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063-160-009
T { NOTES L}- RESIDENTIAL L4,1,• ()q LZ PERMIT NO. 0 & • 160 ood:` 63 • a� (/C, - SPECIAL. CONDITIONS CHECKED BY SRA j FLOOD CERTIFICATE REQ. I` FIRE SPRINKLERS REQ. _ ! SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address- GAS Meter By D e i ELECTRIC Meter B i d fv- a ' .:JOB FINALED at J` A : Signatur A J=OK 0 = Not OK . = N tReadiyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . Date MOBILE HOME INSTALLATION (Plans) OK except ft's - 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 1. 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch 9. 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready Date UND LOOR (Plans) OK except #'s Zoning -Setbacks -Ease ts-Flood-Sle tg., Main; Soils- EleboOlOmd.-/Cl" Ftg. Dept Ftg., Garage; Soils -Steel -Elea Grnd: / CT Ftg. De 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. walls, Garage; Steel-Blockouts-Wrapped kaoorHold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test / 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground ,1,I,,Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation RESIDENTIAL (Single & Duplex) 16. Insulation Date r and B-1(J�J . Date Card B-1 Date Card -1 Date Card B-1 Date PLU NG (Permit) OK except #'s er Htr.; Vent -Access -Combustion Air Baffle W,jAer Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection Pe -Shower Pan; Test, First Floor -Tub Access 91-Xt Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors it.Fire Sprinkler; Test Date �1! U Card B-1 Date Card B-1 Date zf Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except #'s 04".Fkfure & Transformer Clearance -Ins. Protection EI c. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled 2 Romex Installed Close to Edge of Studs & C.J. dip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 3 ui . Clearances Panels-Motors-Mech. Equip. 4 lothes Closet Light -Shower Light -Spa Light IT Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s g&.A.q,Dbcts Insulation & Support e Fan, Exhaust above insulation Co densate Drain & Overflow, Size & Grade . Fqwdce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMJNG (Permit) OK except #'s Sill roper Materials & Anchors al tuds-Nailing Spacing & Braces -Plates -Sound 4 ing Walls over Girders & Floor Nailing Dr top in Walls (rat proof) 46rfirp,Stops, Furred Ceilings -Stairs -Chasers -Tubs R'- 4 eaders & Beams -Size & Bearing Date FRA G (Continued) , ngers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. _ gr-tL 2ce Ties or Type A Flue -Fireplace Throat Clearance A Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Windows or Exiting Doors -Sill Ht. & Dimensions ge Fire Protection Framing -RC Channel 53oProp6rty Line Firewall & Openings 54!Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. S ' idth- Head room-Rise-Run- Land ing-Fire Protection P ood on Roof Overhang -Attic Vents -Rafter Outriggers , T. Siding -Nailing Veneer IGlesh-Drip Screed -Fd. Vents-UnderfIr. Access Glazing Area -Glass Protection -Skylights -Plastic A. S ar Walls; Nailing -Bolts 1,D 6 1 '61'.16race Interior/Exterior Wall Panels Insulation -Walls -Ceilings 63. Infiltration -W IIs -Windows Date1dlelCard B-1, Date Card B-1 Date ' Card 1 Date Card B-1 Date FINAL ns) OK except #'s ut'Steos-Door & Sideliaht Protection-Landinas Detector 68- Furnace Vents -clearance -Comb, Air-Connector- IryGarage; Above Floor-Ducts-Mech. Protection 4edroom Exiting Y..I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels °T9"§Wirs & Rails 1-10.7 Fireplace or Stove, Clearance -Hearth Elec.>Afeffs at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground t ,Cooking Clearance lec. Outlets & Receptacles at Kit. Counter Zeotarage Fire Door; Swing -Landing -Closure ,76-A.C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection fib.; Elec. & Mech. Equip. Listed for Location 7 lec. Re tacles in Garage (F.F.I.)-Romex Protection ir In ion -Foam -Looked in Attic rd Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish A.,G. Unit Disconnect, Electrical -Plumbing nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing rior Elec. Trim, G.F.I. Receptacle -Underground 8 . Ve tilation Throughout House 9` . Glass Protection rrections from Previous Inspections G Test -Meters Tagged, Gas -Electric qw"Wajer & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 9 . Address Posted Fire Sprinkler Dat I Card B-1 ,Date Card B-1 Dat ,oCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: IN ER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE .ZS 0 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address should be corrected. Please notice this office when correction of work is completed. you have any questions pertaining to this matter, or need additional explanation, pleasejodntact this office immediately. O Jf7 Date / r ! ; f_ J Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 RRECTION NOTICE R PERMIT NO. A mu ne inspection indicates that the following violations of butte county Ordinances exist at the abo address and should be corrected. Please notice this office when correction of work is co pleted. If you have any questions pertaining to this atter, or need additional explanation, pl se contact this office im ediately. v� .. .�,. r-7,. "�.-..�.r.-,...ti .�rsti.... ?.. ,� 4,. � in ._ �-. � s ...MaL t. . _r .. �. -- .yv.� .•'..-- �.tirr .'� 1 COUNTY OF BUTTE BtUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA e (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 w CORRECTION NOTICE D -a275 O 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 notice this office when correction of work is - completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date ! 111 //;K Inspector REV 10/92 . i r Date ! 111 //;K Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 53877541 CORRECTION NOTICE -eQNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, t please contact this office immediately. da- ; I J, r- 74�=,. J�/ C z 114 REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA- (530) 891-2751 -- — - 7 County Center Drive • Oroville, CA • (530) 538-7541 3 CORRECTION NOTICE } -<-FYt :7�4 -Z�'0 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. - REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 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 notice this office when correction of work is completed. If you have any queslions,pertaining to this matter, or need additional explanation, please contact this office immediately. 3, . , . , COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 3 —L 7`FgIT N0. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. DateInspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -?--75 O PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Z ' ( l 'Q f Inspector REV 10/92 • .i 4 • s: <<r INSULATION CERTIFICATE Job Number: 3978 Tom Norman Contractor/Owner Name Butte County DESCRIPTION 1. ROOF Material: Thickness (inches): CEILING Forest Ranch Way, Forest Ranch Job Address (street, city, state) Subdivision Name Brand Name: Lot Number Thermal Resistance (R -Value): Batt or Blanket Type: Fiberglass Brand Name: Johns Manville/Knauf Thickness (inches): 10 Thermal Resistance (R -Value): 30 Loose Fill Type: Fiberglass Brand Name: Johns Manville/Knauf Minimum Installed Weight/ft .4311b Minimum Thickness: 101/a inches Installed weight per square foot to achieve Thermal Resistance (R -Value) of: 30 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: Fiberglass Thickness (inches): 31/z B. Exterior Foam Sheathing Material: Thickness (inches): 4. RAISED FLOOR Material: Fiberglass Thickness (inches): 61/a 5. 6. SLAB FLOOR/PERIMETER Material: Thickness (inches): Perimeter Insulation Depth: _ FOUNDATION WALL Material: Thickness (inches): Brand Name: Johns Manville/Knauf Thermal Resistance (R -Value): 13 Brand Name: Thermal Resistance (R -Value): Brand Name: JohnsManville/Knauf Thermal Resistance (R -Value): 19 Brand Name: Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Re ations) a 'ndicated on the Certificate of Compliance, where applicable. Chico Insulation Item Number's Aiggnature and Date Installing Subcontractor (Co. Name) or O� ��� General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7'County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 (Rev. 1,2/66) ' APPLICATION AND PERMIT 0- ASSESSOR PARCEL NUMBER 063-160-009 ZONING R-1 BUILDING PERMIT OWNER STEFFEN, TOM TELEPHONE 343-0068 SO. FT. OCC. BUILDING VALUATION 1592 85 968.00 OWNERS JANUNG ADDRESS 8960 GOODSPEED ST DURHAM 95938 406 U 7,308.00 CONTRACTOR'S NAME MIKE YOUNG TELEPHONE 893-8541 27 C 351.00 CONTRACTORS MAILING ADDRESS PO BOX 221 FOREST RANCE 95942 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 93,627.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 -Filing Permit Fee $ 612.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 1 D FOREST RANCH WAY FOREST RANCH Energy Plan Checking Fee $ $ PERMIT FEE $ 655.50 LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 81 7.00 56.00 Solar or heat pump water heater23.00 Water Water piping 15.00 15.00 as water heater or vent 15.00 19- on TYPE OF WORK New X Addition ❑ Remodel ❑ Ublides 11Installation ❑ Other ❑ Describe Work: NSF MASTER #01-08 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR Main Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forceand effect. ''] j License Class /,� / (_ Lic. No. / 91' / C'J 3 / -7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comply with those provisions. X _ Date Signature of an Owner Contractor ❑Agent An OSHA p equired for excavations over 60" deep and demolition or constructionkvil of structures over 3 stories in height. Main Service PooA TO I000A 46.00 NEW CONST. DWE].LING OCCUP. SG OR ADDNS. ( a ACC. BLOB. 3.50FT. 69.93 NOµpESID. RCU.MULTI-OUTLET 97,50 PowER APPARATUS a SINGLE OUTLET CIR. 20 @ 1.56- EX. Occup. OUTLET OR FVrURES BAL @ .50 Ex. Occup. GFlxcTE PPRLENSLS ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 112.33 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation KIREPLACE -GAS PERMIT FEE $ 71.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE 1021.33 TOTAL FEE $ HAZ. I D FE§d IMP This permit is hereby issued nder of the Butte County Code and/or indicated above for which fees have y . PERMIT EXPIRES ON CDFZ PAPAL I PD HD SU the applicable provisions Resolutions to do work been paid. Date . /1 L 7 /0 '4 to Receipt No. WHITE-D.D.S.-B.D. CA RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O"CES-BUILDING COUNTY OF BUTTE -DEPARTMENT OF DEVEL ENT DIVISION a 7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 6&� r D IDD Propo d Building Use: Counter Technician: Date: m required in order to apply for a permit. All boxes MUST be checked OR marked NA in Irder to apply. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Cori plete plans, 3 orA sets, signed by the preparer of the plans. ❑ 3. Engineered,plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.\ ❑ 4. Engineered truss details and layouts in duplicate. No faxes! `• ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured holies: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be t stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... 40.4 ire Sprinklers..........................................................................nt by.......Agricultural Buffer clr and site plan apr from the Ag Commissioner Se .. 9J1 ,5. Other t ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ...................................'. Statement of Intent for Non -heated and A/C Buildings .........................................., Sanitation and site plan approval from the Environmental Health Department i City of Chico Plumbing permit.................................................AChe .0. California Department of Forestry plan approval paid. Sent by: 21. Planning approval for (A) Use: 0 K(B)Parking: (C) Parc V22. ontact Land Development about ❑ Improvements, ❑ Drainage ............................... PDESForm............................................................................................. ncroachment Permit for driveway from the Public Works Dept..................................re-Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 9.Letter of Signature authorization.................................................................... s 0. Recorded copy of Agricultural Acknowledgment Statement .................................... 31. Manufactured home utility clearance............................................................... . ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1%w, at : Z9�Q 3 1. Index permit applica' ora items numbered: rW Plan Check Letter 2. Additional items requ e esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by 1498 Date: — 3 .d 3 -ontracto designer, owner, was advised of the bov ata byone, ❑mail, ❑ counter, b Date: �,� 7— D3 reviewed by: Date: % Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division C .: TO: .building Department FROM: Environmental Health SUBJECT: San'tation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sento B.D. ti .S Hold final for: Final clearance O.K. for: NOTE: a, 6 Environmental Health pecialist Date 8/96 2002' Buis cour�rr COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # DlY ✓ J �D PROPROSED BUILDING S DATE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ Fees Due........... $ Plan Checking Fee.... $ 36SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. RECEIPT # DATE REC. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE p $89.00 (paid at Building Division) b 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE 9��3 Pursuant to Government Codej ction 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) ENCROACHMENT PERMIT . County of Butte Department of Public Works 7 Count.Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number 0 3 1 y � 9 E District / \ cz APPLICATION [ / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads i hwa s, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted and highways ' 1. Applicant's Name: ��� ]a. Company Name: 2. Address: 3. Phone: 2 _ Q 6 4. Assessor's Parcel Number. 5. Location of Work to be Done16,2 �� f ^ 6. Applicant's Signa 7. Date: D C90TRACTOWS INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number. 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check Grub: ❑• Gutter. ❑ Sidewalk: ❑ 17. Driveway (List Type): i /1 18. Other. PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hertby granied. 19. Conditions Underground Service Alert .S.A must be notified two working days prior to any excavation. 800-227-2600 20. WAR work shall conform to accompanying: Detail J& Plans ❑ Special Conditions 21. Date Issued�a/Z / 03 22 Fa�iretion Date: /C) /Z, �� 23 Surety. t/S C Mike Crump, Director of Public Works By: "Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week. Page 1 of 2 General Conditions — See Page 2 T0: artment FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U3E 0Y •Plot Rea Aao ttacha �-� Ran, RAnadta�_ Sant to 8.0 �a ` t72 at& c 062 Owner Location AP# Plan Approved for: Sewage Disposals,,— Water Supply: `� ivate Well Clearance for dwelling. Other S Final —cl—earance O.K. NOTE: l lid Environmental Health Specialist jpf Date 8/96 . . I er AAAech Verticaffechnology Engineering 383 Rio Lindo Ave #200, Chico, CA 95926 Ph. (530) 899-8716 Fax (530) 899-1102 Email mdhpe@sbcglobal.net Structural Calculations Client: Project: Tom Norman Garage retaining wall at U ht. C ,80jno/ Location: Forest Ranch. CA Note: These calculations are specifically for the 6-0" retaining wall design at the backs of the garage and do not apply to the foundation design beyond the specific footing dimensionand reinforcing required for retaining wall stability. Any other foundation design tasks including countinuous footing design, design for expansive soils, or pier foundations for the residence are beyond the scope of these calculations: �3-27�a BUTTE COUNTY BUILDING DIVISION r APPROVED l2��8�03 p14- Attention: This engineer is not responsible for on site inspection to assure compliance with the standards, sizes, materials, or workmanship specified herein. This engineer is not responsible for any structural element or system not specifically noted in this set of specifications unless authorized in writing by this engineer.. Workmanship is to be of the highest quality and in all cases follow accepted construction practice, the latest edition of the Uniform Building Code, and local building department standards. A=/ L 41;;-� 34 -no t A 44i Ap ,r7l. I X 4~'I. Z� 6V 4 W,'� 17, Rgx Pr; 1r A -ev I t i Nd X. IN xx V.16f, lb W�%11. mg li, T 4, T,; N �; e.4 • fw tof j ;el Olw Al 77- -' ar .,,J7:r+s '''tf�f s ,� f,r� .3". "FA ■ TIN jj PA hl, W., l i rtA % Jiv s vp,V7 i 5RU, 1§11110 NIK �1& 4 �k,74 Z; "VA., orY I - X2� % MUR PROJECT. ENGINEER DESIGN OF Michael Hubley CIVIL ENGINEER Apo I. oi—_ PROJECT y ENGINEER �v/ —4 t! P WA AT 0 :f• qW.. J14 �t,L S(,46 �As CU410 (IDA11. MAX F)� . C 0AO -`(Z-af-PAaCD) orr Ar TOC of ►z mt �� Cantilever Retaining Wall Design VerTech Engineering Project: Norman Garage Wall Comments: Date: 12/4/2003 Output Overturning Safety Factor 2.03 Sliding Safety Factor 1.50 Unit 1.14 ksf Heel Soil Bearing 0.49 ksf Soil Pressure Length Weight Input Width Height/Depth (Pcf) Wall 6.0 in 6.0 ft 150 Footing 3.0 ft 18.0 in 150 Key 12.0 in 12.0 in 0 Load Height Vertical Load at top of wall (k) 0.5 Moment at top of wall (k -ft) 0.0 Add'I Hor. Load 1 (k) -0.2 6.0 ft Add'I Hor. Load 2 (k) -0.8 -1.0 ft Add'I Hor. Load 3 (k) 0.0 0.0 ft Add'I Hor. Load 4 (k) 0.0 0.0 ft Add'I Hor. Load 5 (k) 0.0 0.0 ft Uniform Surcharge (psf) 0.0 0.0 ft Active Soil -Eq. Fluid Wt. (pcf) 45 6.0 ft Wt: Passive Soil - Eq. Fluid (pcf) 200 0.0 ft Passive Soil - Uniform (psf) 0.0 0.0 ft Sliding Friction Coeff. 0.35 �. Output Overturning Safety Factor 2.03 Sliding Safety Factor 1.50 Toe Soil Bearing 1.14 ksf Heel Soil Bearing 0.49 ksf Soil Pressure Length 3.00 ft Moments : Wall Mom. @ Base of Wall 1.17 kip - ft Toe Moment 0.61 kip - ft Heel Moment 0.69 kip - ft (Positive = Right hand Rule) Date: 12/4/2003 xbar ybar ft ft 1.50 3.00 1.50 -0.75 2.50 -2.00 xbar ybar 1.50 6.00 1.50 6.00 -- 6.00 -- -1.00 -- 0.00 -- 0.00 -- 0.00 -- 0.00 110 pcf -� LSur --s -� H abv TOF TOF -77 .-y=0 ,ri_ i SITE PLAN REVIEW APPLICATION Date: /o// do � AP# 063-160-00 --r -.1 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: S - Owners Name: Owners Address: P 9.3 A&, C'.4 Telephone No.: Situs Address: 1.5.300 Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential Accessory OUX ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):_ ❑ Single Family Remodel ❑ Commercial Remodel ' A ❑ Industrial Remodel ❑ Well 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 Date �D D Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area: • �00© EJ Land, Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specificrequirements) , ❑ 100 -Year Flood Plain: (See attached) v Flood Zone: x Flood Panel No.: 0000 MO -17 5—C— Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from theali ornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance El Administrative Permit ❑ Variance ------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: i `/ Applicable Building Setbacks: A)) ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S L Side ' 370 1 , Side Street lU r Rear /S , Height Waterway N/A N/A N/A A)) ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: j. Standard Fees Amount , '. Formula ❑ Fire; , ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ 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 L1 Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 IS Subdivision Map/Parcel Map: 544- &Vldl aVLAIf # � Map Date of Recording: Lot: /oZ Book: J q Page: Y 31W ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the 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 roa LN Page 4 of 5 ❑■ 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best of review. available data at the time CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 18, 2004 Tom Steffen P.O. Box 693 Forest Ranch, CA 95942 Subject: APN — 063-160-009 Dear Mr. Steffen, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2538, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Attached, please find a copy of any use permits, or map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Since ly, 44 ana Adlerr Assistant Planner Curve Data <I DELTA - RADIUS ARD DN FOREST -RANCH . A BO°00 00 20.00 31,42 2828 HOT 4 GART OF THIS SUBDMSION Q C Woo, D" mWOO O' 20.00 11�5 32 0 103°03 00 20.00 ) UNIT NO I ~. •V 3 ° E 89° W 20.00 i 90°9000 20.°0 1,r 3100 20.00 3a H 92°O9 Da M. 1 A' SUBDIVISION OF PARTS OF SEC 6 8 7 T 23 N R 3 E M D B 9 M I 60 M 00 20.00 I1°°° , DO°a1, oD ,96.00 s BUTTE CO. CALIFORNIA 01 Bh'b. Yy 14 ;ivy •° ° 1 NORTPI (II ......nl. cwvl.l al D cWDw •oNw wvm0.0 l.9 26$1 •.1 in a p,lly of tarcrN. and indlcvl.d Mw� e. 15 ,S'>D Q) Let' carver. w. La eve plp0 dawn Uwe 1111, Dm armmd wd ladicol.d m Mb neo I... • . °e8�t • <4' (3) Th0 w.a el ml1 wpdFiNw MIBLL 3289 Ao, 28.32 Ac.NIN It, IN -d ..ol .c. In A. reed.. Y' 4°• 16 NI WN.r wll IOM1 B 8-m. m.w..d for Ms wrpw. N wpplrMO •clw ro w rarloa. bt. Irwn a •NI bcaM1O Mw. an (L 1" •111 b m I.eG IG.. •iMln HNh011 N a 118 w IN doa hill .id0 and w INTI, It NMI. 2oo.oR of v 9wl m IN wn111 Nd. st• ..�,d °R4=Oj,82 (61 Th. bI.,D1W..u1,N.lnm lronlbawln._,—CNUarnla 9bl. NIOn•vy N9]2, ell nal ear. occ.wrlOnbro mld Nymvy ! �-r-.a.•�..Yag� -- 1 E ea— °I F r - it—.1 and .—IE.L.. 0111. °r a7� .o.b '4y.. 3 bI"ll" °t 811"N Iv Mu map IA IN -1 °1 s1m: H10—y'32. e.I.°°n It ie 1,0.3100 MT ma BeI).p9.3atpcB �D„Y`y � _—iVi—t'. <h•4\ � IV i UI �. .5.2d .I.IV R/w /+ue<a.m.m. ' t �r 32y F•\ dBO2 dt.Dronmdd ..mD <. •. <• A I�• o -p u� 9Nd `-��- i° � nzw> - \(a �^ r. a,AA.. 3Io • .a D!w NDT �ppRr OF TNIS A. d�`8 .$�. 19 °p'W ,dN.."� , Q SUBDIVISION j ~3°• ,�4 l.Uo•or[9wY i M <^ 25 E.x,.+ 230.m <PmC91'B2 I f i' s 9'a 20 'a 9 k`: 34 .e.,� q�,��33 .21 32 31 22 23 A 10 �B \ p'=4 24 A. . ave vA I•D;y � ;, .•• ' or yl RST •'2 5 aa. o3 e, :ap � Avelra° Vq�'h\ a <^ '6 Y \ \,T.. a� °°w .(',ITC�e c' \ '•D rta,a.. .wuii .9 9 30 o 36 t 2.9 7 25 38 '�r��. \ S 1,'a ~l°Oa 6� a �� : ° ,.^ s� $}a•1, �° \ \ 37. \ ' d`i r'/..:• :r. \ 9o-�oa�eO'�' •%•.be41<R E "* // /< 5?ie • 'Qpm .``.°,\�\ ^°s i. 28 \° m w. aN 4 `..b �:io %?. 2T : E w• g ;.° 1,4 Will,s LFA 3 1 ; o � \Nn,�E �' �� s+) yd Q< «• ?/ / IBFj•; /"D 9 2 40 1,e i\ 0T A R,PT OF THIS SUBDIVISION 9 1f°MI r°` eMa 1 - 41i. 3 ' \ � a•+i�+3�-�y� E ` � \ �q' �'91Dn 42/ pa 1.119.13 `•-'j,l.'/ . j `dam � o'a,'Y *• �a oY. � ,r° gte. ' 'abet •�' %9 1 \ ��, � � / � /� I I< I < FOPEST RANCN6 LOCATION MAP ¢UTN T I ION I I UNIT .nIA.1 •I NarE Io A. 1112.01 Yw 90,00 Tj M° 61.67 R- 112.0 a•6o.o,T .3 BATHAM & BATHAM ICn.BEAR9 9N°21°B•w o .8 6 ° C I ° t 8 it: - NOT A ART OF THIS sUB01V1910N 69 r••. 1 „Da° 'o a9w oI BURVORB S rIm Lj / Ad 1,T 'SURVEYOR ! /9 12° O9cdr R. Botham LS 2621 9HT 2 01 2 SPITS .m..uw•.m... w..v.ww .. h1mTNW000B V IT'1 9E CORR.LOr 1 We ba/ 0ufnl ana ✓'ce, President and.4lice Cundv serirfory, of smile county mile comp7rly as 7roslees old W,11, m E Fitegerold and Fmn[rs Filz$era/d hushand and ,We, W. a /versbn and Edwina A! /✓arson Ausdond ordw /t and 1W. ¢. lvorsan Pnsidenl and Edwmo K /✓rico SecrNory o/ Tiiro fnJerprisrs /nc, as aaners of fAe /ondinr/udrd r✓fd%r the Corer/ Poach and e1, do hoed y certify lbv/ we are /lie oalypersons whose aansenf is necessary loposs a Blear title to said land and eansmf to lheprepo alias end rrcyderlm of saidmvp as shown w%h47 the rafaed line,/h est Carle, Fours/ ave, /gest Ranch Way, msfinmv/al✓Podri/ E lee Orfve as sl— a•, this mp are hete4i, offered fw dedicalicw A. the pW/lc for road purposes. We also oiler lot aeaticolion, and sed/ole fd spYci! i �uiposrs Ae riBhfs °/ woys and eose~nfs for water dro.Aptp( p e, and ale; oee h?ad ondrmdP oiuvnd cores on over ud a%aer dose s/ ps a/ fond aFiBnaled "!Lb/& U/i/%lies Eosrmrnt ',*,/so reserve o slurpp of /and across The /rani of e// lots as sMwn oo 1,Ms map di,Gna rbdr/id Jrf dace line "soil laid to he *5of f— crnr yr of �'%s.' fo a minimum dr fh os /desire'. There nr'll de m /each 1/hes iMh7 /W.O /I from an water wells on /lie de n /✓%`Side and 400,0 M — the !lobi// aide. We also offer for dedication Payee/ A B; and 'C'a shown an Said'map la &hlfc use fur County Road. purposes. Bulle Cavafy Til/e Canpany rl `I'a/a19,Ci4 on. A - vice ©rsidmt el Manager dkee Bundy ISrueic Y Slott o1 Califemia ' �• Conary of Butte On this /3 {k soy o1 .Qn.:l /96C before meBw.eb.o.,r'.9 M. Lei..tM a,wlary Pu6Ac in and for sale' county of Bu11ePusonally ap'peea a 11ral 0Wnfew vice Pnside�dllcendy eerelay of Sidle County Ti7k Company. known lame lobe the persons who executed Jhe will!; instrument on 6eholf o1"" 6u1fe County 7'1/e Co pony !herein Awivd old mknawledged to me that such lttle coatpony aecuted the wilhin nstrumentpursuont o/ifs by - lows or o resolution o1 its hoard at dieelors witness y Mrd and ofhcial3eol 't batary 1761,c /J/ My eamm/ssion exp'es Wi//iom E F'Izgrrold—� Fiances Fitzgerald state of California ss / County a/ Bu/le / N On this b day of !>'P�'t r_ 1%_C helot— me A'4ri a� fell a Nomry Pudhc h and for sold roue/y of Butte. prrsonol/y otpeortd Wi//ram F Pr/zgerald and Frances Ffc erold Msd and rvile known by— /o he /he p.rsans whose homes are sudseri0ed /o /M forogoeng certificote a howled e m me that they executed 1hP some N. DEAN WOR�ES7ER 01.ess mk hand and official sea/ M°"^rip1e. v."°'"'• yft � r3 r M M. obwwaac¢Yt7'""—_— J[ .x11tV-tom lav Omm�vu• /.arra t•LoiLLWJ� .. uolary P /i My commission expo s /✓arson . •, f:. / Trico fate prises Inc. 17 ¢. ✓arson Pnsrdenf Edwma K /✓arson Secretory ! l9 stale of cmifarnio ewaly of suite -� •1 e'. y� ° On thtf�d a�RC. _4 telae me /%•`641/ ryY7"ira !,fay fLdc to and fo-sold ...:1.::..••.man ty at so//e, persmouy appeared%W. Peared ' ! /varsan and Edwina P fvoison MSAOnd andwrle ¢Mwn by me fa he fAe person ase aomer are rudscrihed to fed /ruga/ng « rtifi Mie and acknew/edge tome /1ml lhryy executed the "me. On Ihrs some day a/ b_ l96_R a/nre mr persox//y Acmied W. J. /✓arson Pieridrnf old 6dwtM K /✓arson Secretary at Tdm E lcupr,'ses ni C. known /o me to he IMpersm A, =led the withh msfwmen/ an Ae&lf of the eoaoro/ion there in naaxdord ockrmwledgid A, me /Ar/ soheem,—/con ere( d fAe �YhinnSl umrrdpvisuenf of its by. -laws ora rrso/ufim oft/s Mard of diecfors Wilne my amid OM officio/seal M. DEMI WORCESTER Ah DEAN WORCESTER I v Met.^ rvNR .4ntw"4 '�• r0,^°"n.bn Fsa�r� ymd6 1°)0 uolary Pudne '— - -- /aa eypires---'--- C Over ¢ Balham do hereby ctrl/!y Pill n a eicrared conal Surve"or of IM Stole of Cah7orniomal Mit map of Forest Ranch U e'7 carrect/y rrpesCnlJ survey mode leder my suprrvisioa :n March 1966 that bre Survey is true and forrrrt old ca fele os aMw•n, /hot the man—en/s sh-vr M 0,r, exist and ore of the character . '• i.0 : e..O1d occupy IM posilfon /M&o/ed and arc Suttle/eat 1. rnad/e !x survey do de —/Ioa vt car dreensed Land Surveyor 761/ 5u Y✓ / C/oy CosNeberry D%ecfor o/ Public Worts o/ The County o/ Bu/!e. Stale of Coh'/ornia da heresy certify /ea/ 1/leve examined Me lino/ malt o/ Forest Roach /fn11'I that it is su6s1a4t1o1ly The some c r appeared an the 7enlotlwe mop an lite oral any 0coroved a/terc tion /Aereal IAot a// provisions at the SuedVlsk-V! Nop Act of the Statutes of CC/flown- and lata/ ordnances oppticobte of Me time of oppro✓ot a/ said /entolive mop have Been marph'ed with and / am sollslied that this map is /echnico//y V -Z C/o/ Cos deriy RCE. 4?u Drreclor of perste )baits IA" Chan, 9krclor of Planning of the plana%np CommisSia� o/ the caunly o/ B,/Ac Slate of California da heresy rerhYy /M/ the o/meked f:rla/ map of FORE S7 R,d",y U':I'I canlorms sv6s/onlia//y wi/A me suAdi✓iSion design Showa on /he Tmlotive map which was eppro✓ed dy /AS Commission on W. F. Chan 0%nninp Dveclor 1, /. M. Seely Jr, buditor of the County of Buiie Stole of Colifonva do heresy certify that !here ore no liens gams/ the 70RES7 e4A/CM UN17.1 las herein set forth, or unpaid Stole, ebunfy, Mun/clpol or local tares, or speclal assessments not yet qy b/e. 7ores or ouessments which ore o /len du! oat yet payable I esti mo/e to be to the amount a14 2 7, Recorded in IIx of/ice of /he Recorder a/ the County o/ Butfe, Slole of ealifornio, of t/11� revues! o/ The Biu G_ J..g. G. /his 21 day of 1966 ot�mtnutes post .2 0'cloek,i�e— Al., in Mop Book 3�K of Pages --p(i and V—Serial uP .2Z 1.19 Ethel M. Estes Recorder By Deputy FOREST RANCH UNIT N0. A SUBDIVISION OF PARTS OF SEC. 6a7, T 23 N R 3 E M D B a M BUTTE CO. CALIFORNIA BATHAM & BATHAM 1 a e G o c i a t e d OWNER B SUBDIVIDER ....Mee Re aURV enORB Butte County Title Combony as Trusteae Wlllam E. Filzgerald and Frontes Fitzgerald rens Char= un cost. 15, i9GG Willard R Ivarson and Edwina N.I—son Trica Enterorisss Inc. SURVEYOR Oso R. Botham L.S. 2621 °.,. J ° •u-° L F. M.`See/ju Ji.;i-�Bu tlh. By Deputy 1, Jessie Rogers, Counly Clerk o1 rhe County o1 Butte, Stole of coli/aniro, do hereby certify that on the 19 4-A day at'. �7 �.; / /966, the Butte County Board o/ Supervisors officially approved this subdivision mop of /uRfip-6111/ UNIT I The receipt of satisfactory security /n the suditor's estimated amount of to insure payment o/ fares which ore o lien but not yet poyoble,wos acknowledged.:"vest firc.rr, rarsJD ive. Fowl PoncF. AV y continuation at Robert E lee Drive as shown on this mop and offered lar dedicat%ao, was accepted on oenalf of the public i road purposes. Parcel A; Band •0'of shown m said map, and altered for dedicalion for Puhlic use, was not accepted on 6eholf a / the o h& /or Rood pupates. ey Depuly� ✓essle Pogers, COanly Clerk Recorded in IIx of/ice of /he Recorder a/ the County o/ Butfe, Slole of ealifornio, of t/11� revues! o/ The Biu G_ J..g. G. /his 21 day of 1966 ot�mtnutes post .2 0'cloek,i�e— Al., in Mop Book 3�K of Pages --p(i and V—Serial uP .2Z 1.19 Ethel M. Estes Recorder By Deputy FOREST RANCH UNIT N0. A SUBDIVISION OF PARTS OF SEC. 6a7, T 23 N R 3 E M D B a M BUTTE CO. CALIFORNIA BATHAM & BATHAM 1 a e G o c i a t e d OWNER B SUBDIVIDER ....Mee Re aURV enORB Butte County Title Combony as Trusteae Wlllam E. Filzgerald and Frontes Fitzgerald rens Char= un cost. 15, i9GG Willard R Ivarson and Edwina N.I—son Trica Enterorisss Inc. SURVEYOR Oso R. Botham L.S. 2621 °.,. J ° •u-° L 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. BP042538 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: 11/03/2004 APN: 063-160-009-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 15300 FOREST RANCH WAY FRN Date: Contractor. Map Index: Description: ADD OPEN DECK (434) OWNER -BUILDER DECLARATION 1 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: STEFFAN THOMAS &CINDY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 8960 GOODSPEED ST signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's State License Law (Chapter 9 commencing with Section 95938-9723 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 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).): 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 Applicant: STEFFAN THOMAS 8r CINDY Code: The Contractors' State License Law does not apply to an 8860 GOODSPEED ST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, DURHAM, CA provided that such improvements are not intended or offered for 95938-9723 sale. If however, the building or improvements are sold within one 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 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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.). O 1 am Exemptunder Article 3 ofthe Business and Prorffes ions Code Date: 194,/ Owner: :2r-0 , �i " License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 434 S. F. Valuation: $4,340.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. A-111) f,11 1X12 A'ait'q 150- CONSTRUCTION LENDING AGENCY This permit is h reby issued under t applicable provisions of the Butte County Code ?nrvor I hereby affirm that there is a construction lending agency for the Resol tions to o work indicated ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �/ �r� Name: BY Date: Z'f PERMIT EXPIRES ON: // QS Address: Date ❑ I 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. 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 document of Butt ounty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. C5 : Signature: Print Na7/-3 Date: Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Nam 1� First Nam7vo^ (/vv l Address'�7o Z. k qz Ci Stat Zip Phone,T5 _ S y Fax e 5<G,vP E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Tip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 15:3 � Flood Zone Cross Street 6 Pl SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPdm-4s53$ BIN # LOCATION AP# Property Address 15:3 � City 0 C o� Cross Street 6 Pl WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: v✓D Sq. Footage ❑ 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. II Received by: 1'`i Amount 150.43 Bldg I I SRA Receipt #: 4'1 7i14'Z Sheriff • 45 gmlp OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMSWILDING F0RMS\131dgApp1SubRgmts.doc Page 1 of 2 Date: IS. So • 04 Other 150.4"3 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N /NIG ❑ `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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (consfruction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunds can oniy 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 KAFORMSWILDING FORMS\BIdgAPPISubRgmts.doc Page 2 of 2 REV 7-27-04 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ` 1. I 'personally plan to provide the major labor and materials for construction of the proposed property improvement :•YES' NO[ ]. 2. I HAVE[ ] HAVE NOTK signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: ` NAME: ADDRESS: CITY: PHONE: CONTRACTO;Z'S LICENSE NO. 4_ I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5_. I will provide some of the work but I have contracted(lured) the following persons to provide the work indicated: .NAME ADDRESS' PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:�- DATE: //�.� 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. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yoursel& you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for -the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. 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 contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. -c C. Vie* C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 �f��4a 53`cs ' 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 OWNER: STE F-;- r- E n) ASSESSOR PARCEL NUMBER a h a- f to e-> - o o Proposed Building Use: d PC ^I (--> C -G le-_ Counter Technician: t` Date: 1 m 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 faxes! ❑ 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 0 24. Planning approval (A) Use: X (B)Parking: (C) Parcel Check: 1 D I $ 0 ❑ 25. Contact Land Development about -Improvements, _ Drainage ......................... 1�' 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... qN 28. Pre -Inspection for required....... �J 29. Contractor's license information. (Number, Name Style, Classification) ................... O 30. Worker's Compensation Carrier and Policy Number .......................................... 4' 31. Owner -Builder Verification ( ✓Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction........:................................................................................ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ etter from Legal Owner, ❑ Check to H.C.D. $ 38. Other: pa�F o c ow wt Ei25H P- c�°ir ❑ 39. Other: When issued Telephone 617 G and hold for pickup. I have been informed of the above items and requirements for ning a building permit. Applicant. Date: 1. Index permit applicatio �orlheove items numbered; Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by :ate: Plans reviewed by: N. Date: Plans approved by: 2te Structural reviewed b : Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division W I LLDAN Serving Public Agencies October 19, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1195 Jurisdiction Job No: 04-2538 Assessor's Parcel No: 063-160-009 Description: Steffen Deck Dear Mr. Rutherford; Willdan has completed an initial plan review for the above referenced project based on the following documents: 1. Plans: Two (2) copies one sheets dated 10-30-03. 2. Structural Calculations: Two (2) copies Typical residential steps and /or deck sheet provided by Butte County — Department of Public Works dated 10-30-03 3. Plot Plans: Two (2) copies undated. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. I \ / ` ,� ,I LLDAN Ma s Street V\V/ Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com PLAN REVIEW COMMENTS Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code'and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans Specific Use Type of Type of Stories 1" Floor Total Occu a_ nc Construction Sq Ft ---Sq Ft �w y Residential Deck R-3 V -N 1 546 546 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as redlined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. ZSincerel , v� Michael Carlin Certified Plans Examiner CC: Alice Mefford, amefford@buttecounty.net Page 2 of 2 .Butte County 04-2534 Willdan 14353-1.195 �eLIC WO�� Department C o u n t J. Michael Crump, Director of Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Location and/or Parcel Number: TO ,—&S By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for 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: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 fa Department of Development Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FA'AN Residential Construction Requirements IMPORTANT Services UC T 18 2"', This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes of alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 C.B.C.), 2000 California Plumbing Code, 2001 California Mechanical Code, and the 2001 California Electrical Code. The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out of missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL REQUIREMENTS • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, C.B.C.) • Provide required room dimensions and ceiling height. (Sec. 310.6, C.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, C.M.C.) • Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, C.M.C.) • Provide minimum one Y-0" exterior door. (Sec. 1003.3.1.3,C.B.C.) • Provide adequate clearance and type A flue for fireplace/woodstove. • All stairways to comply with C.B.C. section 1003.3, for rise, run, headroom, width, landings and handrails. • Hallways to be minimum 36" wide (C.B.C. 1004.3.3.2). • Underfloor access and ventilation per Sec.2306.3 & 2306.7, C.B.C. • Attic access and ventilation (CBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per C.E.C. Article 410-8. Page 1 of 3 Owners Name: YdM ,5'('E F F E,/ Building Permit Number: DC -t -- 3 S Plans Examiner: Willdan Akkc,R N eC �., • Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide '/2"x 10" anchor bolts @ 6' o.c. max. and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt. (Sec. 1806.6, C.B.C.) • Provide 1- #4 bar top and bottom of footing, U.N.O. (Sec. 1806.7, C.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, C.B.C.) • Veneer per Ch. 14, U.B.C. • Exterior plaster — weep screeds (C.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, C.B.C. • Protect plastic foam insulation per Sec. 2602.4, C.B.C. • Ground fault protection shall be required in al bathrooms, garage, kitchen, wet bar, and exterior receptacles (CEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the California Electrical Code, California Mechanical Code and California Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (C.P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (C.P.C. 412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per C.P.C. SPECIFIC REQUIREMENTS 1. Provide safety glazing in all hazardous locations (C.B.C. section 2406). 2. Garage firewall separation — required on garage side. (C.B.C. section 302.4 exception #3). 3. Install smoke detector's as per the requirements of C.B.C. section 310.9.1. 4. Special roof covering required, class B minimum. 5. Provide 2 separate exits from the third story (C.B.C. section 1004.2.3.2 exception #4). 6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear openable area of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a minimum net clear openable width of 20". The window sill height shall not be more than 44" above the floor (C.B.C. 310.4). COLOR CODE USED ON PLANS Blue = Engineering Pink = Firewall Green = Braced wall panels Yellow = Important Page 2 of 3 Owners Name: TO ^�. S tE Fl -GN Building Permit Number: /C> u -Z5 3 g Plans Examiner: Willdan AA C— L 57• G^ &(,-.i /1J o COMPLY WITH ITEMS INDICATED BELOW • ❑Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. • Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. ❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: ■ All structures and equipment including overhangs shall be clear of all easements. A setback of ' from the side and ' from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ❑ Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 3 of 3 Owners Name: TOM 5-reFFC.v Building Permit Number: D`t —2.5' 3 S' Plans Examiner: Willdan AAL".. (- C-A4L(1V VARIES 3G" MIN. o o c� Y50.' D m Z f% .{ o m x �t rn ih 6L.tu"• ' =P� O a 7-1 -a n41.1 t MAX. Ol 40 cl 51 sm o Z N ! �o elm � 1 It 7` g ml ti ! o II I a0 . o> V z; i NAi,1URAlt l4EI5}1T '� t+ I t PL `t�s``� n a 33 r 9 m4 . MAX. LA �- 71 rn •3(b"VYIr�u. STAIR o a Z . .s 714 o s o a ®R "' 1 ?�H c C" �• CP c r- rprt- ins - 6S Department ®f Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Constructi®n Requirements IMPORTANT . This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL REQUIREMENTS • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, U.B.C.) • Provide required room dimensions and ceiling height. (Sec. 310.6, U.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.) • Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door_ (Sec. 10033.13,U.B.C.) • Provide adequate clearance and type A flue for fireplace/woodstove. • All stairways to comply with U.B.C. section 1003.3, for rise, run, headroom, width, landings and handrails. • "Hallways to be minimum 36" wide (U.B.C. 1004.3.3.2); • Underfloor access and ventilation per Sec.2306.3 & 2306.7,_ U.B.C. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per N.E.C. Article 410-8. • Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide''/z"x 10" anchor bolts @ 6' o.c. max. and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt. (Sec. 1806.6, U.B.C.) • Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) • Slabs -on -ground with turned -down footings shall have a m;n;mum of one number 4 bar at the top and bottom (Section 1806.7.2, U.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Page 1 of 2 Owners Name: PA -1y) Building Permit Number: Q 3 750 Plans Examiner: Martha Christy 509, U.B.C.) • Veneer per Ch. 14,.U.B.C. • Exterior plaster — weep screeds (U.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. • Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (U.P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C. SPECIFIC REQUIREMEN'T'S 1. Provide safety glazing in all hazardous locations (U.B.C. section 2406). 2. Garage firewall separation — required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3). 3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1. 4. Special roof covering required, class B minimum. 5. Provide 2 separate exits from the third story (U.B.C. section 1004.2.3.2 exception #4). 6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear openable area - of 5.7 square feet. Additionally, the window shall have a minimum net clear operable height of 24" and a minimum net clear openable width of 20". The window sill height shall not be more than 44" above thefloor (LJ B.C. 310.4). COLOR CODE USED ON PLANS :;. Blue = Engineering Pink =Firewall Green = Braced wall panels Yellow =Important COM PLY WITH ITEMS INDICA'T'ED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). , 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood elevation. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not lessthan 1 e inch for every square foot of enclosed area. squar 5: The bottom of the openings shall be'no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 7. All building materials below the 100 -year flood elevation must be of fire-resistant material. ❑ Fire sprinklers are required in this structure. This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary. ® All structures d equipment including ov hangs shall be clear of all easements. A setback of_' from the side and 2O 'from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 Owners Name: GITC. Building Permit Number: d 7�i7 Plans Examiner: Martha Christy ------ahS ire fa 6e 0,r7 - r . RE,ViEVU BUTTE CO. FI E DEPT. CALIF. DEPT. of ORESTRY approved as s miffed approved with onditions r attac ed i eet. ( y` Date Signature N m z �N� mows o c o> 0 z m �Z, = z v Ns ;roc T.4, v z o� j5 F -4, ' C �t c�c�r -H �Z ,t z n• m o c 07, ��-�thme�xb P -RA ilPlann;A AOQ%2S ��� f 1�• >�P� s�'r4c.h� wit MST /' A/G• - qU 4 ALL STRUCTURES AND EQUIPMENT INCL OVERHANGS SHALL BE�CLEAR OF ALL EASEMENTS. A-�El L C OF 31D FT. FROM THE SIDE AND D FT. FRO c REAR PROPERTY LINES AND Q. . FROM THE ROADr '"T-RLINE SHALL BE CLEA OF STRUCTURES AND EQUIPMEhTi-QEF': AOR A 2 FT. EAVE OVERHANG. �JTE: See th e attached 4. _ entI I Con ' :�ea:�lr�ments --Pages 4.�`� E COUNID I DEPARTME!tt. P R- V Ell x a 75 o ,nG ROLM zo AN hIt, bxX r. \A ICCO Ct AL 9 9 PPC -r,4 15 9z SF 'NN L MST *F, r 1 r PILANNING WASIOV: BUILDING PLAN APPROVAL Use: Date: —Ds Parldng:— Landscaping: Other. Signature: M E W4 WI" 46n AD CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. 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. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [� 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 1' 4 AN PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves 5��F�,,J �•,, NAME If Building Setback is Less Than 15 Feet-. Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Sep -8-03 9:52AM; Page 2/2 -- t�::w' National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than I acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNIPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BNIPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNIPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: -7 By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM r (One form per Building) School District A.P. Number Property Owner Property Location/Address Subdivision Building Department No. Residential Development t/ No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # *(No foundation inspection ................................................................................................................ N ndustrial ANew Addition Department (Floor Plans reviewed'bVSchool District District Identification No. School District certifies that <:� Ofl ( treet Address) r hA (City) has complied with the requirements of Resolution No. representing I �1 square feet. School Paid by Check # Remarks: C -A (State) County 03 z�sa Sq. Footage (Group R) Sq. Footage (Including Exterior q1E_1 Roofed Areas) Date 1 1...' (Applicant) � q -3 —CV co (Phone4Number) (Zip Code) Uby payment of $ J YV b, B 2926 $ 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 Code Section 660201a), 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 Califomia Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 29 -Sep -2003 2003-0067844 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 12, as shown on that certain Flap entitled, "Forest Ranch Unit No. 1", which Map was Recorded in the Office of the Recorder of the County of Butte, State of California, on April 21, 1966, in Book 34 of Maps, at pages 43 and 44. Date: 9-1 p-01 PROPERTY OWNERS: 0(02 State State of California) County of Butte ) Onzx*g 9-10-n_3 before me, Deni rip M px;,,.py ,t.-,,rpersonally appeared Thomas Steffen 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 "is/her/their authorized capacity(ies), and that by his/her/their signature(s) o nstrument, the person(s) or the entity upon behalf of which the persons) ted; executed the instrument. WITNESS my �xvwvw.%wfM q M M R R DENISE M. PRICE COMM. #1341260 0NOTMRY RJBUC + GWFORNIA ;0 CommisCOUNTY OF BUTTE sbn Expires Jen. 24, 2006 TO: P[ANNIM - LARRY PAIRM REIURN ID CHIOD ENV HEALIH _ AUG Z O �- I APPROVED ❑ CONDITIONALLY APPROVED u RESOLVE PROBLEMS PRIOR TO APPROVE PERMIT CLEARANCE •Permit Genera/ Information Date: _ —/S�-02 APx: 01p 3-��-1 D q Owners Name: 77D IK S Parcel Acreage: J 4 T A L Owners Address: rr Budding Site Address: ez -r % Z r—m _S 7— Aog--tz Property Information Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home Mt/SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Septic Well ❑ Other Zone District: rR"— , Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan No ❑ Yes • ® Vi ❑ olation Area No Yes Specific Plan ® No ❑ Yes ❑ Chico ❑ D2N ® No F] Yes, check use Enterprise Zone � Floodplain a No El Yes Zone: Watershed Protection Zone ® No [:] Yes Proposed Use Complies With: General Plan Is Zoning Proposed Use Reouires: ❑ Use Permit Minor Use Permit Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Apolicable Setbacks: • ❑ Other ❑ Other ❑ Cohasset Panel Number: 0 �� Is ❑ Accessory Building Use Zoninq Code Street & Hi hw Fir Pr bon Subdivision .ta Front D t• �cs�' 2�N C_ i --i '\rJ Side 3 Side street/ Rear �® He-onc Environmental Health Issues: Septic Permit Review Well Permit Review: Land Development Review: Parcel Created by., ❑ Deeds Date of Creation: Agriculture ARldavit Required Designated Well Site Drainage Plan (Com/Ind/Multi) Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: w. ❑ No ❑ Yes ❑ No ❑ Yes • ❑ No ❑ Yes Legal Access Provided: ❑ No ❑ Yes Legal Access Required: ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes OrzGS i 2A NDN LwIT- N is Map Date of Recording: 2 "" % LJ 3 %> V Lot: 2 Block: Book: / Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Compty with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). • ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other General Comments: ❑ Meet parcel size required by zone ❑ Meet current EHD requirement S w l d F4 L" - 2.oq� T8 Z G &D -F-r � f� C..H*= SO 30 .0"A L-1 --3 91.0' 4� ART 2.".0 T 1 4 )-V,,ERHA'Na,' 9 kill . ...... 77;tl qR Ax.,c 13 L 6, B.... 2-9. -.04"' t OF 7 S (ISION -Al :12 X.22-50V.-ERHM: ,01 �3 ( 0 i Ar �011 io -0/ 063 - 11�0 —oo �f •. 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