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064-320-024
-3222 0 -320-024 64 04 • f r. Li_ _ t`' �' x• ,it `, - f' . r^.'l 's• , t ir i S�t iN t PyyF y rt iJ' `FI1d 'S(ttil!l.(s7.}z't {S` i�V fl t , fit NEW SF TO BE MASTERED _�' b• - • S -�. i Y tf rf .+ - .. f S a z�b 9F sn t [ f Ji -j+1 ��r i J.c _. � = t `! t Ye .. � }<_ •sr � H it t ly Y ti � SY ! 1.0 .x !., { . I r • • I NOTES _ ° '• -AESIDENTIAL j A [PERMIT N0. _64-320-024 �' _ 04-3222 BENNETT, LEE & CHERYL � —1 q- -Os �' CJIGC�o ) �� ' I� CUMBERLAND, MAGALI•A i i Cont BENNF..TT, LEE NEW SF TO BE MASTERED • `I ' ft} i' SPECIAL CONDITIONS CHECKED } BY :� � • �. Sl�iA . FLOOD CERTIFICATE REQ. a "' 3 ` FIRE SPRINKLERS REQ. . ;, SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS f SUB -STANDARD HOUSING LETTER r } OFFICE COPY ' F " Address 1 r + 4 . GAS Meter By Date " ELECTRIC f Date Meter By �JJOB FINALED (Date) + Signature P.02 20—op 0 3A APA=Wff%7' Cieftificate of Co fiforman-ce Certificate— 0,52736 THIS IS TO CERTIFY that the glued laminated timber pr6ducts idenfified'with a collective mark of Engineered Wood S tems (EWS) were manufactured in'acc6�dinic-ei YS applicable and associated specifications indicated below: ANSI Standard Al 90.1-1992, For Wood Products-* Structural Glued Laminated timber NER-486 Glued Larninated Timber '%*3ombinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued -laminated timber members were produced in a manufacturing facility subject to regular audi Is in accordance with.the' Engineered Wood Systems (EWS) Ouality Assurance Program. Routine audits include inspection of the manufacturing I process and evaluation of the in -plant, OA program with adequate sampling to verity. conformance to industry standards. for lumber grade and. glueline bond -quality. 0 0 0 JR4 go go SEAL small 4 _[2- �9,ui 4 erf - C'LA'114 Et— by IL J_ Thomas G. Williamson ..Executive Vice President E"'��'NEEREO "OOD SySrEVS is 8 MOW Corporsiion of APA — rHE ENGJAraERED VbOD ASSOC(ArION 70 1. 1 South I 91h Street - P.O. i3wi 11700 . Tacoma. WA gSd 11-0700 TnIOPhOne: (253) 565-0600 Fw P4umbef: (253) SSS-721US r �i I fin CertainTeedM_ 10�� fe°4 Builders Statement Fiber Glass Blo'wing Insulation Homeowner Name / Jobsite Name ( 3381 CV e Address Installer/Contractor (sign, Builder (sign) Inspected By (sign if required) rcl ),Vek C Company Name Date Company Name '� Date Date R -VALUE BAGS PER 1000 SQ. FT. .. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: abs.) Should not be less than: (n.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. fL of net area for each' R -Value listed. t • The maximum net coverage must not exceed that specified for each R -Value. y • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. fL of insulation at or"above the minimum thickness will result in reduced R -Value. V • This product should not be mixed with other blown insulations or the thermal claims will become invalid. KY DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF ' SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAF 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS �^ 30 =t WALLS FLOORS G THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. fL of net area for each' R -Value listed. t • The maximum net coverage must not exceed that specified for each R -Value. y • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. fL of insulation at or"above the minimum thickness will result in reduced R -Value. V • This product should not be mixed with other blown insulations or the thermal claims will become invalid. KY DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF ' SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 Manufacturer Insulation Fact Sheet Certainftedll This is CertainTeed Corporation I nsu Safe 4in 0 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: ' R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain aBags Thermal Resistance (R) of: per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Wei ht per sq. ft. of installe5 insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 1872 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 102 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 572 11 6.6 151 0.179 41/4 R -values are determined in accordance with ASTM C 687 and 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. Based on a design density of 1.6 pcf/25.6 Kg/m3. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain aBags Thermal Resistance (R) of: per 1000 sq. k. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulatioh should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 `0.967 774 22 27.2 37 0.733 5'2 16 19.8 51 0.533 4 15 17.9 56 0.483 31/8 14 17.3 58 0.467 3'2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. • J=OK 0= Not OK a _ = Not Rbye . =Not Readyeady MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch a - - ' 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;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Zoning Requirements -Setbacks -Easements Card B-1 Date `Card B-1 Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Setbacks -Easements Card B-1 Date Card B-1 Date Soils; Compaction -Structure Stability 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 Date 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements ` t 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 8-1 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 _ ` t 1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERtMOOR (Plans) OK except #'s JL' Ft ain; Soils-Elec. Grnd.-/ AP' Ftg. Depth g. arage; Soils-Steel-Elec. Grnd.-4-�g /" Ftg. Depth . 4. D6., Porches & Decks; Soils -Steel-/ /" Ftq. Depth Ga!Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. was Pipe; Size Anchors -Yard Gas Piping; Size Test atV Pipe; Test-Anchors-Requlator-Service Test 12. 5Kctric Underground / ( PIpums & Ducts; Clearance -Material -Support -Ins. !� 1 irslers-Sills-Anchor Bolts-Joists-Vents-CriDDies 16. Insulation Date Card B-1 Date Card B-1 Date: Card B-1 Date Card B-1 Date Card B-1 Z Date Card B-1 Date PLU ING (Permit) OK except #'s 1 ater Htr.; Vent -Access -Combustion Air Baffle 4. Water Pipe; Test & Anchor -Nail Protection 1X D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21.est Tub & Shower, Second Floor -Tub Access 2V Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EL 2 RICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection Date FINAL (Plans) OK except #'s Elec. Receptacles Spacing -Lights & Switches at Doors /Ext. Steps -Door & Sidelight Protection -Landings /Size Boxes & No. of Conductors Stapled 2 omex Installed Close to Edge of Studs & C.J. 26/Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 ,l 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Elec. Trim & Subpanel, Breaker Sizes & Labels Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes J No Stairs & Rails Service -Riser Conductors & Ground Main Disconnect /Fireplace or Stove, Clearance -Hearth Equip. Clearances Panels-Motors-Mech. Equip. Outlets at Wood Panel, Int. & Ext. Clothes Closet Light -Shower Light -Spa Light 5. Smoke Detector Date ?% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date M HANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support 3 � Vent Fan, Exhaust above insulation A. Condensate Drain & Overflow, Size & Grade 39 Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 0. Attic Access & t1atform if Furnace in Attic Date /-),/ Card B-1 C -ti Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s .V.18ills Proper Materials & Anchors 4$f Walls Studs -Nailing Spacing & Braces -Plates -Sound 49/ Bearing Walls over Girders & Floor Nailing Draft Stop in Walls 4d.j Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date F13AMiNd (Continued) 7 angers -Post Caps -Anchors -Connectors 46,eCling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 44. fireplace Ties or Type A Flue -Fireplace Throat Clearance 57 Aftic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5U Garage Fire Protection Framing -RC Channel Propertv Line Firewall & Openinas 54 NExt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5 (Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection I. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 7Siding Nailing Veneer ,5 8., Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 63. Infiltration -Walls- dows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s /Ext. Steps -Door & Sidelight Protection -Landings 66. Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection . Bedroom Exiting /G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71 /Fireplace or Stove, Clearance -Hearth 0,/Elec. Outlets at Wood Panel, Int. & Ext. -jKit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74.,,Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 76. A. Duct in Garage -Damper 7 Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Garage; Above Floor-Mech. Protection 7./€'Ib.; Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81.,,Guard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes _ 83. /Following Instld./Drive ❑ Yes O No/Walks D Yes ❑ No/Planters D Yes ❑ No . Stucco Brown -Finish 8<A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87,,,)Nater Well, Disconnect, Electrical, Plumbing 8 - ,Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House . Glass Protection 91. (Corrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric 93. V ter & Sewer Connected -C/O to Grade -HD Approval W energy Compliance Certificate -Other Certificates 99r Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date ` i Card B-1 r Date Card B-1 Date Card B-1 (> v� Date Card B-1 Comments at Final .r a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP043222 B. C. Building Permit 01-16-04 pq 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/16/2005 APN: 064-320-024-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: %Q $- Site Address: 6381 CUMBERLAND RD MAG Date:d �f' Oj Contractor: Z6f ? /3, W — Map Index: Description: NSF(1683)GAR(484)COV(70) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BENNETT FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a C/O BENNETT LEE R AND CHERYL signed statement that he or she is licensed pursuant to the provisions of TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section 320 BURDEN TER 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 PARADISE, CA 95969-5711 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BENNETT FAMILY TRUST PP 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 -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: BENNETT, LEE R. pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 320 BURDEN TERRACE PARADISE, CA 95969 Date: Owner: 530-877-1737 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 425571 ❑ 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. I have and will maintain workers' compensation insurance, as Architect: Engineer: 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: in 4 P r" 'd Total Square Ft: 2192 S.F. Policy #: Valuation: $119,206.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ] Appli ant iJ is WARNING: ai re to secure workers' compensation coverage LJ) gL/.s 6L)4�- unlawful, and all subject an employer to criminal penalties and one j 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. Zs��io vet CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the R solutio to do work4ndi ed bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY• AZI Date: Name: �J(J r ( ) PERMIT EXPIRES ON: - / 'D 62 Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 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. I hereby t authorize representatives of Butte County to enter upon thee above mentioned property for inspection pu77114!�2,� .(' h af?tV 1 � � Signature: Print Name: Y'�'%/ ! Date: bL, /SY Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 �t otlo�2.3R' 1AJ;1 �G(A.� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 105.6 • 1; AND SUBMITTAL REQUIREMENTS X39 •ft'S 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name Lee R. & Cheryl Bennett Address 320 Burden Ter. City Paradise State CA Zip 95969 Phone 877-1737 Fax A77-5133 call 1st E-mail Lrbandcrew@aol.com TDA flTno NnS�22 R. Bennett Address 320 den Ter. —T— City Paradise State CA Zip 95969 Phone 877-1737 Fax E-mail Lic. # ass 425571 ►UM APPLICANT SIGNATURE For otWe use only: ARCHITECT/ENGINEER Name Cheryl Bennett Address 320 .Burden Ter. City State CA State Zip Phone Fax Fax E-mail Map Book State License Number APPLICANT SIGNATURE For otWe use only: APPLICANT NAME Name Cheryl Bennett Address 320 .Burden Ter. City Paradise State CA I Zip 95969 Phone 877-1737 Fax E-mail Map Book lrbandcz-ew@aol.com APPLICANT SIGNATURE For otWe use only: AP# CAP4 Sao - oa Zoning Cross Street LJ Ct Flood Zone Policy Number O SRANo Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY • Type Subdivision Name Map Book Page Lot # Planner Date Approved: uvr-K t -UK suljlVll I I AL REQUIREMENTS KAFORMS\BUILDIN(, FnRMRXRlrinAnnl.CnhRnmfe rlr r PERMIT NO. BP /t# LOCATION AP# CAP4 Sao - oa Property Address 6A WCu lrykIn e r l Cross Street LJ Ct WORKER'S OMPENSATION Policy Number O -Carrier State Fund Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address . fro Penn 1 ni 7 T Description or Scope of Work: 70 Sq. Footag ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are, not refundable. 2 6::42.3 C, Received "lip. . Amount: Receipt #:' 1 �3S L11 L Sheriff SMIP Date: Other 1)-4-04 c���_/ / t7 Total 11 utte County Department of Development Services )NNE CHRISTOPHER, DIRECTOR N7 Bennett, Lee & Cheryl County Center Drive Permit Oroville, CA 95965 N Project Type: (530) 538.7601 Telephone d (530) 538.7785 Facsimile N M 70% TO: 1,056.96 $ FROM: $ 1,056.96 $ 739.87 1 SUBJECT: O � DATE: WILLDAN �uTrF 00\IIIA 0 o 0 0 0 cOU N �y Scott Rutherford (530) 538-7160 sruthertord @buttecountv.net Plans Transmittal For Review Per Contract 11/4/2004 Applicant: Bennett, Lee & Cheryl Permit 04-3222 Project Type: NSF/Gar/Cov d APN: 064-320-024 100% 70% Plan Check Fees $ 1,056.96 $ 739.87 $ 1,056.96 $ 739.87 WILLDAN Fee $ 739.87 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate of Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other IN 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: F' t L�� (. / �r! ASSESSOR PARCEL NUMBER Proposed Building Use: �� �/) �/,(, 4 P% Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form :g;- 15. Sanitation and site plan approval from the Environmental Health Department in ico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 0. Erosion Control Plan Required........................................................................ ........ tf 29 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 2. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval P,pai'd. Sent by: ............ SF r a4 ❑ 24. Planning approval (A) Use:OL4 (B)Parking: (C) Parcel Check: 0� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form.....................................................................,,,,.,,.``//.................. 27. Encroachment Permit for driveway from the Public Works Dept.t;�t 6*3**.......... ❑ 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 ................................. 6 34. Manufactured home utility clearance.............................................................. ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone _ R�2 _ / r70_1kj),0,0r and hold for pickup. I have been informed -of the above items and requirements for obtaining a building permit. Date: items numbered .A I _ �Cl.,4t'< Plan Contrac�torr . e�rggner, owner, was advised of the above data by 9 phone, ❑ mail, ❑ counter, by /t- Date: rG'o�ltractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, bt Date: Plans reviewed by: Date: Plans approved by: I Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: C`1' Dater 0 Yellow: Building Division ir ij all S E.H. USE SE ONLY Piot Plan AnacMd ✓� Floor Plan Anschad Seen to ®.D/00 —0 ` ! 4- 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance CW,65�r - L rt�a Owner 'Location AP# . Plan Approved for: Sewage Disposal ✓ Water Supply: Public e✓ Private Well Clearance for ✓d eiling. Other c3 IS�Q� T Hold final for: Final clearance 'O.K. for: NOTE: Environmental He 8/96 pecialist Date 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 OWNER232t (!howL A.P. # ' PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........... $ --- Revised Plan Checking Fee...*P ) _Z2. SCHOOL DISTRICT FEES � (paid at School District Office (form avanil/4ble after PI Check) 011J - / 0.2..E V� V 3. SHERIFF FEES (paid at uilding Division) Residential ............60.00 = Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. (paid at Building Division) Residential (per unit)..... X = $ it 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) Pd 7. SRA FIRE INSPECTION AND PL CHECK FEE '(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 application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed duringt�ey,Plan checking process. APPLICANT DATE 5' Pursuant to GovemmentSection 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 :►TAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records County BUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AM 04 -Feb -2004 1 REC FE 7.00 CONFORM 1.00 i I Cheryl Gage I 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: Parcel I: Lot 24, as shown on that certain Map entitled, "Paradise Pines Unit No. 4", filed in the Office of the County Recorder of Butte.County, Calif., on Oct. 1, 1970, in Book 35, of Maps, at Page(s) 97, 98, 99, 100 and 101. Certificate of Correction recorded December 2, 1970, in Book 1648, Page 4, Official Records. Excepting therefrom all minerals, oil, ,gaSi asp-,; haltum and other hydrocarbon substances, with provisions that any and all mi.ningiopera-., tions shall be done from orifices outside the surface area of the land described~herein,. and that no damage shall be done to surface of said land. Parcel II: A non-exclusive;, easement over lots A, B, C, and D (common areas) of Paradise Pines .Unit No. 5'and,,.over- -. Lot A of Paradise Pines Unit 4, for ingress, egress, and uses and purposes set forth,.._ in the Declaration of Covenants, Conditions and Restrictions, amendments thereto and. the Declaratiorn/ of Annexation for Paradise Pines Unit 4. - a Date --0 7` PROPE OWNERS: Bennett State of California ) County of Butte, ` On 1 -Z 3-04 before me, personally appeared r-hP P,-nngt-t 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 twme that. he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on t ins ment, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and 9mci se A.P. # 064-320-024 WENbY CSER� (�kpa s��' tba V COMM. In NOTARY PUBLIC CALIFORNIA O BUTTE COUNTY My Commission Expires Jun. 27, 2005 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing .your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES,,9O NO 0 2. I HAVF�V HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME:_ ,PP ? ADDRESS: a 6�� r�� ✓ CITY:,r" PHONE: c6 7 7 -� 7 ;� 7 CONTRACTOR'S LICENSE NO. 7/ 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: F\1 1 PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME I ADDRESS PHONE TYPE OF WORK SIGNED: SOCIAL SECURITY NEER: DATE:__ NOTE. This Owner -Builder Verification is required by ,Section 19831 and 19832 of the California Health and .Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. VA�Tn B.O. M ger, Buildispection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. N O�PpST^ENT O 6VTrF o 1 p \\ 0 A � c�UN,�y 15 p�eL./C W�R,` I Department .0 o u m y J. Michael Crump; Director owf. Public Works o f B u t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE] Project Description: v'7 Project Location and/or Parcel Number: A�= 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: v Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) U :' f .lurlsdiction: Cit, Building Department No. 043a; -� Property Location/Address Subdivision Lot No. Residential Development 0 Q .............................................................. Q :........... .................... ....... Q € Sq. Footage No of Living Mobile Home Addition/ \ Supplemental to (Group R) Units Installation ' Conversion 1 Permit # *(No foundation inspection) ............................................... ................................................ .... Commercial/Industrial Q Q New Addition Building Department Representative {% f 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) ah o1 OT Date District Identification No. iT ,1 5- � t ( f �/jy►e�.y�,/ School District certifies that 1' ` �� �?%1 Applicant) (Street Address) (City) has complied with the requirements of Resolution No. representing A d — square feet. (Phone Number) (State) 0 Rip Code) by payment of $ 2926 t chu I hvmcewwny = Paid by Check # ( Remarks: Date 35',6a 60 Nonce: You may protest the Imposition of the fess Identified above by subndttIng a written protest to the District, In compliance with Government code section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest wlll''prohlbit you from challenging the imposition of the fees In arry court action. N, subsea vent to the school District Represented" signing this Butts County Schools Impact Fee Certification Fom% the school District Is noeifisd by the applicable Local Planning Agency that this proJed Is being reviewed under the California Envimninsnial Quality Act (CEQA� this pr n j r may be sub)ect to addltloaal school tees to fully mkIgate He Impact on the school dbbld's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/03)dmm '47Serving Public Agencies February 3, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1240 Jurisdiction Job No: 04-3222 . Assessor's Parcel No: 064-320-024 Description: Bennett New Single Family Dwelling Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted -on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets cover through 8 not dated, by Lee Bennett. * Enerily Calculations: Two (2) copies dated 08-27-04, by Robert Mangrum. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating tothis project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is.the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. l . � WvW I LLDAN , Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This is consistent with that shown on the plans. ; Type of Type of Sprinklers Stories V Floor 2" Floor Total Sq Ft Occu anc Construction S Ft S Ft ..M NAIMM..v x R-3 V -N No 1 1638 1638 U-1 V -N No 1 484 484 Cov. Porch V -N I No I 1 1 70 70 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Isaac Kuster Gordon Wright, P.E. Plans Examiner Plan Check Engineer Ce: Alice Mefford, E-mail: amefford@buttecounty,net Lee and Cheryl Bennett, 320 Burden Ter. Paradise, CA 95969, FAX: (530) 877-5133, Email: Lrbandcrew@aol.com Pane 2 of 2 County of Butte Perini.t .Number 04-3222 Wil.ldan Project Number 11353=:120 y LESS THAN 3 ACRE CONVERSION E a(T I rN 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) (9/99) 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://www.boe.en.gov. A. Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log):Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood _%; Ponderosa pine/Sugar_ %; Douglas -fir %; Fir %; Port -Orford Cedar—%; Cedar (IC, WRC)_ %; Other, conifer_ %; Other, hardwood %. 2. TIMBERLAND OWNER(S) OF RECORD: Name Lee & Cheryl Bennet Address 320 Burden Terrace City PARADISE State CA Zip 95969 Phone (530) 877-1779 I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a ' "bona ride intent" [14 CCR 1100 (b)] to convert to home construction site and yard area and that I 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 JefferrV Rolls Lic. No. A7332 Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 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 26 23N 3E MDBBM BUTTE .26ac 064-320-024 Pagel. 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. I 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. I I 6. I, L4 JA A Di a declare as the authorized designee of the County Board of Supervisors that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county has authorized a designee this ite MUST be completed. If it has not, see item 7.) (y j SIGNATURE �Q Date i 7. Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884 I Address 1600 Feather River Blvd Suite B City Oroville State CA Zip 95965 Phone (530)534-5229 vis I certify that 1, or my supered designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not designated a representative authorized to sign in Item 6., that I, or my supervised designee, contacted the county and the Ndtice is in conformance with county regulations. SIGNATURE of RPF_:%,! "i'' Date 8. NOTICE SUBMITTER(S): Name Gene Jefferry 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: i 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 I Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 i WINTER OPERATIONS Bennet 064-320-024 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 I on all 1 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. f 3) During winter operations after rains, road use shall be suspended until the running surface has stabilized bi y freezing or drying. Hauling operations to cease when surface material must be shaped to develop a driveable medium. I i * No hauling, road construction, or maintenance shall occur when road surface is saturated as defined in CCRj 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 i 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 andl tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours. i i x�/ r`'�,,It �1 _,�• �y`�(/J� j •. i i"` ti„'^`'.+.••.,...... ��� 94 { 1 � ' i C�' ! ✓fir^''' ' � � � 1•� � f�`"`�.` 1� ''t, r'�•'; �:a del `777-7 AD Mir ,'tr fj }jj ! 'fl' i � `•" I - � fnj� �t � �. kJ, . r - i23 �!' r� � { % � % i s /,�',,'': • •err,,' I 1.,� .�..` .� .r. � ,Z. � i t ... - 1L '• `,'• r �'I, l },•fr. •Jt r• �� , ..� �• ` ;� � `:. It 1i± •t Xi�' •f �F i,�r r � P•f at �t.f��+y �• f� ! �.J j�c � �W __ I l i+ k ... 107 P },32-24 .. 2494 0 c.� x. Tall Cie or • ., �7k 16° E Name: PARADISE EAST Location: 10 0619993 E 4409392 N Date: 11/7/2004 Caption: Bennet Conversion Scale: 1 inch equals 1000 feet Cumberland Road Copyright (C) 1997, Maotech. Inc. Plat Map i Bennet Coversion Cumberland Raod Property N AP# 064-320-024 f `Y401+ YD/ `Q I syFR '--� 'Sr ��n Q `p° A � / � _ � / � ' Icy,° © 'I N •rr WI •I 9,7 �q 4 O C1 _ Op " °- 41 o W aJ 4 ',IZI � M .. I'IT 4 I , q4 1 a a1 4 go 9r n N 4 !2!S ♦ ♦ P O ; O p lax viet O y i A 4 a 'Z 100.0 119.44 116.7r Ol o 4 O By 9y' 4 BO 0 r L a ?O' 0 70 o m ®� uy X11 7J RIO i RTO /0l.9 /07.0 '•TOY O /00. o o y, 0 1s.° CUMBERLAND RD. ` ` p � ♦ r' q ®b •-3 9� 9e.d Io.O e0.0 10.0 e[ 17 ,A m y9 .os�Y 4 Cb ♦ y a6• � �`'q 'tiq �� © � ® ©� V © � � KLA b`C B`d 61. O 66.1T 61.O B9 Q JO.BO B eo. o /BO.O 70. "-,Ba.o eY 46 a16 ' V Q v 47 N P 7 L+ v O v B° o �w N th OkA A {411Oq 4 92. 05 . O N o a ® b n O b de 3qO y ej Cb YO C Rl, ' m0/ST. N O I e! O 1 4 srv° Q 91.41 v n 1` 9 0 00 f•9'B/ 9 f _ ` •V ` I _I _ ? SITE PIAN REVIEW APPLICATION Date: /- //-/G q AP# U& !t -VG— 6�2- It Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: L5r�20 &�4 Telephone No.: D 7 7-1737 Situs Address: Proposed Use: Residential 16 New Single Family Residential RM T V ❑ 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 ❑ New Industrial ❑ Industrial Addition Other ❑ Septic Agricultural Exempt Building Other: Brief Explanation (if necessary):_ ❑ 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 Plaqm Stam ped Approved Date e Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: • ,;ZO 0 0f 0 o2 00 f �. ❑ 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.: Index Date: r ? 0 ❑ 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: 6 P -1 ,D P -- 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 0 Side 5 3a' Side Street ro , Rearl � � j 0 1 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 CI Applicable Development Fees:' Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount 4� - Formula -------------------------------------------------------- ------- ; --------------------------------------------------------- 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 • a , ❑ 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 F❑ 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 M ❑ Meet current Environmental Health Department requirements Page 3 of 5 It Subdivision Ma /Parcel MaR: Map Date of Recording: 101,170 Lot: C9- `f ❑ Use Permit/Minor Use Permit Permit Number: 19"5 Book: `fir Page: ?% 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 0 Page 4 of 5 Summary of Specific Requirements: t This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 El Summary of Specific Requirements: t This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 S BOOK 35 Of MgPS PAG E9 ee de 9e/ 9, _ 41, ( , .vr.,,'.,-I iw.o,' Iss4,r• i _ � -���� .>.r„� - P3 Pr .�%ro%"f-_ ; � T %/" � 0.O/a -/iISi9I' _.L___.___'_ _____ _f>•- _ ___ ____ry� :��•i T. PJ---__-I.--J t /__� � 32 � rra'a . /irk% a r(A'hr! .:r•.eue IPas p rSee t I le i [ ' s ! rs;JoA ..s.r I>ca.• 27 -092, N -,b ci�uer �. 34 '.� .ko. ' ' ..v>• 'r'-ss.>i'- - _w7 Z''a_or: I,.o,-- - i M [,r Z 9NEET 2 29 °$\ ��JI ,_�� :, CY•.r : ✓•rm cv ' 1 6"• 8 9 6..4 q ` � �"'�,. ��N, iR 3 "h;� 2 C:•� Q°`/� p� :, T` w.`� i 3q`:� "•. •ao.."..': `-y.�.o.. ,',21�°:, nYSv YM1 /�o!„+ 7 0 ., cru B (b, I A Zrs•,rr 2� �. Z Y A f A 8 er t.`�::. _,a.r,' l�/ 80 5/7E 'rn. t b i ate:. Z YQ ayv°°a$42;��i 3q i +lE 8.N ° 8 ift NJ( d ' - NPoSc7- r 9c 4cau „P Abp , a 4 :t � � j �P. ' ,: , . • �. t;,,, a _ .r.ar ^' . ,`l �,P '�S'r°�a.' ,• .r m:cf' .. jaf f 5 '>A�1 ,; �`. •,r.»•• ,' 9 23 d` a=/B d 'i%r:a>r,:� , rT” , } $;ts SHEET INDEX TY MFIP � c'� o'a J°� .p' [ c _ • „`� Z % �� "a c t!(, � u o e I - wA� �`:>c roc.QCALCULATED POINT ,, � ..'rr-ro•.r- .✓ ; Zi.(>a•.urrrr. a _ Z/`'}�.6 �:w`A /rD;� �rw $t 0%Ib :\ •46 Q 44 ''w:`'f_ Y• 4 /2 A•. i" t y w4 N x',r>Pocr .i Z ,( .AGS 'l1r JJ Ca +5 SET BACK LINE .................. .... .................... ........................ _.. �' 70 8 .�� N'`$ w �',.: 13 ra.'_'C>`.•�i> tl A•/><2 PUBLIC UTILITY EASEMENT IP.U. E.1 ................................. --- a,- :�._b..�,' '• >�: ,` _ . _ cad p :. L A' 2 Q I( ORA INAGE EASEMENT ID. L . :..................................... 4 72 i :,,-: r ds sd 4, \, tr JFK �•i.. ".®� yA?5." .: n i : ° S- ..>•.e<� r '' f p j,>f4 A c ---- g.jj'E•f�..9R.a1FjSg .a prYl EB.A ``� � 34G G RECREATIONAL E45EMENT IR.E.1.............................._......._�. .. T .'ff[CENTERLINE MONUMENT.............................................................. Q J ry lil 73J.d. `� �ieG DQ bi� 'r SET 2. \ 3 IRON PIP= TAGGED R.C.E. 9033 ............................. J/ G . FOUND MONUMENT 4S SHON'N........._........................................................ y • y FOUND 2- IRON PIPE TAGGED P.G.E. 9033 ....... .......... ............. _....... 74 Te 6G �N�a�• vY / ' �•� F ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS j �a•Jr V .4 (, TO BE MARKED BY 3/4' IRON PIN ''KITH TAG R.C.E. 9033 -y _ \'� BASIS OF BEARINGS SUBDIVISION NO. Rd o PARADISE PINES UNIT NO 4 i < F49 a.\ $ THE CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED A;5"3 FROM TRIANGULATION STATION SAWMILL (K• 2.124.255.90. 0K• Z. IAS. 90863T0YT83 Z.948.421HB EARIt1GSTATIlHN 2r 27BALD M OUNT 2T EAIN PT N. SEC. 25 81 26 T.23 N., R3 E., M. D.M. IAllG /txi3 55.481.57 FT. BUTTE COUNTY , CALIFORNIA c DISTANCES SHOWN ARE GRID MULTIPLY BY 1.0001138 TO SCALE' I°° AUGUST 1970 OBTAIN GROUND DISTANCES MURRAY 8 MCCORMICK INC, CIVIL ENGINEERS LAND SURVEYORS 1912 'F ST. 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