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Home My WebLink About064-210-002i, y - } NOTES RESIDENTIAL ' 064-210-002 ` PERMIT NO. V/03-2836 PAVELLAS, DIANE GUILFORD CIRCLE, MAGALIA Cont: MICHAELS, SEAN NEW SINGLE FAMILY 1 t 1C � ♦Y t I 1.l i Q SPECIAL COND17 MSL. s` CHECKED BY ' SRA ± FLOOD CERTIFICATE REQ. 1 FIRE SPRINKLERS REQ. t SPECIAL INSPECTION ITEMS r VERIFY • c USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER +' F OFFICE COPY Address G(39 (t 1)'1) 4411/ GAS I Meter. Ely—,Date 25 ELECTRIC . � Meter By Date� I JOB FINALED (Date) I Signature J=OK 0 ='1¢0t OK Not Ready 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 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 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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 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 -Panel boards- 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 Re RESIDENTIAL (Single & Duplex) = Not Applicable = Not Ready Date UN RFLOOR (Plans) OK except #'s oning-Setbacks-Easements-Flood-Slope Ftg., Main;.Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4;, tg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped emwalls, Garage; Steel- Blockouts-Wra ed 6 Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 83-Oiers-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 11. Vyater Pipe; Test -Anchors -Regulator -Service Test 1 . lectric Underground .'plenums & Ducts; Clearance -Material -Support -Ins. le Git`ders-Sills-Anchor Bolts-Joists-Vents-Crippies 1 ."'Access & Ventilation 16. Insulation Date r' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMPING (Permit) OK except #'s 1 t,.Aater Htr., Vent -Access -Combustion Air Baffle $er Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Z LYn Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 20! Size Boxes & No. of Conductors Stapled 7 Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI -000'4Subfeed Wire Size/ . Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ &/ �i` or AI -Oven Circ. / /ga Cu or All Insulated Neutral LYes Cl No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date o Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3k/A.C. Ducts Insulation & Support ent Fan, Exhaust above insulation 3 ondensate Drain & Overflow, Size & Grade 3 . urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & latform if Furnace in Attic Date t/ p Card B-1 Date Card B-1 Date I kCard B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4 Si s Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound 43 aring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) _4V Fire Stops, Furred Ceilings -Stairs r ubs 46,/Headers & Beams -Size & Bearing Date FRAf)AING (Continued) 4 dangers -Post Caps -Anchors -Connectors 4L/ging. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 4 ireplace Ties or Type A Flue -Fireplace Throat Clearance 10 /Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5V/Bdrm. Windows or Exiting Doors -Sill Ht. & Dim nsions 2. garage Fire Protection Framing -RC Cha 5 Property Line Firewall & Openings 54' Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits "55•--Steirs; Width- Headroom- Rise- Run-Landinq-Fire Protection 6 PI ood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Wall 63. Infiltration -Walls -Win ws Date/O Card B-1 Date OkfJ2 Card B-1 Date &V& -Card B-1 Date Card B-1 Date / / FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. - 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks 0 Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. 4orreitiorofrom Previous Inspections L a� Ga t -Meters Tagged, Gas -Electric if 6 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 14A v�0.s 03- 263b OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 11- 1 A/Kj / 6e- r. -J (,on t -o-& d ,A�— • 1 Date 2 l S Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVEAN N ES - t 7 County Center Drive • Oroville, Californ6 e phone (Rey. 12/96) APPLICATIONP R T BUILDING DIVISION (530) 538-7541 0 1 1AM ASSESSOR PARCEL NUMBER 064-210-002 ZONING BUILDING PERMIT OWNER LLA S TELEPHONE 1 •- s`� j� I SO. FT. OCC. BUILDING VALUATION 1903 R 102 762.00 OWNERS MAILING ADDRESS 2 413 U 7,434.00 CONTRACCT}O-iR'�S'j`�`NAMMEI TELEPHONE 92 C 1;196.00 CONTRACTORS MAILING ADDRESS Po Rny 1458, MAGALIA 95954 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 111 392.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 681.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 442.95 BUILDING ADDRESS' 33 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1167.45 LAT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 81 7-0056.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TO BE MASTERED % �[ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ .00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoonoa�ss 23.00 9-3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is I U11 force and effect.`7 LJ ` , S o ( License Class 1 Lic. No. / DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO tOCU 46.00 NEW CONST. owEwroG OCUP. WEE OR ADDNS. ( a ACC. S. SO $1.05 3.5t,. NoµRESID. MULTI -OUTLET @7.50 ' APPARATUS a PSINGLOWERE OUTLEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00OWNER-BUILDER BAL- @ .so Ex. Occup. oilTLEEDTS RESIo.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 124.05 MECHANICAL PERMIT Fling Fee 20.00 Heating L5.00 Cooling 15.00 Hood 6.50 Ventilation GAS FIREPLACE 15.00 PERMIT FEE $ $5.50 Policy Number (The above sections need not be completed if the permit is for work of a valuation Q' of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' Com ensation laws of California, and agree that if I should become subject to the rk rs' compensation ision of section 3700 of the Labor Code, I shall fo ith comp ose provisi s. X _ _ Date _ Signature of Applicant - ❑ Owner AContractor O Agent An OSHA permit is required for excavation over 60" deep and demolition or construction of structures over 3 stories in fight. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 cc CONST. TYPE 1559.00 TOTAL FE $ ;This D. E IMP, FLo c0F PARcq I/ Po o IssuE permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ///It?/ar Date Receipt No. 5 1 . �, h , bo WHITE-D.D.S.-B.D. CAN V -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "�• ` ` ` ''�' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - 7 County Center Drive, Orovlie, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C jC ASSESSOR PARCEL NUMBER (104- � 107 00 c Proposed Building Use: Y�, t, ) + Counter Technician: Date: U It ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! e5. Energy compliance design and supporting documentation in duplicate. ❑ 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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 6. Fees as shown on the attached Schedule of Fees Due Sheet.......................................t I(I&I 7. Statement of Intent for Non -heated and A/C Buildings .................................... ..... Sanitation and site plan approval from the Environmental Health Department inCLA . (Cti City of Chico Plumbing permit .............................. California Department of Forestry plan approval e7paid. Sent by: ....�� 21. Planning approval for A Use: o B Parkin : (C) Parcel Ctieck: c4.22 I a3 2. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... f23. NPDES Form............................................................................................. 24. Encroachment Permit for driveway from the Public Works Dept ................................. 5. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... . Letter of Signature authorization.................................................................... 3 . Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 1. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. I have been informed of the irements for obtaining a building permit. Applicant: Date: S - /O 1. Index permit application for the above items numbered: Plan Check Letter 2. ddi' al items required ontr , designer, owner, was advised of the above data b p one, ❑ mail, ❑ counter, by Date: -) D -D2 ontractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed b : Date: Structural approved by: Date: Note transfer by: Date: 42 -2`i -63 Yellow: Building Division E.H. USE Y .1rr Piot Ilan Attached Floor:— At e Sena to BrLl. !� / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance (AS Lg� 91) 1 -,A nil, C1 Owner Location AP# Plan Approv f Sewage Disposa� W er S ppI Public Private Well Clearance fo��welling. Other \,N/ I �11-1'M �VI Hold final for: Final clearance O.K. for: NOTE: mental Health Special 8/96 to 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 y� c PROPROSED BUILDING USE5-- 1. BUILDING PERMIT FEES --- Balance Due ..................... $ Additional Fees Due........... $ Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.). 4. URBAN AREA FEES Residential (per unit)..... X $0.03 = $ Sq.Ftg. A.P. # l—;q D-0 0 DATE 0_�> RECEIPT # DATE REC. (paid at Building Division) X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit a t ation, I was advised the above fees are required to be paid prior to issuance of the permit. These fees maybe changed ddrjdg the plan�.cWprocess. j DATE 9 / S/0 3 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a Protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) TY OF BUTTE -DEPARTMENT OF DEVE I ,7 County Center Drive Oroville, Califor I ev.1 APPLICATI A D E RPARCELNUMBER ZONING �10O� �-- NE TELEPHONE Fe OWNERS MAILING ADDRESS RACTOR'S NAME ( TELEPHONE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF & Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New �t Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13Describe Work: Js --p— PERMIT FEE PAID I i SRA SHERIFF OTHER P ao.pc7 AMOUNT RECEIVED $ DATE RECEIVED. � d3 RECEIPT #___,:-9)S& `t -% IS eRVICES - BUILDING DIVISION lephone (530) 538-754 _ P Rt. t IT BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION l l In .. Fireplace PERMIT FEE Lxarju ELECTRICAL PERMIT Total Valuation Is I I Main Service -o- X20`.0,0 23.00 Filinci Fee zooseoov oRoR LEss 20.00 Permit Fee $ NEW CONST. ( �C Plan Checking Fee $ q42 Energy Plan Checking Fee $ d• - $ PERMIT FEE $ . PLUMBING PERMIT Fling Fee 0.00 Each Trap Ig 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 (�( Mobile Home I S G W @20.00 EX. OCCU . OUTLET OR FDCTURES PERMIT FEE Lxarju ELECTRICAL PERMIT Fling Feel Main Service LEss X20`.0,0 23.00 Misr__ Wirinn zooseoov oRoR LEss Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP. SO 3'SQFT. OR ADDNS. 8 ACC. BLDS. NEW CONS .OM NRI amity uLLTI--OUTLET @7.50 EX. OCCU . OUTLET OR FDCTURES BAS @ .50 FRED APPLNS. OR EX. Occup. OUTLETS ESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misr__ Wirinn 23.00 PERMIT FEE $ ,(�J MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling-� Hood I PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TO AL FEE $ , (A HA7- I D. FEES I WO I FLOOD I CDF I OcEL 114 1 HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. IRP 12/961 APPLICATION AND PERMIT 02--0644 A;t IPARC0.NUMBER 064-250-00? ZONING R1 BUILDING PERMIT OW,.- SEAN MICHAELS TELEPHONE 873-4932 SO. FT. OCC. BUILDING VALUATION 1740 r 93,960.00 OWNERS MAIUNG ADDRESS PC BOX 14!E), MAGALIA 95954 413 U 7 .434.00 CONTRACTOR'S NAME OWNER TELEPHONE 92 C 1 196.00 170Z 72 67, CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESSFireplace Total Valuation $ 102 590.00 ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 -Filing Permit Fee $ 650.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $422.50 BUILDING ADD SS 02 d PONDEROSA MAGALIA Energy Plan Checking Fee $ 46.00 $ PERMIT FEE $ 1138.50 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap q 7.00 USEOFSTRUCTURE SF KI Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.001 15,00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New YM Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF 'TBR 2BA IF (TO BE MASTERED) 77-3 -I ,-� Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $136.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. --7 / ' License Class Lic. No. / 7 � O 3 � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 1 / of one hundred dollars ($100) or less.) I� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the - workers' compensatioV provisions of section 3700 of the Labor Code, I shall rthwith co wit ose provisions. % X -^ Date / Z 0 Z _ Signature of Applicant - Owner Contractor ❑ Agent / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO tOooA 46.00 NEW CONST. DW EJLING OCCUR SO OR ADDNS. ( a Acc. BLDs.5QFT: 5.35 ND R61D ' MULTI.OU CUT ITS QG 7.50 POWER APPARATUS a SINGLE OUTLET OI R. Ex. Occup. OUTLET OR FDITURES fl20 00 ® 1.50 Ex. Occup. DuTiETs(RRE�s,D.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 141-19 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 3 4.50 13.50 GAS FIREPLACE 1 15.00 115.00 PERMIT FET= $ 8.5.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOT L FE $ 1547 5 HAZ. D. FEES I P D CDF p C HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (pare) Receipt No.1 S S _ WHITE-D.D.S.•B.D. CA A Y -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �A�� i5� Building Department No. A.P. Number �6 Jurisdiction: City County Property Owner PA yr Property Location/Address Subdivision P. P),✓cS Lot No. ...............................................................:...................................... /� Residential Development Q Q Q Foote I Sq. ge %a3 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q New Addition Building District Identification No. 0� " y C7 4" .. School District certifies that - AZA / ' C./ &< / Address) G— (City) has complied with the requirements of Resolution No. representing ,� %®� square feet. School District Representative Paid by Check # / � Remarks: (State) Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) / ,�773 " zza- 1 ? Z (Phone Number) l/ ::)Y— (Zip (Zip Code) by payment of $ 2926 $ FULL MR1GA710N $ Date Notla: You may protest the Imposition of the teas ldentifled above by subs tting a written protest to the District, In compliance with Government Code Section 66020(x), within 90 days from the date tees aro paid. Failure to subs* a timely written protest wilt prohlbit you from challenging the Imposition of the fees In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Forth, the School District Is na "ll by the sWicable Local Planning Agency that this projebt Is being revbwed under the CalHomla Environmental Quality Act (CEQA), this may be subject to additional school fees to fully mitigate Its Impact on the school districtls school.*. White (applicant), Yellow (building department), Pink (school district) feeform.x(s (10/03)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2120103—Q�C0B 1 ?�'c Recorded I REC FEE Official Records I COPIES County Of 1 BUTTE CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I shawnya 10:46AM 19 -Nov -20033 I Rage 1 of 2 10.002.50 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: S Ei— /i /`) G 4 y� Dat:3 PROPERTY OWN State of Calif 111'aa County of � �� 'H r On / V 0 � � 7/ /' 'J before me, ao personally appeared �i�G/Gy� , -4'7 ;� personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) 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 ha 7�1 d official seal. Signature DOLLY S. DENNENm ComWdon # 1386108 ExpMs Dec 18. . r� . -+s Notary PubNc - CC9fomb A.P. # 601 �� ' O 0 � Orange County Comm. ORDER NO.: . 00211401-003 - MC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL.THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 201 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PA.RADISE PINES UNIT 14"5 WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 155 1971 IN BOOK 38 OF MAPS, AT PAGES 37,385 395 40 AND 41 INCLUSIVE. 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 THE SURFACE OF SAID LAND, AS RESERVED IN DEED RECORDED AUGUST 2, 1979 IN BOOK 2428 OF OFFICIAL RECORDS, AT PAGE 41. AP NO. 064-210-002 PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A, B AND C (THE COMMON AREAS) OF SAID PARADISE PINES UNIT 14, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15,1971 IN BOOK 38 OF MAPS, AT PAGES 37, 38, 39, 40 AND 41 INCLUSIVE AND THE LOTS DESIGNATED FOR COMMON AND RECREATIONAL AREAS AS DESCRIBED IN THE DECLARATIONS OF ANNEXATION FOR UNITS 4, 6, 8, 10, 11, 12,13 AND 14. PRELIM ft115 SEP 2 2 2004 TY OF BUTTE - DEPARTML-NT OF'DETIO VE E T RVICES - BUILDING DIVISION 7 County Center Drive * O®®roviilll�e, CCalifon A 9 lephAone (530 38-75 _� PERMIT NO. RPARCELNUMBER — /� O _ O ZONING PERMIT fCWNERI_� TELEPHONE SO. FT. OCC. BUILDING VALUATION ERSMAILING ADDRESS 45 - .Q RACTOR'S NAME �I TELEPHONE /) /� TOR RlNli ADD PO • CONSTRUCTION LENDER Fire lace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee • $ . S ER ARCHITECT OR ENGINES MAILING ADDRESS Plan Checking Fee $q42-gir BunDINGADORESS ` Energy Plan Checking Fee S 3 -CAD PERMIT FEE S _ LAT NO. SUBDMSIOWS NAME EL: MAP PLUMBING PERMIT Fling Fee 0.00 Each Trap g 7.00It �60 za USEOFSTRUCTURE SF )7, Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 JD New �I[ Addition ❑ Describe Work: TYPE OF WORK Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _yrs � �(,1 Gas piping system 1 - 5 outlets I 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service a�oDory on LESLESS 23.00 .1 I \/'�• / ' .PERMIT FEE PAID $ /� \) SRA $ C7 SHERIFF 3 � $ OTHER $ $ $ �• AMOUNT RECEIVED 3� Main Service tow To LDOOA 46.00 NEW CONST. ( OR ADDNS. d, pCC, ODWELLING OgLCCUp.S, 3.5¢F7, NEW CONST. MULTWImtT NOLFRESID 97.50 POWER APPARATUS 8 SINGLE Ol1TLE7 CI0. OLRLET OR FDCTURES 20 @ 1.00 EX. OCCU 6AL @ .50 Ex. Occu . ptJTTS ED A 610 )Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring23.00 PERMIT FEE 1 Xc MECHANICAL PERMIT Fling Fee 1 20.00 Heating Is, OZI Cooling Ir -!JD Hood . 6.50 So Ventilation !3. '� 61 -*U-3 PERMIT FEE $ S: Mobile Home Installation Fee $ Energy Inspection Fee $ ccc CONST.TYPEETOTAL FEE $ d HAZ D. FEEFLOOD CDF PARCEL PD HD SSUE DATE RECEIVED Sd 3 RECEIPT # This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date m , T7.00' / _ / W m o 056'56"� LOT,201 ULL _ 10 P.U.E d R.E. , o 150 LF OF 2' TRENCH 1 / WITH 12' OF ROCK ��-`-� REPLACEMENT/� AREA / / 1 �I >> o U 4.0' rc.t� A� � 1000 GAL. u� SEPTIC TANK 1 $ m E2Q O U i Z Bgu GDIVISI / RE51 RENGE x / LOT SIZE= 10,354 5.F./ N PROVED z M M DRIVE R 1='-5141�Q 11� 05°04'23' -1 Ni �•\ � e�d osv� n s L = 12.0q' OPL�F' ed as c\�\ O Pto� d��<r o�dek• aP Je si a G U I L 1=ORD G I GNB 1Qu _. LnENNs w v uC-ruR _ ---Aa- �R E OVERHANGS SSR , FROM 114E SIDE AND t„ Z A SET BACK OF R PROPERTY LINES AND FROM THE FLEA -a FROM'THE. ROAD CENTU PLMENT EXCE � t� 51 �1.• F 9fR� Cji"oIF'•Fiss, AND EQUIP W YJ 40 16 LEAR Dote: 8-2q-03 . 50. 1" = 201_0" Drawn: MM Job no.: 03-108 :A May 06 04 09: 06a 0000000 6 L/ - �� 1� 00Z(0000000000000 P.1 C-) 3 - sr 3 tic C�- A -r 6133 C.-> �T DF IP'i10AI OF tHWALLATM 1. ROOF Bread Noma W wnd R ) 2. CEKM BW or SkuM Type E3eeakya l Bram}mi and Johns T (Free) 3 . ThowrokR"m (I�Value) Loose FW 7W* Bnmd Name Jdm MarnAe Conb*dWs nrdn bwki ed vo&Vft sq.. 61S a,. MWm m ThMuw s I'S. -4S . tl�antAat�raei'� dws�htPer' squa[e 9�o�.to �fe�e'Ris�m�a1. Re.(R Ys�) - .'�38� & EXTERIOR WALL as an i Tf kkms 4. RAS FLOOR Tfdcknm 1 b 5 5."FLOOR!PERNETER DECLARAIM �o l �-1he. ti Is Rearsj ss Ed an fie owrrpiarta 1-jam BrmrdNanre--grwhU Thomd R (R-Vakw) ThmN d R roa (R -value) Ikq Radolorrce (R-Vapml c, •. •Lom tiJr TO LARRY PAINTER RETURN TO CHICO EH SITE PLAN REVIEW APPLICATION Date: II l � AP# G CoL� Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: S Address: Sear\ MiA&dsl. (?0-6o�e 1VS1 Telephone No. Situs Address: Proposed Use: ential 9&Tew Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer • ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other --Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Well R 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 • 11 Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY It Parcel Is In: 0 Snow Load Area: 2-9 ba—Vr-- ❑ 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: • Flood Panel No.: 0 L] D 0 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) 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: rTz — ) 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 3� Side Street Rear' 3 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 A� 1° Applicable Development Fees: Standard Fees Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area = Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area . ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By II Deeds: • Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: II A6Zp 171 -5� F-- 1 ji 1✓ S Map Date of Recording: --�-)5--7 ) Lot: 'Z (> ) ❑ Use Permit/Minor Use Permit Permit Number: Book: 3 Page: 38 i • 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 P* 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. Page 4 of 5 ``r 0 Q � �_ -n.00, N 64°56'56" W LOT/201 10' P.U.E d R.E� 150 LF OF 2' TRENCH dQ / / WITH 12' OF ROCK / ' I / -6.0' REP�AMENT/++, �% -4.0- 1000 6AL. u� SEPTIC TANK 1 -11 -3.0' -F x / RE51 DENCE r LOT SIZE= 10,554 S.F.Fz I--,' z o I �r z A 0500423' L 712 , CG U I L F ORD G I R G L E='►'i�rn,r�rta; , 2093 califo,ia 51TE PLAN 56. 1 " = 20'-0" u �W Q9 I Date: b -2q-05 Drawn: MM Job no.: 03-108 National Pollutant Discharge Elimination System (NPDES) Phase II. & SWPPP Non -Certification for Project # for -Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNTs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BNTs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan /9 9 (.' DaU� PcC.4SE Look Gv 767S /T M be: RSsoul}769 NZ e� 9E/ltl A�IlGlfA�� Ja�3S � CNC- Yocl. M457m- cc#r tE Am0679 54?• fir. 7o 7v "Ne,& A) e4 J HASTE. T l SAME. rtoOK- AufAJ !�u/Tlf + WAu. 02 7410 Sff" Au% 2'4. (r- S-ON GL+t/ M/tKE TsF+!-% uL'u/ M/Fv,6C 1�2FW7/ �I 03z /F Yoa m9r/e IuES;rlo,J5 k/t A-ee GUoaaAJ6 en/ . t�&/9Se/s % 6u,e A-tk31aL pu�J p�ec.Ess. 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