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064-350-024
(C NOTES RESIDENTIAL PERMIT NO. ANGEL, JAMES - 05..0032. ,MAGA ont: OWNER � � LIA NEW SINGLE FAMILY SPECIAL CONDITIONS CHECKED BY — SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS _ VERIFY _ USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER OFFICE COPY Address G 2� GAS Meter By ELECTRIC Date Meter By &J–; Date JOB FINALED (Date) .i Signature .a J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card.6-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UN F OOR (Plans) OK except #'s 3 t ing-Setbacks-Easements food -Slope F g., Main; Soils-Elec.r .- " Ftg. Depth Date Fes., Garage; Soils-Steel-Elec. Grnd.-/ lZ' Ftg. Depth Porches & Decks; Soils -Steel-/ /" Ftg. Depth Card B-1 Date Card B-1 "mwalls, Main; Steel-Blockouts-Wrapped PLUMBING (Permit) OK except #'s emwalls, Garage; Steel- Blockouts-Wra ed Opo"Hold Downs and Special Anchors 7. SIa,�Steel-Wrapped Water Pipe; Test & Anchor -Nail Protection (replace Ftg.-Steel 19. J.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF,�Cas-Pipe; Size Anchors -Yard Gas Piping; Size Test Shower Pan; Test, First Floor -Tub Access ater Pipe; Test -Anchors -Regulator -Service Test ,7 12. Electrk-lloderground 1 LA enu ucts; Clearance -Material -Support -Ins. (rills Anchor Bolts-Joists-Vents-Crippies Gas Pipe; Sixe & Anchors ccess & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 50. 17. Water Htr.; Vent -Access -Combustion Air Baffle 51. 18. Water Pipe; Test & Anchor -Nail Protection 52. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 53. 20. Shower Pan; Test, First Floor -Tub Access 54. 21. Test Tub & Shower, Second Floor -Tub Access 55. 22. Gas Pipe; Sixe & Anchors 56. 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 Date Glazing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 64. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 65. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 66. 32. Service -Riser Conductors & Ground Main Disconnect 67. 33. Equip. Clearances Panels-Motors-Mech. Equip. 68. 34. Clothes Closet Light -Shower Light -Spa Light 69. 35. Smoke Detector 70. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. 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 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Guard Rails & Deck Construction -Post Caps 41. Sills Proper Materials & Anchors Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Clearance Looked under Floor ❑ Yes 43. Bearing Walls over Girders & Floor Nailing Following Instld./Drive O Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No 44. Draft Stop in Walls (rat proof) Stucco Brown -Finish 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs A.C. Unit Disconnect, Electrical -Plumbing 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .z r� NOTES RESIDENTIAL ` PERMIT NO. ci 0032 µo SOB cA mo 14A 2�5 SKy V`H''`( s x • k SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. + FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER mc -/p, DEcWrao— j k 'JOB FINALED (Date) �0 e 13 e�J Signature J=OK D = Not OK • = Not Applicable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat. or/ /" L W P LPG - 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector ` 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector' 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; N4H 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-Deoth-Spacing-Connectors-Steel 3. Decks. Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wbc :.wn.; Posts-Beams-Rftrs-Connectors Si,,, iq-Ftn-Bracing 5. Atum.:gym.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fang.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. • Elec.; Grounding; Equip. w/5' Circulating Equip: Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks: Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. 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 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s ter Htr.; Vent -Access -Combustion Air Baffle LUr-Waler'Pipe: Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Te_51JUb & Shower, Second Floor -Tub Access .22-`15as Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date? -12-05 Card 13-1 , Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection (25-'Elec. Receptacles Spacing -Lights & Switches at Doors t&_Xv�ie Boxes & No. of Conductors Stapled Amex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 9_,A<3iance Circuits in Kitchen & Conductor Size GFI ubfe d Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI ange Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 632�ce-Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34 othes Closet Light -Shower Light -Spa Light Smoke Detector Date f_ 1'2-ps Card B-1 )3,, 6 S , Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ducts Insulation & Support nt Fan, Exhaust above insulation ondensate Drain & Overflow, Size & Grade 39. Fum ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date`?-11-CKCard B-1 f)A_6 S- Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI (Permit) OK except #'s 44"Sills Proper Materials & Anchors ails Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Ire Stops, Furred Ceilings -Stairs -Chasers -Tubs aders & Beams -Size & Bearing Date FRAMING (Continued) 4 angers -Post Caps -Anchors -Connectors 8 g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 0. c Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Ht. & Dimensions Sage Fire Protection Framing -RC Channel 3 Line Firewall & Openings . Doors -One T -Check Garage 3rd Story, 2 Exits 55. Staff • Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic �? ; She�Walls; Nailing -Bolts race Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date'7-12 - QT Cana 8-1 raji..b S. Date Card B-1 Date Card B-1 Date Card B-1 Date FI L (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 08. G.F.I. & Bath Fixtures & Tub Access -Spa 69, Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 7 -. Fireplace or Stove, Clearance -Hearth 72, Elec. Outlets at Wood Panel, Int. & Ext. Kit. . & Appliance; Ground -Air -Gap -Cooking Clearance Qjjerec. Outlets & Receptacles at Kit. Counter 797 Garage Fire Door, Swing -Landing -Closure 7$,/ C. Dud in Garage -Damper 717. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Garage; Above Floor -Meth. Protection ._PIb.; Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage (F.El.)-Romex Protection 80. IRSUlation-Foam-Looked in Attic �uard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Followinq InstkIJDrive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stuc rown-Finish Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87.,Water Well, Disconnect, Electrical, Plumbing 0. Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 96. Glass Protection 91. Corrections from Previous Inspections as Test -Meters Tagged, Gas -Electric 93. WatSA Sewer Connected -C/O to Grade -HD Approval ne mpliance Certificate -Other Certificates 9 dress Posted 96. Fire Sprinkler Date q 30 Card B-1 Date Card B-1 Date 16 13-M Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 03/25/21:04 13:46 5303431124 WESTERNWOODS EWP ENGINECRED WOOD SYSTEMS V -71 PAGE 01/01 Certificate of Conformance Certificate U 5 4 U 8 6 T HIS IS _TO CERTIFY that the glued laminated timber products identified with a collective mark of E rrgineered WWW Systems (EWS) were manufactured In accordance with the applicable standards a rid assmlated specifications indicated below, ANSI Standarft A190.1-1992. For Wood Products -- Structural Glued Laminated Timber NER-486 Glued Laminated Tirn4ur Cvnnbinations And 'GAP' Computer Program For Determining Design Stresses ArrC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species ITIS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members *are produced in a manufacturing facility subject to regular audits In accordance with the Engineered Wood Systerns (EWS) Quallty'Aaeurence Program. Routlne audits include Inspection of the rranufacturing 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. 0 Wk A Wo COP xt SEAL: `''' - Thomas G. Williamson • Executive Vice President ENGINEERED WOOD SYSTEM b a rdaM 001pam6w of AAA — THE ENGWEERED W40D A9SOCdAMN 7011 Soutlt 19R Mot • P.O. a" 11700 • TACOML WA 98411.0700 T amen; (zeS) S8&8800 • Fax NumOar. (M) 5867286 SURN PUR8 51 �, (GS94" i SMIOPISM X11. ow 1pme owum ow elueN PAUG sm `ate sr# tom! am SOWN ys !M 424S7 -.4ovs;, oguxo#lljp so (am Sri NOIl.VHVIM ,7wm N011MaNncw,o $4l. Soo a3S'Ilo►a i► • cam. •cL � 1WM VOrd3lX3 g •�� S t • S I ALL ��llb � cJ�-'b� ilk Pte! 'u� � oiwmw awr sum Pum8 mi1 m emo'i SMMWN $ SaN Pm8 � •Z (GmkA-wa (Sow" ftemu Gum 1uaH IMINUM fMV MISNI .-Ici MC N AMOM FT;'_1'c' Irr� al.VDL4umo momv k9Nl ON "Co MLV" m WQGM k 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. BP050032 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: 02/18/2005 APN: 064-350-024-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 14265 SKYWAY MAG Date: Contractor: Map Index: Description: NSF (1632), COV (210), GAR (518)OPEN(207) 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: ANGEL, JAMES permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1647 YOUNG AVE signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95969 she is exempt therefrom and the basis for the alleged exemption. Any 530-872-7866 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 Applicant: ANGEL, JAMES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1647 YOUNG AVE such work himself or herself or through his or her own employees, PARADISE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95969 year of completion, the owner -builder will have the burden of 530-872-7866 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and P ssions Code Date:Owner: License #: WORKERS' COMPENSATION DECLARATION I 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: HAWKINS, GARY 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: Total Square Ft: 2567 S.F. Policy a: Valuation: $123,942.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and ` 90J agree that if I should become subject to the workers' / r compensation provisions of Section 3700 of the Labor Code, I shall forthwitthh comply with those provisions. Date: C1 Applicant: WARNING: Failure to- secure orkers' 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 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Code and/or hich fees have been paid. Resoluti s doworkA;;�v performance of the work for which this permit is issued (Sec 3097 Civ.) BY: Date: Name: � PERMIT EXPIRES ON: Address: tDateo ❑ 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 docu ent of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �N ✓ Signature: ©.% Date: ld Owner ❑ Contractor ❑ Agent for Owner ElAgent for Contractor B. C. Building Permit 01-16-04 pq 1 2_0 S ' BUTTE COUN Y PERMIT DEPARTMENT OF DEVELOPMENT SERVICES�j'G• NQ. BUILDING PERMIT APPLICATION r_ ?,2 AND SUBMITTAL REQUIREMENTS 11 ��11 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 • OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BI Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name D o first Name Address G��j/�"� City d State .�0� zip Phone'� jr,' Alf Fax sho- E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Uc. # Class ARCHITECT/ENGINEER Name 0/0 Address, D City C141 91 07 State 7J ✓t Phone �7aQ Fax E-mail State License Number F r office use only: Zoning APPLICANT NAME Name SRA Yes Address Occ. City Subdivision Name Map State Zip Phone Planner Fax E-mail APPLICANT SIGNATU X F r office use only: Zoning Flood Zone X SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LENDING AGENCY Name Address Description or Scope of Work: G Sq. FootageNS O Structure Built without Permits (' D `Proposed Change of Occupancy O (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. Received by: Amount OVER FOR SUBMITTAL REQUIREMENTS 11 „, „. , anoenc�MIA, A.. M—M 'Rr,rt,+e An, Paoe 1 of Receipt #: qI�o�7 Date: 6 '-/ r Bldg SRA Sheriff SMTP �— ther ) / —Total REV 7-27-04 r SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! IS] 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR \ Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. `❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORIAS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Applicant: Angel, James Permit 05-0032 Project Type: NSF/Cov/Gar APN: 064-350-024 100% 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 Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department of Development Services OTtF YVONNE CHRISTOPHER, DIRECTORo 0 o i o N 7 County Center Drive Oroville, CA 95965 M (530) 538.7601 Telephone (530) 538.7785 Facsimile O .. O TO: WILLDAN ' T FROM: Scott Rutherford (530) 538-7160 N srutherford cC buttecounty.net LO SUBJECT: Plans Transmittal For Review Per Contract O DATE: 1/12/2005 Applicant: Angel, James Permit 05-0032 Project Type: NSF/Cov/Gar APN: 064-350-024 100% 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 Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other ...s -.,,..,,...,_:-r , - -� '--. snr-r•.-�*..-C.+r+�s�'ii•Fr'^•�'�_`.v'^"'..--,..-.- ... ���^..�-�..+n�.��.....�'-ue..+..�w+f--�=ih:i^ �'. .:s _.. . . • COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDIAG DIVISION 7 Coun.y Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 , PERMIT APPLICATION DATA SHEET OWNER: / ' ' "6e: , / _J tA- &' S ASSESSOR PARCEL NUMBER Proposed Building Use: LN 557 (j632), Counter Technician: GSL Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �I'/ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . N2. 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. o 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 �j tj 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 ........................................... 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. o�� \ ❑ 2. City of Chico Plumbing permit ................... 23. California Department of Fores ry plan approval ❑ paid. Sent by: SF 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: d(,C--( ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... NPDESForm...................................................................... 27. ncroachment Permit for driveway from the Public Works Dept...5�..... UI ❑ 8. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... '-,i3( 4 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... \�❑,n 3 Letter of Signature authorization......................................:............................. ` _ 33. ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ 4. 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. ........ .. 4, 9 ort I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: / - 5� -- 1. Index peapplication for the above i ems mbered: 4AA Plan Check Letter - 2. Addition items required _ Contractor, designer(Sepwas advised of the above data by W phone, ❑ mail, ❑ counter, b Date: 6S Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: 411 Date: Structural reviewed y: Date: Structural approved by: Date: Note transfer by: Date: td In! OS Yellow: Building Division E.M. USE ONLY, Slot Plan Attached Roos Plan Attached Sent to B.D. I p TO: Building Department r r' FROM: Environmental Health SUBJECT: Sanitation Clearance 141ov+` 15 P- �Aoo�e1i /4 5:z .0 Ca S" Owner Location AP# • Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for /" dwelling. Other .6,e— lAj QGc� Hold final for: Final clearance O.K. for: NOTE: /1 _ Environmental Hea %� 8/96; „ 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # OP SED BUILDING USE PR I� 1. BUILDING PERMIT FEES --- Balance Due- $ `S/' __�t __ --- Additional Fees Due...I�.. .... $ /Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) �f� Residential............ I 6 X $360.00 =$— Units Commercial (sq. ftg.).. 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. DATE RECEIPT # u19bS-7 (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. p Amt. 5. RECREATION DISTRICT FEES 4 ftY2kt>/S (paid at Recreation District Office) (form available after Plan Check) 6: THERMALITO DRAINAGE DISTRICT FEES X10.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ / Sq. Ftg. Amt. 10. OTHER :52 AA I (-S:> ) 2 0— q q IgUS-% L-1( 9 V!-3 DATE REC. '57-4n 9— 1.- (--. o. - At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. j% APPLICANT DATE Pursuant to Gover6ment Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) �+ 5 �L1C WORD .-Department .0 o u n t y J. Michael Crump, Director f Public o f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction -Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN I ACRE1 Project Description: Project Location and/or Parcel Number: SI,4 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. 0 -�--�' Signed: -= Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 V 6�.sL'Ww6'�'?lwoa.....uii'�'Y.kkiwc'�'�S! ��.+Sx`1•.n. ^.k-3:.kC'r'n o.v �o::Ss.#9'. U'.,.u2.:�.....R�,.ix+.Y,_.�_Sn''.,•;�; :=:,a,_ �,re ..a::�'^r• 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 material for construction of this proposed property improvement: YES -[b'] NO - �. 2. I HAVE [ ] HAVE NOT [ ] 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: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: 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 ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: f7A4V4,�Y( DATE: OW -I T"--. S Pgn> 4 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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 Califomia 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. .X ON -1 Micyael C. VieirJ C.B.O. Maifager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. y rye WILLDAN A Serving Public Agencies February 7, 2005 Scott Rutherford Butte County Building Department �•!" ' 7 County Center Drive f • Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX Subject: Plan Review Report Status: Approved 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Willdan Project No: 14353-1331 Jurisdiction Job No: 05-0032 Assessor's Parcel No: 064-350-024 Description: Angel NSF 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 following Conditions: 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. 3. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. See the code analysis table below for area discrepancies. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets 1 through D-1 dated 03-04, by Gary Hawkins AIA. * Structural Calculations: Two (2) copies dated 12-29-04, by Gary Hawkins AIA. * Energy Calculations: Two (2) copies dated 07-09-04, by Aaron Klemenok. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the.page to follow is the identification of the codes and standards applicable to the project, a code analysis and identification of any deferred submittals.' .Page t of 2 County of Butte 'Pe.rin.i.t .Number 05-0033 W.iJ:ldan..Project Number 14353-1.331 .PCC..1..F I. PLAN REVIEW COMMENTS Our review was 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 Type of Occu anc Type of Construction Sprinklers Stories 1" Floor S Ft Total Sq Ft R-3 V -N No 1 1632 518 U-1 V -N No 1 518 518 Cov. Porch V -N No 1 210 210 Deck V -N No 1 *207 *207 SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. Michael LeBeau Plans Examiner Cc: Alice Mefford, E-mail: amefford@buttecounty.net James Angel 1647 Young Ave. Paradise, CA 95969 Gary Hawkins Fax: (530) 893-0532 .Page 2 of 2 '4,4 -V#- 7 Gordon Wright, P.E. Plan Check Engineer Courtly of Btitte Perin it .Number 05-0032 WiUda.n..Project Nuanber 1.1353-1.331 .PC: IT. Feb 17 05 02:26p BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) X .- 0 CIIICO AREA RECREATION AND PARK DISTRICT (CARD) ,X PARADISE RECREATION -AND-PARKpJSTR1CT' )-- -._.__ ❑ DUM M RECREATION AND' PARK DISTRICT (DRPD)- Assessor Parcel Number (s) – 3 "� Building Permit Numbe _Q S__b03 _Dk1 Property Owner (s), -la ,s e Project Location /Address i p�— Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development AZ Single Family -Detached Single Family=Attached _ Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling _ = Mobile-home-� Mobile -home replacement verified by Assessor Department Demo Permit (date issued ) Comments: Department Repre . Date Ir verified by Building Department ❑ FRRPD 0 CARD b�PRPD ❑ DRPD certifies that: J ame s n 1J z ( IR -7 % % aber Applicant Name Phane NUT Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No, O 1// % by Payment of: Dwelling Units @ $ per unit for a total of $ Vper sq foot for a total of $ /R lZ 3 Square Feet @'$ U Remarks: Paid by Check No: Paid by Cash: and KAFORMSWILDiNG FORMS\patk-ret standard forth rev I.doc Receipt No: 23 l 6 Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number Jurisdiction: city -/'County Property 1 Property OUDGIVISIVII Residential Development ......................................... Sq. Footage_ No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ......... . .............. ....... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (including Exterior Roofed Areas) Building Department Representative Date District lde�ntiifiiiiiion No. 4A 7*'Z (0 School District certifies that I it- (Applicarfil has complied with the requirements of Resolution No. by payment of $ 7"U square feet. Representative - Paid by Check # Remarks: 2926 $ FULL 111117111GATION Date Nafte: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Govern m Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest vAll'proldbit you from challenging the Imposition at the fees In any court action. K, subsequent to the School District Repni"niative signing this - Butte County Schools Impact Fee Cefflftatlon Form the School. District Is will by to appllaabls Local Planning Agency that this project Is being rewhraed under to California Envirownental Quality Act (CECkA), thisproject maybe subject to additional school fen to fully mitigate.ft lirnixact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.49 (10/03)dm.m .",--'V AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 18 -Feb -2005 2005-0009800 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property maybe 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: See Exhibit"A" attached hereto Date 2/15/05 PROPERTY OWNERS: James M. Angel State of California. ) County of Butte ) On 2/15/05 before me, L. Boman, notary personally appeared James M. Arigel personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNES d and official seal. ,_. _ Signator Seal: r .;.4` o=. A^ L. BOMAN A P C 41341474 ISJ NOTARY PUBLIC CALIFORNIA � A.P. # 064-350-024 BUTTE COUNTY .� My Commission Expires Jan. 27, 2006 Exhibit "A" PARCEL A: Lot 248, -as shown an that certain Map entitled; "Paradise Pines Unit No. 4", filed in the Office of the. County Recorder of Butte County, California, on October. 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, of Official Records EXCEPTING THEREFROM: All minerals; oil; gas, asphaltum .and other hydrocarbon substances; with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no.damage shall be done to the surface of said land. PARCEL B: A non-exclusive easement over Lots A and B Lots and D (the common areas) of Paradise Pines. Unit No. 5, and Lot A of Paradise Pines Unit No. 4, for ingress, egress . and the uses and purposes set forth in the. Declaration of Covenants, Conditions and Restrictions, amendments thereto and the Declaration of Annexation for Paradise Pines .Unit No. 4. Assessor's Parcel No: 064-350-024 . TO . , i (" V (lSITESITE PLAN REVIEW APPLICATION Date: AP# 1. Permit Number (if applicable) Bin Number ti APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: KT) 7 - 26 L-, 1,0 Email: R sidential O ®©� Z R 'd 'al � New Single Family esi enti ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other (1. Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel "Tx DEC 0 1.2004 DEVELOPMENT SERVICES ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WFJTE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval PR Site Plan Stamped Approved By/"A__�. Date lam - Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: • �0 -{o aSaO ; ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Healthfor standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) / Expansive Soils (Test for expansive soils and if verified proper foundation design required) / � l od SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: (000 7C0 x/00 G . Index Date: % p ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance ❑Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: GP- Lar2 Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front F. Side Side Street lO , G' Rear /5-1 0 Height Waterway N/A N/A N/A Subdivision Map ,20."d-5 L . o' P.u.E- ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑' School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time the building permit. Parcel Created By II Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes; Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: - ❑ Ye ❑ Ye ❑ 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 PaoP. ; of 5 0 Subdivision Map/Parcel Map: Map Date of Recording: Id l7 0 Lot: o2Lf a ❑ Use Permit/Minor Use Permit Permit Number: pvr�� 4k� Book: 35" Page: 97-161 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.RC. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified. professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 10 Page 4 of 5 1 . , x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:VLarrys\Building Permit Site Plan Reviewl.doc (2-20-04) Page 5 of 5 B U TT E C O U N TY Environmental Health Nov ti 0 2004 AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Chico, California Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Depa Name: Mailing Address: i E -Mail address Assessor's Parcel Number.' 7 County Center Drive, Oroville, CA (530) 538-7601 Reason you believe you qualify for the unusual circumstances exception: or Authorized Agent' signature Phone:,Vo o oc Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition 0 of a �300e. aA SITE PLAN REQUIREMENT: submit 4 copies with this form � O�/.� Refer to the Site Plan Submittal handout for specific requirements (/Vl it-tW 1-2/3 ................................................................................... Internal Dept. Contact Info: ❑ other vknv. Health [3 Planning Planning ❑ Gbntact Person: Phone: ................................. ................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Date: Agricultural Department Signature: YMC 7/1/03 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING December 3, 2004 Jim Angel 1647 Young Ave. Paradise, CA 95969 Subject: APN — 064-350-024 Dear Mr. Angel, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Environmental Health Permit Application for a septic permit, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Environmental Health Division for their consideration and action. Attached, please find a copy of any use permits, or map notes and conditions for your property. Please note the parcel map condition of a l' no access strip along the property line along Skyway and a dedicated 15' area for driveway access. When you submit your application for an encroachment permit to Public Works for your Building Permit, you may have to revise your site plan to reflect this driveway access area. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Since y, Lana Adler Assistant Planner \ 94_ \ o� ♦.J \o `� °e A' II 2 ro ♦ v _ � \ so 232 � a� � � � \ o s-�� o♦ � ° 5 vt � . 44 21S o_ 0 ♦ � \ W nt O_p O m W1 O I //3 4 • .2.�tG F. .:�!"It. /: i • /V•',? 3 < A° B3 �t�A 2'i•� g P ` �� i?/ P`se � p'IV� !'t7•1 tea_ ,.. �t � ?.53 °` �`a r�� �6. o •.�.rc \ a w�'�/ B� �B b'e < �F :_'oB �� , .d �^° X1232 f� ~ � 296 ��b : •. 338 2/3 •/' h 1S�d',' �'\ a. +��L Cao 337 �Q1 moi: d1�'1 / t�4 '. � 2GK�a��` 2/4 :a ' a. ¢�ca'° `� r 4• � �. � �. �. .,�% .� �.`. •� . •a:d\ Af / '4y - a 230 '� ` 247 a °� a B Iir ` _ 336 �' � ''_.-,7e(/A . •a. ��� /84 / ' ti a d� \ ->w .Ad yjsd ' � � 229 \ ` i 2->9 ,�� �.. $, g � � \\ �'. 'o y. �`L, � / /BDA `4, f't if \fie `''d °+ g 11 � '✓s , s ` '4, °{°° 4i� ` e s ra'•ir/ e/ I /9S' ti 9 \02Or4 , 2/6,6 -i : a� d�I � � u_ y t. o f�335 �Z y y x/79 \ t/III 'a. 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FOUND 2 IRON PIPE TAGGED R.C.E. 9033 ................E 'ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYM8DL5 TO BE MARKED BY 3/1• IRON PIN WITH TAG R.C.E. 9033 /7S�a /901e� '� 222 /74197 196 173 5-- a BASIS 9F GEMINGS THE CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED FROM TRIANGULATION STATION SAWMILL IX -2.121,255.90, Y•7a 1.649.98) TO TRIANGULATION STATION SALO MOUNTAIN P(. 2, 145.390.63. Y. 832.918.42) BEARING N 22' 23' 29 E 55,181.57 FT. DISTANCES SHOWN ARE GRID MULTIPLY BY 1.0001138 TO OBTAIN GROUND DISTANCES • - - 'L. /. �eF ;A:.'° \. -\. 932 -` "e �- ..,;?60�.y r 2 �. v'a ': `?'• ad's. 330 V V 257269 e f cie FI'• SUBDIVISION N0. PARADISE PINES UNIT N0. 4 PTN. SEC. 258126 T23N., R3E.,M:D.M. BUTTE COUNTY , CALIFORNIA SCALE11% 100' AUGUST ISTD M URRAY B MCCORMICK INC. 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AA yi $xo KoD oovomNho mn'. -mn- w a O g,Womm o e R 'n NT19 A „m yr y0 ENCROACHMENT ISE ` ' County of Butte Department of Public Works•-.-... 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530 538-4356 Download Forms: www.buttecounty.net/publicworkstforms.btml NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District Phone (530) 538-7157 Ext. 2016 Z 2 -8106 - -8106 -APPLICATION APPLICATION I WE, the undersigned, hereby apply to the County of Butts for an encroachment permit to do the following work under or over the County roads td hi ways, all in accordance with County ordinances and general, laws. All information except signab= must be ryptil or l4 bly print6m) Applicants N 046a la` Company Nam . Address: / 61�� [� Phone: / 4. Assessor's Parcel Number. L.oeation of work m e /�/�,/� 5 • /�/�lr���� � _ �%`"l Ole `� � �' lJo�7 7. ----- �.. CONTRACTOR'S INFORMATION Contractors Name SSIGNOL BROS. Address P.O. BOX _ ApZA� oL-FS Yes [B -14o: ❑ Ac4,.. TYPE OF WORK TO BE DONE s cic 17. if Driveway List Type: 6. Please Ch Curb: Gutter ❑ Sidewalk: ❑ L Other work - Describe: 19. Plans Attached: / ❑ Yes No PERMIT GRANTED. t compliance with the above request and subject to all tams. conditions (including those on page 2 of this permit form) and special conditions written below, omission is h FEB 0 4 2005 COUNTY OF BUTTE EPT. )ndmoround Service Alert .SA must be notified two workin r to any excavation. 80D -227-260D 1_ ❑ All work shall conform W accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 23. Expiration Dam 0-161-66 Surety: , 2- Date Issued .s 161"6 6_ S. Date Par 126. Amount Pala„ Mike Crump, Director of Public, Works 29_ Final ]nsoccdon Daae 1 30. Inspected By. *or Couofj I _— useonrT 1j 3�1. 27. 28. By: ❑ Completed - OK Completed — Not OK ❑ Additional Comments Avached v.er-4tF thry can be delaved up to One Y ,lf 7 v + AND WEEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 y�� (III "I Iii l IIII I I�I" II IIS (I�" III Recorded Official Records CountyBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:12PM 18 -Feb -2005 REC FEE 10.00 CONFORM 1.00 Cheryl Page I of 2 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: See Exhibit IIIA" attached hereto Date 2/15/05 State of California County of Butte PROPERTY OWNERS: James M. Angel On 2/15/05 before me, L. Boman, notary personally appeared James M. Angel personal) Y known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNES d and official seal. Signatures Seal: ?�P4g�pV ol' L. BOMAN P W Comm. #1341474 U) NOTARY PUBLIC CALIFORNIA 0 i BUTTE COUNTY J A.P. # 064-350-024 My Commission Ex pires Ja n. 27, 2006 2 g ::ij 33A f bsb^iooO 2btoasg 16BOid 3TTUI { 'rlbMa�A I Nowto YNA t,r7ertl I tnstet: �„ t SnsG I aMS-dr�8i M4St�St 01611!�F Exhibit PARCEL A: Lot 248, as shown on that certain Map entitled, "Paradise Pines Unit No. 4", filed in the Office of the County Recorder of Butte County, California, on October 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, of Official Records EXCEPTING THEREFROM: All minerals, oil, gas, asphaltum .and other hydrocarbon substances; with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no.damage shall be done to the surface of said land. PARCEL B: A nonexclusive easement over Lots A and B Lots and D (the common areas) of Paradise Pines Unit No. 5, and Lot A of Paradise Pines Unit No. 4, for ingress, egress . and the uses and purposes set forth in the Declaration of Covenants, Conditions and Restrictions, amendments thereto and the Declaration of Annexation for. Paradise Pines Unit No. 4. Assessor's Parcel No: 064-350-024 V V -- L=80_35' -„O - --------------------------------- -------------------- ---��.`-- - 1K--------------------5_--SDL -10 --------- _ PIN -------------- -12'E ---- ------ - ---I i -IIb-,------------------------------------ �-8'OAK__' __-------------------I+- --- --y' I - - - - - 12' - - - 0 REPLACEMENT II L I LEACH FIELD lo'II I N 28' PINE /- ---- ---- - - - - -- - - -_�I � -�---- ----------- I I --- -- --- ----TIGHTNALI-------- ------- _ _a' la" OAKI AROUND TREES - - _ - - - - ` ` T - - _ _ 1 f ------- -----� 012' ---- I OAK r - - , r----------------- -------------------------' Jk _ --- --------------- - -------------- I I o N ---------- - - - - •I - i --------------- ------------------- ----- NSTALL-LEACH _--------- II 21' PIE \ �� COUNDTYESTANDARDS �I I _ IT- ' - a 28" PINE I 1 01 IV OAK --_-- -, O /--_ I h -_-------�, ------------------------ -----1 / I -----------------------tT --- --5' o i- - - - - - - - - - - - - - - - --- - - I 11' PINE I I 1 a 30' 12' C.O. 1,000 GAL f — - - - 1 PINE DECK SEPTIC TANK I -,, i - ----I -- PROPANE-------- ---------- ---- _- I I _,I TANK 10" Il' PINE ----------- OAKX i-------- -+---- --1' 13" m ONE N' I — — — - — — a. CLUSTER STUMP OAK I _ ONE STUMP ON 1 VV I 0 OAK STI�MP 22' � 'X4 12' PAIV I L PINE (N) 3 BEDROOM OAK OAK -3, - PINE I CK RESIDENCE --------------------------------------------------------------- icn PINE X - REMOVE (E) SPINE a' TREES, TYPICAL I OF 21 i PINE 1V ONE STUMP I OAK 'X40 I IV PINE ' IV PINE 12' OAK j I - t � I - - - - - - - CONC. PATIO 10 FIR , T---I ------------ 1 -------------- ---------------- CONC. -----------CONC. DRIVE X ' PINE I I f- 3' CONC. I +/- 18'-3" WALKWAY I a C0% 1 X' SPINE 20' SBL _ _ J d412 ----------- ---- ----------- i -- ----------------------- AK------ 18' OAK I J a" OAK o ° 12' C.O. z o i 0 POWER POLE SKYWAY X/91 0' S' 20' 30' SITE PLAN - LOT 210-- N SCALE: 1'=10'-0" .21 ACRES Revisions: Plot dote: i N I— V V -- L=80_35' -„O - --------------------------------- -------------------- ---��.`-- - 1K--------------------5_--SDL -10 --------- _ PIN -------------- -12'E ---- ------ - ---I i -IIb-,------------------------------------ �-8'OAK__' __-------------------I+- --- --y' I - - - - - 12' - - - 0 REPLACEMENT II L I LEACH FIELD lo'II I N 28' PINE /- ---- ---- - - - - -- - - -_�I � -�---- ----------- I I --- -- --- ----TIGHTNALI-------- ------- _ _a' la" OAKI AROUND TREES - - _ - - - - ` ` T - - _ _ 1 f ------- -----� 012' ---- I OAK r - - , r----------------- -------------------------' Jk _ --- --------------- - -------------- I I o N ---------- - - - - •I - i --------------- ------------------- ----- NSTALL-LEACH _--------- II 21' PIE \ �� COUNDTYESTANDARDS �I I _ IT- ' - a 28" PINE I 1 01 IV OAK --_-- -, O /--_ I h -_-------�, ------------------------ -----1 / I -----------------------tT --- --5' o i- - - - - - - - - - - - - - - - --- - - I 11' PINE I I 1 a 30' 12' C.O. 1,000 GAL f — - - - 1 PINE DECK SEPTIC TANK I -,, i - ----I -- PROPANE-------- ---------- ---- _- I I _,I TANK 10" Il' PINE ----------- OAKX i-------- -+---- --1' 13" m ONE N' I — — — - — — a. CLUSTER STUMP OAK I _ ONE STUMP ON 1 VV I 0 OAK STI�MP 22' � 'X4 12' PAIV I L PINE (N) 3 BEDROOM OAK OAK -3, - PINE I CK RESIDENCE --------------------------------------------------------------- icn PINE X - REMOVE (E) SPINE a' TREES, TYPICAL I OF 21 i PINE 1V ONE STUMP I OAK 'X40 I IV PINE ' IV PINE 12' OAK j I - t � I - - - - - - - CONC. PATIO 10 FIR , T---I ------------ 1 -------------- ---------------- CONC. -----------CONC. DRIVE X ' PINE I I f- 3' CONC. I +/- 18'-3" WALKWAY I a C0% 1 X' SPINE 20' SBL _ _ J d412 ----------- ---- ----------- i -- ----------------------- AK------ 18' OAK I J a" OAK o ° 12' C.O. z o i 0 POWER POLE SKYWAY X/91 0' S' 20' 30' SITE PLAN - LOT 210-- N SCALE: 1'=10'-0" .21 ACRES Revisions: Plot dote: D ARCyl A wkiy��' * No. 18693 �k REN CA��F��� N I— 4-0 L) pNj p M 'o C a M o U U as z .c y N Z ED Date: 03-04 Drown: FC Job no.: 04-012 -j T� O i ai 6 IF .a o O M O C ■wj{ Vc �� U � O ~ U t D ARCyl A wkiy��' * No. 18693 �k REN CA��F��� O I— a W U as z W N Z ED Date: 03-04 Drown: FC Job no.: 04-012 -j