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063-040-128
063-040-128 06-0384 SCHNEIRSOFIN, DAN 11f0'? CEDAR HILL; FOREST RANCH CONT: OWNER NSF(LIV,GAR, COV) �J-v-7 063-040-128 06-1934 SCHNEIRSOHN, DAN — 4989 SCHOTT RD, FOREST RANCH Cont: WF SQUYRES FIRE SPRINKLERS 063`-040-128 06-1934 SCHNEIRSOHN, DAN - NOTES i 4989 SCHOTT RD; FOREST RANCH Cont: WF SQUYRES' FIRE SPRINKLERS RESIDENTIAL APN: Permit No. Owner. Site Address- Contractor. Type of Permit: C'M O RO . FEE�4t'_TH l_C E 1KC� �ncSl�� CHECKED BY 0 SRA 0 ROOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS �] VERIFY Q USE PERMIT CONDMCNS Q SUBSTANDARD HOUSING LETTER O ENCROAcHmENT PERMIT O REINSPECTION FEE PAID Q ENV HLTH CLEARANCE O DATE JOB FINALED: O SIGNATURE �' rltl Ype +=OK a = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctrt Test; FaIIICIO-Concrete 4 Wtr, Loctn Test -Easement Needed -Regulator 5 Elec LOctn-CIrncs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Une 8 Gas; MH Test-Demand-Valve-Cnncir 9 Elec MH Cntnty Test -Crossovers -Breakers -Gimes 10. Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers o'r a?� o'er da MISCELLANEOUS- ----DATE IDECKS'CQVERS'CARPORTS•GARAGES 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, G1rders/Joists4:)cking-Brcing Stairs-CuardlHandrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Fnng; Sills-AnchrsStuds4bas Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings; 12 Braced Wall pnls o'f via o'$ vim - DATE POOLS 1 Setbacks -Easements 2 Soils; -Compaction-Structure Stability 3 Pool Structure; Steel-Cnnctrts-Thickness Dead Men-Uning 4 Elec Rcptcls/Lting; Distance GFI 5 Exec Fool 4ting; l5 volts-GFl 6 Elec.Enclsrs; Conduit Entries-Tenninals-Disted 7 Elec Bonding; Metal w15'•Crcltng Egp,4* 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes -End= -p boards-lnsultn•to Main Conduit 9 Health Dept Apprvl 10 •Plmb; Cir Te$t--Wtr Supply Test 11 U Niche 12 Endsr. Fencing -Alarms 13 Bonding, Dinning board or Slide Pool Drawing a = Not OK RESI-DENTIAL DATE JUNDERFLOOR 1 ZoningSetbacks-Easements-F1oodSlope 2 Ftg Main; Soils-Elec Grnd Ftg Dptfi 3 Ftg Garage; SoilsSteel-Eiec Gmd Ftg Dpth 4 Ftg PorcheslDecks; Soi"teel Fig Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Uodrgmd 13 Plenums & Ducts; Cimc-MaterialSupportansultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE IFRAMING 1T Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girded'. fir Nailing 20 Draft Stop in Walls (rat proof) • 21 Fire Stops; Furred CeitingsSlairs�ChasersTubs 22 Headers & BeanrsSz &'Bearing' 23 Hangers••P•ost'Caps Wchrs-Cnnctns 24 Ceiling Joist-Rlir Ties-PurlirR-Roof Brac TnissShthg 25 Frpic Ties or Type A Fluld�F ' Ic Throat Cirnc 26 Attic Acc; Si &'-Riaz pitctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -SIR Ht & Dimensions 28 Garage Fire Prtcibi Framing -RC Cirarinel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Gauge 3rd Story, 2 Exits 31 Stairs; Width4idrm4Rise4Run4-andingfre Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Utitrgrs 33 Siding -Nailing Veneer - 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrftr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 Insuitn Walls -Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr Cimc-Ins Prtctn 41 Elec Rcptcls Spacing -Us & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex installed Close to Edge of Studs & CJ 44 Egp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz ga ❑ CU or ❑ AL AC Wire Sz ga Q CU or EJAL 48 Range Clic rA ❑ CU or ❑AL Oven Circ E] CU or DAL Insulated Neutral ❑Yes 0 N 49 Service -Riser Cndctrs & Gmd Main Dscnnd 50 Egp Clmcs pnls-Motors-Meth Egp 51 Clothes Closet LI-Shwr Lt -Spa Lt 52 Smoke Detector Single & Duplex) DATE IPLUMBING 53 Wtr Htr, Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr.Nail Prtctn 56 Shwr Pan; Test, Fust fir -Tub Acc 57 Test Tubi & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler, Test 60 Yard Gas Piping P DATE MECHANICAL 61 AC Ducts insulin & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrnw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrrWent 115 Outlet 65 Attic Acc & Pltfrin U Furnace in attic of ass o+`' ,ys DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv4lr-Duds-Meth Prtctn 69 Bedroom Exiting 70 GFl A Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd Air -Gap -Cooking Cirnc 77 Elec Outlets & Rcptcis at Ktchn Counter 78 Garage Fire Docr, Swing -Landing -Closure 79 AC Dud In Garage -Damper. 80 Wtr Htr Vnts-Cimc-Com Air Cnndr-PRV; abv fir Mech Prtctn; IPG Appince Undr House 3" drain 81 Pimb; Elec & Mech Eqp Listed for Locin 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insulin -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrcin-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes ONO 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb. Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 0.�' dam• .r` BUTTE COUNTY .DEPARTMENT OF DEVELOPMENT SERVICES BUILDING. PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 . WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061934 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: 08/28/2006 APN: 063-040-128-000 the Business and Professions Code, and my license is in full force and effect. �— Z:? License Class: ` e,`v" Site Address: 4989 SCHOTT RD FRN `LiceenseNum Date: IQ `V('Contractor: V� � "ire S Map Index: Description: AUTOMATIC FIRE SPRINKLER SYSTEM p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the BP060384) Contractors' State License Law for the following reason (Sec. 7031.5 (FOR Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: SHCHNEIRSOHN, DAN & CYNTHIA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9' commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or; 711 PARKWOOD DR she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA violation of Section 7031.5 by any applicant for a permit.subjects the applicant to a. civil penalty of not more than five hundred dollars ($500).): 95928 (530) 342-3519 ❑ 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: 7fie Contractors` State License ""'C6W does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: SQUYRES, WILLIAM, F. JR provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PO BOX 3176 proving that he or she did not build or improve for.the purpose of 95927-3176 sale.). (530)345-1012 I... as owner .pf.Ithe„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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SQUYRES, WILLIAM F. JR ❑ I am Exempt under Article 3 of the Business and Professions Code PO BOX 3176 Date: Owner: 95927-3176 (530)345-1012 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 License #: 275206 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 irisuirance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withthoseprovisions. Date: .1 v Applicant: WARNING: Failure to secure workers' cA ensation coverage is unlawful, and shall subject an employer to trim al penalties and 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 attorneys fees. CONSTRUCTION LENDING AGENCY This permit is herehy issued ! ander the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the for which fees have been paid. Res u ons to do work indi atedUrr\_ performance of the work for which this permit is issued (Sec 3097 Civ.)q. 2 /r1 r G Name: By: Dated U O- l / -.2&° Address: PERM EXPIRES ON: / (Date)- ' ate - L ❑ ' I hereby certify that the use of lhis.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 & 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. 1 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 do ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned r party for inspection rposes. v '” OI M� l ��i ` Print Name: �/ • Signature: Date: Conlractor L]Agent for Owner 0 Agent for Contractor ❑,Owner)� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061934 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: 08/28/2006 APN: 063-040-128-000 the Business and Professions Code, and my license is in full force and effect. / •.��-� 2d L License Class: b Num er:L� Site Address: 4989 SCHOTT RD FRN \Liceens-e Date: — IQ -Q(Contractor: V v t! 1 M D" S Map Index: Description: AUTOMATIC FIRE SPRINKLER SYSTEM p OWNER-BUILDERDECLARATION I hereby affirm under penaltyenaltyoffperjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 (FOR BP060384) Business and Professions Code: Any city or county which requires a _ -„ „•_., _„,, �,_•. _,•, - permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance -,,also requires the applicant for such permit to file a r . Owner: SHCHNEIRSOHN, DAN &CYNTHIA ",'0- signed statement that he or she is licensedpursuant to the provisions of; the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of theBusiness and Professions Code) or that tie_ or ; ;:;' ., :' , ' ' . 711 PARKWOOD DR she is exempt therefrom and the basis for.the alleged exemption. Any CHICO; CA ” violation of Section 7031.5 by any applicant for a permit.subjects the applicant to a..civil,penalty of not more than five hundred dollars ($500).): 95928 (530) 342-3519 ❑ 1, 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 Codew Tfie Contractors' State License Law does not apply to an owner of property who builds or. improves. thereon, and who does such work himself or herself or through his or her own employees, Applicant: SQUYRES, WILLIAM F. JR provided that such improvement's are not intended or offered for sale. If however, the building or*improvernents are sold within one year of completion, the owner -builder will have the burden of PO BOX 3176 proving. that. he or she did not build or improve for -the purpose of sale.). 95927-3176 l7, 2 • I,..as . owner„of„ the•.,property,, am, excl.usivejy,.,contracting,...with (530)345-1012 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). -Contractor: SQUYRES, WILLIAM F. JR ❑ I am Exempt under Article 3 of the Business and Professions Code . PO BOX 3176 Date: Owner: 95927-3176 (530)345-1012 i WORKERS: COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for License #: 275206 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' hate •and 'will' maintain workers' compensation insurarice, as " required by.Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Square Ft: 0 S. F. Policy #: -1_Total �(I I certify that in the petformance ofthework for which this permit is Valuation: �O.00 issued,. l shall not employ any, person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should .become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall(1 �^ forthwith comply with those provisions. Date: Applicant: WARNING: Failure to' secure workers' coeationnscoverage is unlawful, and shall subject an employer to al penalties and 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 Thi: permit is hereb,l issue l t-nder the aoolicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Reu ns to do work indi ted bove for which fees have been paid. sohich performance of the work for w this permit is issued (Sec 3097 Civ.) q � (O Name: BY Date: U' PERM q EXPIRES ON: O-21 - Q� Date Address: O" I hereby certify that fhe use of ihis: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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 do ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned roperty for inspection rygrposes. Print Name: • I Q Y'► In "(�T J �, Signature : \�/� Date: O 1 (O ' ❑ Owner )�Contractor 13 Agent for Owner 0 Agent for Contractor 'dTr - BUTTE COUNTY PERMIT 0 �' 0 DEPARTMENT OF DEVELOPMENT SERVICES NO. 0 0 BUILDING PERMIT APPLICATION o 0 AND. SUBMITTAL REQUIREMENTS 0 0 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP4� o -8_~=:©. 0 OFFICE It: (530) 538-7541 —ti A FEE WILL BE REO UIRED AT TIME OF APPLICATION BIN # cOUNA Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name City t �} � t1 First Nam a Address No E-mail City Cs 1 Book Slate Zip Phone State License Number Fax l�matl p O G — f�) -3 O CONTRACTOR Name \rj Add s CQ) Ox City Address Phone Fax Phon ,l 1 ' C)� No E-mail Li zz� Cs 1 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City tate Address Phone Fax City No State Zip Phone Book Fax E mail Planner State License Number APPLICANT INFORMATION Name Address City tate Zip Phone Fax E-mail A PPLICAW, T NATURE X For office use only: Zoning Property Address 1 SCI - Flood Zone I y I SRA J&s No Occ. Type tonst. Subdivision Name Map Book Page Lot # Planner Date Approved: nVFR FOR SUBMITTAL RFOUIREMENTS PROJECTLOCATION AP# 3, N V - 1.00 Property Address 1 SCI - rCc S Cross Street 3 h WORKER'S COMPENSATION Policy Number Carrier If hiring anyone ofher than license con fracfors, a certificate of worker's compensation must he shown of the time of permit issuance. LENDING AGENCY Name Address Description or Scop Wgrk: c \ j AT-ving Sq Garage Open Cov ❑ Structure Built without Permits ❑ 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. I I Received by: ,FJ. Amount: Bldg I Receipt #: Dl(1 WI15 Ch�tk# Date: g' to -ow SRA SMIP Other 2la aG Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. _ ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan'Check and Planning. review (May require additional plan review upon receipt of the following items.) i ❑ .1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). . ❑ 2. Impact Fees. ' ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. r ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. $ REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION COUNTY OFBUTTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 go PERMIT APPLICATION DATA SHEET U -I www.buttecountv.net/dds OWNER:n �'Y\� Qh� ASSESSOR PARCEL NUMBER' Proposed Building Use: VVCT �l) �e '41 n r S\J,s -Permit Technician: � Date: U'OG Items required in order to apply for a permit. All boxes. MUST bb -checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 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 in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form. ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers ❑ 16. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 17. Soils Report and/or Engineered Foundation required. ❑ 18. Erosion Control Plan Required. ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 20. City of Chico Plumbing permit. ❑ 21. Site plan and business license approval from the City of Biggs. ❑ 22. California Department of Forestry plan approval ❑ paid. ❑ 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). ❑ 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Contractor's license information. (Number, Name Style, Classification). ❑ .29. Worker's Compensation Carrier and Policy Number. ❑ 30. Owner -Builder Verification (_ Given to owner, _ Mailed to owner). ❑ 31. Letter of Signature authorization. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. ❑ 33. Existing violations and/or expired permits. ❑ 34. Deed Restriction. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ❑ 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above n ite Dmp?�C s ad requirements for obtaining a building permit.Applicant: %_ J Date: Q` `O EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees, and other department costs are not refundable. Original -Applicant K/Building/Plan Check/Data Sheets/data sheet page 19.27.05 COUNTY 0 CJTTLI-'DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .. _ 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I I�� ��0� ASSESSOR PARCEL NUMBER Proposed Building Use: V1rC T T (F Sph nklPr SV SPI ', Permit Technician: L6. Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. `� 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. Cl 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 find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ 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: ...................... ❑ 26. NPDES Form............................................................................................. 0 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........... ''"......................... ❑ 30. Owner -Builder Verification ( _ Given to owner, - Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................:.. ❑ 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. O Applicant: ���� (1� VV Date: 1. Index permit a� for the bove items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was 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: Contractor, design a advised D the abo � ❑� phone, ❑ mail , ❑ Date: Plans reviewed b ,:. . _ Date: l Plans approved by: Date: 2 D(� Structural reviewe , ' . _t Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division IVBuilding/Plan Check/Data Sheets/data sheet paid 2.9.27.05 Butte County Department of Development Services. IN O T E S 1 7 County Center Drive, Oroville, CA 95965 { (530) 538-7601-.buttgco�mty netidds OurYE (F�RF�1i/o` auwt ((�i I RESIDENTIAL APN: Permit No. Owner. F063-040-128 06-0384 —c SCHN.EIRSOHN, DAN Site Address: _ , FOREST RANCH f CONT: OWNER - - '- Contractor. ' NSF(LIV, GAR, COV) • y__ , Type of Permit• 4 l OFFICE COPY Address GAS ate !/6 Meter By ELECTRIC 1 Meter By D G Jate r ' CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE S P V^ J. DATE JOB FINALLED� SIGNATURE: x •=OK = Not RESIDENTIAL (Single & Duplex), -- DATE JUNOERFLOOR DATE PLUMBI 1 Zoning -Setbacks -Easements -Flood -Slope 53 r; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils -Flet Grnd - Ftg Opth 5 Wtr%�Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth• 55 6 ; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel. Ftg DpthZ hwr Pan; Tess First flr-Tub Acc - 5 Stemwalls Main; Steel-Blockouts-Wrapped 7 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Ste el-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fir nnkler-, Test 7 Slab, Steel Wrapped and Gas Piping 8 Piers-Frplc Ftg-Steel p 8 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test �00_ 10 UF, Gas Pipe; Sz Anchrs-Sz Test 4 tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenum Ducts; Clrnc-Ma ialSupport-Insu - 61 AC Ducts Insulin & Support 14 Gir s-Sills-Anchr Bol oists-Vnts-Cr es 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 -Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic Pr r Materials & Anchrs 18 s Studs -Nailing Spacing & Braces -Plates -Sound Be ails over Girders & fir Nailing iq �e� ' Walls (rat proof) 21 urred Ceilings -Stairs hasers Tu s 2 eamsSz & Bearing 2 ange-Post Caps-Anchrs-Cnnctns 2 Joist-Rftr Ties -Pur ' ussShthg 2 rplc Ties or Type A Fat Cimc c Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27ws or g DoorsSill ji�ey'nas- 2ge Fire Prtctn Fg- C Channel 2 Prprty Line Firewall & Opngs 3SExt'Doors-One T -Check Garage 3rd Story, 2 Exits 3 airs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32�d on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33:Siding-Nailing Veneer 3 ucc -ath-Weep Screed-Fndtn Vnts-Undrflr Acc 35 azing Area -Glass Prtctn-SkyLts-Plastic 3fii ails; Nailing -Bolts race InUExt Wall pnls 38 Ins u Itn-W a IIs -Ceilings 39 Infiltration-Walls-Wndws 41 DATE JELEj--TRICAL 411—Fx & Trnsfrmr Clrnc4ns Prtctn 41Rcptcls Spacing -Lis & Switches at Doors Sz�oxes & No Of Cndctrs Stapled 4 omex Installed Close to Ed a of Studs & CJ 44� Grnd made up w/M� 45 GrnSIng Electrode Bond Gas & Wtr 2 nc Cires in Ktchn & Cndctr Sz GFI u4�5 bfeed Wire Sz ga Q CU or DAL AC Wire Sz 92 ❑ CU or D AL 48 Range Circ ga DCU or DAL Oven Circ ga D CU or DAL Insulated - eutral DYes DNo 49 Se ' iser Cndctrs & Grnd Main Dscnnct 5 Clrncs pnis-Motors-Mech Eqp 5�r �Clothes Closet Lt-Shwr Lt -Spa Lt p1 smoke Detector -Door & SideLt Prtctn-Landings Vnts-Clrnc-Comb, Air-Cnnctr e; abv-flr-Ducts-Mech Prtctn i Exiting Ith Fxtrs & Tub Acc-Spa RIFirs aultim & Subpnl, Breaker Sts & Labels , Guard/Handrails 74'Fr c or Stove, Clrnc-Hearth 7dffTIec OuUets at Wood Pnl, Int & Ext 7F� xtr & Appinc; Grnd-Air-Gap-Cooking CImc. 77�ec utlets & Rcptcls at Ktchn Counter 7 arage Fire Door; Swing -Landing -Closure 79 A Duct in Garage -Damper 8B•Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV: abv fir �Wch Prtctn; LPG Appince Undr House 3" drain 8T Pmb; Elec & Mech Eqp Listed for Lottn BIZIElet: Rcptcls in Garage (GFI) Romex Prtctn B3 lnsultn-Foam-Looked in Attic 84 Gu Rails & Deck Cnstrctn-Post Caps 8 ndn Vnts & Crawl Hole Door Drnge & Wood -Earth 8¢ Clrnc Drnge Planters DYes [:]No PfAe'15nit Dscnnct, Elec-Plmb D� ht(� abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 9IJ�tr Well, Dscnnct, Elec, Plmb Rkf t Elec Trim, GFI Rcptcl-Undrgrnd 9Z'V/ntltn thru House Prtctn 9kTCorrections from previous lnspctns 95 Gas Test -Meters Tagged, Ga _Elecler. _� tr & eare ctd CIO to rade- Ao/ 9g mpinc Cert -Other Ce ress Posted 9 Fire Sprinkler a C 1m -aa - 0—t 0 = OK nu MANUFACTURED HOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaII/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -00 to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits IS Cert of Occupancys` 16 HUD Label/Insignia Numbers Serial Numbers DATE DECKS -COVERS -CARPORTS `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftg§; Soils-Sz-Dpth-Spacing-CnnctrsSteel .3 Decks, Girders/Joists-Ocking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °�• DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pn1boards4risultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing Alarms 13 Bonding, Diving board or Slide A ``cam O'er 0 O' 0 s` Pool Drawing COUNTY OF BUTTE' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 63 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Cl7j= �Q�c o S �- REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 y _. COUNTY OF BUTTE �• BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES E 7 County Center Drive • Oroville, CA • (530) 538-7541 �t V' CORRECTION NOTICE L/ OWNER PERMIT NO. F. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of s work is completed. If you have any questions pertaining to this matter, or need additional exRlanation, please contact the Building Inspector as indicated below. Date 6 ✓ 12 — QG Inspector URA A",, Q4 L /� REV 4/05 Phone # S3 o J 7 / (DT FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Z COUNTY -OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Orovllle, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations,of Butte County Ordinances exist at the a ove address and should be corrected. Please call -for re -inspection when correction of wor is completed. If you have any questions pertaining to this matter, or need additional ex anation, please contact the Building Inspector as indicated below. I (/ CSU i ,� L� G !/� i^ J G C— �- 1 tj IL_ taw An �U ICS. �,0(� ' Date Inspector ' REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ` COUNTY OF BUTTE BUILDING DIVISION v DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 y CORRECTION NOTICE ;`. OWNER _ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional 't. explanation, please contact the Building Inspector as indicated below. Date I ► -,p 31 069 Inspector rf_..Q, REV 4/05 Phone #��— FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE t, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r ie 1auiv, �'t LA. o t! , 4 +J 4 Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060384 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/17/2006 APN: 063-040-128-000 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. Site Address: 4989 SCHOTT RD FRN License Class : License Number: Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: NSF (1991), GAR(685), COV(415) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SCHNEIRSOHN, DAN & CYNTHIA permit to construct, alter, improve, demolish, or repair any structure, prior 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 711 PARKWOOD DR the Contractor's Stale License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the (530) 342-3519 applicant to a civil penalty of not more than rive 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: SCHNEIRSOHN, DAN & CYNTHIA owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, ` provided that such improvements are not intended or offered for 711 PARKWOOD DR \1 sale. If however, the building or improvements are sold within one CHICO, CA 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 95928 t sale.). (530) 342-3519 t• A 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' 'SState License Law.). Contractor: ❑ 1 am Exempt under Articlee 3 usines nd P fessionssCCo7de Owner:_r f WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: PIETZ, GREGORY A. required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 3091 S.F. I certify that in the performance of the work for which this permit is Valuation: $152,495.00 issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. % /d -C r Date: Applicant: ` �So53 WARNING: Failure to secure workers' compensation coverage Is ! unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 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 Resoluti ns o do work Indic pted bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . ' , Q Name: By Dale: PERMIT EXPIRES O : J Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have- read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any off ' I form o document of Butte County. I hereby authorize representati ves of Butte County to enter upon the above/mentioned property for inspection purposes. Print Name: _ / ✓GI �t/� �- / �� � f s Q/�/ �`� Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY OCT. 9 °2006 INTER -DEPARTMENTAL MEMORANDUM DEVELOPMENT SERVl TO: BUILDING DI ISION, OVILLE FROM: ENVIR. HEALTH, CHICO DATE: RELEAS ENV. HEALTHHOLD' N BUILDING FINAL FOR: 5C vFl2.sa N-� OWNER NAME: SEPTIC: - WELL: AP#: Ao3_K-ADDRESS/LOCATION: l Comments: 63 GUmemos/releasehold ENGINEERED WOOD SYSTEMS Certificate. of -Conformance' Certificate. 054078 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products - Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the 'in -plant QA program with adequate sampling to verify conformance to industry standards for'lumber grade and glueline bond quality. cC'-V L-O,M 1/1-7 by—4-L -�---_ 9&,' Thomas G. Williamson Executive Vice President 1� �>J scy,� sr l R so rt►� ENGINEERED WOOD SYSTEMS is'a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street - P.O. Box 11100 - Tacoma, WA 98411-0700 Telephone: (253) 565-6600 - Fax Number: (253) 565-7265 3 (/ o K (/z Gw L.A-AA VCL ' 5 tle % /3-7' �w o �''' . ♦♦�.•�o �0 go 5S�.:U m z iW Cq- r by—4-L -�---_ 9&,' Thomas G. Williamson Executive Vice President 1� �>J scy,� sr l R so rt►� ENGINEERED WOOD SYSTEMS is'a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street - P.O. Box 11100 - Tacoma, WA 98411-0700 Telephone: (253) 565-6600 - Fax Number: (253) 565-7265 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address v,c*Q- r-02,9,151 2Hicli- 9.07 Yz Builder or Installer Name S (u&.6, Bui r or Installer Contact . Telephone Plan/Permit (Additions or Alterations) Number HERS Rater 1CLAXA " S Telephone '�c1 lf-9. I I l Sample Group Number wizq Enter Tested Leakage Flow in CFM: Compliance Method (Prescriptive) Climate Zone Certifying Si Date l Ln Sample House Number N Firm _ /1 Enter Total Fan Flow in CFM: HERS Provider Street Address; 107 L.City/Mate/Zip: 3 v Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ ❑ Tested ✓ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested but- f installer has provided a copy of CF ;6R (Initallation Certificate).. RE ducts are fully ducted (i.e., does not use building cavities as lenums or platform returns in lieu of ducts). _ g - P_ P ) ❑ New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive•duct tape to seal leaks at duct connections.). ✓ ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results I NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) . Measured Values Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: ✓ ✓ 3 Pass if Leakage Percentage < 6% [ 100 x L—(Line # 1) / (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out ; 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System { - 5 for Duct System Alteration and/or Equipment Chana-Out. i Enter Reduction in Leakage for Altered Duct System [ (Line # 4) Minus # 5)] -- 6 -..(Line (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) —,, ✓ ✓ .' Entire New Duct System - Pass if Leakage Percentage < 6%' 8 100 x Line # 5 / Line # 2 - _ ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [100 x L_(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x L_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x L_(Line # 6) / (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection ❑Pass ❑Fail Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass.1 ❑ Pass ❑ Fail Residential Compliance Forms December 2005 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. B. C. Building Permit 01-16-04 pg 1 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: 05/17/2006 APN: 063-040-128-000 the Business and Professions Code, and my license is In full force and effect. Site Address: 4989 SCHOTT RD FRN License Class : License Number: Map Index: Date: Contractor: Description: NSF (1991), GAR(685), COV(415) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SCHNEIRSOHN, DAN & CYNTHIA permit to construct, alter, improve, demolish, or repair any structure, prior 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 711 PARKWOOD DR the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 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 95928 violation of Section 7031.5 by any applicant for a permit subjects the (530) 342-3519 applicant to a civil penally 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: SCHNEIRSOHN, DAN & CYNTHIA owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 711 PARKWOOD DR sale. If however, the building or improvements are sold within one CHICO, CA 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 95928 sale.). (530) 342-3519 7A 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 usines nd P fessions Code 2 -01 Date:!+/ Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: PIETZ, GREGORY A. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 3091 S.F. I certify that in the performance of the work for which this permit is Valuation: $152,495.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � �LJ .`% -4 Date: %!� ` '-/,tel,]/' ' V Applicant:14S J:Zn SJ"i� WARNING: Failure to secure workers' compensation coverage is`-'� unlawful, and shall subject aemployer to criminal penalties and 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 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 Resoluti ns o do work indic ted bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By.A Date: PERMIT EXPIRES OM/ 3/1267 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 & 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 off ' I form o document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:���ZqN,1��X4"r SQ�i✓ Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS 24 HOUR 1NSPECTIONK: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OF APPLICATION Website: www.buttecounty.neUdds "PLEASE PRINT CLEARLY** �r%SZSy.7Ti �MZl�ir, %Fi OWNER INFORMATION Last Name Address %/ Lt/Gr/ First Name 4 city � / is u Address State a, Zip 959z PhoneS-30 3517--JY17 State Fax 530 3 VZ- -7 79S E-mail Q O/ / A- / / _ / ARCHITECT/ENGINEER CONTRACTOR Name -� Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name P PPI 2� Address 3�3 /J 6 4,yceg City State Zip Phone, -3,8 .1 Fax E-mail State Lice se Number 27-. % APPLICANT INFORMATION Name s� / 6 Address City State Zip Phone Fax E-mail APPLICANTS NATURE X - For office use only: Zoning I T PA - 5 1 Flood Zone I X I SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. �J BP OCD 0M'j BIN # �-2 PROJECT LOCATION AN 0(03 -0 =/Z� Prop�rl Ad re ss City Cross Street / S'cho WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name n , J v� Address Description or Scope of Work: Sq FT- Living Garage 0 5 Open Cov 11's ❑ Structure Built without Permits O 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: KaG� Amount: Bldg 7. 2021 A(D SRA Receipt #:4q 40 Date:2- 17-06 Sheriff SMIP 2 Other I J ` •� W Total r VA BF0603M COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ,)Q OWNER: �C i I h c, n b n ASSESSOR PARCEL NUMBER . 0 t /1� Li ` I L D Proposed Building Use: 1 )\N,� �I ll 1 ` 1 Permit Technician: Date: 2 ()(A 'Items required in order to apply for a permit. Af l-6oxes MUST be checked OR marked NA in order to apply. S1`! 1. Site piansC3or 4 sets, signed by the preparer of the plans. ❑/ 2. Complete plans, 3. r 4 sets, signed by the preparer of the plans. ,y(N jV 3. Engineered plans,,3 or 4 sets, with wet signature on plans AND 2,sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxesl 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design,and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 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 in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑/ 11. Hazardous Material Form 12. Acknowledgement of building. permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) O� 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 5 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required..................................................................� 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the Ci y of Biggs .............................. ,a 22. California Department of Forestry Ian approvalXpaid. Sent by: 1O" 23. Planning approval for (A) Use: �(B) Parking: (C) Parcel Check: ............ V1 to (4 /_ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... W 26. NPDES Form............................................................................................. iT . 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 0/ .29. Worker's Compensation Carrier and Policy Number .......................................... Nt TO 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... ALIF 32. Recorded copy of Agricultural Acknowledgment Statement ................................. Vt-7A& C5 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: / i OWP1P('r When issued Telephone (��s7 % � - 3 Egg wioF and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �r�/ `�.------- Date: :2 -�7-!>/_ 1. Index permi app ication for the above items numbered: Plan Check Letter c 2. Additional items required Contractor, designe ner' as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designe , was 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: Plans approved by: Date: Structural reviewed by' Dat , e Structural approved by: Dat Note transfer by: VDate: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO: FROM: Building Division = Development Services Environmental Health E.H. USE ONLY Plot Plan Attached f y Floor Plan Attact ed�- Sent to 8D/DS / SUBJECT: Sanitation Clearance S2N�iksOy Owner Location AP# Plan Approved for: Sewage Disposal: J Water Supply: Public Private Well -- Clearance Clearance for dwelling. Other Hold final for: Final clea;T17ffljNr0*; r: NOTE: %75 0164ftwvc AC`S/,/>e ? 3l1 - ---- a Environmental Health Specialist Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.neVdds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner SCHNEIRSOHN APN No: 063-040-128 Application Date 2/17/2006 Permit No: BP 060384 Permit Type: NSF DWELLING 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,854.70 Plan Check portion of Permit Fee $1,141.88 $1,712.82 Balance of Building Permit Fee 2 FEMA Res Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 _ (State Responsibility Area) Building Inspection $109.98 $109.98 - $204.98 NON-REFUNDABLE portion of fees due at application - . _ $1,236.8.8_ RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,346.86 r 2/17/06 Kourtni CCCQ /QCI ^U/\ MI IC 0931^93 TA 10011 A KU10 ^f- 93C9311111T e� - n• 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. Applicant: Date: Z/ /d C Pursuant to Govenl6ent code Section 66020, you are hereby notified those Items followed by an "* may have been imposed oh 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 .121205 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District //d� s11 L�4 Building Department No. A.P. Number �rQ_ 6&— 4-5(Jurisdiction: City County Property Owner Property Location Subdivision eye: /-11)SW/ Residential Development No of Living Units Commercial/Industrial 0 New Department Lot No. Q Q Q Sq. Footage / Mobile Home Addition/ 'Supplemental to (Group. R) Installation Conversion Pefmit # .(No foundation inspection) '• ........................................................................................ - .._ _ -'1366-d Restricted Sq. Footage' (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Q Sq. Footage Addition (Including Exterior Roofed Areas) -/o-�� Date District Identification No. 0—(06616 616 School District certifies that ��NrirwMM'f (Street Address �1/ao (City) (State) %) has complied with the requirements of Resolution No. Ida v representing square feet. JFB 2926 Paid by Check # / Remarks: (Applicant) - 315 (Phone Number) (Zip Code) by payment of $ $ [FULL MITIGATION $ Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Government Cods Section 66020(a), 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 (CEM), this project may be subject to additional school fees to fully mitloate Its Impect on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (31 5*m COMPLETE THIS INFORMATION: RECORDING REQUESTED BY: AND WHEN RECORDED RETURN TO: CI1/tf bi/Ii/A 206-0024279 Recorded I R=C KEE 10.00 Official Records I County of I COPPIES 2.50 Butte ! C KTgCE J. 6WHRS I County Clerk -Recorder! I I Jc 6:16W i`i-`day-Rte!! i Pane 1 iiofEE cgg ff` THIS SPACE FOR RECORDER'S USE ONLY ^ n Qih/1 1 s�3 r� cd�/0 J 1� 7 /. al'--," C/blLl"id A�e, 4 d A 'm*1 Document Title(s) THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) I AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 MARK PALMER COMM. #1496317 -+ IoTARY PUBLIC - CAUFORDM BUTTE COUNTY 19MY Cmm• Expim J* 2.2W8 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: THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUT, STATE OF AND IS DESCRIBED AS FOLLOWS: Parcel 2,, as shown on that certain Parcel Map, filed September 17, 1999, in the Office of the Recorder of the County of Butte, State of California, in Book 148 of Maps, at Page(s) 27, 28 and 29. Date �� PROPERTY WN RS: (' �N Jv�WQj1`s�i✓�/ IT I 0 AR State of California County of BU e . On JAL personally appeared ; e 101 /f �� iv �,� v�ti illi` �+ Sc��iiU personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature�i(%Vl�Seal:4 sm s:t4vW'-*3VW024 `~ 11MAW1MN m r A.P. # QLAQ It£96tWWWO3 a3WIVJ k2lHW �P pgT�^eNr T 01- Department ®f Public Wo.rks C o u n t y o f B u t t e 0 0 7 County Center Drive Oroville, CA 95965 0 J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 A � 5 �QCIC WC�� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 0b3- CYO -/-z ' Building permit # Owners Name: Owners Mailing Address: -7// /-tet i� �✓n��� �� ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: C) A C 5-3 ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: n Not a County maintained road (] Existing driveway conforms to County S-31 standard [] Other Approved by Printed Name Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. Butte CountyDepar&nent of DevelopnentServlces 7 County Center Drive a <' Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile c0 UN�-1 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring -the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). ; Please print: . Applicant Name: Nie Id" Building site address: APN: 04 3 0 $�"D '126"' Permit No.: 66 03 ?� 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: SIGNATURE OF APPLICANTDATE 9 Copy to Applicant/EH/File K:Fonns/BldePermitwithoutClearances 020705 Department •.c o u n t y -"IF. L�«ecror of Public Works o f B U t..t e LAND DEVELOPMENT DNMON Storm Water Management Program 7 County Center Drive Orovine, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase If Construction Storm Water Permit and Storm Wafer PO' llution Prevention Plan (SWPPP) Acknowledgement rLESS THAN � ACRES Project Description: lVe4l JIN�49 ,Lrti Project Location and/or Parcel Number: By signing below, I, the projectowner/owner's agent,certify that this project 4YII,L NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water. Permit from the State of California Regional Water Quality Control Board I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: r., r, Date: Z -/ 7 -O c 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 ajor 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: _ 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: ��G✓I DATE: -?/ A 6 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 AJTT ADMINISTRATION * BUILDING * GIS * PLANNING o I':11 o o o 7 County Center Drive 0 Oroville, CA 95965 0 (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 confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, * 7 __ AY M�Re_ Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 14 SITE PLAN REVIEW APPLICATION Date: 0 AP# Permit Number (if applicable) ()&-o3ey APPLICANT INFORMATION Sc01,IC1/Z_.500Ay Owners Name: ' Owners Address: Telephone No. Site Address Proposed Use: Bin Number o2 Parcel Size: 014N 7 PAR-t-,Wbol,2 AL- c (ico CA ?S%a-o Ce_� H -t F-) f,,e�L p4LAA� R sidential New Single Family Residential ❑ Single Family -Addition ❑ Single Family Remodel Mobile Home Residential Accessory Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Other: Brief Explanation/Issue: Zone: V-5 GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval i ❑ Resolved 50 40114,11 ME��. - 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: —N-5- General Plan: &= Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 IL Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 0,0( Side C �c Street Rear to Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 IL q 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 Man: Map Date of Recording: q/(7 Lot: A Book: No", Page: C21 3 LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION June 1, 2004 :'' DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 Tom Norman FAX: (530) 538-7785 P.O. Box 693 Forest Ranch, CA 95942 RE: Site Plan Review for APN 063-040-128 (Lot #2,) PM 148-27/29 Our office has reviewed your Plot Plan and will accept it for approval, subject to the following conditions being met. Please review the information enclosed that is associated with development of your parcel. Enclosed is a list of conditions related to this parcel marked as Exhibit `B". Conditions 1 through 13 are site specific. Please note on condition number 2, that an Erosion Control Plan prepared by a qualified professional engineer is requirednp �or to septic or building permits being issued. Exhibit "C" are conditions related to approval of your parcel. Please submit the a osion control p a nd new plot plans showing all oak trees located on your parce�0*1 o Larry Painter at the building division, 7 County Center Dr., Oroville. V� Please review all enclosures to be sure that the information is correct, and that you have incorporated these requirements & conditions into the design of your project. Should you have any questions please feel free to call me between the'hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530538-6572. Sincerely, JosNphBer Planning Manager Attachments. Exhibit "A" (Site Plan Review) Exhibit `B" (Site Specific Conditions) Exhibit "C" (Map Conditions/Mitigation Measures for Parcel Map Approval) Exhibit "D" (List of Architects/Engineers for Erosion Control Plan) • t�.c t �tu� 1 V l.n1l.V Dil � �- TO LARRY PAINTER SITE PLAN REVIEW APPLICATION Date: s' — p r AP#(� Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: e_ Owners Name: Owners Address:y Pn X k Telephone No.: Email: Situs.Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory x ❑ Permanent Second Dwelling .� ❑ Temporary Mobile Home (Aunt Minnie) `. ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial .� ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel ... Other Septic ❑ Well ❑ Agricultural Exempt Building E] Agricultural Buffer Form ❑ Applicable R N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) [} Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By L' ttk-06M Date , Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Parcel Is In: Streets & Highways Fire Prevention Snow Load Area: 09CrC) - `T Cr Front ❑ j Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) I D ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) E§ SRA - (CDF to determine specific requirements) Rear ❑ 100 -Year Flood Plain: (Seea a ed) Sa • Flood Zone: • Flood Panel No.: C 22 C 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) N/A ❑ 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) mX ElOroville Enterprise Zone Use Requires: .� ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit y„+ ❑Minor Variance ❑Variance --------__---_- --------------------_---_------- �' ❑ Detached Building Use Form ❑ Encroachment Permit ' ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement IWA. Zoning: — Applicable Building Setbacks: ❑ 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 5© 1J/ L Side I D 3Q5 Side Street Rear ) D Sa Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ 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) * 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/Notice 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: hAP' Z�; jSIJO— 112_2_ Map Date of Recording: C1-1 '?— Lot: -2- ❑ Use Permit/Minor Use Permit Permit Number: Book: `7 �_ Page: 2 2� Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 Fire Department 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 driveway and 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. no Page 4 of 5 NOTE'S: 1. STRUCTURES, DUMPING, FILL MATERIAL, VEGETATION REMOVAL AND/OR EXCAVATION SHALL NOT BE ALLOWED WITHIN THE PROPERTY AS DEPICTED UNLESS AN EROSION CONTROL PLAN PREPARED BY A REGISTERED CIVIL ENGINEER OR OTHER QUALIFIED PROFESSIONAL IS SUBMITTED TO AND APPROVED BY THE DEPARTMENT OF PUBLIC WORKS. I 2. LIMIT SOIL WORK TO PERIODS OF DRY WEATHER BETWEEN APRIL is TO i NOVEMBER 15 UNLESS AN EROSION CONTROL PLAN FOR WET WEATHER CONDITIONS IS PREPARED BY A CIVIL ENGINEER OR OTHER QUALIFIED s PROFESS'fONAL AND APPROVED BY THE DEPARTMENT OF PUBLIC WORKS. - - - MULCH PROTECT, HYDRO -SEED, OR OTHERWISE STABILIZE SOIL ON ALL AREAS THAT HAVE BEEN DiSTRURBED bR HAVE BEEN CLEARED OF VEGETATION AND ARE OF ERODIBLE MATERIAL. 3. PRIOR TO THE COMMENCEMENT OF GRADING AND/OR COSTRUCTION ACTIVITY, ALL INDIVIDUAL OR GROUPS OF OAK TREES WHICH ARE TO BE RETAINED AS PART OF THE PROJECT IN AREAS TO BE DEVELOPED, SHALL BE FULLY PROTECTED THROUGH THE VSE OF ROOT PROTECTION ZONES (RPZ). , I DURING CONSTRUCTION, RPZs SHALL BE ESTABLISHED USING PROTECTIVE { , FENCING ENCLOSING AN AREA WITH A RADIUS L5 TIMES THE DISTANCE .FROM THE TRUNK TO THE DRIPLINE. WITHIN THIS PROTECTIVE BUFFER, NO GRADW , TRENCHING. FILL, OR VEGETATION ALTERATION OF ANY KIND SHALL BE ALLOWED. THE RPZs SHALT. BE MAINTAINED AFTER THE COMPLETION OF CONSTRUCTION IN ORDERTO CONTINUE TO PROTECT THE OAK TREES, BUT THE FENCING � SHALL. BE REMOVED. 4. A PLAN OF THE EX STING ON-SITE MATURE OAK TREES, LOCATED= IN ANY AREA PROPWED FOR BUILDINGS AND VEHICULAR ACCESS, SHALL BE PROVIDED TO AND APPROVED SY THE PLANNING DrA%dN PfWOR TO THE ISStMCE OF BUILDING P 11 —IS AND/OR PRIOR TO GRADING OR VEGETATION REMOVr - — THE APPLICANT SHALL MUNIgE TIME REMOVAL OF MATURE OAK TREES, WHERl= POSSIBLE. A IIIM►`I'URE TREE SHALL BE DEFINED AS A TREE WITH A TRUNK MEASURING 4 INCHES IN DIAMETER, 4 FEET FROM GROUND LEVEL. MATURE TREES REMOVED SHALL BE REPLACED ON A 3 -TO -I NATIO, UTILIZING EXISTOG OAK TREE STOCK. CENT OF Si ROAD CS�u^uaP_ cna Atlr A& d%rLA=O TLA.0 =rCjllrt jrjA.1 A.O:CA4` CWAI I RC I ItWjrC'f% ,01 x *am JD 5. FENCING FOR AREAS OTHER THAN RESIDENTIAL AREAS SHALL BE LIMITED TO A MAXIMUM OF 5 WIRE STRAND'S. THE LOW STRAND SHALL BE AT LEAST 16" ABOVE THE GROUND AND THE UPPER STRAND SHALL BE NO 14GHER THAN 48•' ABOVE I THE GROUND. AT THE TIME OF BUILDING PERMIT APPLICATION, IF A DEER HERB IMPACT FEE(S) IS CURRENTLY IN EFFECT, IT SHALL HE PAID PR4OR TO ISSUANCE OF BUILDING PERMIT. 7. TO ENSURE THE MANDATED FIRE CLEARANCE ESTABLISHED IN THE COUNTY, A MINIMUM BULOW SETBACK LINE OF 30 FT., OR GREATER AS REQUIRED BY ZONING ORDNANCE, IS REUIRED ALONG ALL SIDE AND REAR YARD PROPERTY BOUNDARIES. S. UNLESS THE PARCELS CAN BE CONNECTED TO A PRESSURIZED COMMUNITY WATER SYSTEM, ALL NEW HABITABLE BUILDINGS SHALL HAVE AN AUTOMATIC SPRINKLER SYSTEM PER NATIONAL FIRE PROTECTION ASSOCIATION (NFPA 13D) STANDARDS FOR SINGLE FAMILY DWELLINGS. 9. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FACILITIES SHALL BE PAID PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS. SAID FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR BUILDING PERMITS. 10. NO STRUCTURES SHALL BE PLACED WITHIN THE 65.02 FOOT WIDE SEGMENT OF PARCEL I. 11. CONSTRUCTION, INSTALLATION OR DEVELOPMENT OF STRUCTURES OR FACILITIES ON THE PARCELSILOTS SHALL COMPLY WITH THE LATEST CALIFORNIA FIRE SAFE REGULATIONS, (PUBLIC RESOURCES CODE 4290), AND ALL OTHER APPLICABLE STATE AND COUNTY CODES, ORDINANCES AND REGULATIONS IN EFFECT AT THE TIME OF APPLICATION FOR IMPROVEMENT PERMITS. 12. BUILDING IDENTIFICATION AND/OR ADDRESSES SHALL. BE INSTALLED IN CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. 13. DEVELOPMENT OF THESE PARCELS MAY REQUIRE PAYMENT INTO THE WATER TENDER FUND. AIMED AS ALLY ACTIVE { 4CE FROM NO GRADING, L BE ALLOWED. STRUCTION IN f IrfN�i ,� J CENTERLINE OF SCHOTT ROAD _IMITED TO LEAST I6aa THAN 48" ABOVE 1 I f � , ` PARCEL 2 { 5Q 8• UD CENTERLINE O EXISTING ROAD CALIFORNIA FIRE SAFE REGULATIONS PUBLIC RESOURCES CODE 4290 CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION BUTTE COUNTY FIRE DEPARTMENT Emergency Water Standards • The emergency water system shall be available on-site prior to the completion of road construction, where a community water system is approved, or prior to the completion of building construction, where an individual system is approved. • Water system standards are site specific and thus are available upon request Private Driveways and Roadways • Roadway surfaces shall provide unobstructed access to conventional drive vehicles, including sedans and fire apparatus, and be capable of supporting a 40,000 pound load. • The grade for all roads, private lanes and driveways shall not exceed 16 percent • No roadway shall have a horizontal inside radius of curvature of less than 50 feet, and an additional surface width of 4 feet shall be added to curves of 50-100 feet .adius; 2 feet to those from 100-200 feet • The length of vertical curves in roadways, exclusive of gutters, ditches and drainage structures designed to hold or divert water, shall not be less than 100 feet • Turnarounds, if required, on driveways will have a minimum turning radius of 40 feet from the center of the road. If a hammerhead/T is used, the top of the " T" shall be a minimum of 60 feet in length. • Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. • All driveway structures shall be constructed to cant' at least the maximum load and provide the minimum vertical clearance as required by California Vehicle Code Sections 35550, 35750 & 35250. • Appropriate signing shall reflect the capability of each bridge. Additional requirements upon request. • All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. • Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet turnouts shall be provided no more than 400 feet apart. • A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. Gate Entrances • Gate entrances shall be at least 2 feet wider than the width of the traffic lane serving the gate. • All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. • Where a one-way road with a single traffic lane provides access to a gated entrance, a 50 foot turning radius shall be used. Signing and Addressing • All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and be visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. • Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. • Where multiple addresses are required at a single drive- way, they shall be mounted on a single post. • Size of letters, numbers, and symbols for street and road signs shall be a minimum 3 inch letter height, 3/8 inch stroke, reflectorized, contrasting with the background color of the sign. Setback for Structure Defensible Space • 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 a road. • Parcels less than 1 acre shall provide for the same practical effect Specific requirements available upon request. Disposal of Vegetation and Fuels • Disposal, including chipping, burying, buming or re- moval to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site develop- ment and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit Dr. Dan Ekkens, Tentative Parcel Map, (proposed Negative Declaration with mitigation measures regarding environmental impacts) to divide a 26.2 acre parcel into two parcels, one at 5.668 acres and one at 20.93 acres, on property zoned TM -5 , identified as APN 063-040-122, Forest Ranch. (SB) (TPM 98-18) Engineer: RFC Surveyors tj Development Services Conditions J '� T? ,n/• 1 I 1. Show'on an additional map sheet, or separate plat map which is lo -be -record concurrently with the map, all areas having a slope of 30% or greater as a No Development Zone. elude a note that states: "Structures, dumping, fill material, vegetation removal ani excavation R044fshall not be allowed within the No Development Zone as depicted unless an Erosion Control 4 'IP Plan prepared by a registered civil engineer or other qualified professional is submitted to see• �� C,�` and approved by the Department of Public Works." (N" R 2. Place a note on a separate document which is to be recorded concurrently with the map or 0 on an additional map sheet that states: "Limit soil work to periods of dry weather between V U) April 15 to November 15 unless an erosion control plan for wet weather conditions is prepared by a civil engineer or other qualified professional and approved by the Department of Public Works. Mulch protect, Hydro -seed, or otherwise stabilize the soil on all areas that have been disturbed or have been cleared of vegetation and are of erodible material." (NM 3. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be retained as part of the project in areas to be developed, shall be fully protected through the use of root protection zones (RPZ). During construction, RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the trunk to the dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed. The RPZs shall be maintained after the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed." (NM 4. Place a note on a separate documents which is to be recorded concurrently with the map or on an additional map sheet which states: "A plan of the existing on-site mature oak trees, located in any area proposed for buildings and vehicular access, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The applicant shall minimize the removal of mature oak trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock." Q vi) 5. Place a note on a separate documents which is to be recorded concurrently with the map or bwulon an additional map sheet that states: "Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The low strand shall be at least 16" above the ground and the upper strand shall be no higher than 48" above the ground." (NM 6. Place a note on a separate document which is to be recorded concurrently with the map or 6V,on an additional map sheet that states: "At the time of building permit application, if a Deer V5 n. Herd Impact fee(s) is currently in effect, it shall be paid prior to the issuance of the building permit." (MM) , 7. _Sho _ on a separate document which is to be recorded concurrently with the map or on an additional map sheet, a 30 ft. building setback line along the sidd and rear yards of all L parcels. Place a note on a separate document which is to be recorded concurrentlye map or on an additional map sheet stating that: "To ensure the mandated fire clearance established in the County, a minimum building setback line of 30 ft., or greater as required �j by the zoning ordinance, is required along all side and rear yard property boundaries." (NM 8. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet stating that: "Unless the parcels can be connected to a pressurized 0\L� community water system, all new habitable buildings shall have an automatic sprinkler ,�S system per National Fire Protection Association (NFPA 13D) standards for single family dwellings." (NIM) 9. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "A development impact fee for Sheriffs facilities shall be paid pursuant to the provisions of Chapter 3, Article H of the Butte County Code, �5w prior to issuance of building permits. Said fee amount will be determined and calculated as of the date of application for the building permits." 10. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "No structures shall be placed within the 65.02 foot wide segment of Parcel 1." Fire Department Conditions Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "Construction, installation or development of strictures or facilities on the parcels/lots shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State and County codes, ordinances and regulations in effect at the time of application for improvement permits." 0� Place a note on a separate document which is to be recorded concurrently with the map or Q. on an additional map sheet that states: "Building identification and/or addresses shall be installed in conformance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter." 6 `� 13 In lieu of a pressurized water system or water storage tank, payment of $200.00 per created �-� parcel into the Battalion 2 water tend fund, is required prior to the issuance of a building permit. Place a note on the map or additional sheets that states: "Development of these parcels may require payment into the Water Tender Fund." �L Prior to, or concurrently with the recordation of the Parcel Map, provide a fully executed road maintenance agreement on the County approved form. Provide street name signs per requirements of the Department of Public Works prior to recordation of the Parcel Map. Street names shall be approved by the County Address Coordinator prior to the recordation of the Parcel Map. old & Obtain encroachment permit for all new or existing driveway approaches and construct them 3 to County standards, as specified in County Improvement Standards. Provide a cul-de-sac, designed and constructed to county standards as specified in the County Improvement Standards. The Parcel Map shall show the cul-de-sac. All access rights shall be reserved by deed, per County Ordinance, and offered for dedication and depicted on the Parcel Map. GC' 69.) Pay the recording fees then in effect for recording the Parcel Maps and related documents. ® Provide two-way traversable access to each parcel from a County maintained road or from ,j a state highway. Improve parcel access road to RS -8 LD -II. Prior to the recordation of the Parcel Map, obtain an encroachment permit and construct a ,3 standard road approach, in accordance with County Improvement Standards. Adequate sight distance at the intersection of access road and Schott Road shall be provided. * l'J Show on the additional map sheet or a document to be recorded concurrently with the Parcel �+ lll��� Map a 50 ft. building setback from the centerline of access road and Schott Road. Show all easements of record on the Parcel Map. 64. Prior to or concurrently with the recordation of the Parcel Map, pay in full any and all ``'1'delinquent, current and estimated taxes and assessments as specified in Article 8, of Chapter g'V°1 4 of Division 2 of Title 7, of the Ci oal f rnia Government Code commencing with Section " 1 66492. ® �V Environmental Health Department Conditions ® p\ 25 Identify on the additional map sheet a 100 foot leachfield free setback from each existing well within the proposed property lines and within 100 feet of the project boundary lines. MATERIALS TESTING Applied Testing Consultant 5050 Cohasset Rd., Chico CA 95926 891-6625 MECHANICAL ENGINEERS Melas Engergy Engineering Michael Melas 547 Uren St, Nevada City, CA 95959 265-2492 M x Y LIST OF BUTTE COUNTY • ARCHITECTS — CIVIL ENGINEERS 11/15/00 ARCHITECTS Acquistapace, Joseph ADDRESS 3012 Esplanade, Chico CA 95926 PHONE 342-4136 -Terson, John 125 W. 3rd St., Chico CA 95928 891-4242 .A ademe (Patrick Cole) 1037 Park Ave., Chico CA 95926 343-5709 Bruno & Hawkins 20 Constitution Dr., Ste A, Chico CA 95973 895-1125 Gilmore, Stephen 48 Comanche Ct., Chico CA 95926 891-6495 Griffith & Associates 25 Main St., Ste C, Chico CA 95928 343-4621 Heaton, Robert B. 2044 Palm Ave., Chico CA 95926 343-8038 Hoiland, Ed 1700 Greenhaven Ln., Chico, CA 95926 343-4008 January, James J. 10293 Cohasset Rd., Chico CA 95926 342-1386 Lieberum, Paul 1836 Salem Street, Chico, CA 95928 342-5669/894-4035 McFarren, Gene 270 E. 4th St., Chico CA 95928 894-3105 Nichols, Melburg & Rosetto 434 Broadway, Chico CA 95928 891-1710 Norlie, Thomas 569 E. 18th St., Chico CA 95928 894-7287 Peitz, Greg 383 Rio Lindo Ave., Chico CA 95926 894-5719 Schleiger, Dave 305 Wall St., Chico CA 95928 891-8440 Slater, Robert L. 918 Bryant Ave., Chico CA 95926 343-0765 Tarman, Thomas A. 290 Airpark Blvd., Chico CA 95926 891-3413 Thomson & Hendricks 60 Declaration Dr., Ste A, Chico CA 95926 342-5669 Ward, Lorrin 341 W. 4th St., Chico CA 95928 342-4265 Wamer, Larry J. 6395 Columbine Rd., Magalia CA 95954 873-1729 CIVIL ENGINEERS A & Q Engineering 1280 E. 9th St., Chico CA 95928 893-0631 Anderson, Neil O. & Assoc., Inc. 22 Houston Ln., Lodi, CA 95240 891-6304 BBA Engineering PO Box 1576, Oroville, CA 95965-1576 534-1991 Bachman & Associates 13647 Gamer Lane, Chico, CA 95973 342-4136 Caprealian Eng & Surveying 1743 Mulberry St., Chico, CA 95928 891-6886 ulp & Tanner 55 Independence Cir, Ste 201, Chico CA 95926 895-3518 Dobbie, Dan 20 Mayfair Dr., Chico CA 95926 345-4743 FLT Engineering 5790 Clark Rd., Paradise CA 95969 872-0254 GDA Eng, Surveying & Planning 220 Grand Ave., Oroville CA 95965 533-2068 Gilbert Engineering 70 Declaration Drive, Ste 101, Chico CA 95973 899-9503 Griffith & Assoc. 25 Main St., Chico CA 95928 343-4621 Henry Consulting (John Henry) 1430 Myers St,-Oroville CA 95965 533-1626 January, James J. 10293 Cohasset Rd., Chico CA 95926 342-1386 Kirk, Friedrich 241 W. 4th Ave., Chico CA 95926 345-7174 Lampe Engineering 5414 Nord Hwy, Chico CA 95926 345-7402 McGhie, Robert 60 Declaration Dr., Chico CA 95926 891-0903 McMillan Engineers 5D Madrone Avenue, Oroville CA 95966 533-2940 Mooney, Michael 5B Madrone Avenue, Oroville CA 95966 533-2131 North Star Engineering 20 Declaration Dr., Chico CA 95926 893-1600 Ringel & Assoc. 331 Wall St., Chico CA 95928 343-5841 Roberts, Charles 1708 Salem St., Chico CA 95928 894-8801 Robertson & Dominick 888 Manzanita Ct., Suite A, Chico, CA 95926 894-3500 Rolls, Anderson & Rolls 115 Yellowstone Dr.., Chico CA 95973-5811 895-1422 Roper, Laver 1346 Longfellow Ave., Chico CA 95926 342-2059 Youngdahl & Associates 1234 Glenhaven Ct., El Dorado Hills CA 95762 933-0633 MATERIALS TESTING Applied Testing Consultant 5050 Cohasset Rd., Chico CA 95926 891-6625 MECHANICAL ENGINEERS Melas Engergy Engineering Michael Melas 547 Uren St, Nevada City, CA 95959 265-2492 M x Y Fiber Rolls SE -5 objectives Description and Purpose A fiber roll consists of straw, flax, or other similar materials bound into a tight tubular roll. When fiber rolls are placed at the toe and on the face of slopes, they intercept runoff, reduce its flow velocity, release the runoff as sheet flow, and provide removal of sediment from the runoff. By interrupting the length of a slope, fiber rolls can also reduce erosion. Suitable Applications Fiber rolls may be suitable: ■ Along the toe, top, face, and at grade breaks of exposed and erodible slopes to shorten slope length and spread runoff as sheet flow ■ At the end of a downward slope where it transitions to a steeper slope ■ Along the perimeter of a project ■ As check dams in unlined ditches ■ Down-slope of exposed soil areas ■ Around temporary stockpiles EC Erosion Control J SE Sediment Control ✓ TC Tracking Control WE Wind Erosion Control NS Non-Stormwater Management Control WM Waste Management and Materials Pollution Control Legend: ✓ Primary Objective J Secondary Objective Targeted Constituents Sediment ✓ Nutrients Trash Metals Bacteria Oil and Grease Organics Potential Alternatives SE -1 Silt Fence SE -6 Gravel Bag Berm SE -8 Sandbag Barrier SE -9 Straw Bale Barrier Limitations ■ Fibe; rolls are not effective unless trenched E A S CIA California Stormwater Quality Association January 2003 California Stormwater BMP Handbook 1 of 4 Construction Fiber Dolls SE -5 ■ If fiber rolls are removed, collect and dispose of sediment accumulation, and fill and compact holes, trenches, depressions or any other ground disturbance to blend with adjacent ground. Costs Material costs for fiber rolls range from $2o - $30 per 25 ft roll. Inspection and Maintenance ■ Inspect BMPs prior to forecast rain, daily during extended rain events, after rain events, weekly during the rainy season, and at two-week intervals during the non -rainy season. ■ Repair or replace split, torn, unraveling, or slumping fiber rolls. o If the fiber roll is used as a sediment capture device, or as an erosion control device to maintain sheet flows, sediment that accumulates in the BMP must be periodically removed in order to maintain BMP effectiveness. Sediment should be removed when sediment accumulation reaches one-half the designated sediment storage depth, usually one-half the distance between the top of the fiber roll and the adjacent ground surface. Sediment removed during maintenance may be incorporated into earthwork on the site of disposed at an appropriate location. ■ If fiber rolls are used for erosion control, such as in a mini check dam, sediment removal should not be required as long as the system continues to control the grade. Sediment control BMPs will likely be required in conjunction with this type of application. References Stormwater Quality Handbooks - Construction Site Best Management Practices (BMPs) Manual, State of California Department of Transportation (Caltrans), November 2000. January 2603 California Stormwater BMP Handbook 3 of 4 Construction www.cabmphandbooks.com TYPICAL FIBER, ROLL INSTALLATION N.T.S. .� o EE N�st N I C E slope varies � Fiber roll 8" min 3/4" x 3/4" wood stakes max 4' spacing ENTRENCHMENT DETAIL N.T.S. 4 of 4 California Stormwater BMP Handbook January 2003 Construction www.cabmphandbooks.com SE -5 Fiber Robs y F Note: -V y � ,�,�,,,,ro, Install fiber roll along a level contour. y y y y IL y y Fiber rolls o+ •. I y Vertical spacing measured along the I of the slope varies between y Install a liber roil near ',0 and 20' I slope where it transitions into a steeper slope TYPICAL FIBER, ROLL INSTALLATION N.T.S. .� o EE N�st N I C E slope varies � Fiber roll 8" min 3/4" x 3/4" wood stakes max 4' spacing ENTRENCHMENT DETAIL N.T.S. 4 of 4 California Stormwater BMP Handbook January 2003 Construction www.cabmphandbooks.com 10' MAX SPACING W/ WIRE SUPPORT FENCE. 6' MAX SPACING W/O WIRE SUPPORT FENCE _XTP.A STRENGTH FILTER FABRIC NEEDED W/0 WIRE MESH SUPPORT � STEEL OR WOOD POST F LO'N J / SULT FENCE DETAIL NO SCALE STEEL OR WOOD POST PONDING HEIGHT 36" HIGH MAX FILTER FABRIC- ATTACH- SECURELY TO UPSTREAM SIDE OF POST STRAW WADDLES OR BALES 6PROPERLY ANCHORED RUNOFF 77-1 12" MIN 4" X 6" TRENCH W/ COMPACTED BACKFILL SILT' FENCE DETAIL NO SCALE GEAL'P40TIES 1. ENCROACHMENT PERMIT REQUIRED FOR DRIVEWAY. 2. TEMPORARY SILT FENCE REQUIRED FOR ALL WORK THAT DISTURBS THE GROUND SURFACE. SILT FENCE AND WATTLES MAY BE REMOVED UPON COMPLETION OF WORK AND ESTABLISHMENT OF LANDSCAPING. 3. CONTRACTOR TO ENSURE THAT NO DIRT OR OTHER MATERIALS ENTER SEASONAL WATERWAY. 4. ALL DISTURBED SURFACES SHALL BE SEEDED AND MULCHED WITH "QUICK" GROWING VEGETATION. VEGETATION MUST BE ESTABLISHED PRIOR TO REMOVAL OF BERM. SEEDED AND MULCHED AREAS SHALL BE PROTECTED WITH MULCH NETTING UNTIL GROWTH IS ESTABLISHED. 5.' INSPECT AND REPAIR SILT FENCE AFTER EACH STORM EVENT AND REMOVE SEDIMENT WHEN NECESSARY. 6. REMOVE SILT WHEN DEPTH IS 1/2 THE HEIGHT OF WADDLE STRAW MULCH. 7. REMOVED SEDIMENT SHALL BE 'DEPOSITED TO AN AREA THAT WILL NOT CONTRIBUTE SEDIMENT OFF-SITE AND CAN BE PERMANENTLY STABILIZED. 8. SILT FENCE SHALL BE PLACED ON SLOPE CONTOURS TO MAXIMIZE PONDING EFFICIENCY. JUL-1130-12004 0,n8::08 AM 5308941546 P.01 . 7lag ioy pos c E.\ \ O e -*N o-,'� OWN e.)r o\� �c�► �or ST 1`� au1C\rt . S y �vU"w�cx5 ) 3 Os vvAa.nf\ BUTTE COUNTY JUL 3 0 2004 DEVELOPMENT SERVICES COMPLETE THIS INFORMATION: RECORDING REQUESTED BY: AND WHEN RECORDED RETURN TO: vt-,VR cr)v"� &1014f bill -UA 2006-0024279 Recorded I REC FEE 10.E Official Records I County of I COPIES 2.50 But I CANDACE J. GRUBBS I County Clerk -Recorders I I JC 09:16AM 11 -May -UM I Page 1 of 2 illi III III I IIII I III III II III IN III THIS SPACE FOR RECORDER'S USE ONLY Document Title(s) THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) omw A'15 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 MARK PALMER COMM. #1496317 ' NOTMY PUBLIC - CAUFOSMA BUTTE COUNTY rb Omm. En*m J* 22, Moa 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: THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF AND IS DESCRIBED AS FOLLOWS: Parcel 2, as shown on that certain Parcel Map, filed September 17, 1999, in the Office of the Recorder of the County of Butte, State of California, in Book 148 of Maps, at Page(s) 27, 28 and 29. Date a Z62 PROPERTY WN RS: State of California County of , B U e . On AN S vh W ej 1` i�l ✓�/ Qg personally appeared / �' (, , ' L 1, �� i✓ y 0. . typ— �� Sc�4AJ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature I �I J= Seal: a gm W 4q svy63 VMV pa Lt£903 IWW03 A.P. # 0(o3 -DSD - � 83WW WWW mot r7�,t �ffis, I�z iO.110 - .3i.ES 4 YRATOW YTV uc3 3rIus 0 WIN COMA COW #14MIS Max WriEls ?LUSEepkN%10J�kNjlI s FIRE SAFE REQUIREMENTS California Department of Forestry and Fire Protection Butte County Fire Department 176 Nelson Avenue. Oroville, California 95965 • (530) 538-7888 Property Owners Name: Inspector: Inspection Date _Propqerty Location Llslo� jA class 2 aggregate base shall be required for all driveways, turnouts and turnarounds. Depth ofaggregate base: I ✓ 1273.03 ROADWAY GRADES c _ The grade for all roads, streets, private lanes and driveways shall not exceed 15%. All grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. I Percentage of slo : 1/0 ✓ 1273.04 ROADWAY RADIUS (a) No roadway shall have a horizontal inside radius of curvature of less than 50' !� and additional surface width of 4' shall be added to curves of 50-100' radius: 2' to I those from 100-300'. Questionable horizontal curve radius: (b) The length of vertical curves in roadways, exclusive of __utters, ditches, and drainage structures designed to hold or diven water, shall be not less than 100'. / Questionable vertical curve len th : ✓ 1273.05 ROADWAY TURNAROUNDS Turnarounds are required on driveways as specified in this article. The minimum turning radius for a turnaround shall be 40' From the center line of the road. If a hammerhead - f is used, the top of the "T" shall be a minimum of 60' in length. Type of roadwav tunaround used? Meautuements? ✓ 1273.06 ROADWAY TURNOUTS Turnouts shall be a minimum of 10' wide and 30' long with a minimum 25- taper I on each end. I Roadway turnout measurements and location: ✓ 1273.07 ROADWAY STRUCTURES (a) All driveway, road, street, and private lane roadway strictures (Bridges, 1 �/P culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the I minimum vertical clearance as required by Vehicle Code Sections 35550. 35750 and 35250. Bridge certified by a registered Civil Engineer? Yes ❑ No ❑ (b) Appropriate signing, including but not limited to weight or vertical clearance Nip !imitations, one-way road or single lane conditions, shall reflect the capability of each bridge. Correct signs installed? Yes ❑ No ❑ (c) A bridge with only one traffic lane may be authorized by the local "It-, jurisdiction: however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. Tumout measurements on each end: Re -Inspection Dates Inspector PRC 4290 Final Inspection Master 11/24/06 I -T c �(alliti i?' FEB G 8 2GG DEVELOPMENT n SERVICES gg2o� 5 1 K city:(vue1!�nGk Permit# a —02111" APN# (%S aH (7 ✓ 272 OO;MAINTENANCVOE-DEFE SIBLE'SPACE MEASURES ✓ To ensure continued maintenance of properties in conformance with these ✓� �j standards and measures and to assure continued availability, access, and Xermit utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. i It is the property owner responsibility to annually provide defensible space measures j ! around structures on this property as required by law PRC 4291). ! PRC 4291 information will be provided at the counter when the permit is issued. ✓ { 1273a0;DRIVEWAYS.' +•` •� `3.:xti. (a) All new driveway construction or an extension of an existing driveway shall ✓ co_m_ply with Public Resources Code 4290 roadway requirements. ! Is the drivewav new or was it extended? Yes ❑ No ❑ (b) All driveways shall provide a minimum 10' traffic lane and unobstructed Ix _vertical clearance of 15' along its entire length. I Driveway width: Vertical Clearance: t (c) Driveways exceeding 150' in length, but less than 800' in length, shall I a provide a turnout near the midpoint of the driveway. Where the driveway exceeds i 300', turnouts shall be provided no more than 400' apart. /X- Driveway length: (d) A turnaround shall be provided to all building sites on driveways over 300' in length, and shall be within 50' of the building. Turnaround distance from buildings: ✓ 1273.02 ROADWAY SURFACE The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance ..% with local ordinances and he c Ilhle of snnnnmm a in non . and 1-1 P• M' jA class 2 aggregate base shall be required for all driveways, turnouts and turnarounds. Depth ofaggregate base: I ✓ 1273.03 ROADWAY GRADES c _ The grade for all roads, streets, private lanes and driveways shall not exceed 15%. All grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. I Percentage of slo : 1/0 ✓ 1273.04 ROADWAY RADIUS (a) No roadway shall have a horizontal inside radius of curvature of less than 50' !� and additional surface width of 4' shall be added to curves of 50-100' radius: 2' to I those from 100-300'. Questionable horizontal curve radius: (b) The length of vertical curves in roadways, exclusive of __utters, ditches, and drainage structures designed to hold or diven water, shall be not less than 100'. / Questionable vertical curve len th : ✓ 1273.05 ROADWAY TURNAROUNDS Turnarounds are required on driveways as specified in this article. The minimum turning radius for a turnaround shall be 40' From the center line of the road. If a hammerhead - f is used, the top of the "T" shall be a minimum of 60' in length. Type of roadwav tunaround used? Meautuements? ✓ 1273.06 ROADWAY TURNOUTS Turnouts shall be a minimum of 10' wide and 30' long with a minimum 25- taper I on each end. I Roadway turnout measurements and location: ✓ 1273.07 ROADWAY STRUCTURES (a) All driveway, road, street, and private lane roadway strictures (Bridges, 1 �/P culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the I minimum vertical clearance as required by Vehicle Code Sections 35550. 35750 and 35250. Bridge certified by a registered Civil Engineer? Yes ❑ No ❑ (b) Appropriate signing, including but not limited to weight or vertical clearance Nip !imitations, one-way road or single lane conditions, shall reflect the capability of each bridge. Correct signs installed? Yes ❑ No ❑ (c) A bridge with only one traffic lane may be authorized by the local "It-, jurisdiction: however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. Tumout measurements on each end: Re -Inspection Dates Inspector PRC 4290 Final Inspection Master 11/24/06 I -T c �(alliti i?' FEB G 8 2GG DEVELOPMENT n SERVICES gg2o� 5 1 K city:(vue1!�nGk Permit# a —02111" APN# (%S aH (7 ✓ ✓ 1 1274.09 SIZE OF LETTERS, NUMBERS AND SYMBOLS FOK ADDKESS ) Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. ! Letters, Numbers and Symbols correct? YesX No ❑ ✓ 1274.10 INSTALLATION LOCATION AND VISIBILITY OF ADDRESSES j (a) All buildings shall have a permanently posted address, which shall be placed i I at each driveway entrance and visible from both directions of travel along the. i I road. In all cases, the address shall be posted at the be; inning of constriction and xi shall be maintained thereafter, and the address shall be visible and Ieeible from the , road on which the address is located. i r,.T 9 Vo )A Arm n 1 (b) Address signs along one-way roads shall be visible from both the intended jkEs ! direction of travel and the opposite direction. I Correct? Yes ❑ No ❑ ii/ (c) Where multiple addresses are required at a single driveway, they shall be b I mounted on a sin •le post. j Correct? Yes ❑ No ❑ INIp(d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing n .no, j Correct? Yes ❑ No ❑ I ✓ 1276.01 SETBACK FOR STRUCTURE DEFENSIBLE SPACE (a) All parcels I acre and larger shall provide a minimum 30' setback for j J)(, buildings and accessory buildings from all property lines and/or the center of the ! road. m b (b) For parcels less than I acre, the local jurisdiction shall provide for the same practical effect. ✓ SAME PRACTICAL EFFECT REQUIREMENTS I If a Building Setback is less then 30' from all property lines and/or the center of ) j the road, the following shall apply: ;I4&F • Class A roof - Correct? Yeses No ❑ • Fully enclosed eaves on entire stricture - Correct'? Yes No ❑ • Metal doors toward property line with insufficient setback Yen No ❑ • Siding on entire structure From the following list: i (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry 1 (d) Metal (e) Other Butte County Fire Department approved materials Correct siding used on entire structure? Yc&�ffll No ❑ ✓ 1276.02 DISPOSAL OF FLAMMABLE VEGETATION AND FUELS I i Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by X i site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final , I i273m.-GAn FNnuNCEs -•" ✓ (a) Gate enhances shall be at least two feet wider on both ends then the width of ✓� �j the traffic lane(s) serving the gate. Xermit Gate measurements on ends: (b) All gates providing access from a road to a driveway shall be located at least 30' from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. j Gate distance on driveway from road: (c) Where a one-way road with a single traffic lane provides access to a gated t¢ entrance, a 40' turning radius shall be used. Turning radius measurements: ✓ 1274.08 ADDRESSES FOR BUILDINGS All buildings shall be issued an address by the local jurisdiction, which conforms to that jurisdiction's overall address system. Accessory buildings will not be Ix required to have a separate address: however, each dwelling unit within a building shall be separately identified. Is address correct? Yes P No ❑ ✓ 1 1274.09 SIZE OF LETTERS, NUMBERS AND SYMBOLS FOK ADDKESS ) Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. ! Letters, Numbers and Symbols correct? YesX No ❑ ✓ 1274.10 INSTALLATION LOCATION AND VISIBILITY OF ADDRESSES j (a) All buildings shall have a permanently posted address, which shall be placed i I at each driveway entrance and visible from both directions of travel along the. i I road. In all cases, the address shall be posted at the be; inning of constriction and xi shall be maintained thereafter, and the address shall be visible and Ieeible from the , road on which the address is located. i r,.T 9 Vo )A Arm n 1 (b) Address signs along one-way roads shall be visible from both the intended jkEs ! direction of travel and the opposite direction. I Correct? Yes ❑ No ❑ ii/ (c) Where multiple addresses are required at a single driveway, they shall be b I mounted on a sin •le post. j Correct? Yes ❑ No ❑ INIp(d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing n .no, j Correct? Yes ❑ No ❑ I ✓ 1276.01 SETBACK FOR STRUCTURE DEFENSIBLE SPACE (a) All parcels I acre and larger shall provide a minimum 30' setback for j J)(, buildings and accessory buildings from all property lines and/or the center of the ! road. m b (b) For parcels less than I acre, the local jurisdiction shall provide for the same practical effect. ✓ SAME PRACTICAL EFFECT REQUIREMENTS I If a Building Setback is less then 30' from all property lines and/or the center of ) j the road, the following shall apply: ;I4&F • Class A roof - Correct? Yeses No ❑ • Fully enclosed eaves on entire stricture - Correct'? Yes No ❑ • Metal doors toward property line with insufficient setback Yen No ❑ • Siding on entire structure From the following list: i (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry 1 (d) Metal (e) Other Butte County Fire Department approved materials Correct siding used on entire structure? Yc&�ffll No ❑ ✓ 1276.02 DISPOSAL OF FLAMMABLE VEGETATION AND FUELS I i Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by X i site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final , I . .---- ____ - - -- — - Completed?' Yes No ❑ ✓ LESS THEN 3 ACRE CONVERSION EXEMPTION PERMIT OR TIMBER HARVEST PLAN If this property is located in a limber area, a less then 3 acre conversion exemption or a timber harvest plan may be required. Xermit Are freshly cut timber stumps present? Yes ❑ Ngofg If yes, fax the Butte Area Forester at (530) 872-6313, notified? Ye _ No ❑ Re -Inspection Dates Inspector 3 r Inspection Passed on: Z / SITE PLAN ........................... •����e X .. n _ 1 I 1 t 1.. •l 1- i I 9 i i 1 , J 1 1�: p` I a r 1 F�. �� _ - — \ . .�." -`� ... mac.. .. .. .. ... ..\: n r r :n . . . . ............. ..tea•. .�.. 1 r' .j -r :mss :....� :............ J - .: .: C. .. _ .. �.... _ _ _ - o .l . +� l' y. .� nn / l.f rp •�• \ r .................................... .. ... .. .. .. .. .. .. .. _ _ l 1 . .:......:. :. _i — — _1 - i ;1 :( :�. :�l •J� i' c. J! .r i 1 N. 1 - - . 1 ! l — I 1. i i y _ Wit— _ �.. b .r. • .J...r: .. .. t -. is is 'i � -,�- 1 ;1 :l .i f�� 1: I� / - ......... \ .. - - i i` !.41 .. I: 1 r: .. .. .:...:.. , ........:. ► 1 _ U 1 � 1 c P i ri .......................... ............. ..... I !I! J .. .. .. �- j� E jI .:. V .:V•- ,rye. i �3 - T �...:.. ...:....:.....:......:...................:..... ;.....: .. .. ........i s :.. .. .. .. .. .. .. . :.... ,.... .. .. ... .. 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Assessor's Parcel Number: O 0 - a a a — 0 El ED Scale: 1" 'owner Name t' t, 12 Address / Phone No. i 3cJ ^ y `(— I �� 4 cr��� �f- 7s 7 / Site Location �.s �- Z� c �� �—h yz bAC :5C4,, 7 Contac: Name 0r,VV%4 A-- Phone ff- 9 C` -/C 7,,-'-' oaob.r Zi, 2DD3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: