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064-040-031
!064-04-0, 0321 " 93 1660 BPEM' Y ' SORENSON" WENDELL ,l� 14643'BRIDGEPORT, MAGALIA EW- SF .064-040-031 05-1406 MARTIN, BILL & ANN i BRIDGEPORT CIR; MAGALIA - Cont: WL MARHN CONST i NSF/GARAGE/COV PRCH �J w►+e�c�e� b-1-ob 1 I 4 x 4 mom, i I NOTES t RESIDENTIAL PERMIT NO. _ 064 040-031. - - - OS -140E MARTIN, BILL & ANN / r ��BRIDGEPORT CIR, MAGALIA ' Cont: WL MARHN CONST NSF/GARAGE/COV PRCH SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Y i i OFFICE COPY � Address GAS " el ( Meter By Dat ELECT$IrS Meter By Date JOB FINALED (Date)y ' 1OCo Signature U & s! 0."lU CHECKED BY J=OK 0 = Not OK Not Applic . = NotReady able MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2' Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C/O-Concrete 4. Water; Location-Test-Easement Needed (Sketch) S. Electricity, Location-Clearances-Gmd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L'ft. / P Nat. or/ P' L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance • 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements-Setbacks-Easements Date 2. Footings; Size-Spacing-Manage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water, MH Test-Regulator-ConnectoP 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 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 #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 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®g ® 0 = NotOK Applicable RESIDENTIAL IAL (Single & Duplex) - . = Not Ready Z Date UNDERFLOOR (Plans) OK except #'s _- (J Pf-'-P ' a,iFtg!(vlain; Soils-Elec,frttd".-/ r Ftg. Depth Garage; Soils--Steel-Elec. Grnd.-/ r Ftg. Depth t n Fter Porches& Decks; S9ils'-Steel-/_, r Ftg. Depth 6a. HqjprDowns and SpeciAoAnchors 7. Slab, Steel -Wrapped & Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Water Pine: Test-Anchors-Reaulator-Service Test Ventilation 16. Insulation Date 1.11706 Card B-1 CA IR Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 19. Water Htr.: Vent -Access -Combustion Air Baffle 1Br-D.W.V.; Test Fittings & Anchor -Nail Protection 2 . wer.Pan: Test, First Floor -Tub Access & Shower, Secon r: Sixe & Anchors Datel Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24 ure & Transformer Clearance -Ins. Protection 12 eceptacles Spacing -Lights & Switches at Doors ¢uses & No. of Conductors Stapled 29!1omex Installed Close to Edge of Studs & C.J. 2 ulp. round made up w/Meth Fasteners -Bond Gas & Water Iiance Circuits in Kitchen & Conductor Size GFI 3Q _Stab eed Wire Size/ /ga. Cu or AI -AC. wn; Size/ /ga Cu or AI 31`�i e Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Ins?!ted Neutral D Yes Q No ervice-Riser Conductors & Ground Main Disconnect Detector Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s C. Ducts Insulation & Support .27,yen£Fan, ahaust above insulation UB,.Gerrde—nsate Drain & Overflow, Size & Grade mace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4(3-A"t— cam& Platform 'rf Furnace in Attic Date rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s all ,-Wls Proper Materials & Anchors --Wa`(Is Studs -Nailing Spacing & Braces -Plates -Sound J�,Beanng Walls over Girders & Floor Nailing 49sDraiff'�top in Walls (rat proof) 45,t re Stops, Furred Ceilings -Stairs -Chasers -Tubs 46-14eaders & Beams -Size & Bearing Date FRAMING (Continued) 4L-Mengers-Post Caps -Anchors -Connectors 44-CAingr-Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. -Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5U_2ttic-Access; Size & Romex Protection -Draft Stop -Ins. Baffles i,mrWindows or Exiting Doors-Sj1I.Ht & Dimensions S2 rage Fire Protection FRamietj-`RC Channel S3_PTpe�r y One Firewall & Openings Doors -One 3' -Check Garage 3rd Story, 2 Exits St5Wiath-Headroom-Rise- Run- Landing -Fire Protection 0o on Roof Overhang -Attic Vents -Rafter Outriggers 5rZ_Sid ng Nailing Veneer x68- itaC6oi7esh-Drip Screed -Fd. Vents-Underfir. Access 1 Are Protection -Skylights -Plastic ear Waifs; Nailing -Bolts fa.j'-]_o o QW Brace Interior/Exterior Wall Panels I nfiltration-Walls-Windows Date QK Cana B-1 Date Card B-1 Date _'A I Card BA Date Card B-1 Date FINA la OK except #'s tep oor & Sidelight Protection -Landings etector 6 Fur�nace /V�nts-clearance-Comb, Air -Connector - In C9a;-Above Floor -Ducts -Meeh. Protection 68! G. Bath Fixtures & Tub Access -Spa 6 1 iq & Subpanel, Breaker Sizes & Labels 7 . & Rails 7 irepl a or Stove, Clearance -Hearth 7 lets at Wood Panel, Int. & Ext. Z yt txt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 Ele ,Outlets & Receptacles at Kit. Gunter 7 araae Fire Door. S _ -Clos 77, jD/t>rHtr.; Vents -Clearance -Comb. Air Connector-P.Tf V. inGarage; Above Floor -Meth. Protection 7 . I ec. & Mech. Equip. Listed for Location 7 let eceptacles in Garage (F.F.I.)-Romex Protection 80. sulation-Foam-Looked in Attic S1. ails & Deck C nstruction-Post Caps 8 dn. VBent wl Hole Door Drainage & Wood -Earth CleqWce Looked under Floor/ E3 Yes ollowina lnsUdJDrive D Yes o/Walks O Yes Qq115flanters O Yes AYWo- Disconnect, 13ZWat2r.Well, Disconnect, Electrical, Plumbing 88,,,rx'tSoor Elec. Trim, G.F.I. Receptacle -Underground 8 entila_ion Throughout House Previous 92. to Openings 93 Sewer Cawed -C/O to Grad! -HD Approval 9 neuw-Compliance Certificate -Other Certificates Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: WESTERNWOODS EWP PAGE 01/01 ENGINEEREDW OD SYSTEMS Jr Certificate of Conformance' Certificate .054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufacOred in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber 1 NER-486 Glued. Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses ARC 117-93 - Manufacturing —Standard Specifications For Structural . . Glued Laminated Timber Of Softwood Species IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members kers produced in a manufacturing facility subject to regular audits In acedrdance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the Tianufacturing process and evaluation of the in -plant QA program with adequate sampling to verify ;onformance to industry standards for lumber grade end glueline bond quality. i 0!'o W 0 140 . r 'rL _J %aSEAL J*__ . by UJ *3 Thomas G. Williamson 10 Executive Vice President •�i�olH �Nr ENGINEERED W10OD SYSTEPAS Is a related corporation c f ARA —THE ENGINEERED WOOD ASSOCIA7I0N 7011 SoNM 14th Stroot • P.O. 8"117 DO - Taoma. WA 98411-0700 TeleMone: (253) W84600 . Fax Nurr"r. (259) 5957288 INSULATION CERTIFICATE Job Number: 7435 rW.L: Martin" 114643 Bridgeport, Magatia CA Contractor/Owner Name Job Address (street, city, state) r . Butte t Countv Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: I I Brand Name: I I Thickness (inches): Thermal Resistance (R -Value):, j 2. CEILING Batt or Blanket Type:F Fiberglass Brand Name: Knauf Thickness (inches):1 12 I Thermal Resistance (R-Value):1 38 1 Loose Fill Type: II Fiberglass 1 Brand Name: I Knauf j. Minimum Installed Weight/ft 1 .569 1 l Minimum Thickness:1 13 ; inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):1 38 1 3. EXTERIOR WALL Frame Type:, 1 A. Cavity Insulation Material: - Fiberglass Thickness (inches):1 31/2 1 B. Exterior Foam Sheathing Material: {- Thickness (inches): r 1 4. RAISED FLOOR_ `Material: lFiberglass Thickness (inches): 1 61/4 1 5. SLAB FLOORIPERIMETER Material:) Thickness (inches): 1 1 Perimeter Insulation Depth Inches:) i 6. FOUNDATION WALL Material: i Thickness (inches): 1 Brand Name: Knauf Thermal Resistance (R -Value): i 13 Brand Name: F Thermal Resistance (R -Value):', 1 Brand Name:! Knauf Thermal Resistance (R-Value):1 19 1 Brand Name: Thermal Resistance (R -Value):, 1 Brand Name: Thermal Resistance (R -Value):, l r,r 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 Regulations) as indicated on the Certificate of Compliance, where applicable. 2,3 & 4 V /Y!/i7 Chico Insulation & `Fireplaces Item Number's - Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner LESS THAN 3 ACRE CONVERSION EXEMPTION STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS RM -73(1104.1a)(9/99) VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF FOR ADMIN. USE ONLY Ex. # Date of Receipt Date Accepted Date Expires 4 The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: Name Gene Jeffrey Rolls Address P.O. Box 432 . City Forest Ranch _ State CA Zip 95942 Phone 530 343-7341 TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116) _Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B. below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1-800.400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279- 0060; or contact the BOE Web Page on the Internet at hftp://www.boe.ca.gov. A. Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log): Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood %; Ponderosa pine/Sugar_%; Douglas -fir %; Fir %; Port -Orford Cedar %; Cedar (IC, WRC)_ `%; Other, conifer %; Other, hardwood %. 4-2. TIMBERLAND OWNER(S) OF RECORD: Name _ 1 II V Yl� i ✓� Address �► J� Z 3 S WMEM m 1 certify, under penalty of p rjury, that CCR 1100 (b)].t conn�t, t A Homc the Roisterd0r9f Y k F,or SIGNA State CA Zip �1�J' 4s —Phone 9?2- '? 6 �Q . one-time conversion to a non -timberland use, that there is a "bona ride intent" (14 and hat I have mailed a letter of notice of intent to harvest timber, prepared by a'cent Idowners within 300 feet of the boundaries of the exemption. 3, LICENSED TIMBER OPERATOR(S): Name Gene Jeffrey Rolls Lic. No. A-7332 Address P.O. Box 432 City Forest Ranch State CA Zip 95942 Phone 530 343-7341 SIGNATURE. uric �%,2i4` Date'"�1��l–!y> 4. Designate the legal land description the IWtion o! berland conversion. A map showing the location of the timberland conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of theconversion,location and classification of all watercourses, and landing locations. Section Township Range Base & Meridian County Acreage to be Converted asors Parcel Number :2_3 N 3E MDB&M _Bi"i"TE } Page 1. NOTE: This form has two pages. Continue on and complete Page 2. Read the instructions before attempting o complete. LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's Web Page on the Internet at http:llwww.fire.ca.gov. B. All timber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgement. E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit (e.g. county, city). G. No timber operations shall be conducted until the Directors notice of acceptance is received and a valid copy of this Notice and the Director's acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or damaged. I. No timber operations are allowed on significant historical or archeological sites. J. Within one month of the completion of timber operations, including slash disposal, the timberiand owner shall submit a Work Completion Report to the Director. I, LA9Vt �" ►"ClJ +`->`� declare as the authorized designee of the County Board of Supervisors that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county has authorized a designee this item MUST be completed. If it has not, see item 7.) SIGNA Date 7. Registered Professionaf"florester preparing Notice: Name Ryan J. M`Killop Number 2675 Address' P.O. Box 183 City Brownsville State CA Zip 95919 Phone 530 675-1359 1 certify that 1, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not designated a representative authorized to sign in Item 6., that I, or my supervised designee, contacted the county and the Notice is in conformance with county regulations. SIGNATURE of RPF Date > 8. NOTICE SUBMITTER(S): Name _Gene Jeffrey Rolls Address P.O. Box 432 City Forest Ranch State CA Zip 95942 Phone 530 343-7341 Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE to FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, Yuba, Sierra, Nevada, and Placer Counties. EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and Imperial Counties. _> 135 Ridgway Avenue _> Santa Rosa, CA 95401 _> 6105 Airport Road _> Redding, CA 96002 _> 1234 East Shaw Avenue _> Fresno, CA 93710 _> 2524 Mulberry Street _> Riverside, CA 92501 Addendum to Less Than 3 Acre Conversion Exemption Winter Operating Plan: As per 14 CCR 1104.1(a)(2)(E), timber operations may be conducted during the winter period. Tractor operations in the winter period are allowed under any of the following conditions: 1. During dry, rainless periods where saturated soil conditions, as defined in 14 CCR 895. 1, are not present. Erosion control structures shall be installed on all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours. As per 14 CCR 895.1 — "Saturated Soil Conditions" means: that site conditions are sufficiently wet that timber operations displace soils in yarding or mechanical site preparation areas or displace road and landing surface materials in amounts sufficient to cause turbidity increase in drainage facilities that discharge into Class I, II, III, or IV waters, or in downstream Class I, II, III, or IV waters that is visible or would violate applicable water quality requirements. In yarding and site preparation areas, this condition may be evidenced by: a) reduced traction by equipment as indicated by spinning or churning of wheels or tracks in excess of normal performance, b) inadequate traction without blading wet soil, c) soil displacement in amounts that cause visible increase in turbidity of the downstream waters in a receiving Class I, H, III, or IV waters, or d) creation of ruts greater than would be normal following a light rainfall. On logging roads and landing surfaces, this condition may be evidenced by a) reduced traction by equipment as indicated by spinning or churning of wheels or tracks in excess of normal performance, b) inadequate traction without blading wet soil, c) soil displacement in amounts that cause visible increase in turbidity of the downstream waters in a receiving Class I, II, III, or IV waters, d) pumping of road surface materials by traffic, or e) creation of ruts greater than would be created by traffic following normal road watering, which transports surface material to a drainage facility that discharges directly into a watercourse. Soils or road and landing surfaces that are hard frozen are excluded from this definition. 2. When ground conditions in the conversion exemption area and appurtenant roads satisfy the "hard frozen" definition in 14 CCR 891.1. As per 14 CCR 895.1 — "hard frozen conditions" means: those frozen soil conditions where loaded or unloaded vehicles can travel without sinking into the road surfaces to a depth of more than six inches over a distance of more than 25 feet. 3.. Over -snow operations where no soil disturbance occurs. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0043879 Recorded I REC FEE 10.80 Official yRecords I Countteof I CORNED COPY 1.00 CANDACE J. 6RUBBS I County Clerk-Recorderl I I LV 09:19AN 27 -Jul -2805 I Page 1 of 2 1111111111111111111111111111111111 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of r—Z*�Q On Jy\\,A LIfl, WQ' 0 before me, personally appeared \y,,c• Cy\pdN\r-\ $ ps � "kJ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. SignatureSeal: CHER! HOVEY _ Commission # 1327113 -m Notary Public - California_ Butte County A.P. #_�LJ_D(i 0 C)?:)` My Comm. Expires Oct 27, 2005 PARCEL I: LOT 91, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 12", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 13, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 24, 25, 26 AND 27. CERTIFICATE OF CORRECTION RECORDED AUGUST 27, 1985, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 85-26006. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AREA) OF SAID _ PARADISE PINES UNIT NO. 12 AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. 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. BPO81406 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: 07/27/2005 APN: 064-040-031-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 7 ?� Site Address: 14643 BRIDGEPORT CIR MAG _ Date: 7 'Z Q�/Contractor: W, L, ��/61V�i f p);idrlf Map Index: Description: NSF(1742)GAR(484)COV(162)MASTER# OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 01-68 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, -also requires the applicant for such permit to file a• - " Owner: MARTIN, WILLIAM & ANN signed statement that he or she is licensed'pursuant to the provisions of P.O. BOX 203b the Contractor'sSfate License Law (Chapte"r §'commencing with Section ^ . PARADISE CA 7000) of Division 3,of•t6e'Business and Professions Code) or that he or.', ) she is,exempt therefrom -and the basis for.the alleged exemption. Any, 95967. violation •of Section 7031.5 by any applicant fora permit subjects the ^ 530-872-2640 applicarrt•to a. civil penalty of not more than five hundred dollars ($500).): ❑ 1, as°owner of'the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ,, intended.ot offered for,sale.(Sec. 7044„@usiness and;• Professions _ ,•„-„ _ „ -_ _ „- _. _ , �y Code: The. Contractors' State-License•Law does not apply to an Applicant: MARTIN, WILLIAM & ANN owner of. property who builds or improves thereon, and who does such work..himself or. herself or through his or her own employees, P.O. BOX 2035 provided that such improvements are not intended or offered for PARADISE CA sale. If however, the tiuildirig or improvements are sold within one 95967 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 530-872-2640 sale.). ❑,,t,,,.as owner of.._the, property, ..am exclusively. contracting with. licensed contractors to constructthe project (Sec. 7044, Business and.Professions Code. • The Contractors' State License Law does not .appy to an owner of property who builds or.improves thereon, Contractor: MARTIN CONSTRUCTION, W.L. and who contracts. for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ : I am'Exempt•under Article 3 of the Business and Professions Code PO BOX 2035 Date: Owner: 95967 530-872-2640 WORKERS' COMPENSATION"DECLARATION ` . I hereby affirms underpenalty of perjury one of the following declarations: ❑ ` . I have and will maintain a certificate of consent to self-insdre for License #:" 642833 workers';.compensation,-as provided” for by Section 3,700 of the Labor. Code, for the performance of the work for which this permit is issu�d�r_ ❑ ^ 1 tiave' and will maintain. workers' compensation insurance, as Architect: required. by Section 3700 the Labor Code, for the performance of "issued. Engineer: the work for which this permit is My workers' compensation insurance carrier -and policy number are: :t Carrier: -- Total Square Ft: 2388 S.F. Policy #: s I certify that in the performance of the work for which this permit is Valuation: $127,438.00 -issued, + shall:nbt-employ any person in any manner so as to Census Code: :becomeFsubject 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: At Applicant y WARNING: Failure 'to secure workers' 'compensation coverage is unlawful; `and'%hall subject' an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of -2 compensation, damages as provided for in Section 3706 of the Labor o O q code, interest, and attorney's fees.... L4?;to 1 (� - CONSTRUCTION LENDING AGENCY : This permit is hereby issued under the applicable provisions of the Butte County Cady ?nfUor I hereby affirm that there is a construction lending agency for the Resoluti ns p work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 5 Name: By: D//ate PERMIT EXPIR N: Address: Date O I hereby certify.that.the use. of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous naterials. ❑ Notification in'accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ • Attached are copies of the.required E.P;A. riotification forms. I hereby.cert,ify,that I. have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating Io building construction. I acknowledge it is unlawful to alter the substance of a official form or docum9$nt of Butte County. I hereby authorize representatives of Buttee'CCounty to enter upon the above mentioned property for inspection purposes. Print Name:��� /' r i Signalure Date: . O Owner. 0 Contractor 0 Agent for OwnerAgent for Contractor 12/16/2002 12:37 5595621123 MARTIN PAGE 01 W. L. Martin Construction 530 872 2640 License #642833 530 872 2639 FAX L. roartin- P. O. Box 2035 539 520 5170 CELL#1 Paradise CA 95967 539 520 5178 CELL#2 Construction ftx Tb: Karen Fiyirm ANN MARTIN ham: 5382140 Pages: 2 Pleat 538-2172 Date: 7/272005 Re: Workers Compensation Ins. CC: 064-040-031 D urgent O For AM low ❑ Please C,ar intent ❑ Please Reply ® Please Recycle e Caasoin=ntia: Dear Karen: , Thanks for your help todayl . Our Worker's Compensation Insurance policy number is 229-0030711-05, Would you -ell like a certificate of insurance on file? If so, just let me know who the 'official holder' would be (Bldg Dept?) and our insurance guy will email it to you. Our fax number is 872-2639. Thanks very much Ann Martin BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER _ Name �� y Last Name First �Jy7 ,� Y' Address City City/l ac State Phone . 6—/ 70 Zip 95-12 Phone 707^ 7 0 1/D Fax a E-mail owq— MM A / CONTRACTOR Name �� y l� rUli17 Address ado City Stat Fax 7o2 -o? /Cv^ Phone . 6—/ 70 rax 7 '07 3(' E-mail Lic. Class cri APPLICANT NAME ARCHITECT/ENGINEER Name City r Address Zip92 City Fax 7o2 -o? /Cv^ State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name 7 Address City r State 0 7— Zip92 Phone ,� ^ 7� J Fax 7o2 -o? /Cv^ E-mail APPLICANT SIGNATURE For office use only: Zoning Prop Add es Flood Zone 1 �4_ 1 SRA Y No Occ. R3 I Type Const. VQ Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS 1y PERMIT ;� l �v BIN N LOCATION / Prop Add es City Cross Street 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 Descript'on or Scope of Work: 01 Sq. Footage ❑ 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 required. 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. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by,- Amount: lU. (� Bldg Receipt #: 4 56 /[v (� eK#'S/3 (P Date: Sheriff SMIP C Other Total REV 2-24-05 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: �3;10,4on ASSESSOR PARCEL NUMBER Proposed Building Use: �As�� �%� �Q� Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1-- 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicablef-5-05 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required .................................... ❑ 19. Erosion Control Plan Required ..................................................... (e 20. Fees as shown on the attached Schedule of Fees Due Sheet............ . 21. City of Chico Plumbing permit ............................ 22. Site plan and business license approval from t y -of Biggs...n ...... . 23. California Department of Forestry plan approval aid. Sent b a 24. Planning approval for (A) Use: �(B)Parking: arcel Check. ..b..... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ JV -26. NPDES Form............................................................................................. ��1 ; 3 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... O _ 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued TelephoneSo�(_� S/ 70 OWf9e (* Cell and hold for pickup. I have been informed o the above iteand requirements for obtaining a building permit. Applicant: A' Date: 1. Index permit a kation for t e o e' s num, bered. Plan Check Let er 2. Additional items required ` C desi ner w�ne was ad i d of the bove data b done, ❑ mail, ❑ counter, b Date: �V-yN! Q! L I'� nz Co ractor designer, caner, was advised of the above data by 2' phone, ❑ mail, ❑ counter, by Date: designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date:_lans approved by: Date: -- Structural reviewed by" Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 8�* J37 - /& 1;0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNERi� . �_� c / s L/I A. P. # Li PROPROSED BUILDING USE %V UEMa�-- My /2' DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $__ _J T --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ [/ 1 SCHOOL DISTRICT FEES 'GIVt°�ICIt)`�lrn'�pP e-� (paid at School District Office) (orm available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ ` Sq.Ftg. :�0 4. RECREATION DISTRICT FEE �e_ CI✓e" 0 41rn e CIF #pp• (paid at Recreation District Office) (form available after Plan Ch ck) f 5. RESIDENTIAL DEVELOPMEN IMPACT FEES COUNTY WIDE (per dwelling) $ �S PCHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE nr-7/�� �---}� $204.98 (paid at Building Division) 307 ,,2S -o` -O I'0 ' 7. WATER TENDER FEES BATTALION # '��_)$200.00 (paid at Building Division) 8. SMIP , ; / /—/ 9. OTHER 10. OTHER 11. 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 thg plan checkirAprocess. APPLICA DATE �' D✓�� Pursuant to GovemmeFd Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) ti Department .0 o u n t J. Michael Crump, Director f of PubtiC o f B U t 0 r k S (AND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollu anDischarge Elimination System , NPDES) Phase 11 Construction Storm Water Permit and Sturm Water Pollution Prevention Plan (SWPPP) Acknowledgement .Project Description: F �S �� v�� ' )-F Project Location and/or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WELL NOT DISTURB 1 acre -or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit fromthe 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:Ll�/1�/� Date: Butte CountyDepartmentol-Developine11t�5'ervlces ,�`'TT. 0 7 County Center Drive O O Oroville, CA 95965d`Y o -_ o .(530) 538-7601 Telephone °•- y° (530) 538-7785 Facsimile 004 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES 1 request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. . I hereby acknowledge: , o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained s I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Buildirig Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: / Applicant Name: A11.2 - Building site address: 14,166ezaolz^/" &.,,1' APN: (�J'3/ Permit No.: f e�D I have read, understood and accept th terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: S GN TUBE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearences 020705 o r 4 /0.4/o dC. /VGTU,Pdz 'MEd x -v .9EE 5Y/EET A/o. 3 �� e��biCtr,�ciiu/te[is.al/-� �-d7%fie 7,`-�S-o�Z Ce 00 (10 , 33-.27 LEGEND SET NAIL AND TIN ....o SET BACK LINE .... ..........�, sE^Beer [n=r v• wr �• PURI.IC UTILITY EASEMENT IP.U.E.1......... '- A aF.l DRAINAGE EASEMENT ID.F:. 1 ... .. ... .... .. RECREATIONAL EASEMENT (R. F. )... SET CENTERLINE MONUMENT .................... SET7 X 3' IRON PIPE 'FAGGED R.C.E. 9033 ........� FOUND MONUMENT AS SHOWN ...................../ FOUND 2 IRON PIPE 'FAGGED R.C.E. 9033............4 ALL LOT CORNERSNOT INOICAI'EO 6Y THE ABOVE SYMROLS TO BE NARKED 9Y 3/4'IP.ON PIN WITH TAG R.C.E. 9033 BASIS OF SEARING 'f HF. CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED FRO.•.I TR I AMGULAT I ON STATION SA'4111 LL (X•2,124.255.90. Y.7g1,649. 981 TO TRIANGULATION STATION BALD MOUNTgIN (%•2.745.390.63. Y. 832.949. 421 BEARING N 2Y 23' 29' E AS SHOWN ON THAT AMENCED RECORD OF SURVEY FILED IN BOOK 33 PAGES 95,96,97,96 AND 99 BUTTE COUNTY.REODRDS. DISTANCES SHOWN HEREON ARF. GRID DISTANCES: MULTIPLY BY 1. 0)0,138 TO OBTAIN GROUND DISTANCES. �/'� �SY rarnA ewes /39. /6G _ L 4 ors 77. 006 Bo4os /7.0// GOTS D/B 05•/09 � ` Z z- i a � a 153 d /_i3 a 1Y ear - 1' SUBDIVISION NO. .2 PARADISE PINES UNIT N0. 12 PTN. SEC. 23T.23 N., R.3E., M.D.M. BUTTE •COUNTY , CALIFORNIA SCALE: 1'=100' APRIL , 19711 M URRAY B McCORMICK INC. CIVIL ENGINEERS — LAND SURVEYORS 1912 F Sr., SACRAMENTO, CALIFORNIA SKEET 4 OF 4 SHEETS Y 4 School District A.P. Number . Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. ©County 05-141.66n Commercial/Industrial Q Sq. Footage (Including Exterior Roofed reas) t �C� Date Identification, No. de ?School District certifies that Al ^7 �i ol / (Applicant) (Street Ad' ress) (Phone Number) Com-- 5 (City) has complied with the requirements of Resolution No. representing / square feet. School District Representative Paid by Check # Remarks: (State) (zip Code) by payment of $ 3 7l' / • 4/ sl - 2926 �, $ FULL MMGATION $ Date N.Ofte: You may protest the Imposition of the fess Ident"Ied above by submitting a written protest to the District, in compliance with Govemmand Code Section 66020(a), within 90 days from the data face am paid. Failure to submit a timely written protest wlil'prohlblt you from chd%%Ing the Imposition of the fess in any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notllled by the applicable Local Planning Agency that this project Is being reviewed under the Caltlbnds Environmental Quality Act (CEQAh this project may be subject to additional school fess to fully mltigate.lts Impact on the school dlstrkYs schools. White (applicant), Yellow (building department), Pink (school district) feeform.xle 410/03►dmm .........................: _..................................:...................................... 4 Residential Development Q Q Qs Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # i :.......................................................................... *(No foundation Inspection) _................... _... i Deed Restricted Sq. Footage i (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage (Including Exterior Roofed reas) t �C� Date Identification, No. de ?School District certifies that Al ^7 �i ol / (Applicant) (Street Ad' ress) (Phone Number) Com-- 5 (City) has complied with the requirements of Resolution No. representing / square feet. School District Representative Paid by Check # Remarks: (State) (zip Code) by payment of $ 3 7l' / • 4/ sl - 2926 �, $ FULL MMGATION $ Date N.Ofte: You may protest the Imposition of the fess Ident"Ied above by submitting a written protest to the District, in compliance with Govemmand Code Section 66020(a), within 90 days from the data face am paid. Failure to submit a timely written protest wlil'prohlblt you from chd%%Ing the Imposition of the fess in any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notllled by the applicable Local Planning Agency that this project Is being reviewed under the Caltlbnds Environmental Quality Act (CEQAh this project may be subject to additional school fess to fully mltigate.lts Impact on the school dlstrkYs schools. White (applicant), Yellow (building department), Pink (school district) feeform.xle 410/03►dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑.FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND. PARK DISTRICT (CARD) "ARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) � f A191-7 abd-1 fl Project Location /Address Subdivision Name Building Permit Number AssessableYq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (da21n, sued )` verified by Building Department Comments: ufilapr //7. 0 FR/,RPD [BARD . A PRPD ❑ DRPD certifies that: Applicani Name Phone Number Q Mailing Address W City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. Q �` by Payment of: Dwelling Units @ $ per unit for a total of $ / / - Square Feet @ $ per sq foot for a total of $ Remarks: I Paid 4Park Paid by Cash: Receipt No: /11 Recreation ct Representative Date UFORMSWILDING FORMS\park-rec standard form rev Ldoc 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.htmi .NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number 0 Sp 40"Q District T� APPLICATION . I / 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 sand highways, all in accordance with Countyordinances and general laws. All information except signature must be ed or legibly printed. 1. Applicant's Name: l a. Company Name: , 2. Address: AQ tic oC,� 3f �%� ! 3. Phone: g7z _�� �� 4. Asseor�s Pa cel Nu ber�� CCJJ� 5. Location of Work to be Done '' 'n 6. Applicant's Si 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name / o� 9. Address A9 / 10. Phone: -7 2 - 7 3 ? 11. Fax: 12. Contractor's License Number: . �, O !/O / ` 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: Curb: El Gutter: ❑ Sidewalk: E)(��J 17. If Driveway List Type />� K/ 18. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No 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 hereby ranted. 20. Conditions Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 21. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 22. Date Issued /'� �-/ �j 23. Expiration Date: J ` --c-2 - (p 24. Surety: (fie S 25. Date Paid: 5- 2 7- 0 26. Amount Paid: 27. $( cu Paid By: leo-;6 � 28. Receipt No.: Mike Crump, Director of Public Works By: G For Coupy 29. Final Inspection Date: 30. Inspected By: C1CO eted - ❑ Completed - Not O ❑ Additions omments Attached Use only' , 31. Comments: Note: if permits are taxed to any number besides (530) 5384356, they can be delayed up to one week. Page I of 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this. permit shag constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. Ag work shag be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shag, at all times, during the progress of the work, keep the County Ffighway in as neat and clean a condition as is possible and upon completion of the work granted herein, shag leave the County Hghway in a thoroughly neat, dean, and usable condition. 3. The Pemvttee agrees by the acceptance of this permit b property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shag, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fig or backfill in the construction of the encroachment shag be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shag be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shag be dosed to travel by the general public without special permission, in writing, from the Boardvis 'of Supervisors. m - 7. The Permittee, by the acceptance of this permit, shag assume fug responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shag defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shag be backfilled and compacted immediately after work therein has been completed. Trenches shag not be left open farther than 30D feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted'by ttie Engineer: Unless otherwise permitted under the Special Conditions, backfill shag be place and mechanically compacted in such a manner that the relative compaction throughout the entire fig within the County road right of way shag conform to the percentage of compaction as stated below. Permittee shag notify foreman 24 hours before backfilling and/or paving: a The relative compaction from the bottom of excavation b a plane five feet (6) below finish surface grades shag be no less than ninety percent (9D%) as determined by Test Method No. Calif. 2111-C of the Materials and Research department, State of Cafifomia, Transportation Department, Division of highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shag be no less than riumety-five percent (950/6) as determined by the above testing method. Permittee shag bear all costs and responsibility for compaction tests. a The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shag bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shag be sand, shag be place in 8" frits, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shag be the native material and be compacted to a relative compaction of not less than 90%. Any pavement miffing shag be scored, or saw cut before trenching. Nlnimum depth of cover over all underground fadlrfies shag be 30 inches, except drainage culverts. Ag installations, parallel with roadway, shag be placed as dose to the right-of-way One as possible. No portion of the backfill(s) shag be compacted by ponding or jetting.. Ali pavements, crabs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other grounds) occupied by materials and/or equipment, shag be restored immediately upon baddrlhg or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. M surfacing materials of roadways and driveway approaches cut or damaged by or as a result of oonstrudion operations, shag be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing; and no less than two inches (2') of asphalt concrete over eight inches (87 of aggregate base, according b arrent California State Specifications. �. Whenever necessary to secure pemirssion churn abutting property owners. such authority must be seared by the Permittee prior to starting*work 10. The future safety and convenience of the traveling public shag be given every consideration in the location and We of construction. Permittee shag cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the 3eneral public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shag notify contractor as b the ;pedal conditions and requirements contained herein. Page 2 of 2- G SITE PLAN REVIEW APPLICATION Date: V/.wi2 l r AP# ©6y�10 0 Permit Number (if applicable) d I X166 Bin Number APPLICANT INFORMATION L Parcel Size: Owners Name: �'" �/ i'� �n J Owners Address: Telephone No.: Situs Address: Proposed Use: x441 Zn i /�iA e 1174 Residential IS New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory' ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary -Travel -Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial . - F] Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ -N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ' ❑ Resolve Problems Prior to Approval 77XPP roved By Date � (� � 5__ Page 1 of 5 f ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: N Snow Load Area: 2� , 136,00 ❑ 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 specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: k • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form- ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 9— / �C 0R) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ' Side l0 L Side Street Rear U Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 d. Applicable Development Fees: �r� N -Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ -Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area. ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required El No EJ 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 41, Subdivision Map/Parcel Map: Map Date of Recording Lot 14614 63 1�71 Book: ❑ Use Permit/Minor Use Permit Permit Number: CT Page: 2c(- 27 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 road maintenance, and stop sign maintenance. FEW Page 4 of 5 RECORDING REQUESTED-UY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: William Martin and Ann Martin P.O. Box 2035 Paradise, CA 95967 t,-Va, Recorded Official Records County Of BUT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 09 -Feb -2005 REC FEE 10.00 TAX 66.55 Lisa Page 1 of 2 Above This Line for Recorder's Use Only A.P.N.: 064-040-031-000 File No.: 0402-1747714 (CH) GRANT©EE® � The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX J(We'S CITY TRANSFER TAX $; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, [ X , 1 unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Sorenson Investment Properties, Inc., A California Corporation hereby GRANTS to William Martin and Ann Martin, husband and wife as joint tenants the following described property in the Unincorporated Area of , County of Butte, State of California: PARCEL I: LOT 91, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 12", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 13, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 24, 25,26 AND 27. CERTIFICATE OF CORRECTION RECORDED AUGUST 27, 1985, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 85-26006. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. 3 PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 12 AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. Dated: 02/04/2005 Mail Tax Statements To: SAME AS ABOVE A.P.N.: 064-040-031-000 Sorenson Investrnent Properties, Inc. / / Kelly So son, Secretary / Treasurer STATE OF CALIFORNIA COUNTY OF BUTTE Grant Deed - continued File No.:0402-1747714 (CH) Date: 02/04/2005 On—, U before me, s c �v�s"� i,/v �i i� c.. personally appeared i'G� �✓JO�O —�_"-- _ personally known tdAe (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. i VICKI GROSSE� This area for o�ciai Cornm'sa ion if 13271 : ; z notarial seal zu tM. notary Public — California n But"w County Signature ' My Comm. E*ims Od27, 2005 My Commission Expires: Notary Name: Notary Registration Number: Notary Phone: County of Principal Place of Business: Page 2of2 „w AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY. CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 27 -Jul -2005 2005-0043879 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, 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: Date4 �S State of California County of �b"O&A On JV 1vA 1� . WOC) before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: CHER! HOVEY @\!my Commission#1327113 Notary Public - California /�_rr ,,�Butte CountyA.P. # 1�9y—D(4 t; �,' Comm. Expires Oct 27, 2005 — PARCEL I: LOT 91, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 12", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 13, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 24, 25, 26 AND 27. CERTIFICATE OF CORRECTION RECORDED AUGUST 27, 1985, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 85-26006. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 12 AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. {.. E.M. use ONLY Plot Plan Attached j Floor Plan Attachad sant to G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Su Iv: blic Private Well Clearance fordwelling. Ot er Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 r CDF FIRE SAFE REQUIREMENTS AP# 064-040-031 PERMIT # 05-1406 NAME: Martin Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No ioadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. -Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than, 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1 Gate entrances shall, be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a ode -way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. c D F I R E S wIN Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. 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. [X] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See 'Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. . Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [X] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials [] 07/20/2005 Darren Read Date Signature C D F E N T S T. l� v vii J SITE PL. ArjWEW APPLICATION COUNTYDate: ©� AP# �le'� O e oy 'N 17 2005 Permit Number (if applicable) DEVELOPMENTBin Number SERVICES APPLICANT INFORMATION Parcel Size: ' Owners Name: Owners Address: /0, n Telephone No.: �' �% Email: Situs Address: e' id,* g? /10 l.:l- (,?! P, - Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ' ' ❑ Industrial Addition Other Septic Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Si Plan Stamp Approved By Date 0 I Pagel of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: It Snow Load Area: �,D00 100y ❑ 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 nand if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: k • Flood Panel No.: 0x(00 C Index Date: • $ • / ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ 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) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance El Administrative Permit ❑ Variance LJ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 9— L vl? Applicable Building Setbacks: Zoning Code Streets & Hiehways Flre PTPVPntrnn C„hrl;.,;.:.., Subdivis lvla�J Front Side Side Street Rear Height Waterway N/A ❑ Setbacks drawn on site Plan. N/A N/A ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r i Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑T School* ❑ Parks/kecreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ ' Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender. ❑ Road Improvement ❑ North Oroville Area Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit: Parcel Created By •. n Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No El Yes, Road Name: Complies with County Standards for Deed Creation:❑ No El Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Constrdct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 • Pa�� %fes Subdivision Map/Parcel Mme: Map Date of Recording:�y Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page:..,? Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑■ 10 Page 4of5 BUTTE COUNTY .7 `.I �� St s.iV1 Y��� M'if�a?., �'� LCL I H AGRICULTURAL BUFFER NOTIFICATION AND/OR MAY ! X1705 UNUSUAL CIRCUMSTANCES REQUEST CHICO, CAS IF CARNIA Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drove, Oroville, CA (530) 535-7601 Name: r Phone: 7aa�' �O Mailing Address: C. 9!51107' E -Mail address tl*9O�/CI,,Ps,7"' mer Assessor's Parcel Number. �� y - D Reason you believe you qualify for the unusual circumstances exception: e__ ent's signature zr . Dat UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ........................................................ Internal Dept. Contact Info: ❑ Env. Health ❑ Planning Contact Person: ❑ Building Phone: ❑ Other ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: setba Agricultural Department Signature: agricultural operations: Date: YMC 7/1/03 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. !� 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 AP_PLIGsATION AND PERMIT (p ASSESSOR PARCEL NUMBER 1 064-040-031 I ZONING . RT -1 BUILDING PERMIT OWNER WEN.DELL SORENSON TELEPHONE 873-1858 SQ.FT. I OCC. BUILDING VALUATION 1247 R 67 338 OWNER'S MAILING ADDRESS _ - . W-, BOX 4209 CHICO CA 95927 448 M 8,064 CON- TRACTOR'S NAME "•• OWNER VCONTRACTOR'S TELEPHONE 260 0 1,020 V O MAILING ADDRESS Fireplace "At' 1,500 CONSTRUCTION LENg.ER UNKNOWN Total Valuation $ 78,722 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 503.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 251.50 _ Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14643 BRIDGEPORT CIRCLE Permit fep $ 789.50 P UMBING PERMIT Filing Fee 15.00 MAGALIA CA 95954 h Tj4p, 8 1 5.00 40.00 ar or at pump water heater 20.00 LOT NO. 91 SUBDIVISION NAME PARADISE PINES, UNIT 12 PA C L M 8 27 ater pi Ing 7.00 7.00 ac s water heater or vent 7.00 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY ap ping system 1 - 5 outlets 5.00 5-00 Iding sewer 15.00 9-00 obile Home S G W @ 15.00 TYPE OF WORK New XX AdditionEl Remodel ❑ Utilities ❑ Installation i th Describe work: Permit Fee $ 89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLE LESS 18.50 Main ervice 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the sines$ and Professions Codeand my license is in full force •) and a ct. License .Jo.-"tl�ll�'� Classification 1� l/� ❑ I, as the owner,'or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contra t- ors. (Sec. 7044) ❑ I am exempt under Sec.-, Business and Professions ode for this reason NEw CACC. BLDGS. ONST. DWELLING OCCUP. 3.60 sq.ft. OR DDNS. ( NE REST D. RANCH TLET NO •RESID BRANCH CIRC ITS @ 5.00 CIRCO POWER APPARATUS 9 (SINGLE OUTLET CIR. ) X. OCCUp(OUTLETS OR FIXTURES 20 76a . OCCUp. OUTLETS ((RESIO.)REA.) I 3.00 Tempo service 15.00 Mobile Home cilities 15.00 Misc. Wiring g '15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 9.00 Cooling 9 2 1/2 TON 9.00 Hood 6.50 6,50 Ventilation Permit Fee $ 39.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t eidu in consequence of the granting of this permit. X Date i naturicant- Owner Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoraesoineheight'ons over S'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 OCC R3 CONST TYPE VN TOTAL FEE $ 1,047.30 HAz 1 11 FEES I IMP X I FLOOD ---- I COF PARCEL XX PD HD 1 ISSUE This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date provi- to do paid. Receipt No. 143931-$331.50 PC// WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 �� /4 / D APPLICATION AND PERMIT ASS ESSO�R PARCEL NUMBER / ZONING f 7 BUILDING PERMIT OWNER eA)D , T LEPHON SO. FT. OCC. BUILDING VALUATION /z y 3 8 OS OWN78 ADDRESS I `O ( ��2 7 �� 80 RAfa�CONT,�//����JJct R'S NAME TELEPHONE ') /_ /\ O a1?0 CONTRACTOR'S MAILING ADDRESS Fireplace ►f a /,5(Xj CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7g 7Z Z Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ S-63. 69 CP ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 'R5 • 5D Energy Plan Checking Fee $ a0 • Da ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 789.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 16.00 Solar or heat pump water heater 20.00 LOT NO. 9 SUBDIVISION NAMEs� , �: W�+� PARCEL AP, Water piping 7.00-7-00 Each qas water heater or vent 7.00 7 USE OF STRUCTURE 'j $ rZ% SFg Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 pp Mobile Home IS G W @ 15.00 TYPE OF WORK 1\14KAddition `�c- RemodeI El Utilities ❑ Installation❑ Other ❑ Describe work: �T 8� _ Permit Fee $ Contractor g ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20CATO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 17I, as the owner, or my employees with wages as their sole compen- sation, will do the workiand the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP. OR ADDNS. ACC. BLDGS. / NEW CONSTRMULTI-OUTL NON-RESID BRANCH CIRCUIT @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76A Ex. Occup. OUTLETS P(RESID )REA.) 1 3.00 Temporary service . 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ hQ 9106 Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating 11,90 Cooling ,t/ •DO Hood 6.50 SQ Ventilation Permit Fee $ jp Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date _ 3 Si nature of A licant — owner ❑ Agent ❑ g pp ❑ Cs over An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee % ZIA 0 - CONS TAPE .VIN TOTAL FEES HAz 1 DFEES I IM FLOOD CDF I-PA[r I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date / p/� /� !> I �� FtC' 3 S Receipt No. (eS3 / WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT +G'R . ^`.: M.,r4.:r: �� .f r�., : �. *�i-.+.-«- �..a� � •..��ti...-. x ', .. �.t•.... �.,�'a"^:� r5�.-I+e�k�..�l. �L- *. ! �fM�,-'kr�Y'�•;y,r.� �.r.xv- " +..-�{�y, t.ti ,. `:r tiiY'F'.•I�`R�f•lt r COUNTY& BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION A 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER fes(/,Gel( �re�sQ,t) P. No. D DSD- 03� Proposed Building Use 6P &60- Building Inspector Date &/3/9-? At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. azardous Material Form . ........................................... . nergy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufactyr 's installation instructions, 2 sets. ........... �L 10. Fees of $ %1- ....................................... . 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ........................ . 13. Flood elevation letter (100 year floodl by California Engineer . ................. . ✓ 14. Sanitation and plot plan approval 44P5 -Wealth Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . I/ 19. Driveway permit (construction approval required prior to occupancy). .. ...... 20. Pre -inspection for to Building Inspectopection r p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................. a / 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone X 79 `18.58 and hold for pickup at /-J////- office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. I Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other . Date By The following data must be submitted r' r to p©mit issuance: jCircle new iteki odt checked above). 1. Index permit for above items No. 2. Additional items required: CC'OFn{'LE"TE .PENS cu 14- c . Contractor, designer as advised of above required data by one _ mail Counter by _ ate 14P-i7-4:�3 Contractor, designer,` owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by 9 Y,--Dat4--t7=13 Plans approved by Date Sets of plans on hold in o' File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER /SCJ d N A. P. NO. PROPOSED BUILDING USE 3�� DATE 5--? REC. # DATE REC School District Fees (paid at District Office) .. Sheriff Fees (paid at Building Department) O Residential ......... X =$ 3 unit amt. Commercial(per sq.ft.) X _$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per-unit) X _$ # units amt. Commerical(per sq.ft.) R =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT O DATE 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISC OUS°ITEMS TO LOOK OUT FOR ;.-_-2a. Stai y details: landings, rise and run, head clearance, handrails c. 3306). rdrail details (Sec. 1711 & 3306(j). 44, er stone veneer (Chapter 30). erLor plaster - weep screeds (Sec. 4706). P er roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard).. �- am insulation - protection. 8''36" halls and stairways. 'ving area over garage - complete 1 -hour separation required on garage side inclu ng supporting walls and posts, etc. �-.�� exits on three-story dwellings (sec. 3303 & see Mezannines - 1716)., �tic access and ventilation (Sec. 3205). 1-Vaderfloor access and ventilation (Sec. 2516). busti n air for fuel burning appliances - L.P.G._ requirements. e- rements on duplexes. 5. gy design. Fla§ 'ng at all exterior openings. F responsible area requirements.' `C 3 - 1-7 - 93 g : 49 LFF-T' M&-SSA4E Neeb coMP j . x RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) 'Bldg. Permit — o 6OD OWNER � � sn- A.P. # 6 Plan Checker R=RA Zoning requirements: (sideyards and number of permitted living units). luation. 3! ans signed by designer. ' PropPr description of work on application. xi ting violations on property. 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). a:---Ree-orded notice of violation. PLOT IN TPPLA P! Complete parcel size and dimensions. x/Setbacks, sideyards, easements, etc. 3 --Other buildings or structures. 4 ----Trading, fills, drainage. 9. ----Flood hazard. ,6 Sppeeial conditions on creation map, ustible, and.foundations). AtF & FAS road setback. (noise, CDF, fire sprinklers, non -comb -3_. Building or utilities across lot lines (Record form). FLOOR PLAN Y omplete to scale plan with -,dimensions., 2. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). 5� Huylig'hts (Chapte=- 34 & Sec.' 5207).-1 man impact glass (Sec. 5406). , Required room sizes, ceiling heights (Sec. 1207). �G� CIs in baths, garage, kitchen, and exterior outlets (Article 210-8)., Light fixtures, switches, receptacles,,and exterior receptacles for main— tenance of mechanical equipment. ' Locations of water heater, heating and cooling, equipment,. other electrical or gas equipment. _ Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 '0" exterior exit door (sec. 3304 (f). 1. e lace and wood stove location, alcoves, and clearance. 1 . e detectors (Sec. 1210). 1 lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 'Y. Standard bracing or engineered design (Table 25V) 27—Unusual shape, size, or split level house requiring lateral design. �'—E3 erestory requiring balloon framing and/or engineering. _ee story building requiring engineered calculations and plans. 54-- nd tion plan complete enough to construct building. or construction details complete enough to construct building. Elevations and wall construction details complete enough to construct alRoof construction details complete enough to construct building. ace construction details and calcs if necessary. 1 ter ties or bearing ridge beam. I� Gar I door or porch header sizes. 1 .',Cud heights. ti obe soils - special foundation design. 1Retaining walls requiring design. 1 . Special Inspection required. building ,r ►., 9'3-23669 i 93-023669, I Rec Fee 8.00 Check 8.00 Recorded I i COUAtTY0F8li1'TE Official Records I BUILDfNGOEPT County of I ' JUN 2 1 1993 Butte , t,t Candace J. Grubbs Recorder I ` 2:30pm 10 -Jun -93 I PUBL X 2 Return'to DPW �i:� �. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 requires ,this of the Butte acknowledgement. County. Code be recorded prior to issuance of a building permit. �ll� '.Che, property described herein is adjacent to':iand or included within *an area zoned for. agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides,' pesticides; arid. -fertilizers; and from the pursuit .of agricultural operations including,.:,. but. not limited -to cultivation, p.lowing,-, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that 'real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION to of ) ) SS. County ) . PROPERTY OWNERS: wuxj� J 3 WENDELL T. SORENSON BY KEL Y L. SORENSON 8,IS ATTORNEY IN FACT d-- OUUAVJV� W11 .J C4 rJ On this the day of 19 before me, the undersigned Notary Public, personally appeared Fq Personally known to me. Q Proved to me on the basis of satisfactory evidence. to'be't erson(s) whose name'(s) subscribed the within instrument and acknowledged that executed the sa for the purposes therein contained. IN WITNESS WHEREOF, I hereunto et my hand and official seal. Present A.P. No. 64-04-31 Notary Public s c END OF DOCUMENT v 93-23-669 ORDER NO. BU -125978 TB DESCRIPTION ALL• THAT CERTAIN REAL :PROPERTY SITUATE IN THE STATE OF -CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: LOT 91, AS SHOWN ON THAT CERTAIN MAP ENTITLED, -PARADISE PINES UNIT NO. 12-, WHICH MAP WAS RECORDED IN THE OFFI= OF THE RECORDER OF THE COUNTY OF.BUTTE, STATE OF CALIFORNIA, ON MAY 13, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 24, 25, 26 AND 27. CERTIFICATE OF CORRECTION RECORDED AUGUST 27, 1985, UNDER BUTTE COUNTY RECORDER'S SERIAL NO.- 85-26006. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. PARCEL II• A NON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 12 AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. s c END OF DOCUMENT I STATE OF CALIFORNIA } }ss. COUNTY OF Butte } On June 10, 1993 beforeme, Tami Barlow personally appeared KELLY L. SORENSON personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within '% instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h nd and official seal. OFFIGAL SEA 978221 D TAMI SARLOW Signature NOTARY PUBLIC - CALIFO NIA COUNTY OF BUTTH MY EmMro. 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