDGE DI�TANCE x OR -- °1 Q PHD2 SCALE: 1/4"=1 -O" W/ SSTB16 MONO POUR) SST8 ssre2o (Two POA ) HOUSE:1677 SQ. FT. GARAGE: 480 "r 5 RAS NOTED ON PORCH: 39(D—A6. 2x BLKG. BETW. STUDS 2 7. 6" WIDE CURB AT GARAGE FRONT WALL 4 _ t*7 _ :. ♦• ,' 5 G G�A1f AGS VML DIMM Y I LO CD � Li W 0) 0 Q O� � U 0 Q O M 0 cV V 0 m Z I I 0 a X O a tQ W > m L0 w Q� L r. W0- M M Q J m u U) z 0 C)o W O W * all � •• � Li 0 Q � U Q V w m w Z W M W LJ m C)o Q W m DRAWN BY, R.S. HUGHES CHECKED, BILL WICKLAS DATEi 10-17-5 SCALE, AUSMU5 z RING CIVIL ENGINEERING & PE5IGN PO BOX 5115 CHICO, CA 95927 (530) 521-2646 ��o QROE E:SS/pyq`F A- NO. 65286 * 09-30-2007 qjF pF A``� SHEET # 1 OF 6