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064-330-036
f-4; Ij! b .., P� ",k,y ! ti Y iteN,!'- r ..ii,atr„j(�{ftt}•x1�j d[ t; ® ;,: ,:. r. t .t t..tSe;}I_ $ • u Zr` 1 .. i' Y ` .y ,Yi6€{' f t{ �'s• � d � g J ,; � t _ - 1 1 1 �1; S E� x �„ st � i E S f,;-j� t ir`��{ � s }> �1�•t 1 t. 1 � � ell �NO �{,�1- ` r r ` ��liM'a rdt �;' � i dt • •�l�d`�h't to a [ ; i'•_- x i' a x C '_i i' r >I'` {i +h•.+» t', - {„ -t{r. f r �i k } ' }• I' - t r{r� i Y,'• S, i - f ':n , IS i�,.u.. : 1 1. -' �.�... - r , 41 "t tSI ii S �f ir, i y r4 t _•fit - - t ' $ Y d• s v � t t 4 ; (,_ ; � -Y {�� .d. `} •� q _, [i i: ; � � �i 4 1t +,r j .Fr t. ' - d �': r°' `, tt � j,€�� �'�� • -" '�° � ° �':,' ,fd-j s � :, ritlt�,, X17! bi� i f i ��}[�iz� q� llc,, ,Y 4 .t � ; Fr Y � : nit r .f{-_� 1r� :: ,,. �. i -..*, f' etF� st �#,t+ i •' [ t Ni#il:�i�lt;9 I4. i� r�,#r. . +, . r p.. a� �. f �o O , Tl r I ry i s s S>.s3r ► I � I (Y�{r t'� f ��- �i � �' ' �*� ' � iF .o '� .Y-: �� • u »� I � r �� TF��' .iP� s � ; , , t � i ��r' rf r r Y �, ,.. {... ,,.: t fW„t. „t 1 t i 3�t.�t� t I l Ililti=;1 df 4F I' r►e� { I , ,� • "';�dr} . •ft' �', .t � � a { lt�Ira. �;����. �i+H °'” _ rY'�. iit iftSt¢[. -.w FROM FAX NO. :5308775133 Apr. 23 2004 03:02PM Pi ENCROACHMENT PERMIT County of: Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) $39-7157 Ext 2016 Fax: (530) 538-4356 Download Forms: www.butteeounty.net/pubiicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONEPermit Numbor "afyG-7' Pbone•(530) 538-7157 Ext. 2015 APPLICATION I / WE. the undersigned. hereby apply to the County of Butte for an encroachment permit to do the following work u=nder or over Lrtc C«IItty roads and hiRhw2 s. 911 in accordance with County ordinances and senxal 1sres. All information except si ar= must be tTE4 or legibly ted. 1. Applicant's Nems 1a. Company Name. 2. Address: 3, Phone: 4. Assessor's Number 5. Location of Work to be Done — - - - - 6. A=pplicant's Si rA CONTRACTOR'S INFORMATION 8, Contractor's Name ZPM 9. Address QO.80X 491 10,c 07:7, 3 6 PG T R I o, RI0.309110 11. Fax: 12. Contractor's L' - 13. Cartificsto of Insurance: Yes ® No: El14. . Contot's $�gnah� 14a. Date Signed: 15. Authori' gcn TYPE OFWORK TO BE DONE 16. Please Check: Curb: ❑ Goiter: ❑ Sidewalk: [1 17. IfD ivcwray List e: -t- 18. Other Work - Pcscribet 19. Plass AtMehed: U Yes ❑ No PERMIT GRANTED 1n compliance with the above rcqurst, and subjoct to all terms, conditions (including those on page 2 of this permit form) and special condidons written below. permission is hereby Vanted. 20. Conditioris I I v �1. IJ -r", - c a c✓ ; T /-i c a. Cf troa e / S. Cr. M F; cancra% Or e;ttr�Jf ..a. _- Undo nd Service Alert /yU.SA1 must be notified two worido dayspriortour y excavation. 900-227-2600 21. 9 All work shall conform to accompanying: Detail 0 Plans ❑ Special Conditions 131 22. I]]otte Issued GL� g 23. Expiration Date / 24. Surety 25. bate Paidy Z O .Amount Paid v 27. P Byk 2S. Reteipt No.• Q hs 7 ec Al Mike Crump, Director of public Works BY: 01- 29. Final Inspection I)alc: 30.1nspected By, f �� mplet, - OR ❑. Completed — Not OK R°'canary - Z� - C7-'� /2-(— L W �r`+� Additional Comments Attached Use onryl 31, Comments: Note: If permtfs are faxed to any number besides (530)138336, they can be delayed uP to one week Page 1 of 2 NATES RESIDENTIAL !'PERMIT NO. 064=33Q-036 _ 04-1129 `1 ` *; � . _ _ _ . BENNETT, CHERYL . t f .jj8?'CITADEL WAY, MAGALIA Cont: LEE BENNETT NSFMSTR# 97-46/GARAGE rpt SPEClAL.CONDITIONS A . ; CHECKED BY • SRA FLOOD CERTIFICATE REQ. � -FIRE SPRINKLERS REQ. t SPECIAL- INSPECTION ITEMS -•` r .VERIFY_— _ U: OFFIC'& COPY i { ter Address.-, Date �Y GAS Q, Meter By ELECTRIC ` MetD er By ELECTRIC Meter By Date?—,A&,( f k — ' 440B FINALED (Date) C w�t y Signature - J=OIS 0 = Not OK = NotRedldj .•- MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/, /" L'ft. / P Nat. or/ /" L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS; COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDSELOOR (Plans) OK except #'s 1t oning-Setbacks-Easements-Flood-Slope ��,Ag., Main; Soils-Elec. Gm0 j,j'. Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. FW, Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5 t "walls, Main; Steel-Blockouts-Wrapped 6. emwalls, Garage; Steel -Blockouts-Wrapped 6a. He Downs and Special Anchors 71LA[ab, Steel -Wrapped 8. piers -Fireplace Ftg.-Steel 0 D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 19! Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 1 Water Pipe; Test -Anchors -Regulator -Service Test 12! Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14,�girders-Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Z Card B -16f Date Card B-1 Date PL BING (Permit) OK except #'s 1 er Htr.; Vent -Access -Combustion Air Baffle 18 ter Pipe; Test & Anchor -Nail Protection 1,00.' D.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. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection 25.,&ec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31/Range Circle/ /ga C or AI -Oven Circ. / /ga Cu or Al Insulated Neutral es O No 3 Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 3&."S-moke Detector Dates V� Card B-1 C14,A- Date Card B-1 Date �7- Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3e A.C. Ducts Insulation & Support 3 . Vent Fan, Exhaust above insulation 3£- Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4 f Is Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 41 -Bearing Walls over Girders & Floor Nailing ft Stop in Walls (rat proof) 4 . Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4e Headers & Beams -Size & Bearing Date FR ING (Continued) 4ZZ Hangers -Post Caps -Anchors -Connectors 48.4CIing. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 191 Fireplace Ties or Type A Flue -Fireplace Throat Clearance 59,7 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Yl Bdrm. Windows or Exiting Do Sill Ht. & Dimensions Garage Fire Protection Fra ing-RC Channel Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits yrs; Width- Headroom- Rise- Run- Landinq-Fire Protection _ 51T. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 4(Siding-Nailing Veneer ,. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access r"60. Shear Walls aiKg-B 61. Brace rior/Exterior all Panels 62. Insulation -Walls -Ceilings 63. Infiltration-Wa Is -Windows Date f h Card B-1 Date Card B-1 Date Card B 1 Date Card B-1 Date FINA621ans) OK except #'s 6 >�eps-Door & Sidelight Protection -Landings moke Detector 6. mace Vents -clearance -Comb, Air-Connector- In_.Garage; Above Floor-Ducts-Mech. Protection �room Exiting 6 . G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 7,0 tairs.& Rails 7 ireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. t7 . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 c-. Outlets & Receptacles at Kit. Counter 75. age Fire Door; Swing -Landing -Closure 76�A -Duct in Garage -Damper 7&, ,Wt1r Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7§,,P .; Elec. & Mech. Equip. Listed for Location 7L,4--, 1'ec. Receptacles in Garage (F.F.I.)-Romex Protection 0. ation- Foam- Looked in Attic 81__Guard Rails & Deck Construction -Post Caps O- _-Pd . VBents & Crawl Hole Door Drainage & Wood -Earth Clearnce Looked under Floor O Yes _ 83. F wing Instld./Drive O Yes O o/W Iks O Yes ❑ No/Planters O Yes ❑ No % 8d,00Stucco Brown -Finish 95 --AC. Unit Disconnect, Electrical -Plumbing qf;,,,ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings a er Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House ass Protection 9 orrections from Previous Inspections 92 s Test -Meters Tagged, Gas -Electric 93. ater & Sewer Connected -C/O to Grade -HD Approval 94 ergy Compliance Certificate -Other Certificates Dress 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 a` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the ' above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. y 0 cd—kJ 7+ d Date ; �l : "71vo1 � y i . Inspector - v V f REV 10/92 ZZ t COUNTY OF BUTTE f BUILDING DIVISION UD U M C ` DEPARTMENT OF DEVELOPMENT SERVICES qTl,,5C 411 Main Street - Chico, CA - (530) 891-2751 f 7 County Center Drive - Oroville, CA - (530) 538-7541 t` CORRECTION NOTICE s, 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. F `tin •� Date ` Inspector REV 10/92 Jan -20-00 07:23A wbdc 9166852831 P.02, APA=Vff_%W 6 , Cert"ficate ofnf6rance Certificate' 052736 THIS IS TO CERTIFY that the: glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in •accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products - Structural Glued Laminated Timber NER-466 Glued Laminated Timber Combinations 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 audits, in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of -the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond -quality. 1Gwls.e���eNe� . ,���a�srrarrror -�o l w10 .000 SEAL r"S' by w ti ;,Thomas G. Williamson° ' - - 40 Executive Vice ?resident � ENGrNEEREO 1►00D SYSTEMS4 a Mateo Corporation of APA — rHE ENGINEERED WOOD ASSOCIAPON 701 tsouth 4h Street - P.O.'Booc t 1700 • Tacoma, WA 4&111-0700 Tntophcne:. (253) 565-e600 • Fax Number: (253) 565-7285 t _. CertainTeedM ' � Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation [A Homeowner Name /obsite Name C, -�c:.A (90 Installer/Contractor (sign) Builder (sign) Inspected By (sign if required) Company Name Company Name Date R -VALUE BAGS PER 1000 SQ. FT. 'MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. 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: an.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181h 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'h 22 13.1 76 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. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • 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. ft of. insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. 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 ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 6 (✓ BAGS USED BATTS/ROLLS (✓) 170 / / CEILINGS �8 2 WALLS FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • 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. ft of. insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. 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 ©2002 CertainTeed Corporation 11/02 Manufacturer Insulation Fact Sheet This is CertainTeed Corporation I nsu Safe 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 CertainTeedM 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 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: (lbs.) 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 1012 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'2 11 1 6.6 1 151 0.179 14 3/4 R -values are determined in accordance with ASTM C 687 and C 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. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. h. 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: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 774 22 27.2 37 0.733 572 16 19.8 51 0.533 4 15 17.9 56 0.484 3s/8 14 17.3 58 0.467 32 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. 0 cTI f County wf Butte Oroville; California GENERAL CLAIM CLAIMANT: Cheryl Bennett_' -ADDRESS: 320 Burden Terrace" CITY & STATE: Paradise, CA 95969 DATE OF CLAIM: 08/.10/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR. SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sh ` APN: 'b64-330-036 Permit NO:: 164-1129-7 PAID RETAINED REFUND DEVELOPMENT SERVICES $ 2,806.00 $ "1,983.38 $ 822.62 FIRE PLNG APPL FEE SRA $ 43.00 $ 43.00 $ - SMIP $ 12.03 $ : 12.03 $ - SHERIFF DEVELOPMENT SHR $ 305.01 305.01 $ - TOTAL $ 3,166.04 $ 2,343.42 $ 822.62 .......... .......... ......... .......... .......... .......... ............. ......................... ....................... ....................................................... ............. FII . ..1T E .......................................... .......... :::CpDTi:: .............................. ............................... ................................. ;.: DI P>f C0?E::: a1GGpUN ............. ............................ ............. ............................ ............. G:AS0-:CO-D ............... ............... ................. :.::ANTOiJN.T ::O••• Bldg Ins"ttn 0010 440-001 4210500 1011001 $ 822.62 ° ::.. d::::::: TOTAL $ 822.62 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed o delivered, and that this claim is true and correct as stated. /! Dated this day of 2004, a alif. �Si4eure of 61aimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles,specifibd<ove have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check ` r the same. Dated this day of 2004, at Oroville Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND r DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 1 4 Butte County Department of Development- Services' o�UT TFc o 7 County Center Drive o o ' Oroville, CA 95965 o - -- - o (530) 538.7601 Telephone o-=:��'_ o (530) 538-7785 Facsimile ADMINISTRATION * BUIL-DING * GIS * PLANNING August 10, 2004 , Cheryl Bennett 320 Burden. Terrace ' Paradise, CA 95969 . f RE: Permit No. 04-1129 APN#064-330=036 '. Owner: Same On 4/22/2004, a deposit was made in the amount of $3,166.04, of which -$2,344.02 was retained. ,The -remaining fees will be reimbursed to you. Please sign, date, and return the' enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $822.02. Should you have any questions, please -contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m.; at 538-6869. • Sincerely, Diane Lewellen , OA III Administrative Division 'enclosure 04-1129.1tr i , County of Butte Oroville, California GENERAL CLAIM , CLAIMANT: Cheryl Bennett ADDRESS: 320 Burden Terrace CITY & STATE: Paradise, CA 95969 DATE OF CLAIM: 08/10/04 TOTAL $ 822.62 I, the undersigned, declare undepenalty of perjury that the services or articles claimed have been performed or delivered, and that this claim , is true and correct as stated. Dated this day of 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge; the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim- See attached calculation sh APN: 064-330-036 Permit No.; 04-1129 PAID RETAINED REFUND DEVELOPMENT SERVICES $ 2,806.00 $'1,983.38 $ 822.62 FIRE PLNG APPL FEE SRA $ 43.00 $ 43.00 $ - SMIP $ 12.03 $ 12.03 $ SHERIFF DEVELOPMENT SHR $ 305.01 305.01 $ - ` TOTAL $ 3,166.04 $ 2,343.42 $ 822.62 :... OVUM, :COAT» :•::.... BldgIns cin 0010 • 440-001 4210500 1011001 $ 822.62 ' r uv RV r vvr%r 1 r- aCLVYY I rlll LlNr - AUUI I UK'S UJt ONLY SEPT & SUB PROJ SUB. OBJ CLAIM NO: INV N0. INV. DATE ENCUMB. GROSS AMT. TOTAL $ 822.62 I, the undersigned, declare undepenalty of perjury that the services or articles claimed have been performed or delivered, and that this claim , is true and correct as stated. Dated this day of 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge; the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim- See attached calculation sh APN: 064-330-036 Permit No.; 04-1129 PAID RETAINED REFUND DEVELOPMENT SERVICES $ 2,806.00 $'1,983.38 $ 822.62 FIRE PLNG APPL FEE SRA $ 43.00 $ 43.00 $ - SMIP $ 12.03 $ 12.03 $ SHERIFF DEVELOPMENT SHR $ 305.01 305.01 $ - ` TOTAL $ 3,166.04 $ 2,343.42 $ 822.62 :... OVUM, :COAT» :•::.... BldgIns cin 0010 • 440-001 4210500 1011001 $ 822.62 ' r uv RV r vvr%r 1 r- aCLVYY I rlll LlNr - AUUI I UK'S UJt ONLY SEPT & SUB PROJ SUB. OBJ CLAIM NO: INV N0. INV. DATE ENCUMB. GROSS AMT. CLAIMANT Reason for Refund s Name Cheryl Bennett • Overcharge , Address 320 Burden Terrace City/State/Zip Paradise, CA 95969 Date of Claim 06/10/04 M l APN 064-330-036 Permit No.. 04-1129 RECEIPT INFO Receipt No. 305681 Receipt Date 04/22/2004 Issued to (Name) Cheryl'Bennett Check Number 2841 Amount 3166.04 Date of Fiscal Processing 06/16/2004 r PAYMENT DETAIL t` PAID 'RETAIN REFUND BLDG,,,. Time 109.98 1819.01 Filing from Plan Check U0 - 0.00 Plan Check/Filing 0.25 0.00 727.60, 727.60 0.00 Inspection 0.00 - 1091.411, 1091.41 0.00 BLDG FEES OTHER BLDG SRA - Bldg Inspec Fee, ISh,eriff Overcharge REFUND PROCESS FEE 54.99 109.98 ` 109.98 -0.00 . 54.99 _ 54.99 0.00 822.02 822.02 ', 0.00 BUILDING TOTAL 2806.00 1983.98 822.02 FIRE PLNG APPL FEE (SRA)- SMIP SHERIFF DEVELOPMENT (SHR) 43.00 �. 12.03 305.01 3,166.04 17s .43.00 12.03 305.01 2,344.02 0.00 0.00 0.00 0.00 $ . 822.02' t` s W.y;Develo ment'Selry k Tuoodoy,d4uguet 10; 2001 ``ay,Aywa * �• 'W.�+ r �,.�e 1�,I� w,. °,t^� .,BUILDING DIVISION Ver.: 1.0 Counter I Fund 10 (Bldg Permits) Karen $2,806.00' Person SRA Fees (Fire) $43.00 Payment Date • 4/22/2004 I SHR Fees (Sheriff) $305.01.1 Permit Number 04-1129 I SMIP $12.03 s Receipt Number 395681 I Copies/Document Sales $0.00 Check Number or Cash ck 2841 I CUA (Chico Urban Area) $0.00 Parcel Number 064-330-036 _ I TUA (Therm. Urban Area) ' _ $0.00 Applicant Bennett Family Trust e Water .Tender Btln #� $0.00 ' I Received From. Lee Bennett ConsWest Chico Fire Station $0.02J.- - ,t ` ^ ' ' Witness Fees _ • _ $0.00 Total Received -7. Recorders Fees (N.O.C) $0.00 $3,166.04(. Thermalito Drainage $0.001 Total Fees To CollectIF . - $3,166;04 as ..Oroville Are ' a Traffic $0.00' y , Notes_NSF (Non Sufficient Funds) $0.00 I = Notice of Violation - NCSP Trails System $0.00-1 - �— NCSP Roads/Bridges $0.00. _ y NCSP Storm Drainage $0.00 NCSP Fire Station. $0.00 NCSP Parks Type $0.00 Value $0:00 PERMIBin APN • • i • LAST NAME MMMM FIRST NAME CONTRACTOR BENNETT, LEE CITY/CTY STREET NO � STREET NAME CITADEL WAY CITY USE TYPE REMARKS NSF MST • • • B E P E �// ® 2.3 char. max VALUATION® FLOOD FEES PAID .. RECEIPT • : APPLIED FEES 2 RECEIPT 2 ISSUED FEES 3 RECEIPT 3 FEES 4 RECEIPT 4 FINALED` PLAN CHECKACTIVITY Plan -1: Plan Chk 2:. ?LChkd By-2�_ Return_2:, �Str Chk-2,�� Plan Chk-3: (,Chkd By -3: Approved: Str Appr: Comments: z5 char - 14 $152.98 61 13 SMIP#395681.mjs. RERADY• requested 6/10/04. • Dia• o�vTrFo Butte County Department of Development Services Building Division OO C �- - 7 County Center Drive �._�. c�UN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees Daid to other Countv Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the RECEIPT AMOUNT: O........ REASON FOR REFUND REQUEST: Check t ose fees which you wish to have considered for refund: &AkA,P Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) Other (specify): . (Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. o 40i�a�e Date :/F ms/Refund Application 082203 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT. SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041129 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: APN'' 064-330-036-000 the Business and Professions Code, and my license is in full force and effect. u /� License Class : /mss / I License Number: Site Address: Date:-M'O YContractor: 68e R. 6 elfh e� Map Index: Description: NSF Master 97-46 (1641) GAR (484) Cov (128) 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BENNETT FAMILY TRUST to its issuance, also requires the applicant for such permit to file a C/O BENNETT LEE R 8r CHERYL TRUSTEES signed statement that he or she is licensed pursuant to the provisions of 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 PARADISE, CA 95969-5711 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BENNETT FAMILY TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -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, Contractor: BENNETT, LEE R. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 320 BURDEN TERRACE ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 530-877-1737 Date: Owner: License #: 425571 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 Architect: /1 is issued. �/ I have and will maintain workers' compensation insurance, as 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:_ 7 z� i7 (7� Total Square Ft: 2253 S.F. "Izo- Policy #: 713- 000 / 0 Vdluation: $120,329.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withthoseprovisions. Date: {�J Applicant WARNING:F ' e to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 21 PCO . compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. —` -CONSTRUCTION LENDING AGENCY - — , -- 'This'permitis-1h..e(reQby' sued}� rider the`applicable provisions of the Butte County Cods and/or I hereby affirm that there is a construction lending agency for the Resolutions to o c ' 'e5led ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) v Name: By: Date:lX v PERMIT EXPIRES ON: Date Address: ❑ 1 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 authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose b&a Print Name: Signature: oy Date:' wner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor /O BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION BP 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 r, 01 I --) W� DATE: aa, O APN:L9 ZONING: OWNER'S LAST NAME: 4 n'-e� OWNER'S FIRST NAME: C-, PHONE: 3--)? STREET ADDRaESS: P f. FAX CIN. ZIPS r E-MAIL: ITE ADDRESS: CITY, ZIP: CQ /`vC/4Qj NEAREST CROSS STR ET: r ^, APPLICANT NAME: PHONE: STREET ADDRESS: s c -)Lo FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: � � m . ,/'� � � � FAX- AXCITY, CITY,ZIP: L �Ll f cL 2 K. E-MAIL: LICENSE NUMBER: j LICENSE TYP ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: SF Ilo� 1) GAKC4? Oa5 ❑ 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. action on an application after expiration, a new application, plans and fees will be required. In order to renew 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 w,rgla / checked and other department co s are not refundable. For office use only: C? Notes: bel' Application Received by: Date: `T Receipt number: - Amount eceive - I �� r o-- -- - a3 Master application 314-04 1 .. 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: ASS SSOR PARCEL NUM40-PT V • r Proposed Building Use: unter Technician: Date�� v Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order�tdippply. I 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 cQ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 0 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet ............................ . ❑ 22. City of Chico Plumbing permit .................. oval .......-.............................�..� 23. California Department of Forest plan approval aid. Sent by: C� 24. Planning approval (A) Used �(B)Parking: (C) Parcel Che ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... IiT26. NPDES Form............................................................................................. L-iT Encroachment Permit for driveway from the Public Works Dept .......................... - ❑ 28. Pre -Inspection for required....... ' ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization ...................................... :............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 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 and hold for pickup. I have been inform .d of the above items and requirements for obtaining a building permit. Applicant: A Date: 1. Index peri ' pl' on for the above items number Plan Check Letter 2. Additional ituired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑mail, o ter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑counter, b Date: Plans reviewed by.' Date: Plans approved by: Date : ` Structural reviewed b Date: 4 4 Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.N. USE 0 lY Piot Pies Attached Floor Plan Attached Seim to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0�(o Owner Location AP# Plan Approv o . Sewage Disposai� lit! ter S pply. Public Private ell �/-A I -. I - Y � W. -Il Hold final for: Final clearance O.K. for: NOTE: i 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7,COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (53,0)538-7541 JEPULE OF RECEIPT OF FEES OWNER � - � (l A.P. # PROPROSED BU DING USE -IVI1 DATE C� • i 2� RECEIPT # DATE REC. 1. BUILD PE I FEL�S -=- Balance e..................... $ --- Additional Fees Due........... $ ' -=- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (foml available 3. SHERIFF FEES (paid at _Building Divisi " 1 Residential........... X $360.0 =$ Uni . Commercial (sq. ftg.)..... X $0.03 .=$ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X _ $ # Units Amt. , Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (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 . (paid at Building Division) ®Q • (✓® 8. WATER TENDER FEES BATTALION # r $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X $ Zone # Units . Amt. Commercial (sq. ft X _ $ Sq. Fig. Amt. MOTHER 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 dur• e p the • g process. APPLICANT a DATE Pursuant to Govern 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). k Original-Building Division Yellow-Applicant Pink-Owner (rev. 2/2003) `f i AND WHEN RECORDED MAIL TO: .j BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA•95965 Recorded Official Records Count Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AM 04 -Feb -2004 REC FEE 7.00 CONFORM 1.00 Cheryl Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel A: Lot 234, 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 1.01. Certificate of Correction recorded Dec. 2, 1970, in -Book 1648, Page -4 -of Official Records. EXCEPTING THEREFROM all minerals, oil,,P-gas, .,: t asphaltum and other hydrocarbon substances, with provision that any and,.all n_;_ning,:opera% _ • ,,tions''shall be donee from "orifices outside` the surface of said land.' Parceh B , A'non- exclusive easement over Lots A, B, C and D (the common areas) of Paradise Pines- Unit.:.._._ , � IVo: 5 .and I,ot A � of Paradise Pines Unit �Nc; z 4; for ingress, egress and the''uses r and -r ^. f purposes set forth in the Declaration of Covenants, Conditions and -Restrictions, -amend-.. a ments'theieto and the Declaration of Annekation'for Paradise Pines Unit No '4. '. Date A- -0 PROPERTY OWNERS: '--&reeW Bennett State of California ) County of - Butte ) t n `/ /' 1 On 1 _&3_04 `�v&before me, y4 i 1 ��, 1V OY ry personally appeared r_h=„i RP_nnatt personally {mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capachy(ies), and that by his/her/their signature(s)Kont Inst ent,the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand a oe `' l? %dWENDY CSER Signature 411 ��_ Seal; 0.1. Comm. #1308527 '^ NOTARY PUBUC CALIFORNIA 0 BUTTE COUNTY ^ d My Commission Expires Jun. 27.2005 A.P. 064-330-036 �.p BUTTE COUNTY SCHOOLS IMP , ACT FEE CERTIFICATION -FORM (One form per Building) N School District Building Department No. A.P. Number C) Jurisdiction: city Countyr Property Owner 'A "ALX I V I V -4 1 Property Location/Address Subdivision IF Lot No. 16 1 ....................... . .................................. a ...................................... 2: Val Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) IL 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 Q 0 Sq. Footage Now Addition (including Exterior P Roofed Areas (Sl Building Department Repres4n!jt:j)e Date District Identification No. School District certifies that (Applicant) 977—/ (Street Address) (Phone Number) Icity) has complied with the requirerrientsrof- Resolution No. representing square feet. School District Representative Paid by Check # ---- -- I -,-- Remarks: (State) (Zip code) .,t=—, by payment of $ ff S7/r FULL 292 MMGATION Date No : You may protest the Imposition of the few Identified above by submitting a written protest to the District, In compliance with r-, , —nelvt Code Section 66020(a), within 90 days from the'ditiii is" am paid. Failure to submit a timely written protest will'prohM yiiu from challenging the Imposition of the fees In any court actlom If, subsequent to the School District Repaserrtatlw signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this p -1 — It -be ffigrevWmed under the California &Mmnimantel Quality Act (CEQAh this project may be subject to additional school fen to fully on the school districre schools. - (building department), Pink Itrict) feeformaft (10/03)dnwn RETURN TO CHICO EH TO LARRY PAINTER . -SITE PLAN REVIEW :APPLICATION Date: UI a �� AP# Permit Number (if applicable) I 2 Bin Number APPLICANT INFORMA LWAY Parcel Size: Owners Name: Owners Addreo� Q ss: C) l �%� l S5?b . Telephone No.: C� �— �� Email: Situs Address: Proposed Use: Residential New Single Family Residential' ❑ . ,Single Family Addition, ; ❑Single Family Remodel - ❑ Mobile Home ' , ❑ Residential Accessory ' ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Mirinie) ❑' Temporary. Travel Trailer • $ ❑ Multi-family - • Non-residential !_ 5 ❑ New Commercial ❑ Commercial Addition ' F-1 Commercial Remodel ' ❑ New Industrial , ❑; Industrial Addition ❑ Industrial Remodel Ot er ptic ❑ We11 { F-1AgriculturalExempt Building Agricultural Buffer Form ❑ Applicable N/A ❑ Other: , Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE, DEVELOPMENT SERVICES INFORMATION (For Staff Use) JR.Approved' ❑ Conditionally 'Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved • By Date `Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: .A Snow Load Area: �� o 2� t� • ❑ 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) J§ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: D, L i f,) 0 Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: R ^ 1 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 O �, Side S 3 p 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 Applicable Development -Fees: 4 Standard Fees ' ' Amount Formula • ❑ Fire �. t ' , School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage t ❑ NCSP/CSA 87 ` Chico Urban Area — Road ❑. 'Thermalito. Drainage Area ' Thermalito Urban Area FT Other I A F. Subdivision Map Special Fees 'Water Tender. y , ❑ Road Improvement j a F •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: t { r ' 1, , ,� Parcel Created By. u { [1 Deeds:. ' Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed 'of Reference: Legal Aceess Required' ❑ No ❑ Yes Parcel Frontage ori Publicly. Maintained Road: ❑ No' 0 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/Notice 'of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑' Construct road to ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements • --=----------------------------------- ------------- -------------------------------------77---- Page 3 -----Page:3 of 5 a Subdivision ME/Parcel Map: fw-_vse P1 t),Es Map Date of Recording Lot: 10,-i—%© �3 ~i ❑ Use Permit/Minor Use Permit Permit Number: • Book: 3� Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. 0 ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4 of 5 rr . [." CDF FIRE, SAFE REQUIREMENTS AP# PEPMT # NAME'. Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These 'requirements are minimums and will be superseded by Butte County local regulations which equal 'or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. • [X] 1272.00 Maintenance of Defensible- Space. To ensure continued maintenance of properties in conformance with' these standards and measures and to assure continued `availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards . [X] 1273.02 Surface. All driveway. surfaces and'structures (bridges, culverts and -other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive' vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. , [X] 1273.03 Grade. Not to exceed' 16 percent unless paved: kr 1273.04 Driveway Radius, [X] 1. No roadway shall have' a horizontal inside radius of curvature of less than 50 feet and additional surface width`of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, - . ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] '1273.05 Turnarounds. If required, ,will have a minimum turning radius of, 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of -15 feet along its entire ' length.. Page 1 of 3 a. i 4 • �O L_( r73 30 tot e�y 'AP# PERMIT# d NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than' 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273. 10 - Turnaround. A turnaround shall be provided at all building sites on ' `driveways over 300 feet in length and shall be within 50 feet of the building. '1273.11 Gates - _ f IN 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. ' Fuel Modification 1276.01 Setback for Structure Defensible Space ' ' [ ] 1. All parcels 1 acre and larger,shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road., ' [�] 2.. For -parcels less than 1 acre, local jurisdiction.shall provide for; the same practical effect., See other requirements on page 3. [� 1276.02 Disposal of Vegetation and Fuels.. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site 'development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. t r ' Page 2 of 3 AP# PERMIT #, NAME Other Requirements If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves" If Building Setback is Less.Than 15 Feet- Class A or B Roof with Enclosed Eaves and: .Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback Interior automatic fire sprinkler system per NFPA 13D Glass area not to exceed 10 % of wall area toward property line with. insufficient setback Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature ,Page 3 of 3 National Pollutant Discharge_ Elimination -System - (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution - Prevention Plan (SWPPP) AcknoWledgement [LESS THAN -1 ACREl Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs'l acre or more of land requires'a'Construction Storm Water Permit from the State Water Resources Control Boatd and that it is my responsibility to submit a Notice of Intent 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 1 acre or more of.land. I, fiirther, certify that this project will not disturb 1 'acre or more of land. •I � am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: F Date: �a D