HomeMy WebLinkAbout064-070-012NOTES -3 RESIDENTIAL
PERMIT NO. _r64-070-012 05-0063
t I EGGERS BL,DRS,
" BRIDGPORT, MAGALIA
14_730' CONT: OWNER
NSF (MSTR#01-72)GARAGE
Li Z O OS
SIC - U Q i
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SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE. REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
fV�S
CHECKED
BY
._� < r - U - o F F LD (-TEX
`_
9
OFFICE COPY
Address
GAS
Meter By t'�, Date
ELECTRIC�/;��
Meter By (l Date__
`JOB FINALED (Date) 1-
Signature '�yY��`li%y� -�
J=OK
0 = Not OK
. = NotReady5b1e
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card 8-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
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 -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Pool Lighting; 15 Volts-GFI
8.
Gas and Electricity Tagged
Elec.; Enclosures; Conduit Entries -Terminals -Listed
9.
Tie Downs -Type -Installation Cert.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10.
Exits; Insp.-Sketch
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
11.
Cert. of Occupancy
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
= OK
= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
ain; Soils-Elec. Grnd.-/ /" Ftg. Depth
G�cage; Soils -Steel -Elea Grnd.-/ /" Ftg. Depth
4. ., Porches & Decks; Soils -Steel-/ /" Ftq. Depth
5. St , Main; Steel-Blockouts-Wrapped
walls, Garage; Steel-Blockouts-Wrapped
Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
V.; Fall-Fi ing-Tt-2 Way C/O -Sewer Test
1 OF Ga P' e; Si Anchors -Yard Gas Piping; Size Test
ater Pipe; T nchors-Regulator-Service Test
12. Electric Underground
13. Plenums Ducts; Clearanc -Mat rial-Support-Ins.
i..�.= L� -0514. Girc/,er ills -An r B -Jo�" -Ve -Cri
15. Access & Ventilation
16. Insulation
Date
2
Card B-1 Date Card B-1
Date
Receptacles Spacing -Lights & Switches at Doors
Card B-1 Date Card B-1
Date
P
MBING (Permit) OK except #'s
38.
!7/Water
Htr.; Vent -Access -Combustion Air Baffle
Appliance Circuits in Kitchen & Conductor Size GFI
18.
ater Pipe; Test & Anchor -Nail Protection
31031ol
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
-Q
ervice-Riser Conductors & Ground Main Disconnect
20.
Shower Pan; Test, First Floor -Tub Access
30'
21.
Test Tub & Shower, Second Floor -Tub Access
Smoke Detector
(Permit) OK except #'s
Gas Pipe; Sixe & Anchors
Date iS
23.
Fire Sprinkler; Test
Card B-1 Date Card B-1
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELE TRICAL (Permit) OK except #'s
2
ixture & Transformer Clearance -Ins. Protection
.,Elec.
Receptacles Spacing -Lights & Switches at Doors
Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
Sze Boxes & No. of Conductors Stapled
Vent Fan, Exhaust above insulation
mex Installed Close to Edge of Studs & C.J.
38.
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
2.
Appliance Circuits in Kitchen & Conductor Size GFI
30.
�ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31031ol
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
,,insulated Neutral O Yes No
Date
-Q
ervice-Riser Conductors & Ground Main Disconnect
Card B-1 Date Card B-1
'JEquip. Clearances Panels-Motors-Mech. Equip.
30'
Clothes Closet Light -Shower Light -Spa Light
35
Smoke Detector
(Permit) OK except #'s
5 .
Date iS
Card B-1 jptT Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
.C. Ducts Insulation & Support
Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
Vent Fan, Exhaust above insulation
56'`Attic
38.
Condensate Drain & Overflow, Size & Grade
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Pofform if Furnace in Attic
Date
55.
Card B-1 Date Card B-1
Date
yw o n Roof Overhan ttic Vents -Rafter Outriggers
Card B-1 Date Card B-1
Date
FRYING
(Permit) OK except #'s
5 .
4
. ills Proper Materials & Anchors
Shear Walls; Nailing -Bolts
41
Walls Studs -Nailing Spacing & Braces -Plates -Sound
48 Bearing Walls over Girders & Floor Nailing
44" Draft Stop in Walls (rat proof)
4 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
4
Date FR
ING (Continued)
Hangers -Post Caps -Anchors -Connectors
8._Cling.
Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
J eplace Ties or Type A Flue -Fireplace Throat Clearance
56'`Attic
Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Qarage Fire Protection Framing -RC Channel
operty Line Firewall & Openings
K.
Ext. Doors a 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Wit- Headroom -Rise -Run -Landing -Fire Protection
56.
yw o n Roof Overhan ttic Vents -Rafter Outriggers
Si i -ttng Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5 .
lazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
Infiltration -Wall -Windows
Date -S Card B-1 UA Date Card B-1
Date Card B 1 Date Card B-1
Date FINA fans) OK except #'s
E eps-Door & Sidelight Protection -Landings
F moke Detector
66. Fur n ce Vents -clearance -Comb, Air-Connector-
arage; Above Floor-Ducts-Mech. Protection
oom Exiting
68. G. Bath Fixtures & Tub Access -Spa
6 lec. Trim & Subpanel, Breaker Sizes & Labels
70. Sta & Rails
it a or Stove, Clearance -Hearth
lec. Outlets at Wood Panel, Int. & Ext.
F .-& Appliance; Ground -Air -Gap -Cooking Clearance
lec._gjktlets & Receptacles at Kit. Counter
arage Fire Door; Swing -Landing -Closure
76. A.C. Duca-in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Gara ; Above Floor-Mech. Protection
Elec. & Mech. Equip. Listed for Location
MS14eceptacles in Garage (F.F.I.)-Romex Protection
Oe -Foam -Looked in Attic
81. Gua�ails & Deck Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor O Yes
83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
U :t Disconnect, Electrical -Plumbing
ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
eri EIec. Trim, G.F.I. Receptacle -Underground
entilat'on Throughout House
ass Protection
rections from Previous Inspections
9�. as Test -Meters Tagged, Gas -Electric
9 . a er & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Ver.ress Posted
96. Fire Sprinkler
Date,rj,. C$" Card B-1 S Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
L.VTi RKE INSULATION CO., WC , MN CERTIFICATE
c
DEBCRfPIiON OF INWAL AIION
i. ROOF
Mobdw
Tbkkness prrdtes)
Brsad Npttie
Thermal Rice (R-Vdue)
Breed Name .ohms MamvWe
Thi R (R -Value)
Brtetd Nacre Johns MwwM9
Lfmknum Tholaress /S. S bldm.
Us uFaCtmees buWW weWt Par squ a to oo addm Then W Roddom (R Valve) 4,38
3 E CrEP" WAU.
Thdc kwn
Po*nwrIran Dq*
8. FOUNDATM WALL
mehum
T ci---
Brried Now ad= umwmo
Thamd R (R Vak* &- ,3
Brand Name _.d= Mamdb-
T WWW Rem (RAMM) 9,19
Brmtd Name
Mm" mOe Qt-VakwL
Bread Name
Them d Radobnm (R»Vaw)
'T .fir . 1
Y-
v 5--"(-3
(17)Z_3o5
INTER -DEPARTMENTAL MEMORANDUM
TO: BUILDING DIVIISION, OROVILLE
FROM: ��C-'��l �Li�II�/� , ENVIR. HEALTH, CHICO
DATE:
RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:
OWNERNAME: CAJ ASEPTIC: WELL:
AP#:G� 2Q:16 �Z ADDRESS/LOCATION:
Comments:
a S-ooc�3 N.S.
��ow-qtr' ��3iloS/h�S
COUNTY
JAN 10 20)'b
DEVELOViVii..
SERVICE"
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
AP 064-070-012
20�5_00�
1 1 2lo
Recorded
Official Records
CountyBUTTE�f
I REC FEE 7.00
I CONFORM 1.00
j
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
11:37AM 06 -Jan -2005
I Alyce
I Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Lot 147 as shown on that certain 11ap entitled. Paradise Pines Unit No 12
filed in the Office of the County Recorder of Butte County.. California. on
,-1 y 13, . 1971, in Book 38, of 11aps, at Pages 24. 25. 2-6.. and 27.
Date /0's�
State of California
County of Butte
PROPERTY OWNER
H crnr _®� "e— q� Pyr
acc.ee a 2�' �J'�lc
�. PXs t� L�G�.�e.-r-5� �-�.-E •V U
On January 6, 2005 before me,
Marion L. Becker, Notary
personally appeared Marjorie Eggers 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 y hd and official seal.
�,.• °•�, MARION L. BECKER
Signature Seal: r Jf^
COMM -09 99521
® NOTARY PUBLIC CALIFORNIA t'
BUTTE COUNTY —�
,.7 My Commission Expires Apr. 13, 2005
A.P. #
s
4
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
ea-'rad,No..School District � � Building Department
A.P. Number OL4 —L--7i�:-O [ Jurisdiction: City County
Property Owner�C—
t r /�
Property Location/Address.
Subdivision
Residential Development Q
No of Living Mobile Home
Units Installation
Commercial/Industrial Q Q
uo,., ed,rvi—
Lot No.
Sq. Footage
Addition/ *Supplemental to (Group )
Conversion Permit #
.'(No foundation inspection)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
District Identification No. _
Sq. Footage
(Including Exterior
Roofed Areas)
Dat
School District certifies that
{ z - (Applicant) _
(Street Address) a ' ' (Phone Number)
(City)
has complied with the requirements of Resolution No.
representing
School District Representative
Paid by Check #
(State) (Zip Code)
by payment of $
square feet. 2926 $
FULL MfTIGA710N =
Remarks:
Date
NoLlea: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Fallum to submit a timely written protest will prohlbk
you from challenging One Imposition of the fees In any court action.
If, subsequent to the School District Representative signing this gutte County Schools Impact Fee Certification Fora% the School District Is
ncd&W by the applicable Local Planning Agency that this project Is being n Anvad under the Catifomla Environmental Quality Act (CEQA]
this project may be subject to additional school foes to fully mtilgate Its Impact on tho school district's schools.
White (applicant), Yellow (building department), Pink (school district) . feefonm.xis 00/03)dmm
r.. BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
❑ CHICO AREA RECREATION AND PARD DISTRICT (CARD)
>kPARADISE RECREATION AND PARK DISTRICT (PRPD)
0 DURHAM RECREATION AND PARK DISTRICT (DRPD)
, Assessor Parcel Number (s) n(04 n�Z(O D I w' Building Permit Number 0S 0C)(P 3 .
Property Owner (s)
Project Location /A
Subdivision Name
Assessable Sq. Ftge l (0 L-4
/ Type of Residential Development (check one)
v 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 (date issued )
Comments:
Department
❑ FRRPD ❑ CARD 0 PRPD ❑ DRPD certifies that:
Applicant Name
Mailing Address .
!-
Date
Phone Number
City
verified by Building Department
State
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $
Square Feet @ $ _
Remarks: '
Paid by Check No: Paid by Cash:
Recreation and Park District Representative
KHORMSWILDMG FORMS\park-rec standard form rev I.doc
per unit for a total of $
per sq foot for a total of $
Receipt No:
Date
Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (53q) 538-7541 FAX#: (530)538-2140
WEBSITE.www.buttecounty.netldds
f
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that 1 am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license Is In full force and
effect. �1 L
License Claps: License Number: 3 o'er
Contractor.
OWNER -BUILDER DELvLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any cily.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
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9.commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicaril' for a permit subjects the
applicant to a civil penally of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Stale License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner-bullder will have the burden of
proving (list he or she did not build or improve for the purpose of
sale.).
I, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for 'such projects with a contractor(s) licensed
pursuant to the Contractors' Stale License Law.).
❑ 'I am Exempt under Article 3 of the Business and Profe ons Code
Date: Owner.
WORKERS' COMPENSATIO ECLARA N
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Is issued.
❑ 1 have and will maintain workers' compensation insurance, ,as
required by Section 3700 the Labor Code, for the performance of.
the work for which this permit Is Issued. My workers' compensation
Insurance carrier and policy number are:
Carrier.
Policy #:
PERMIT NO.
BP05000' .•
Issued Date: 02/03/2005 APN: 064-070-012-000
Site Address: 14730 BRIDGEPORT CIR MAG
Map Index:
Description: nsf master 01-72 nsf (1684) gar (484) cov (220)
Owner: EGGERS BUILDERS INC
P O BOX 2395
PARADISE, CA 95967-2395
(530) 872-9750
Applicant: EGGERS BUILDERS INC
PO BOX 2395
PARADISE, CA
95967
(530) 872-9750
Contractor: EGGERS BUILDERS INC
PO BOX 2395
PARADISE, CA
95967
(530) 872-9750
License #: 612324
Architect:
Engineer:
Total Square Ft: 2388 S.F.
Valuation: $124,596.00
Census Code:
I certify that in the performance of the work for which this permit Is
Issued, I shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California,._72 6 �/7
and agree that if I should become subject to the workers' ((//
compensation provisions of Secllon 3700 of the Labor Code, I shall
fonhwllh•comply with those provisions.
Date:
Applicant:
1
WARNING: (allure to sec workers' com nsation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code.' Interest, and attorney's fees. / l
CONSTRUCTION LENDING AGENCY This
I hereby affirm that there Is a construction lending agency for the Resi
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
Name: BY—
Address:
dhereby issuo underiKe apAtfceble provielons of the BuKe Cnunly CodA anrVor
to do work�rf sled ova t whi fees have been paid.
PERMIT'ES(PIRES ON:
Date: 2 ^-3 r v •_
I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19027.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and thal'I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes.
Print Name: l Signature:
Date:
>(_1 Owner A Contractor 0 Agent for Owner 0 Agent for Contractor
�vT�'� � ntPLENT BUTTE COUNTY
o I O OF DEVELOPMENT SERVICES
o O BUILDING PERMIT APPLICATION
o o AND SUBMITTAL REQUIREMENTS
O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
o' '"�= O OFFICE #: (530) 538-7541
CSA" A FEE WILL BE REO UIRED AT TIME OF APPLICA TION
U N Website: HM1vw.buttecounty.net/dds
"PLEASE PRINT CLEARLY**
APPLICANT NAME
OWNER
Last Name
F
S
lFirst Name
Address
-3 ?j
City 1
S
Stated
Phone)
E-mail
Fax S
APPLICANT NAME
CONTRACTOR
Name
City State
Address
`
City
City
a Zi
Phone
Phone
E-mail
Lic
&?i Zzi,
lass
T�s
APPLICANT NAME
AR TECT/ENGINEER
Name
City State
Address
`
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City State
Zip
Phone ax
E-mail
APPLICANT SIGNATURE
X
For office u66 only: 17 1
Zoning
AN
Flood Zone
Property Address
SRA
as
No
Occ. I
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BP - v 6L�3
BIN tt
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
OVER FOR SUBMITTAL REQUIREMENTS Lt
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of
by;
e ipt #:
r 1
Amount: al�('0 o Bldg
1 SRA
Sheriff
Date: II I 116_�)
SMIP
Other
Total
REV 7-27-04 ',
LOCATION
AN
yTION
ll//
Property Address
� r -r`—
Ci
Cross Street
r'G 2
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other thadlicenA contractors, a certificate of worker's
.compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
OVER FOR SUBMITTAL REQUIREMENTS Lt
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of
by;
e ipt #:
r 1
Amount: al�('0 o Bldg
1 SRA
Sheriff
Date: II I 116_�)
SMIP
Other
Total
REV 7-27-04 ',
SUBMITTAL & PERMIT REQUIREMENTS "
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit.
INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
❑
13.
Sanitation and site plan approval from the Environmental Health Department.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance -for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ...
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: v ASSESSOR PARCEL NUMBERy 0 �V ' V
Proposed Building Use: {. Y C� - Counter Technician: Date: 0 r.
Items required in order to app/ or a permi . All boxes MUST be checked OR marked NA in order t a ply.
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 AIC for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
47/
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
Cl 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ , Erosion Control Plan Required........................................................................ ........
Fees as shown on the attached Schedule of Fees Due Sheet ...........................
❑ City of Chico Plumbing permit ............................... Z............... ........... s
23. California Department of Forestry plan approval paid. Sent by: ............. S • ►1 •05 :.
❑ 24. Planning approval (A) Use:(B)Parking: (C) Parcel C ec .
❑ 25. Contact Land Development about _ Improvements, _ Drainage .......................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization ...................................... :.............................
33. Recorded copy of Agricultural Acknowledgment Statement ........................ I........
O 34. Manufactured home utility clearance...............................................................
❑ 35. Existin iolations and/or expired permits.........................................................
❑ 36. aes rrction...............................................................................
06c -.......06c -rant Deed, . Title/Statement of acts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑
❑ 39. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applica u .r Date:
1. Index permit applic,a n for the above it umbered: Plan Check Lettp
V
'alitemsrdq fired, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, Date: o, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: (�_ Date
Structural reviewedbar: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
T0: . . ......
Building Department0/�
F 6: Environmental ronmentat Health �.
'SUBJECT: Sanitation Clearance
Owner � L
Locatio6.APS
Plan Approved for:: Sewage Di9p03al Water Supply.: Public iv Prto"..tl!/ell
Clearance' for -dwelling': Other r
Mold firiafor: -
Final claarance .0.` . for:
NOTE:
EnvironmentfL19ealth` ,
1• 4
_ Date
vO.tia-0Mw.ly[p{jj,[S.Op���.: el"(i "�a'4 �-1�: •I'
t/L 96ed `Wd06:Z 50-q-uer`Z159 960 OEs •`H1IV3HlV1N3WN0HIAN3 00 311ne :A9 �uaS
Page 5 of 5
BEGOTTEN SOH WHO SO EVER BELI'EVETH, SHALL
HAVE ETERNAL LIFE ... THArS' WVE
Please send this to ten people and back to the one who sent
it to you.
Do whatever you like, but remember that maybe `one" of the
people you might; have taken the time: to send this to, may; be
just the person who deeds to hear this message. You have a
choice to make.."
God Bless.
f
Monday, December 13, 2004 CompuServe: JRANDMEEGGERS
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER A.P. # U C� �. o'�
PROPROSED BUILDING DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES I ®(), � � � 1 I��, ., 1 � �O�
--- Balance Due ..................... $ l 6 ! tIr-711(=,��
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $ r
2. SCHOOL DISTRICT FEES �aj"DQ 2 )
(paid at School District Office) (form available after Plan Chec
3. SHERIFF FEES (paid at Bu'lding Division)
Residential............ X $360.00 =$_
U is
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES +017A- O_JJ-��
v�
(paid at Recreation Di trict Office) (form avai able a ter an Check)
rte- Yo C� //a-1), W .
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND LAN C ECK FEE
S99M (paid at. Building Division)
14
a Lj�
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
ommercial (sq. fig.) ......... X = $
n Sq. Ftg.. Amt.
10. OTHER �j9v L L� I/,,-)� +
/j
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
AP 064=070-012
COPY of. Document Recorded
06 -Jan -2005 2005-0001120
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke; noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Lot 147 as shown. on .that certain -1 --lap entitled.: ,Paradise Pines Unit 1, 12
filed in the Office of the County:Recorder of Butte County. California. on
A1ay 13, 1971, in took 38., of 11aps, at Pages 24. 25. 26.. and 27
Date Qs�
State of California
County of Butte
PROPERTY OWNERS
On January 6, 2005 before me,
Marion L Becker, Notary
personally appeared_ Marjorip Eggers personally
known to me (or proved to me on the basis of satisfactoryevidence) 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 y h d and official seal.
....°TMs;+ MARION L. BECK
Signature - Seal: r,� comm. #12g9521
o � NOTARY PUBLIC CALIFORNIA 00
BUTTE COUNTY
A.P. #
My commission Expires Apr. 13, 2005
��D�D/�
p�Q�gTMEIJT po
�� 6U T TF
o � t
o c
Ac0UN-��S
otic WORD
Department
.0 o u n t 1
J. Michael Crump, Director
®f Public
o f B U t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase li
Construction Storm Nater Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement (LESS THAN I AGREJ
Project Description:
Project Location and/or Parcel Number:
S rawc, t
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a. Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
School District
A.P. Number
Property Owner
Property Location/Address
Subdivision
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
M Building Department No.
7� l Ju ' on: City County
Residential Development [ Q
No of Living Mobile Home
Units Installation
Commercial/industrial
0 0
New Addition
Building Department Representative
Lot N.
.............................................................. :...................................... / A
Sq. Footage (/(/
Addition/*Supplemental to ' (Grop R)
Conversion Permit #
*(No foundation inspection)
.......................................................................1.............................
Deed Restricted Sq. Footage .
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
Di rict Identification No.00
chool District certifies that
(Applicant)
(Street Address) (Phone Number)
PO L2 g �7
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing
(P square feet.
School District Representative
% -- ,
Remarks:
by payment of $ 36o3. /j(e7
2926 $
FULL b1rTIGATION $
Date
Notice: You may protest the Imposition of the Peas Identified above by submltting a written protest to the District, in compliance with
Govemmsnt Cods Section 66020(a), within 90 days from the date fess are paid. Failure to submit a timely written protest wlil'prohibit
you from challenging the Imposition of the fees in any court action.
K, subsequent to the School District Representative signing this Butts County Schools Impact Fee Certification Form, the School District Is
wtilNd by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA),
tits project maybe subject to additional school fess to Wily mitigate.lte impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xte 00/03)dmm
H-4�"a,Qydi
s•
_1-w_.
TOWN OF PARADISE DEVELOPMENT IMPACT FEE
PAYMENT CERTIFICATION FORM
PARADISE RECREATION AND PARK DISTRICT
Assessor Parcel Number:
Property Owner(s): Foa e r,5 a ( C_
Project Location/Address: ! �-% 73Z� 6r�Gl G rC oc� f �Q
(0.
Assessable Square Footage: 6 Type of Re�ipntial Develop 'nt (check one):
i Single -Family Dwelling $0.44 per square foot
❑ ` Multi -Family Unit $0.76 per square foot
❑ Residential Additions $0.44 per square foot
Paradise Recreation and Park District (PRPD) certifies that:
ra 61 yrs 6��`IcCQf
1 , }1l cant Name
�.` PO 8p -g. 2395")
0 ha
Phone Number ,
Mailing Address __--- City
Applicant has complied with the requirements of the Town of Paradise Municipal Code
SECTION 1. Section 15.03.110 by
payment for O square feet at $ i per square foot for a total
payment of $ � 9
Remarks:
�i LA
Paid,by Check No.: Cash: Receipt: (�
PM Representative Date
i
DISTRIBUTION: WHITE - APPLICANT YELLOW -TOWN OF PARADISE PINK - PRPD
''a
,w
SITE PLAN REVIEW APPLICATION
Date:/l � 7 /D 5� AP# Q�O � — 0 70 —0/.)—
Permit
0/.)—Permit Number (if applicable) Q 00 (P 3
APPLICANT INFORMATION OParcel Size:
Owners Name: "245
Owners Address: /' �. iJ4X `3 /'� Rpt Clq 9.S-�)Ce 7
Telephone No.: 4f 7 ;2 -
Situs
Situs Address: 7� &dq-edolt
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
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By Date / A p
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area: •1256) • -A iqo - +.
❑ 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: x
• Flood Panel No.: --6('006 %GO` OOC_ Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the CUfornia Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit
El Minor Variance El Administrative Permit
❑ Variance
--------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment -Permit
El Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: 9
/',i - L -D
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
� � ,
,
S '
Side
t
Side Street
Rear
s r
n
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire '
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation: El No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel 71 Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
Subdivision MUff arcel Map: �Q/� Q.O� P11-5
Map Date of Recording: 5-//3/7/
Lot: /q7
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 3g Page: c2Y 027
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless 'a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
Page 4 of 5
u
x
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CMarryAhilding Permit Site Plan Reviewl.doc
Page 5 of 5
MEfi'5_CE
LARW'IN BEVEL O PMENTS INC.. A CORPORATION AS OWNER OF THE LANDS INCLUDED
WITH t N 'PARADISE PINES UNIT NO. IY AS SHOWN WITHIN THE COLORED BORDER
LINE ON THE ANNEXED MAP. AND OROVILLE TITLE COMPANY. A CALIFORNIA
CORPORATION AND TITLE INSURANCE AND TRUST COMPANY. A CALIFORNIA
CORPORATION AS TRUSTEES UNDER RECORD DEEOS OF TRUST, 00 HEREBY CERTIFY
THAT WE ARE THE ONLY PERSONS WHOSE CONSENT IS NECESSARY TO PASS CLEAR
TITLE TO 5A 10 LAND AND WE CONSENT,TO THE PREPARATION AND RECORDATION
OF SAID MAP AS SHOWN WITHIN THE COLORED BORDER LINES. THOSE. PORTIONS OF
ASHEVILLE DRIVE LEICESTER DRIVE . BRIDGEPORT CIRCLE, KILGORO
COURT , JULLI ARO COURT, COLTER WAY , AND CANNON COURT AS SHORN WITHIN
THE COLORED BORDER LINES ONSAIO MAP ARE HEREBY OFFERED FOR DEDICATION FOR
PUBLIC USE FOR COUNTY ROAD PURPOSES. W'E ALSO OFFER FOR DEDICATION.
AND DO HEREBY UEDI LATE FOR SPECIFIC PURPOSES, THE FOLLOWING: -
(A) RIGHTS OF NAY 4N0 EASEMENTS FOR WATER, GAS, SEWER, AND DRAINAGE
PIPES, 'TOGETHER WITH ANY AND ALL,APPURTENANCES APPERTAINING THERETO.
ON. OVER, AND UNDER THO5E STRIPS OF LAND DESIGNATED PUBLIC UTILITY
EASEMENT CONTIGUOUS TO THE REAR AND/OR SIDELINES OF LOT5 AND OF THE
WIDTHS SHOWN HEREON.
IBI EASEMENTS FOR LIGHT' AND AIR OVER THOSE STRIPS OF LAND LYING
BETWEEN TY.E V'RONT ANU/OR SIDELINES OF LOTS AND THE LINES SHO
WN HEREON
AND DESIGNATED SET BACK LINE. SAID STRIPS TO BE KEPT OPEN AND FREE
OF BUILDINGS. '
(C) RIGHTS OF WAY AND EASEMENTS FOR DRAINAGE PIPES TOGETHER WITH ANY
AND ALL APPURTENANCES APPERTAINING THERETO ON, OVER, AND UNDER THOSE
STRIPS OF LAND DESIGNATED DRAINAGE EASEMENT IN THE LOCATIONS AND OF
THE WIDTHS SHOWN HEREON.
IDI EASEMENTS FOR AN RS, GUYS. OVERHEAD AND UNDER GROJND t'IRES AND
CONDUITS FOR EL C TRIC AND TELEPHONE. YIATER, SEWER AND GAS SERVICE
TOGETHER WITH ANY AND ALL APPURTENANCES THERETO ON. OVER AND UNOER
STRIPS OF LAND 10 FEET IN WI OTH WITHIN THE LOTS AND CON T!GUOUS TO
ANY STREET OR OTHER PUBLIC WAY TOGETHERWITH THE RIGHT TO 'TRIM OR
REMOVE ONLY TIIE NECES SANY TREES, TREE LIMBS OR BRUSH.
(E) EASEMENTS FOR POLES, ANCHORS AND GUYS ON, OVER AND ACROSS THOSE.
STRIPS OF LAND LYING W' THIN 2 FEET ON BOTH SIDES OF ALL SIDE LOT
LINES AND EXTENDING 35 FE -LT BACK FROM THE FRONT PROPERTY LINES
(F) A RIGHT OF WAY AND EASEMENT TO THE COUNTY OF BUTTE FOR GON-
STRUCTING, RECONSTRUCTING AND MAINTAINING NECESSARY DRAINAGE
F/.CILITIES AND APPURTENANCES THERETO, ON. OVER AND UNDER ALL OF LOTS
A ANO B SHOWN HEREON'.
(G) EASEMENTS FOR PUBLIC UTILITIES AND SEWERS ON,OVER,AND ACROSS A
FIVE (5.00) FOOT STRIP OF LAND ALONG EACH SIDE OF ALL SIDE LOT LINES.
LARWIN DEVELOPMENTS. INC., A CALIFORNIA CORPORATION. AS OWNER
E7�EC TIVE VC PRESID NT %SSISTANT 'SECRETARY
STATE OF CALIFORNIA ) SS
COUNTY OF LOS ANGELES 1
ON THISLL/ OAY OF a tL• 1970. BEFORE ME. THE UNDERSIGNED A
NOTARY PUBLIC IN AND FOR THE COUNTY OF LOS ANGELES ,. PERSONALLY APPEARED
JERRY BERGER AND MICHAEL U. CATCHCART KNOWN T'0 ME TO BE THE
EXECUTI VF VICE PRESIDENT ANO ASSISTANT SECFETARV. RES PSCTIVELV OF
LARW'IN DEVELOPMENTS. INC... A CORPORATION, 11 1CN EXECUTED THE FORE-
GOING CERTIFICATE ON BEHALF OF THE CORPORATION T'H ERVIN NAMEO. AND
ACKNOWLEDGED TO ME THAT SUCH CORP0 ATIO14 EXECUTED THE SAME.
NOTARY PUBLIC
` MY COM,1(I SSION E%PIRES ..._->7,
OROVj,L IF. TITLE COMPANY. A CALIFORNIA CORPORATION. AS TRUSTEE
l O
STATE OF CAI�I7Ng-I S- /
COUNTY OF -ILL
ON THISd1P_9AY OFFS✓ ?77971, BEFORE ME` TH.- UNDERSIGNED. A
NOTARY PUBLIC IN AND FUR THE COUNTY OF_ � A y �� PERSONALLY
APPEAREO_�_ V-._+f."s !t"l:: /�- AND 13%RY?b.At,u•.�..(�0}k.
KNOWN TO ME TO BE THE ✓/AQ P�7 a'S/i"OdIAND AF+i'/SYNMi Yve.Yj• .'TT
RES PECTIVELY• OF 0ROVILLE TITLE COMPANY. A CALIFORNIA CORPORATION,
WHICH EXECUTED THE FOREGOING CERTIFICATE. AND KMOWN TO ME TO BE
THE PERSONS WHO EXECUTED 74E FOREGOING CERTIFICATE. ON BEHALF OF
THE CORPORATION THEREIN NAMED. AND A"KOWLED— TO ME THAT SUCH
CORPORATION EXECUTED THE SAME. NV e���/�LFi-may
MY COMMISSION EXPIRES - G/'R
'r;/SLY1fiNC¢ CSC .CO�f•D Ig•Y; A CALIFORNIA C6/IROR4,T I0.4. AS TRUSTEE
STATE OF CALIFORNIA 1 SS`
COUNTY OF Int..! C+en 1
ON THIS 1501DAY OF Or0=b,r _,1970. BEFORE ATE, THE UNDERSIGNED. A
NOTARY PUBLIC IN AND FOR THE COUNTY OF Los 1--l- PERSONALLY
APPF.ARF.D_Lr•: G_Cuo_ul,el 1. __AND_ CeeOge Hu ur.
KNOWN l'0 ME TO BE THE A -L V:ee Pre.. ANp
RESPECTIVELY. OF ALLIANCE ESCROW CORPORAT I 0 A CALIFORNIA COR-
2RATION, WHICH CXECUTED T'HE FOREGOING CERTIFICATE, AND KNOWN TO
ME TO BE THE PERSONS .0 EXECUTED THE FOREGOING CERTIFICATE ON
BEHALF OF 1'HE CORPORATION THEREIN NAMED. AND ACKNOWLEDGED TO ME
THA.T..SILCH..CORROR9T�ON EXKCUTEU THE SAME\.
�ia%•iN •` NO FARY PUHLI•G' / •~
'� •�" '•. MY COMM15510:V EXPIRES ovztler_4. 19;1
F T /TLE IN/,�./`�.R �E yAN-D-TRUST COMPANY. A CALIFORNI COR ORATION. AS TRUSTEES
&L • Y (.crrtitZceLti�/L�4�.dea(:-oZ 7-�� d'S- r2lp6o lr
STATE OF FALIFORNIA 1 SS
COUNTY OF[�G1SZ401YKT01 __
ON HI Of9QQttE.tf✓. IR'/0. BEFORE ME. THE UNCERSIGNEO. A NOTARY
PUBLIC IN AND FOR TM (( COWTY OF Sac PERSONALLY
APPEARED.TBID.ES�J(R.L NO .,�_
KNOWN TO ME TO BE THE AND LJ/
RESPECTIVELY, OF TITLE INSURANCE AND TRUST COMPANY. A CIiL;FORNPA
CCR?OR A.TION WHICH EXECUTED THE FOREGOING CERTIFICATE ND Ky0`AN TC ME
TO BE THE PERSONS WHO EXECUTED THE F DING CER 0 �EHALF
OF THE CORPORATION THEREIN NA. c ACK "D MF: NAT 511 CH
CORPORATION E%EWTEC THE SMC.
yyjj•,� Gt F)�6Ia B. PRW.r: NOT PL. %
MY MMISSIO:N E%PIRES -ice-/37'7
F �
SURVEYORS CERTIFICA
I. DONALD D. M.CCORMI CK. DO HER EOYCERTIFY THAT I AM A REGISTERED CIVIL
ENGINEER OF THE STATE OF CALIFORNIA• THAT THE ANNEXED MAP OF'PARADISE
PINES UNIT NO. 17.'CDRR ECTLY REPRFSENTS A SURVEY MADE UNDER TAY DIRECTION
IN SEPTEMBER. 1970 THAT IT IS TRUE AND COMPLETE AS SHOWN THAT THE MON-
UMENTS SHOWN THEREON ARE SET IN THEIR CORRECT POSITION AND ARE SUFF1-
CICNT TO ENAOLC THE SURVEY TO BE. RETRACED.
DONALD D. MCCORMICN. F.C.C. 9033
U�pITDR'S CERTIFICATE
I. F.H. SEELY, JR.. AUDITOR OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA 00
HEREBY CERTIFY THAT THERE ARE NO LIENS AGAINsT'PARAOISE PINES UNIT N0. I7.'
AS HEREON SET FORTH• OR UNPAID STATE. COUNTY MUNICIPAL OR LOCAL TAXES OF
SPECIAL ASSESSMENTS COLLECTFO AS TAXES EXCEPT TAXES OR SPECIAL ASSESSMENTS
NOT YET PAYABLE, TAXES OR SPECIAL ASSESSMENTS VA �I CH ARE A LIEN BUT NOT
YET PAYABLE. I ESTIMA7f. TO RE IN THE AMOUNT _ei
F.M. SEELY. JR..
PUBLIC WORK'S CERTIFICATE
I, CLAY CASTLEBERRY. DIRECTOR OF PUBLIC ''WORKS OF THE COUNTY OF SUITE.
STA T L' OF CALIFORNIA 00 HEREBY CERTIFY THAT I HAVE EXAMINED THE FINAL MAP
OF'PARADISE PINES UNIT NO. 11 THAT IT IS SUBSTANTIALLY THE SAME AS
APPEARED ON THE TENTATIVE MAP ON FILE AND ANY APPROVED ALTERNATIONS TIIF:R
OF. TR AT ALL PROVISIONS OF THE SU DDI VISION MAP ACT OF THE STATE OF CALI-
FORNIA, AND LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF SAID
TENTATIVE MAP HAVE BEEN COMPLIED WITH. AND I AM SATISFIED THAT SAID MAP
IS TECHNICALLY CORRECT.
»�iL 1
CLAY CAS IEBERRY, R. .E. 14224
DIRECl01 OF PUOL IC WORKS, COUNTY
'S CERTIFICATE
1, CLARK A. NELSON. COUNTY CLERK OF THE COUNTY OF BUTTE, STATE OF CALI-
FORNIA. DO HEREBY CERTIFY THAT ON THE/l DAY OF a.yy .t971 THE
OUTTE COUNTY BOARD OF SUPERVISORS OFFICIALLY APPROVED YHE SDBDIYI5I ON
,MAP OF'P ANADISE PINES U41T NO. 12*T4E RECEIPT OF SATISFACTORY SECURITY
IN THC AUDITORS ESTIMATED AMOUNT OF,^4_41_0 1•%TO INSURE PAYMENT OF TAXES
WHICH ARE A LIEN BUT NOT YET PAYABLE WAS ACKNOWLEDG E. R.. (HOSE PORTICNS
OF ASHEVILLE DRIVE . LEICESTER DRIVE BRIDGEPORT CIP.CLE. KILGORD
COURT . JULLIARD COURT, .ALTER WAY., AND CANNON COURT AS SHOWN -WITHIN TIC
COLORED BORDER LINES ON SAID MAP AND OFFERED FOR DEDICATION FOR PUBLIC
USE WERE ACCEPTED ON BEHALF OF THE PUBLIC FOR COUNTY ROAD PURPOSES.
CLARK A. NELSON. COL'nTY CL ENK. ..-
BY DEPUTY
RECORDER'SCERTIFICATE
RECORDED IN THE OFFICE OF THE RECORDER OF BUTTE COUNTY. STATE OF CALI-
FORNIA. AT THE REDUEST OF OROYILLE TITLE COMPANY AT�MINUTES PAST-a-
2O'CLOCi(_M. ON THE J,�DAY OF_-_ 1971. IN BOOK 35, OF MAPS
AT PAGES Y.1-4-7 RECORDING NL"ABER (4�
S E KL
LCUf
LCUIUCNOER. UU'T'TE COUNTY
BY EPU
SUBDIVISION N0.
PARADISE PINES UNIT N0. 12
PTN. SEC. 23 T23 N., R.3 E., M.D. M.
BUTTE COUNTY, CALIFORNIA
SCALE: le= 100' APRIL , 1971
MURRAY 9 MCCORMIGK INC.
CIVIL ENGINEERS LAND SURVEYORS
1912 FSE, SACRAMENTO, CALIFORNIA
S NEST I OF 4 SHEETS
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YR-, =<; `G_ E•{ SET NAIL AND TIN ....................................... O THE CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED
FROM TRIANGULATION STATION SAWNILI Ix -2.124,255.90,.
SET BACK LINE ........................................ Y-707,649.90) TO TRIANGULATION STATION BALD MOUNTAIN
'••.Y6 a,/A' n'r><GZ— (X•2.145.390.63. Y•832,948.42) BEARING N 22 23'29'E
�,' [•5 \ TOT/[ OC¢E9 /39./GG PUBLIC UTILITY EASEMENT IP.U.E.I................-- AS SHOWN ON THAT AMENDED RECORD OF SURVEY FILED IN
BOOK 33 PAGES 95.96,97.98 AND 99 BUTTE COUNTY RECORDS. DISTANCES '
LOTS Tl. ppb o'cc
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1.0001130 TO OBTAIN GROUND DISTANCES.
RECREATIONAL EASEMENT IR. E. 1 .................. ...._
L OT9 Ort 46/09
SET CENTERLINE 1,10NUMENT....................................®
S,yEET //VOEXaf
.SET 23 3• IRON PIPE TAGGED R.G.E. 9033 ................/f SUBDIVISION N0.
FOUND MONUtAENT AS SHOWN .............. ................... f PARADISE PINES UNIT NO - 12
et°'t _ 'FOUND 2"IRON PIPE TAGGED R.C.E. 9033 ...................E PTN. SEC. 23 T.23 N., R3E., M.D.M.
r.
I ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS BUTTE COUNTY , CALIFORNIA
I I I I TO BE MARKED BY 3/4'IRON PIN WITH TAG R.C.E. 9033 SCALE; I"= 100' APRIL , 1971
I I I IMURRAY 8 MCCORMIGK INC.
Ndcvb o 1 I --�
CIVIL
ENGINEERS SACRAMENTO,
C LIFOEYORSA
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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(1104.1 a) (9199)
FOR ADMIN. USE ONLY
Ex. #
Date of Receipt
Date Accepted
VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF
TIMBER OPERATIONS CANNOT START UNTIL VALID COPY Date Expires
OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF 1
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 JefferrV Rolls
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (530)343-7341
SIGNATURE
Date
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 http:/Avww.hoc.ca.eov.
A. Circle the option thatimates the total volume for this harvest, in thousands of board feet (mbf -
Net Scribner short log nder 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�D%; Fir %;
Port -Orford Cedar—%; Cedar (IC, WRC) , %; Other, conifer_ %; Other, hardwood—%.
2. TIMBERLAND OWNER(S) OF RECORD: Name John Eggers
Address PO Box 2395
City PARADISE State CA Zip 95967-2395 Phone (530) 872-9750
I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a
"bona fide intent" [14 CCR 1100 (b)] to convert to Yard and Home Sites, and that 1 have mailed a letter of notice
of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent landowners within
300 feet of the boundaries of the exemption.
SIGNATURE - Date
3. LICENSED TIMBER OPERATOR(S): Name Gene Jefferry Rolls Lic. No. A7332
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone(530)343-7341-7341
SIGNATURE Date
4. Designate the legal land description of the location of timberland 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
the conversion, location and classification of all watercourses, and landing locations.
Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number
23 23N 3E MUM BUTTE .47ac 064-070-013&012
Page 1. NOTE:This form has two pages. Continue on and complete Page 2. Read the instructions before attempting to 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://www.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
acknowledgment.
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 Director's 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 timberland owner shall submit a Work
Completion Report to the Director.
6. I, _(}H Pr P"i.A96clare as the authorized designee of Butte County that this
conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county has
authorized a designee this ite UST be completed. If it has not, see item 7.)
SIGNATURE Date
7. Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884
Address 1600 Feather River Blvd Suite B
City Oroyille State. CA Zip 95965 Phone _(530)534-5229
I 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 1, or my
supervised designee, contacted the county and he No ice is i�conffor n evith county regulations.
SIGNATURE of RPF Date
8. NOTICE SUBMITTER(S): Name Gene Jeffs , Rolls
Address PO 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 Date
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, 135 Ridgway Avenue
San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401
Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, => 6105 Airport Road
Yuba, Sierra, Nevada, and Placer Counties. => Redding, CA 96002
EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue
Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710
Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street
Imperial Counties. => Riverside, CA 92501
WINTER OPERATIONS Eggers 064-070-013&012 less than 3 acre conversion
For Timber operations occurring within the Winter Season the following plan shall be used;
The in -lieu option as allowed in 14 CCR 914 (934, 954) .7
14 CCR 934.7(c)
1) Tractor yarding, or the use of tractors for constructing layouts, firebreaks or other tractor roads shall be
done only during dry, rainless periods where soils are not saturated.
2) Installation of drainage facilities and structures, is required from October 15 to May 1 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 The provisions of this subsection do not
apply to mechanical site preparation.
3) During winter operations after rains, road use shall be suspended until the running surface has stabilized by
freezing or drying. Hauling operations to cease when surface material must be shaped to develop a driveable
medium.
* No hauling, road construction, or maintenance shall occur when road surface is saturated as defined in CCR
895.1. Emergency road maintenance conducted to alleviate erosion problems does not fall under this limitation.
* Erosion control structures will be maintained in working condition during wet weather road use
at any time of the year.
NOTE: "Winter period" means the period between November 15 and April 1, except as noted under
special County Rules at Title 14 CCR 925.1, 926.18, 927.1, and 965.5 (a) except as otherwise
provided in the rules: (1) All waterbreaks shall be installed no later than the beginning of the winter
period of the current year of timber operations. .(2) Installation of drainage facilities and structures
is required from October 15 to November 15 and April 1 to May 1 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.
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Name: PARADISE EAST Location: 10 0619438 E 4410543 N
Date: 1/24/2005 Caption: Eggers Conversion
Scale: 1 inch equals 1000 feet Sec 23T23NR3E MDBM
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