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062-360-002
9 NN; NOTES RESIDENTIAL 062-360-002 1 PERMIT NO., -BAKER; PAUL. g7Z,BALD,ROCK RD; BERRY CREEK NEW SINGLE FAMILY } k r } 4 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. # FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY CONDITIONS, US�E_PEfl/�T-; - Sy OFFICE COPY 1 I Address i i GAS Meter By 41/y Dateoy 1 RIC eter y Address 7z - GAS Meter By Date_. E Metterer By Date( -J v �� JOB FINALED (Dat , t Signature J=OK 0 = Not OK . = Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements-Setbacks-Easements Date 2. Footings; Size-Spacing-Marriage Line 1. 3. Gas; MH Test-Demand-Valve-Connector 2. 4. Electricity; MH Test-Crossovers-Breakers-Clearances 3. 5. Drain; MH Test-Fall-Flex Connector 4. 6. Water; MH Test-Regulator-Connector 5. 7. Water and Sewer Connected-C/O to Grade-HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs-Type-Installation Cert. 8. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements-Setbacks-Easements Card B-1 Date Card B-1 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-Panelboards-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 = OK = Not OK = Not Applicable = Not Ready - Date UN22f LOOR (Plans) OK except #'s Zo ' g -Setbacks -Easements -Flood -Slope tg., 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. ,Wrs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation i RESIDENTIAL (Single & Duplex), 16. Insulation Dat D 3 Card B-1 4 VA t . Date Card B-1 Date f Card 1 Date Card B-1 Date PLU ING (Permit) OK except #'s 77. r Htr.; Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection 411- D.W.V.; T ittings & Anchor -Nail Protection qwqr Pan; Test, First Floor -Tub Access ub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors r nkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Z5!EI . Receptacles Spacing -Lights & Switches at Doors Size ,Boxes & No. of Conductors Stapled o x Installed Close to Edge of Studs & C.J. Ground made up w/Mech Fasteners -Bond Gas & Water 2 ADDliance Circuits in Kitchen & Conductor Size GFI ¢e /ga-Cu or AI-A.C. Wire Size/ /qa Cu or Al AT. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral O Yes 0 No ervice-Riser Conductors & Ground Main Disconnect 3 , earanc�Panels-Motors-Mech. Equip. ht -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH AL (Permit) OK except #'s A.C. Ducts Insulation & Support ent Fan, Exhaust above insulation 38 _ low, Size & Grade urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Rlatfarm ifftti Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing W. Draft Stop in Walls (rat proof) 5 e Stops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FIN tans OK except #'s . fixt. Steps -Door & Sidelight Protection -Landings moke Detector - QK Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting & Bath Fixtures & Tub Access -Spa 64. Elec. Trim & Subpanel, Breaker Sizes & Labels ,,7.0. stairs & Rails K. Fireplace r -Stove, Clearance -Hearth 72. El c. Oallets at Wood Panel, Int. & Ext. 7 . Kit. Fixt. & Appliance; Ground -Air -Crap -Cooking Clearance 34!2ec. Outlets & Receptacles at Kit. Counter K. Garage Fire Door; Swing -Landing -Closure 76. A.C. Du t.in Ga ge-Damper 77. Wt tr.; Ve s-Cle nce-C it Connector-P.R.V. i .Godg-e-Above 61 5 Mech. Protection F2-Elec. Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection -,8r Insulation -Foam -Looked in Attic Al- Guard Rails & Deck Construction -Post Caps !82'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under. Floor 0 Yes 83. Followin ./ ve e o Iks es O No/Planters 0 Yes o 84. StuccdBrow inish ,ktrA.C. Unit Disconnect, Elec is -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing Wr Exterior Elec. Trim, G.F.I. Receptacle -Underground OT Ventilation Throughout House Glass Protection 1045"Corrections from Previous Inspections .92�_Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval gy Compliance Certificate -Other Certificates 96. 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: Date FRAMING (Continued) . . angers -Post Caps -Anchors -Connectors ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Z49 --fireplace Ties or Type A Flue -Fireplace Throat Clearance bg-Affi-c Access; Size & Romex Protection -Draft Stop -Ins. Baffles 11--f0i•m. Windows or Exiting Doors -Sill Ht. & Dimensions . garage Fire Protection Framing -RC Channel roperty Line Firewall & Openings L54 --M. Doors -One 3' -Check Garage 3rd Story, 2 Exits eadroom-Rise-Run-Landing-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57 ;,d„ipg- Naili _Vg eer 5 ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic Nailing -Bolt flnnzw1 rac Interio for Wall nets 62. Insulation alts a gs 63. Infiltration- alts -Windows Date nc/ Card B-1 Date Card B-1 Date Card B -f Date Card B-1 Date FIN tans OK except #'s . fixt. Steps -Door & Sidelight Protection -Landings moke Detector - QK Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting & Bath Fixtures & Tub Access -Spa 64. Elec. Trim & Subpanel, Breaker Sizes & Labels ,,7.0. stairs & Rails K. Fireplace r -Stove, Clearance -Hearth 72. El c. Oallets at Wood Panel, Int. & Ext. 7 . Kit. Fixt. & Appliance; Ground -Air -Crap -Cooking Clearance 34!2ec. Outlets & Receptacles at Kit. Counter K. Garage Fire Door; Swing -Landing -Closure 76. A.C. Du t.in Ga ge-Damper 77. Wt tr.; Ve s-Cle nce-C it Connector-P.R.V. i .Godg-e-Above 61 5 Mech. Protection F2-Elec. Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection -,8r Insulation -Foam -Looked in Attic Al- Guard Rails & Deck Construction -Post Caps !82'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under. Floor 0 Yes 83. Followin ./ ve e o Iks es O No/Planters 0 Yes o 84. StuccdBrow inish ,ktrA.C. Unit Disconnect, Elec is -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing Wr Exterior Elec. Trim, G.F.I. Receptacle -Underground OT Ventilation Throughout House Glass Protection 1045"Corrections from Previous Inspections .92�_Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval gy Compliance Certificate -Other Certificates 96. 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: � 'T '.^•- . ,•.: v:.. ..,. a .� �'ii-r+-"^.`'-••i,;"rs: Y'r.Y.vY'1ra :�-., n.a'r1'*;c.�ww—cin..w.,�., w:t'tEE�? z;*.ral��� i..r _ `•�++s.r"'' ,4s !!�'.' Fh�"r`•'Zx.�`i a 3`'S4^+t.Y:''�.:5+.' Y"�".. :•+r!"+^"' tf"" j 4', • 1 , 062-360-002 04-2165, .BAKER, PAUL =� 872 BALD' ROCK RD, BERRY CREEK Cont: OWNER •RENEWAL #03-1359, e 0 1 , 1 1 .r r 1 � M • e n � r ' 1 i 1 I e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE19- BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 735IP,04"�2 1/05 ASSESSOR PARCEL NUMBER��n ^Q� C/ ZONING t` BUILDING PERMIT OWNER r�N t 1 L A W F F -c, TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAKING ESS CONTRACTOR'S NAME CSW►-lF TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ J10-.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �e� 8y� �tI" Ku. �'EA��. E� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S .140, 5 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLMIG OCCUP. OR ADDNS. ( 8 ACC. BLD S. sD 3.5Q�. EW MULTI.OU C NON-=. T. @7.50 - SINGLE OUTLET POWER APPARATUCIRS . Ex. Occup. OUTLET OR FIXTURES 20 ®,.00 BAL @ .50 Ex. Occup. unFTs Ro DEIL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date oc /_D� — Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ e )o . 9 5 HAZ. D. IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or beentp id to do work indicated above for which fees have been aid. 4�� L•I,�/) / /_ 7 By lJ/M / �I / eft C �KrDate -6•05— PERMIT EXPIRES ON 6-6,05— pale ReceiptNo. 4G,)G•n9e1 � Z)170. DC' WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.O.S.-B.D. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ` APPLICATION AND PERMIT 73P0+-%(1,o5- ASSESSOR 3Po42(1,o5- ASSESSOR PARCEL NUMBER� ZONING LA BUILDING PERMIT OWNER� Au.� _SA-KaCQ TELEPHONE SO, Fr, OCC. BUILDING VALUATION . OWNERS MAILINGESS �o $Ox I95g1b CONTRACTOR'S NAME 1 � TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 4-10. 15 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS e;!1: _F3*L' o kG161- kp jEiQl262 GMK Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑nRemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: K>P - n Qiw 03 -135 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 3.%0.25 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PO License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: )� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUP. So OR ADONS. 8 ACC. BLDS. 3.50FT. p�O" N qa,..T MULTI -OUTLET �G 7.50 BRAINCH CIRCUITS APPARATUS b SINGLE OURET CIR. Ex. OCCU OUTLET OR FIXTURES SAL @':0050 Ex. Occup. oME> D. Ao .DEA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X r Date � �/,� — Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ TOTAL FEE $ Zqp . 5 IMP FLOOD COP PARCEL PD HD A.A ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated a ova for which fees have been paid. - -f By Q to k_1 ILI- P EXPIRES ON B ' 8 ' O Date ReceiptNo. 4,06.1qsq ' x-90. ,)S- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LAND DEVELOPMENT N BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. rLy'A-n/ --rohW 31^It: OWNERS n A.P. NAME: ,�` l.l�-t'.7 ,f'rI:L NUMBER:�� P T LAST NAME R Ft3T COUNTY ZONING DESIGNATION: L) FLOOD. ZONE: �C FLOOD MAP: APPROVED, CONDITIONALLY APPROVED: ��_ RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: 3s� t ra.o-.- rz, MAP INFORMATION: DATE OF RECORDING 3 3 1 LOT 2 BOOK 3 PAGE 31 COMPLIANCE WITH OLD SU DIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES X NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. X2. Maintain a 7i0 ft.building setback from right-of-way/Genterline of b ►ZO L (4 �b - 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. PsymaW to be msofs to me PlQV=kg D&&ian. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15.. Deer Mitigation fees are to be paid,- if such fees have been adopted by the Butte County Board of Supervisors. X 16.. Pay school impact mitigation fees. X 17. A development impact fee for she facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease. in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21. 22. 23. 24. 25. AI 311(18 30 KIN f103 966L l O l A f a3AI3a3H LD 9/96 . C:\wP51\FORMS.K\BLDGPERM.CLR COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION *'� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) , APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-360-002 ZONING U BUILDING PERMIT OWNER Paul Baker 589-5263 TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS PO Box 160 Berry Creek Ca 95916 1215 R 65,610-00 CONTRACTOR'S NAME owner TELEPHONE -30 Coy -390-00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace A 1500.00 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 540.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 351.33 BUILDINGADD Bald Rock Road Berry Creek CA Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 934.83 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap ] 1 7.00 49.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF w/ attached garage Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 19- no Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 ►Y P Law for the following reason: I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BUDS. 3.5¢sox. 61 39 NEW CONS 1. NON-RESID. MULTI -OUTLET @7.50 OWER APPARATus 8 SINGLE OUrLEr CIR. Ex. Occup. OUTLET OR FIXTURES B20 Q'.00 Ex. Occup. FUCED APPLNS.OR ounETs REBID. EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 104.32 MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 So Ventilation PERMIT FEE S 50.50 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f with comply with those provisions. ,a X Date �'� -0 > Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolitior construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CON�T.rfE FEE $1264.65 HAz.ES IMP I FLOOD I CDF I PARCEL I pD HD ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have Bante // P R, T EXPIRES ON applicable provisions Resolutions to do work been paid. 03 O LJ o t e Receipt No.17 i « WHITE-D.D.S.-B.D.'CANARY-ASSESS R PINK -I PECTO G DENROD-APPLIC T 3 ' 35 r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 L SCHEDULE OF RECEIPT OF FEES OWNER ?.L) L A.P. # PROPROSED BUILDING USE 1�'F DATE S^ RECEIPT # DATE REC. fa-'Balance BUILDING PERMIT FEES � l � (� Due ..................... $L • • ,i��`7�` �"``<� --- Additional Fees Due........... $ - - Revised Plan Checking Fee.... $ 2.. HOOL DISTRICT FEES �� f( [/llleLCJr►lD/] (paid at School District Office) (form available after Plan Check) —aSHERIFF FEES (paid at Building Division) lesidential........... X 60.00 $ Units ) ,G 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. Fig. 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) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE 89.00 aid at Building Division) 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 3 9&'q4.S- q -o At 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 durin V a plan P checking process. APPLICANT '�_'k DATE — — G' 3 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) COUNTY OF BUTTE-DEPARTMENTO' D.VELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, OrovillA 959 e�C65 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1"T,!/ 21�ASSESSOR PARCEL NUMBER 0li��/�� Proposed Building Use: N Z F t'V1 A7/,1,0`,q/ 6,11/7d4O.Counter Technician: Date: Items required in order to app! for a permit. All boxes MUST be checked OR marked NA in order to apply. QV 1.. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. 92. 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. . Engineered truss details and layouts in duplicate. No faxes! 05. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or Y4 foundation plans, all in duplicate. '�DF7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. Items required'for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Weesias ms needed to issue the permit. (May require additional plan review upon receipt of the following ishown on the attached Schedule of Fees Due Sheet ..................... . U� .... 0 15. Statement of Intent for Non -heated and A/C Buildings..................................�.........: , W16. Sanitation and plot plan approval from the Environmental Health De art ent in/ f (J(/IlI - -0 3 17. City of Chico Plumbing permit ............................................ ..??�,, I -TM. California Department of Forestry plan approval paid. Sent -by : D.J.................... 19. Planning approval for (A) Use: D)C (B)Parking: (C) Par el Check: ❑ 0. ontact Land Development about ❑ Improvements, ❑ Drainage ............................... 2 Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 2 Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 0�24. Worker's Compensation Carrier and Policy Number ..............:.............................. 1 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ Letter of Signature authorization.................................................................... 7. Recorded copy of Agricultural Acknowledgment Statement .................................... C � -0- 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 5-6 /'S2• (c and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Aj ,y Z-, Date: S-9- 05 1. Index permit application for the above items numbered 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: G phone, ❑ mail, phone, ❑ mail, Plans approved by: Structural approval Yellow Ruildinn Divisinn n by: Plan Check Letter , by Date: _Dat Date Date: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 B-7541 �\ PERMIT NO v98� APPLICATION AND PERMIT U / s RPARCELNUMBER ZO�ANO BUILDING PERMIT TELFPNONE SO. FT. OCC. BUILDING VALUATION _ N I I 1R.I jjjj—{q�TORS WUl1N0 ADI `SI11%fft: ENDERS MAJ04 ADDRESS ORC 4rrE IT OR ENGINEER wenn tV. Vn cn.....rr+.-.-........ .�.-..-.._ ADDRESS LOT ND. .moi SUBDIVISIONS NAME •7 � — 2) JZ s-3 1 G [� USEOFSTRUCTURE SF H Duplex ❑ Moblehome ❑ Other srEeIF / TYPE OF WORK New Pd' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 0 Fireplace I / 11" Total Valuation S C'd Firing Fee $ 20.00_ Permit Fee S Energy Plan Checking Fee PERMIT FEE S 9-1► ELECTRICAL PERMIT 5 Main Service PERMIT FEE _ Main Service PLUMBING PERMIT Fling Fee 20. D0 Each Trap r7 1 7.00 KEW�„� Solar or heat pump water heater 23.00 WaterPIP 9 in 15.00 oa ,Ga Each gas water heater or vent 1 5.00 Gas piping system' 1 - 5 outlets 15.00 Building sewer 1 5.00 Moble Home I S 1 (31 W @20.00 Ex. Occup, OUTLET OR FOMMES PERMIT FEE S 9-1► ELECTRICAL PERMIT I Fling Fee 20.00 Main Service zow ORLESS 23.00 06> Main Service 20oA TO f000A 46.OD NEIN CONST: OR ADDNS. ( Dwa Iwo OCCUP. a AGC. BIDS. I 3.5¢F°: Z KEW�„� - MULTFOImtT I I I Lia 7.50 Ex. Occup, OUTLET OR FOMMES SAL @ ,yo I Ex- Occup.VnETS PAID & 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Wisc. Wirina 23.OD PERMIT FEE = —3 -1 - MECHANICAL PERMIT Fling Fee 1 20.00 Heetine —F7,1 1 . Hood I 1 I 6. so It,,w Ventilation 12-1 P. CZ -- PERMIT _ PERMIT FEL S U Jt - Moble Home Installation Fee S Energy Inspection Fee S we CONST. TYPE TO�AL FEE $ -Z. I D. FEES I tM FLOOD CDF Pt*EL 1 P.0 I TLD 16s UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON n.el BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 1 School District ^ � �% Building Department No. A.P. Number G •,Jcr 'mow Jurisdiction: City County Property Owner Property Location/Ac �)dubdivision 101—b0c) i Residential Development Commercial/Industrial Building Identification No. (Street Address) V. I (City) .................................................................................................................. Sq. Footage No otf Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): €................................................................................................................... Sq Fooge New Addition ,\ S) incl ding Exterior �( , Roofed Areas) ative Date r Floor Plans reviewed by School District Personnel) 10028 I(lf�� �Z,�1._.Y_.1y.► �• School District certifies that { c," T:.(AppiYnt) T has complied with the requirements of Resolution No. representing , r Z I square feet. ESD, V-�-O School District Representative Paid by Check # 6 1521 Remarks: (State) 2926 (Phone Number) (Zip Code) by payment of $ �L, llil,LJ, S S Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201e), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs 110/98ldmm BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 5 8-7541�l PERMIT „&,,,961 APPLICATION AND PERMIT U / s S RPARCl3NUMeE7i �Do�'(� �� ZO� BUILDING PERMIT N g "^ SO. FT. OCC. BUILDING VALUATION W- _`� s a RACTORS 7TORS TELEPHONE MAWNO ADDREft J CC) TM=ON LENDER Fireplace / G F1mEA5 MARFIG ADDRESS Total Valuation is C,tl kAc:m E:CT OR ENWNEEA LICENSE ND' FiGn Fee S 20.00 Permit Fee S . so - WCHRECT OR ENGwEERS MALUNG ADDRESS Plan Checking Fee S 3 CreWL,DwG ADDRESS Energy Plan Checking Fee _ "`� _ S PERMIT FEE S LpT No. n7 c._ suBDIVLSLDNS NAME *— :37 — 3i L- •s-3 i - � PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF b" Duplex ❑ Mobilehome ❑ Other SPECIFY Soler or heat pump water heater 23.00 Water piping 15.00 0 -ra Each pas water heater or vent 15.00 TYPE OF WORK New Addition 13Remodel ❑ Utilities13Instaklion ❑ Other C3 Describe Work { Gas piping system' 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Firing ee 20.00 aoov OR LESS Main Service 2-qA OR LESS 23.00 -0 Tj r 70 Lc� ,� a T� �� m �- �-- Sep (/� / 1 /� JI// 3 ! [1� U 1f} S�q, ud S� Q 4+%tomr NEWS a - ��Y� w�bat oap, -,545 Main Service moA To ioLwA 46.00 NEW CONST:LRO 2. 3.5 Fr ADDQ ieACc. OD . mum-OunIT @7.50Y-) NON�+Esm.' wPOWER APPARATUS i SOLE OUTLUURET d0. Ovnzr oR FwrjRu L L.ro Er- Occu tiAL Ez- Occup. � EaI S.OD Temporary Service 23.00 Noble Home Facilities 20.DD Nsc. Wiring 23.00 PERMIT FEE S Z MECHANICAL PERMIT Firing Fee 20.00 Heating f Coon, Hood I 6.50 Ventilation W PERMIT FEt S O S� Mobile Home installation Fee $ Energy Inspection Fee $ xe CONST. TY TO Al- FEE $ IFLOOD EW P06EL ± ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Pala) T `0 AP NO.: 062-360.002 DATES: 05109/03 y1 �O�„� 'Paul Baker Phone: 530 689.6263 O -gutteOWNER: � go Phone: Department of Development Services P.O. Box 160 Phone: MAIL Building Division co ADDRESS: Berry Creek CA 95916- Email: 7 County Center Drive Owner Phone: O Oroville, CA 96965 Phone: CONTRACTOR (530) 538-7541 CA I Email: Phone: ARCHITECT OR ENGINEER Lic No.: PERMIT NUMBER: 03-1359 Email: SITE Bald Rock Road Roberts Tct Phone: APPLICATION AND PERMIT Berry Creek CA I _ Email: ADDRESS: ZONING U LOT 2 BLK MAP II gK/pG Flood: X,0600C 31-32133 03-3164 SRA Yes ACRES SNOW LOAD 2000-2500' 1 OTHER: USE o o H Other: F ❑Dplx TYPE OF New Addn Rmdl Utlts Instln WORK m ❑ ❑ ❑ ❑ Other NSF with attached garage DESCRIPTION LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penality of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No. OWNER-BUILDER DECLARATION I hereby affirm under penality of perjury that I am exempt from the Contractor's State License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason: Reason: WORKERS' COMPENSATION DECLARATION I hereby affirm under penaty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code for the ❑ performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of 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: Policy Number: This section need not be completed if the permit is for one hundred dollars $100 or less). ❑ 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY ❑ 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. Lender's Name: Lender's Address: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Signature of Applicant Date ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. PERMIT EXPIRES ON: Date Date Page 1 of 2 0) AP NO.: 062-360-002 DATES: 05/09/03 M SITEBald Rock Road (Roberts Tct) Berry Creek CA e-- OWNER: Baker - Phone: (530) 589.5263 ADDRESS: I M O VALUATION CODE SOFT Page 2 of 2 S/SD FT VALUATION ELECTRICAL PERMIT R 1215 $54.00. $ 66 610.00 Filing 1 $ 20.00 1 $ 20.00 U 637 $18.00 $ 9,666.00 Main Service COV 30 $13.00 $ 390.00 600V or less/200A or less 1 $ 23.00 $ 23.00 $ 200+A to 1000A $ 46.00 $ $ New Construction or Additions Roofing I I x I 0 s .ft. 0 1 S 60.00 $ Dwelling Occupied 8 Accessory Bldgs 1 1752 $ 0.035 $ 61.32 Fireplace A/0 1 111 M I 1 $ 1,500.00 New Construction Non -Residential TOTAL VALUATION $ 77,166.00 Multi -Outlet Branch Circuits $ 7.50 $ PERMIT FEES OTY FEES Power Apparatus 6 Single Outlet Circuits $ Filing 1 $ 20.00 $ 20.00 Existing Occupied Permit Fee 1 +. $ 540.50 Outlet or Fixtures 1-20 $ 1.00 S Permit Fees Mobile Homes @ 1/2 Fee $ Outlet or Fixtures 20+ $ 0.50 $ Plan Check @ 65% Permit Fee 1 $ 351.33 Fixed Appliances or Outlets (Res) ea. $ 5.00 $ Plan Check Minimum/Mobile Home State Approved Plan $ 23.00 $ Temporary Service $ 23.00 $ Revised Plan Check $ 46.00 $ Moble Home Facilities $ 20.00 $ Energy Plan Check I Commercial: 1 4000+: 0 �. S Miscellaneous Wiring $ 23.00 $ Residential: 1 1 To Master. 1 `.. $ 23.00 Pre -Inspection S 23.00 $ Energy Inspection Fee 1 S 46.00 $ 40.00 Pool Electric $ 30.00 $ Mobile Home Installation Inspection S 100.00 $ $ S S $ $ TOTAL PERMIT FEES $ 980.83 TOTAL ELECTRICAL PERMIT FEES $ 104.32 PLUMBING PERMIT MECHANICAL PERMIT Filing 1 $ 20.00 $ 20.00 Filing 1 $ 20.00 S 20.00 Each Trap 7 $ 7.00 $ 49.00 Heating Up to and including 100,000 BTU 1 $ 15.00 S 15.00 Solar or heat pump water heater $ 23.00 $ Greater than 100,000 BTU $ 20.00 $ Water piping 1 $ 15.00 $ 15.00 Cooling Up to 3 HP and 100,000 BTU $ 15.00 S Each gas water heater or vent 1 $ 15.00 $ 15.00 3+ to 15 HP and Over 100,000 BTU $ 25.00 $ Gas piping system 1-5 Outlets 1 1 5+ Outlets 1 $15/$3 $ 15.00 Evaporative Cooler $ 15.00 $ Building Sewer 1 $ 15.00 $ 15.00 Extend Ducts In Additions $ 15.00 $ Mobile Home Utilities Sewer. I I Water. 1 Gas: 0 S 20.00 S Hoods 1 $ 6.50 $ 6.50 $ Ventilation 2 $ 4.50 $ 9.00 E Gas Fireplace $ 15.00 $ TOTAL PLUMBING PERMIT FEES $ 129.00 $ IMPACT FEES MECHANICAL PERMIT FEES $ 50.50 SHERIFF TOTAL BUILDING PERMIT FEES $ 1,264.65 Residential Per SF Living Unit S 360.00 $ TOTAL OF ALL FEES $ 1,353.65 Multiple Per Living Unit S 252.00 $ MINIMUM PAYMENT OF FEES Commercial Per Sq. Ft. S 0.03 $ - Filing Fees $ 80.00 STATE RESPONSIBILITY AREA SRA Per Structure 1 S 89.00 f 89.00 Plan Check Fees $ 374.33 DRAINAGE SRA FEES $ 89.00 Thermalito Residential Per Living Unit $ 510.00 $ Other Fees: commercial Per Ordinance 3304 1 f MINIMUM PAYMENT OF FEES $ 543.33 STREET IMPROVEMENTS Chico Urban Area Residential Per Each Single Living Unit $ 1,982.00 $ PAYMENT INFORMATION Per Each Mlt le Living Unit $ 1 370.00 $ Date: Staff: 44 Receipt # 3764 Cash Commercial Service Structures Per Sq. Ft. $ 10.19 E I Check#1 Check $: 520.30 Medical Structures Per Sq. Ft. $ 2.22 $ FEES PAID 520.30 Industrial Structures Per Sq. Ft. $ 1.02 $ BALANCE OWED $ 833.35 Residential Per Each Single Living Unit I $ 595.00 $ Date: TT-ff Receipt # Cash Per Each Mltple Living Unit $ 355.00 E Check#j I Check $: Thermalito Urban Area Commercial Per Acre Developed $ 23,849.59 $ FEES PAID 0.00 Office Per Acre $ 11,924.80 f BALANCE OWED $ - Industrial Light Per Acre $ 5,962.40 S Date: Saff iReeipt#1 I Cash Heavy Per Acre S 1,192.48 1 $ I Chec;k#1 Check $: WATER TENDER Per Parcel $ 200.00 1 $ FEES PAIDI 0.00 RECREATION DISTRICTS - Proof of Payment Only BALANCE OWED $ Chico Area Residential Per Living Unit I S 1,189.00 ❑ Date: - Staff: Receipt # I Cash Durham Residential Per Sq. Ft. $ 1.04 ❑ 1 Check#1 Check $: ❑ FEES PAIDI 0.00 NORTH CHICO SPECIFIC PLAN BALANCE OWED $ 833.35 Residential SR -1: SR -3: SR-1/PD: 0 $ 3,315.00 $ Occupancy: Construction:unit ISSUED Per Dwelling Rt: I R2: R3: 0 S Industrial/ Commercial Industrial SF Commerical SF Office SF School rI S HAZ FEES JWPILD CDF PRC PD HD SCHOOL DISTRICTS - Proof of Pa ment Onl ❑ O l7 ❑ ❑ Marysville Joint Unified - 064 ❑ Note: TOTAL IMPACT FEES Collected by Development Services $ 89.00 Page 2 of 2 - ` SITE PLAN REVIEW APPLICATION 1F JDate: AP# 36Z-360— ®©2. Permit Number (if applicable) D 3 �� APPLICANT INFORMATION Owners Name: r_lA1e Owners Address: A o 2 DA Parcel Size: PAL) 2 © EFrz v CC K q's Qi 1 Telephone No.: S 86) — S 2 (_�, Situs Address:. d34zotz QD C, K tZ t> _ Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ 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: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 91 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval a Site Plan Stamped Approved By Date Page 1 of 5 r�,� Jtil ALL°ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: - w Snow Load Area:.2��� ❑ Land Conservation Act Minimum Acreage: ❑ Verify, residence can'be built,' er contract Nitrate Action Plan (See`Environmental Health for standards) i ❑ Watershed Protection Overlay Zone (See attached standards and requirements) F-1ExpansiveSoils (Test for expansive soils and if verifiedproper foundation design required) SRA -.(CDF to determine; specific requirements) 100 -Year Flood Plain: (See attache) a • Flood Zone: • Flood Panel No.: D 800 C—:• 'Index Date:' Sacramento River Reclamation District (Approvdl must be obtained from the'.Califomia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obiained from the California Reclamation Board) ❑.North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑_ Chapman/Mulberry (See attached standards and requirements_) ❑ Cohasset Area (See attached standards and requirements) Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ``` t --------- F-1 'Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: R• Applicable Building Setbacks: • i ❑` Setbacks drawn on site Plan. ❑ CDF approval needed'for encroachments into SRA setbacks. Page,2 of 5 Zoning Code Streets & Highways. Fire Prevention- Subdivision Map Front S <..", .4.,; ! I Side E)'. Side Street w . Rear - # Height Waterway N/A N/A j�, . > N/A'f, t ❑` Setbacks drawn on site Plan. ❑ CDF approval needed'for encroachments into SRA setbacks. Page,2 of 5 .,� Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. 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 ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: P D E>, E5-q-T-�S -r e: -r Map Date of Recording: 3 P 3 y Lot: 2 Book: ❑ Use Permit/Minor Use Permit Permit Number: 31 Date of Approval: Page: 3 �— i 1 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. '4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D,'unless a pressurized community water system, with hydrants that meet the FireDepartment specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all drivewayland other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign.maintenance. Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 c AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2003-0029440 Recorded Official Records CaVMEOf CANDACE J. 6RLBBS Recorder ROSEMARY DICKSON Assistant 02:41PM 07 -May -2003 I REE FEE 7.00 1 CONFORM 1.00 1 t I I Lisa I Paye 1 of 1 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: Lo fH b e ;. %^s T i- 3 er A Ph 7-i, e P o CA- kTy C' jP i3 c, 17-e 11 A4 a !-- c- 31 j Igo o f< 31 G F a s J A t- Pa /9 e 6s) 3/ Date ,2 Pia PROPERTY OWNERS: e 4 `ANaBA D. MA--WT1- TO E ; PAUL D. BAik Com MISlon 01981124 0 5 2 2 2 Nolwy�eIc -Ca i'County - tomfa My Comm. Exp. OCT. 22,2M + PAUL D. BAYER, i State of California ) County before me, - personally appeared t person lly 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. Signa a ��^\ v �� _ k;ommission 41361124 NOMA.P. # t!% Z '36 0 O U �. `j y9 f(CouffttOf111A. *7Comm Exp. OCT. 22, 2008 ba0ISR t tO..Y1�ga'� 1 ;'& i .L t f ;qtm- sit i .",:':LOIS YF't�4a�3 f sir a 4;S13jV?A 1 1 1 M V:r`1Y T vi Wu/�N•d� t0iy t qui ";rgsi,•^ a . � _ �stnier'�jw►a���ti�rsc� cr r �i�?Kitl��• ��k:��q S^9ittff,• J�. ;moos IM Jlw ql'- i I AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 i COPY of Document Recorded f 07 -Kay -2003 2003-0040 / Has not been compared vith original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, andfertilizers; 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: c:u �. c P lap wa.s. Re col, Jed th 7-d, v f* S1 c,e o -n, e C. k Ty o f O S f3 a 77-e Sy"a '1"� Date i??L % ,.2 d7 PROPERTY OWNERS: v c GELAD. ��� TffE ' PAUL D BAKER AND EVA • SUE BAKER TRUST, DTD Commission - Callf ml 5, Notary Public -CaliforniaCl? Butte'County My Comm. Exp. OCT. 22, 2008 PAUL D. BAYER, TRUSTEE EVA SUE BAKER, TRUSTEE State of California ) County -� netore me, Nr personally appe red r pre sonly known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) is/arc subscribed to the within instrument and acknowledged to me that he/shc/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. �r. tary� u. - b wrrrmission X1381124 NoPublic=C&Hk tla. A.P. # O G 2- 3rG O- o u 2. em' ounty My�Cbm: Cl' mExp. O 22, 2008 :Jlv bclsq =) CCCO $On c'_H tcnlp2in 113aA0333 YUSU03 aTTUA j Butte Count,vDepar&nent ofDevelopment.Servlces YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile TO: FROM: SUBJECT: DATE: LP2A Michael Vieira *s={530) 538-7159 mvieira(&-buttecounty.net Plans Transmittal For Review Per Contract 7/10/2003 Applicant: Baker, Paul Project Type: NSF 100% Plan Check Fees $ 351.33 Energy Calc Fees $ 23.00 $ 374.33 Permit No: 03-1359 APN: 062-360-002 70% $ 245.93 $ 16.10 $ 262.03 LP2A Fee $ 262.03 Copies Attached: Qty - Ch � Application zn r. Site Plan Review.' c%- FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan -Review Guide Residential Con=struction Requirements Other Other August 5, 2003 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Baker SFD Address: Bald Rock Road Dear Mr. Vieira: County of Butte- FINAL REVIEW Jurisdiction Appl. No.: 03-19M13ST LP2A Job No. 203015-027 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: One (1) copy plan sheets not numbered (2 sheets) title sheet not dated by Paul Baker. 2. Structural Calculations: not provided. 3. Title 24 Energy Compliance Documentation: One (1) copy dated May 8, 2003 by AEC Group. 4. Truss Calculations:�.One (1) copy dated May 7, 2003 by Longfellow Lumber Co. Inc. Note: Floodplain Mitigation Measures and/or comments will be reviewed by Butte County. These documents were reviewed only for their conformance to the 2001 California Building, Plumbing,'; Mechanical, and Electrical Codes. We have no further plan review comments. Therefore, we are recommending approval of the above noted items with the following conditions: The plans shall include the items noted on the attached Butte County Residential Construction Requirements form,, the red -line and blue notes on the plans and the examples%oUgable-end wall and roof framing details that we have attached. The above documents now bearing the "LP2A Plan Review Approval' stamp on all appropriate sheets are enclosed: R,lease let us.know if you have any questions. Thank you. Sincerely, ZRT.PET 'SEN POWERS ASSOCIATES James R. Rahrick, P.E. Richard N. Essenwanger Senior Plans Review Engineer I.C.B.O. Plans Examiner J R/RN E:rs Enclosures IsLINHART PETE'RSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX(916)725-8242 0 Toll Free (877) 235-0653 O.B.- I 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 materials for construction of the proposed property improvement: YESX NO ❑ 2. I HAVER 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: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER_ 3,� 3 _3 C DATE:_'- y - a 3 NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Codes This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the'builder of 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 you plan to subcontract,,you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is *$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments 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 cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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. I 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. i A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. l Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, M C 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. v 3 -/ 3SY TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance IEA U3E0 L—Y Piot Pian Attechod ✓ Roos Plan Atuchad Sana to 8.0,S/a�—G I 16 /40-.0 c/C- 0� . _ Dl�� -3&0 -oat Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Pub is Private Well Clearance for dwelling. Other >Z-/ -, _ Hold final for: Final clearance O.K. for: NOTE:/"7\ 8/96 nmental Health/Specialist eC--)AS /a a",3 Date w • N -A At— P i ENVIRONMENTAL HEALTH MAY 0 8 2003 7 COUNTY CENTER DRIVE d APPROVED Butte County invironmental Health -ice- off Date ----- o S€gnats N . o 0 a APPROVED Butte County Environmental Health ENVIRONMENTAL HEALTH Dafie MAY 0 2003 7 COUNTY CENTER DRIVE V p 1) - P. D.P. ,'51',X tt e -a I a SL D, P. ./A 1 -j" IM0 0 x A/e a r/co 6 4 -0- C-F —0— J W A -40t op F I.F. I. L L e. 66' F L 0 0,�, -P L A A/ -A, -..G. _A- Y, Acr-it 6'