HomeMy WebLinkAbout064-350-048(C
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
PROJECT INFORMATION
Site Address: 14145 CITADEL WAY
Owner:
permit No: 06-1496
APN: 064-350-048
BENNETT,
FAMILY TRUST
Permit type: RESIDENTIAL
320 BURDEN TER
Issued Date: 02/01/2007 By KEJ
Subtype: NSF/GAR/DECK(COV)
PARADISE, CA 95969
Expiration Date: 02/01/2008
Description: NSF/GAR/DECK(COV)
(530) 877-1737
Occupancy: R-3 Zoning:
Contractor
Applicant:
Square Footage:
LEE R BENNETT CONTRACTOR
BENNETT, FAMILY TRUST
Building Garage RemdUAddn
320 BURDEN TERRACE
320 BURDEN TER
1,676 484
PARADISE, CA 95969
PARADISE, CA 95969
(530) 877-1737
(530) 877-1737
Other Porch/Patio Total
148 2,308
FEE INFORMATION
CWIF SF $2,244.02
CWIF SF $2,005.09
CWIFAUD Impact Processing Audi $50.00
CWIFDDS Impact Processing Fee $50.00
DB R3 Dwelling -Custom, Model $1,597.72
Fund 10 BLDG $1,166.94
SRA Fees $95.00
Total Charged: $7,208,77 Fees Paid: $7,208.77
Balance Due: $0.00 Receipt No: B1690
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
LEE R BENNETT CONTRACTO 425571 / B / 07/31/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law
for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000)
is in full fo elle
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the
02/01/2007
applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
On raft !i gnature Date
❑ 1, 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 Contractor's License
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
Law does not apply to an owner of the property, who builds or improves thereon, and who does
❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION,
the 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 improvement is sold within one
as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business Provessions
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
and Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier. State Fund 713-0004010 ExpDate: 10/01/2007
Policy Number: .
Contractor's License Law.).
(This section nee not be competed if the permit is or one hundred dollars ($100) or less.
ElIAM EXEMPT under Section B. 8 P.C. for this reason:
❑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 agree that if I should become subject to the workers'X
02/01/2007
compo saC n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
02/01/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to
Signatur Date
comply with all City and County ordinances, rules, regulations, and State laws relating to building
WARN :FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
injury, including death, and property damage caused arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to ante e a e m ntioned property inspection purposes. I hereby certify that I am the
prope or aut to a operty, owner's behalf.
1/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
4qame ittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. DAgent for Owner FAgent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF' DEVEL=OPMENT SERVICES
BUILDING PERMIT APPLICATION
' AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buffecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name ^ 1
Name / ,—,-
irs�aTp
Address
—/i�.
City
State n /1 _
�7�
Zip
Phone _ 3
Fax
E-mail
L_R 6 Aw`7 C
L_ U ✓vN
APPLICANT INFORMATION
CONTRACTOR
Name / ,—,-
R ;Z EXJ/) 077—
J
Address
Tip
Cityate
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Tip
City
Fax
State
Zip
Phone
Map Book
Fax
E mail
Planner
State License Number
3ZN3
APPLICANT INFORMATION
Name Al
Address
City
State
Tip
Phone U
Fax
E-mail
/'%/%NEW
For offs use only:
Zoning
.s
Flood Zone
Received by:
Wa
SRA
Sq FT- Living Garage
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K TORMBUILDING FORMS1BldgApplSubRgmts.doc
PERMIT
c�
' 149
BP
I PROJECT LOCATION I
TION
Policy Number/ 3.Lvd 0
Carrier , , /IN
If hiring anyone other than license contractors, a certificate of worker's
f compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name.
Address
Description or
cope f rk:
.s
Received by:
Wa
7�8
Sq FT- Living Garage
Open Cov
❑. Structure Built without Permits
❑ Proposed Change Occup
of
(Note previous use):
y
-
EXPIRATION OF APPLICATIO
Applications for which a permit has not been ►ssue 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.
Page 1 of 3
REV 8-12-05
Received by:
Wa
Amount: % . Bldg
SRA
Receipt #: �
Sheriff
SMIP
Date
Other
Total
Page 1 of 3
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS . .
The following drawings and specifications must be submitted to the Building Division in, -order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. , Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info; (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs. (A) Metal Bldg Plans, (B) Fnd plans-and-calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
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. C- .
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit 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 arid other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05
COUNTY OF BUTTE -DEPARTMENT QF DEVELOPMENT SERVICES -BUILDING DIVISION
• 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: y� � ASSESSOR PARCEL NUMBER 4,3s6,
Proposed Building Use: + V Permit Technician: Date:
r Items required in order to apply for a permit All boxes MUST be checked OR marked NA in oidlirlo apply.
.1 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.
If 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) Installation manual, including 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. Hazardous Material Form
.S 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
R1fnamiTlire
mus needed to issue the permit (May require additional plan review upon receipt of the following items.)
'A #4 anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ Sprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑ /` rasion Control Plan Required........................................................................
ees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20. City of Chico Plumbing permit........................................................................
❑ 2 . Site plan and business license approval from the Q 'of Biggs..... ............
22. California Department of Forestry plan approval Fpaid. Sent by: ..... ,7—
? Planning approval for (A) Use: � (B) Parking: (C) Parcel edk:............ Cl
24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by:
'
IV . NPDES Form ................................................... ;... Encroachment Permit for driveway from the Public Works a t..... 10.... �?f
❑ 2 . Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
o Y3.
etterofSignature authorization....................................................................
ecorded copy of Agricultural Acknowledgment Statement .................................
❑ xisting violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other.
❑ 37. Other.
When issued Telephone �-1 -7 - 11 _�? I and hold for pickup.
I have been info the above items and requirements for obtaining a building permit.
Applicant:- Date:
1. Indexbm' Aap I ion.fortheaboveitemsnum red: Plan Ch te
2. Addiuired
7
(:6atcaVArrddslgner, owner, was advised of the above data bylfior, ❑ mail, '❑ counter, by Dat . ��
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: D/
Contractor, designer, owner, s vised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by. Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds I I PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner BENNETT, CHERYL APN No: 64-350-048 Permit Type: I I 7 Subtype:
App Date: 6/22/2006 Permit No: BP 06-1496 Permit Desc:
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION
Plan Check portion of Permit Fee
2 FEMA RYes Flood Elevation Review $109.98
3 SRA* Yes Fire Plan Check - Non -Refundable $95.00
(State Responsibility Area) Building Inspection $109.98
NON-REFUNDABLE portion of fees due at application
$2,642.39
$1,056.96 $1,585.43 Balance of Building Permit Fee
0
$95.00 $204.98
$109.98
$1,151.96
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION Z77 $1,261.94
RECEIPT DATE ,Tech/A§stem,
'v ,
At the 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.
App4Governt
Date:
Pursuant t Section 66010, you are her y notified those Items followed by an ""' may have been im os don yo r project. You have 90 days
from the de porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified iSection 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506
oN\�` Department of Public Works
c \l C o u m y o f B u t t e
0 1
J. Michael Crump, LAND DEVELOPMENT DIVISION
a i� Storm Water Management Program
Director 7 County Center Drive
1 Oroville, CA 95965
iO(re�'C WOP)530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Description: , r, A
Project Location and/or Parcel Number: �P� (LIZ,
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board. Phased projects that
contain multiple site build -outs of less than one acre but when combined with subsequent phases total
more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of .
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Butte CO11I11JrDepalf1?2e11t OI DeVeIOjJ171e11t Se1T/IGeS
0gUTTF0
7 County Center Drive
' `�,:: ` o
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development.
County Fire, and Agriculture.
I hereby acknowledge:
I need to submit applications for septic andlor well to Butte County Environmental Health
immediately.
I ant required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
I am respo► Bible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans
The Building Division will process the application through the plans examination process, as submitted,
withoutinput from other regulatory entities that could prohibit issuance of the building permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire; agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: /JQI�%%£� ABN: /7'
Building site address: �� Permit No.:
I have read, understood and accept the t s and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
IGNA OF APPLICANT Lj DAT
SITE PLAN REVIEW APPLICATION
Date:�% �!} O UCPAP# O /40
Permit Number _(if applicable) , D 6 - I L l (Q . Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name:
Owners Address: ogg
Telephone No.: �r%-7 '-^J -.,�
Site Address: ; T 1-;-.6-e&,*
Proposed Use: Zone:
Residential GP: \
New Single Family Residential
❑ Single' Family Addition
❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ TemporaryMobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition' ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
Septic
Agricultural Exempt Building
❑ Other:
Brief Explanation/Issue:
❑ Well
❑ Agricultural Buffer Form
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
pprove %� ❑ Conditionally Approved
By Di
❑ Resolve Problems Prior to Approval
❑ Resolved
Date /,2 (�
2006
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
❑ Watershed Protection Overlay Zone
�RA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain:
Flood Zone:
• Flood Panel No.: 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
❑ Chapman/Mulberry
❑ Cohasset Area
Use Requires:
❑
Use Permit
❑
Variance
❑
Agricultural Worker Affidavit
❑
Administrative Permit
❑
Minor. Use Permit
❑
Minor Variance
Zoning: L I General Plan: L %
Applicable Building Setbacks:
�etbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
2
2006
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
s
10
Side Street
Rear
� 0 19a C,
Height
Waterway
N/A
N/A
N/A
�etbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
2
2006
Parcel Created By:
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes.
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
subdivision Map/Parcel Map:
C
Map Date of Recording:
Lot: Book: S Page:
3 2006
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LEGEND ep ee'�6d �tt9• .vs" i & e"eSd l 9 .�'. �.� e: - �9L d 2i 9
CALCULATED POINT .................................. .. 0 6erii ie •.✓ " 1, '•'<� �/) .. CofJ IJ'"
iaV.ow' tee- �
d` 'SET BACK LINE .... ................. ...... aw-c�'Tx..� �xarca
PUBLIC UTILITY EASEMENT (P, U. E.) .............._
DRAINAGE EASEMENT(D.E.) '...................... SUBDIVISION N.O. -?o
RECREATIONAL EASEMENT (R.E.)..................�BASIS OF GEARIN0.5
- PARADISE PINES UNIT N0. 4
SET CENTERLINE MONUMENT .................................® PT N. SEC. 2S a 26 T23 N., R3 E., M.D.M.
HE
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SET 2•% 3 1'RDN PIPE TAGGED R.C.E. 9033.............Jf FROMCTRIANGULATIONRSTATIONSYSAWMILONE(% 25124`255.90. BUTTE COUNTY , CALIFORNIA
FOUND MONUMENT AS SHOWN ................. Y-701.649.98) TO TRIANGULATION STATION BALD MOUNTAIN SCALE, 1" IOO� AUGUST 19%O
^ f a•2.145.390.G 3. Y. 832.948.42) BEARING N 22' 2G 29 E
' 55,481.57 FT. HURRAY 6 McCORMICK INC.
FOUND 2 IRON PIPE TAGGED R: C. E. 9033 ................E CIVIL ENGINEERS LAND SURVEYORS
DISTANCES SHOWN ARE GRID MULTIPLY BY 1.0001138 TO 1912 F ST. SACRAMENTO, CALIFORNIA
,ALL LOT CORNERS NOT,INDICATEO BY THE ABOVE SYMBOLS OBTAIN GROUND DISTANCES
TO BE MARKED BY 3/4 1
RON PIN WITH TAG R.C.E. 9033 SHEET 4 OF 5 SHEETS
to
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Recorded
official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:02AM 04 -Feb -2004
REC FEE 7.00
CDNFDR14 1.00
Cheryl
Page 1 of i
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires 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: Parcel A • Lot 220,
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 Pages) 97, 98, 99, 100 and 101. Certificate of Correction recorded December
2, 1970, in Book 1648, Page 4, of Official Records. EXCEPTING THEREFROM all min..erals,
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.de-
scribed herein, afid that no damage shall be done to the surface of said land.
Parcel B:-A:-nbn-exclusive easement over Lots -A, B, C and D (the common'areas)'of
Paradise Pines Unit No. 5, and Lot A of Paradise Pines Unit No. 4, for ingress, egress
vI 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:
Date: - o?_ PROPERTY OWNERS:
4ChBiegmet�t
State of California )
Countyf of Butte )
On l ` Z3 `OLL before me,
vu&?J� �rer,'voltvvY
personally appeared Cheryl Bennett personally
known to me (or proved to me on the basis of satisfactory evidence) to 6e the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that be/she/they executed the same in his/her/their authorized capacity(les), and
that by his/her/their sign urefs n the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrumen WENDY CSER
WITNESS my hand n o ciat seal �- " ' n
04 , Comm.#1306527 IS!
(� NOTARY PUBLIC CALIFORNIA 0
BUTTE COUNTY
Signature Seal: uy CommWon Expkes Jw. 27, 2005
L—
f, ..
•;S':.��-9`.rr .. vey+. �, .`.... _ -.� ..�,v..�.. ,r.Pf+. iww., �.-. s•'._ ...''�.�.. may_. _... �_ t �,. '�, VAw .r �.FY-...e.w•.->•f5i'':..�..•y:'s, � �, ..--T - .r _ ..
BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No. GU •
A.P. Number �ivl�V ' U "f (� Jurisdiction: ;dY Ci Counri G
D �
Property Owner VQ 11- \ iZ
Property Location/Address ��G Qit -k ( .Sg ,
Subdivision Lot No. ,
Residential Development ,� .~ 0 • Q Q 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 0 Q Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Represents ive . Date
t Identification No.
School District certifies that
(�7 (Applicant) v
Address)
(City) (State)
has complied with the requirements of Resolution No.
f -
representing square feet.
School
A
Paid by Check # Remarks:
7 _1.173
(Phone Number)
qr-
(Zip Code)
by payment of $ Irl, , Ai -
B 2926 $
ULL MITIGATION $
Date/
i,
IVotice: You may protest the Imposition of the fess Identified above by submttting a wHtten protest to the District. In compliance with
Government Cods Section 66020(a), within 90 days from tha date fees are paid. Failure to submit a timely on i tan protest will prohibit
you from challenging the Imposition of the fee: In any court action.
H, subsequent to the School District Representative signing this Butts County Schools Impact Fes Ce Mcadon Form, the School Dlistrict is
eodfled by the applicable Local Planning Agency that this project Is being reviewed under On CalUaMa Emdromnentel Que tti Act (CEQA),
this ixolect may be sublect to additional school fees to fully mitigate its knoaet on the school dist Ws *schools.
White (school district), Yellow (building department), Pink (applicant). teelormids (305Wnrn
f�
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
0 FEATHER RIVER RECR kATION AND PARK DISTRICT (FRRPD)
O CHICO AREA RECREATION AND PARK DISTRICT (CARD)
4 PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) b (9 ( �'y
Property Owner (s) '
Project Location /Address �-P
Subdivision Name .
Building Permit Number`��
na I 0%
Assessable Sq. Ftge Ju
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments:
Building Department Re re entative Date
0 FRRPD 0 CARD JRPRPD '0 DRPD certifies that:
r7-3 7
- '.—. Phone NumberApp
a � v r�-� -- ��9
`� �
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No. /
by Payment of:
Dwelling Units @ $ per unit for a total of $
' Square Feet @ $ per sq foot for a total of $
Remarks:
Paid by Ch_eQk No: �Paid by Cash:
R rr:Teat;nn and ilk District Representative
'-/37. L-/ L/
Receipt No: I gs-1
/- YI-07
Date
LESS THAN 3 ACRE CONVERSION EXEMPTION
STATE OF CALIFORNIA
DEPARTMENT OF FORESTRY AND FIRE PROTECTION
NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM
CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS
RM -73(1104.1 a) (9/99)
VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF
TIMBER OPERATIONS CANNOT START UNTIL VALID COPY
OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF
FOR ADMIN. USE ONLY
Ex. #
Date of Receipt
Date Accepted
Date Expires
1
The Director of the Department of Forestry and Fire Protection is hereby notified of
timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber
growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of
this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both
pages of this notice.
1. TIMBER OWNER(S) OF RECORD: Name Gene Jefferry Rolls
Address PO Box 432
City. Forest Ranch State CA Zip 95942 Phone (530)343-7341
SIGNA
Date
TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when they harvest trees unless the harvest is exempt (Revenue
and Taxation Code sec. 38116). Some small or low value harvests may be exempt from timber yield tax: Timber removed from an
operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you
believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or
for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax
Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web
Page on the Internet at f�i:l/sewer.tui .::!.i?:;�•.
A. Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf -
Net Scribner short log):Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf
B. Estimate what percentage of timber to be removed during this harvest will be:
Redwood _%; Ponderosa pine/Sugar _ %; Douglas -fir %; Fir—%;
1 Port -Orford Cedar %; Cedar (IC, WRC)_ %; Other, conifer_ %; Other, hardwood %.
2. TIMBERLAND OWNER(S) OF RECORD: Name_ Lee & Cheryl Bennet
Address 320 Burden Terrace
City PARADISE State CA Zip 95969 Phone (530) 877-1779
i certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a
"bona fide intent" [14 CCR 1100 (b)] to convert to home construction site and vard area and that / have mailed a
letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent
landowners within 300 feet of the boundaries of the exemption.
SIGNATURE
3. LICENSED TIMBER OPERATOR(S): Name Gene Jefferry Rolls Lic. No. A7332
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (530)343-7341
SIGNATURE Date
4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland
conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of
the conversion, location and classification of all watercourses, and landing locations.
Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number
25 - 23N 3E MDB&M BUTTE .25ac 064-350-048
Page 1. NOTE:This form has two pages. Continue on and complete Page 2. Read the instructions before attempting to complete.
LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2.
5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre
Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption):
A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general
plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's
Web Page on the Internet at http://www.fire.ca.gov.
B. All timber operations shall be complete within one year from the date of acceptance by the Director.
C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit
by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report
requirements of the Act and board regulations.
D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The
timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the
Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the
acknowledgment.
E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required
by Forest Practice regulations are specified within (attached to) this Notice.
F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local
permit(e.g. county, city).
G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice
and the Director's acceptance shall be kept on site during timber operations.
H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or
damaged.
I. No timber operations are allowed on significant historical or archeological sites.
J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work
Completion Report to the Director.
6. I, , declare as the authorized designee of the Butte County that this
conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county
has authorized a designee this item MUST be completed. If it has not, see item 7.)
SIGNATURE
Date
7. Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884
Address 1600 Feather River Blvd Suite B
City Oroville State CA Zip 95965 Phone (530)534-5229
I certify that I, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and
flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice
according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the
ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption;
and that if the County Board of Supervisors has not designated a representative authorized to sign in Item 6., that 1, or my
supervised designee, contacted the cou� n • th, otice is in conformance with county regulations.
SIGNATURE of RPF Date
8. NOTICE SUBMITTER(S): Name Gene7lerC Its
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (530)343-7341
Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE
FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL
OCCUR:
Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, 135 Ridgway Avenue
San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401
Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas,
=> 6105 Airport Road
Yuba, Sierra, Nevada, and Placer Counties.
=> Redding, CA 96002
EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare,
Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento
=> 1234 East Shaw Avenue
Counties.
=> Fresno, CA 93710
Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and
=> 2524 Mulberry Street
Imperial Counties.
=> Riverside, CA 92501
2
WINTER OPERATIONS Bennef()64-350-048 less than 3 acre conversion
For Timber operations occurring within the Winter Season the following plan shall be used;
The in -lieu option as allowed in 14 CCR 914 (934, 954) .7
14 CCR 934.7(c)
1) Tractor yarding, or the use of tractors for constructing layouts, firebreaks or other tractor roads shall be
done only during dry, rainless periods where soils are not saturated.
2) Installation of drainage facilities and structures, is required from October 15 to May 1 on all
constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is a
"chance" (30% or more) of rain within the next 24 hours The provisions of this subsection do not
apply to mechanical site preparation.
3) During winter operations after rains, road use shall be suspended until the running surface has stabilized by
freezing or drying. Hauling operations to cease when surface material must be shaped to develop a driveable
medium.
* No hauling, road construction, or maintenance shall occur when road surface is saturated as defined in CCR
895.1. Emergency road maintenance conducted to alleviate erosion problems does not fall under this limitation.
* Erosion control structures will be maintained in working condition during wet weather road use
at any time of the year.
NOTE: "Winter period" means the period between November 15 and April 1, except as noted under,
special County Rules at Title 14 CCR 925.1, 926.18, 927.1, and 965.5 (a) except as otherwise
provided in the rules: (1) All Waterbreaks shall be installed no later than the beginning of the winter
period of the current year of timber operations. (2) Installation of drainage facilities and structures
is required from October 15 to November 15 and April 1 to May 1 on all constructed skid trails and
tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of
rain within the next 24 hours.
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Bennet Conversion
Sec 25T23N R3E
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Sent to ■D/DS
DLvrLor-NIFY;
TO: SERNSdifding Division - Development Services
FROM: Environmental Health
SUBJECT: Sanitation Clearance
/3 � I,- -,.-- "e-: T p-
Owner Location AP#
Plan Approved for: Sewage Disposal: Water Supply: Public `Private Well
Clearance for ✓ dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE: n
Building Cle2r2nce 9/2005
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