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HomeMy WebLinkAbout064-410-024t• MONLY Piot Plea Attachad Roos PianAZ- /� � Sent to a. -2 2 U 1 � 0 L— TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance IAA u® �mv Owner Location AP# Plan Appro Sewage Dispoa�l� Public Private Well welling. Other \J.Clearance ef. . � LV�Q , Hold final for: Final clearance O.K. for: NOTE: Envilonmental Health Specialist 8196 Date o3�2s ENCROACHMENT PERMIT 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/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number 03 / a, District APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted 1. Applicant's Name:1 �2 / c—/-) S ir✓ f� /� � CS S la. CompanyName: 2. Address: ) E::: � 2) .. iyp / -11 S' 1�;9.,19 3. Phone:x73 —L/ . Assessor's Parcel Number. �_3 z 5. Location.of Work to be Done 6. Applicant's Signature 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name S� 9. Address 10. Phone: / 11. Fax: 7:3. — �% S'�c 3 12. Contractor's License Number 7 ,-1 S L-).2- 13. Certificate of Insurance: Yes No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: ' TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: P"'Sidewanc. ❑ -2_ 17. Driveway (List Type): �. 18. Other. G b �v L r2 tJ S `••1' � dl L PERMIT GRANTED In compliance with the above request, and subject to all terrrs, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ted. 19. Conditions �f 1 °'� �O Yl C Z ,�Ac CV C 4L V i� Vh �' C o v `f' tri 32" a r'' ; ` rn &i f /4e c 6 a ro e e G a 'rO a oad et Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. �W work shall conform to accompanying: Detail a Plans ❑ Special Conditions 21. Date Issued tel'i � C(3 22. Expiration Date: 23 Surety Mike Crump, Director of Public Works By: ---. u permus are raxea to any number besides (530) 538-4356, they can be delayed up to one0eek. Page 1 of 2 General Conditions — See Page 2 National Pollutant Discharge Elimination. System'(NPDES) Phase II & ' SWPPP Non-Certification for Project # '"' for'Butte, County Storm Water Permit Compliance ' By signing below, I, the project architect/engineer of record,'indicate that I am aware that a . construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. 'I, additionally, understand that it is the project owner's%owner's agent's responsibility to submit a Notice of Intent (N. 0.1.), a Storm ' . Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more , than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California r' 'Storm Water Quality Task Force, Sacramento,. CA. I certify that appropriate BMPs will be �- y' implemented to effectively minimize the negative impacts of this project's construction' activities on storm water quality. I acknowledge'that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness: If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made_ without unnecessary delay. I,am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title:- Date: 4 By signing below; I, the project owner/owner's agent,'certify that I am aware that a construction' project that disturbs more than 1 acre of land requires a.Construction Storm Water Permit from , the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more thane 1 e of land.�I further certify that this project will not disturb more than 17 acre of la d. 1Ttiis documentand=all�attachments were prepared under my direction or,` supervisionin accordance with a system designed to, assure that qualified individuals'properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and., belief, that the inform on submitted is true, accurate, and complete. Signed: A Title: Date: y NPDES & SWPPP Non-Compliance Certification Drag Butte County Stonnwater Plan , School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATIONFORM (One form per Building) �� /�O/ ��G� (/�/ ��' �G i✓ Building Department No. 4 045� %- f!� C(Jurisdiction: City (/ County Property Location/Address Subdivision 41 Residential Development Q No of Living Mobile Home Units Installation ustrial Q Q New Addition Department Identification No. 009 (Street Ad" ress) IN Lot No. .................._.._..._..................................:............................._....... Sq. Footage 7 Addition/ 'Supplemental to (Group R) Conversion Permit # i *(No foundation Inspection) .......................................................... _...; Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) 4 -kyschool District certifies that -u __:;" 0/ -' (City) (State) has complied with the requirements of Resolution No. representing ./7/0 square feet. °\J i ( / u School District Representative Paid by Check # /� Remarks: Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) XV (Phone Number) C (Zip Code) by payment of $ 2926 $ FULL MmGATION $ 12 -- Date s Nodes: You may protest the Imposition of the fees Identified above by submitting a written protest to the D14trfct, In compliance with Goverment Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest w10'prohibk you from challenging the Imposition of the fees In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is no~ bi the apolcoble Loeal.Planning Agency that this project Is being reviewed under the CalUomla Environmental Quality Act.(CEQA� this proJeet may be subject to additional school fees to fully mitigate. Me Impact on time school districts schools. White (applicant), Yellow (building department), Pink (school district) feetorm.xis (10/03)dmm �J • TO LARRY PAINTER f,. __ ..; I ETURN TO CHICO EW SITE PLAN REVIEW APPLICATION Date: �� to —U 3 AN Permit Number (if applicable) Q 3 — 278 ® Bin Number A-9 APPLICANTINFORMATION Parcel Size: W) A L Owners Name: AT2 l d!tq- Pat) D Y S E/J Owners Address: Telephone No.: 8 "? 2— 3 3 g Situs Address: rT/V�,� S% Proposed Use: Residential New Single Family Residential ❑ 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 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): G -, 1 ",-rd--cz- e -=i= -2 ; DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved 15 Conditionally Approved ❑ Resolve Problems Prior to Approval a Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CCI<Y-D APPLY TO THE PROPERTY Parcel Is In: O .Snow Load Area: -12 2S • ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) a SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X- • Flood Panel No.: 31-1 G -D (, Index Date: 6-8-96 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and.requirements) ❑ Chapman/Mulberry.(See attached standards and requirements) ❑Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: rR- - 2 - Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S c Side S -2._,, O Side Street Rear ) 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 r< Applicable Development Fees: Standard Fees Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By II Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements • ----------- Page 3 of 5 III Subdivision Map/Parcel Map: S j�> P 1 N C.S 1J ©.- Map Date of Recording: Lot: g --20-1D 13 Z Book: 3S ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: I • Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Pla* 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. IN Page 4 of 5 • 0 '` vy /68 � aN ra :439. 7p' WAY /6 7 e s w 3h o� O � q• s ,iai oin ?a "E m 40 /29 I AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Rq4 11 -Dec -2003 2003-0086256 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 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: Date % �� �� P PERTY O S: Sean Michaels State of California County of Butte On December 10, 2003 before me, A. Burcham,notary personally appeared 6ean Michaeis 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/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hangl and ofticia eal. ^ w A. BURCHAM SignatureSeal: 0- Comm. #1281413 %rt NOTARY PUBLIC CALIFORNIA 0 V BUTTE COUNTY 1 A.P. # 064-410-024 My Commission Expires Oct. 22, 2004 i EXHIBIT. "ONE" PARCEL I: Lot 132, as shown on that certain Map entitled, "Paradise Pines Unit No. 5", filed in the Office of the County Recorder of Butte County, California, on August 20, 1970, in Book 35, of Maps, at Page(s) 88, 89, 90 and 91. Certificate of Correction was Recorded December 2, 1970, in Book 1648, Page 2, Official Records of Butte County. 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 II: A non-exclusive easement over Lots A, B, C and D (the common areas) of said Paradise Pines Unit No. 5 for ingress, egress and the uses and purposes set forth in the Declaration of Covenants, Conditions and Restrictions. Assessor's Parcel No: 064-410-024 lw nj� ad" _• 1F COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I& in -�� i> ASSESSOR PARCEL NUMBER Proposed Building Use:/�� Counter Technician: Date: Items required in order to apply foraer pmit. M boxes MUST be checked 69 marked NA in order to apply. TUL . Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 03. Engineered plans,.3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. -PV4. Engineered truss details and layouts in duplicate. No faxes! V4 j 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and, calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... 12. Hazardous Material Form ............. 13. Other_JUS w e ining items needed to issue the permit. (May require additional plan review upon receipt of th foll wing items.) Fees as shown on the attached Schedule of Fees Due Sheet.......................................�� 1 tatement of Intent for Non -heated and A/C Buildings ...................................:.'...... Sanitation and plot plan approval from the Environmental Health Department 17. City of Chico Plumbing permit ...................................................... i 8�California Department of Forestry plan approval El paid. Sent by:'(; � ��/^� � ��.... ❑ 19._Planning approval for (A) Use: (3K (B)Parking: (C) Parcel Check: —p'- 0. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. I. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).lo -L-o3 /lZs ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... 7. Recorded copy of Agricultural -Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................. ❑ 29. Existing violations and/or expired permits......................................................... W❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Le r from Legal Owner, ❑ Check HC D. $ ' Other: A a� Fj-(T,IV A P) —2u— � . When issued Telephofie ?I 7 3 -• 9 q; 3 � Or A it and hold for pickup. I have been inf6rnied of the Applicant: Z_ and requirements for obtaining a building permit. 1. Index permit application for the above items numb red• I — Plan Check Letter �2.Add' ' items required ntrac signer, owner, was advised cf the above ataby o , ❑ mail, ❑ counter, by Date:/ `f Dntractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approveLd,by: Pg,4 Date: Z2 -/ _ 0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: WDate: Yellow: Suilding Division sx Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6511; Dec -4-03 2:16PM; Page 1/1 ...•�:.. ......,� -. ....v......r.•..::... �,:c.r.:�'.n.-.�... .a:nkh�:.:X�,:.: � �:..: .;,r; •. %.W,"�•. ;J� ^;11`:"..t.�.,.:.... ::}7,, ,, ;.�. Iht 17m Ansebw Row Hese A�Aq� surf M •A. P , " _ a �� TO: Building Department FROM: Environmental Heahh SUBJECT: Sanitation Clearance Owner u Location APAP Ptan Appro - Sewage Dfspoadi`_ W er up y: Pubic i� Private Well Clearance ,fiwe(Iing. Offer,�'•'C�ji_;. Mold final for: Final clearance O.K. for: NOTE: Health Specialist j Date. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7, County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 4 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT N ASSESSOR PARCEL NUMBER 064-410-024 ZONING R-2 BUILDING PERMIT OWNERTELEPHONE SO. FT. OCC. BUILDING VALUATION, . OWNERS MNUNG ADDRESS —33 ;U-4932 1710 R 92 340.00 573 U 10J14.00 CONTRACTOR'S NAME Po MAGAT TA 9 954 TELEPH 288 C 3 744.00 CONTRACTORS MAILING ADD SS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 06 8.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 664.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 4-31-60 BUILDINGADDRESS 6341 AMHERST MAGALIA 95954 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE S 11-1,9.60 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Dupl Ti ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 70.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15-00 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF W/ATTACHED GARAGE Gas piping system 1 - 5 outlets 15.00 19-00 Building sewer 15.00 Mobile Home IS I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A OROR LESS 2o0A LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in )full force and effect. �7 s 0 , / License Class J>nLic. No. 7 T OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLDS. SO 3.5¢Fr: ]9.91 NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUrrS 97.50 POWER APPARATUS a SINGLET LE OUTCIR. EX. OCCU OUTLET OR FIXTURES BAL @'; 0 Ex. Occup. OFUT1iTS PR 6.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.10C Misc. Wiring 23.00 PERMIT FEE $ Q WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 95-00 Hood 6.50 Ventilation GAS FIREPLACE 15-00 PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation jof one hundred dollars ($100) or less.) ft/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' goTpensation laws of California, and agree that f I should become subject to the kers' compensation visions of section 3700 of the Labor Code, I shall f with comply_ a provisi s. C? j f 6 O X __ Date / / Si ature of Applicant - ❑Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and de olition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. Tv TOTAL FEE_$ 1553, 01 HAZ. D. F IMP FL D �%° /�" CDF PARCEL PD ISSUFj ✓ v This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By EXPIRES ON l the applicable provisions Resolutions to do work been paid. l Ll a [ C C D! Receipt No. PIWPERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI K -I SPEC GOLDENRO COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 County Center Drive p• Oroville, California 95965 (Rev. 12/96) %� /yAPPLICAT'®N AND P ` O , 1 V _ VIS ZONING ASSESSOR PARCEL NUMBER (/ (^JO OWNER - T LEFHE OWNER'S IUN ORES T `HONE CO NTRACTPR:9 ,NAME h/1 • w I _ _ I n _ (% �i CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS ���b�SGs 2 35 - s e i g _,_ 7 PARCEL MAP LOT NO. ) gSUBDIVISIONS NAME YIUSEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ 'Remodel ❑ Utirrfies ❑ Installation ❑ Other ❑ Describe Work: (Jz/ q�'P 2 O'OD S12PPERMIT FEE PAID 41(V 11 � I i SRA $ SHERIFF $ OTHER $ $ AMOUNT RECEIVED $ ISS DATE RECEIVED. q" / RECEIPT # 3 g5S �Z� I BUILDING DIVISION 74 q 1 (530) 538-7541 :5 PERMIT NO. BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION 1 n � Fireplace PERMIT FEE S jCJ — ELECTRICAL PERMIT Total Valuation Is Main Service eoov oR Less 200A OR USS 23.00 Filing Fee $ 46.00 20.00 Permit Fee $ OR ADDNS. 6 ACC. BUDS. Plan Checking Fee $ MULn,ourLET @7,50 Energy Plan Checking Fee $ o< $ PERMIT FEE $JK 0 PLUMBING PERMIT Fling Fee 20.00 Each Trap U 7.00 �U Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 S — Gas piping system 1 - 5 outlets 15.00 -- Building sewer 15.00 Mobile Home I S G I W @20.00 EX. OCCU . OUTLET OR F0=RES PERMIT FEE S jCJ — ELECTRICAL PERMIT Fling Feel 20.00 Main Service eoov oR Less 200A OR USS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP. SO. .3.5Q OR ADDNS. 6 ACC. BUDS. FT• 0. NEw corrw . MULn,ourLET @7,50 EX. OCCU . OUTLET OR F0=RES SAL 6 .50 AXED APPLNS. OF' Ex. Occup. OUnn ETS ESLD, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee20.00 I Hood . I _,I 6.50 r. , S e-) ERMIT FEE —1 5U Mobile Home Installation Fee $ Enerav Inspection Fee $,--�• This permit is hereby issued'under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date 7�0 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 �/ �Yl l� i�l �' (CQ� A. P. # TPRO&ODUILDING USE DATERECEIPT # DATE REC. DING PERMIT FEESce Due ..................... $ i.00 h --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ HOOL DISTRICT FEES %Q6j/.$g5 0n oe/ 5 at School District Office) (form available after Plan Check) 3. §I�EERIFF FEES (paid at Building Division Res ential............ X/---$ 3 6 0. 0 0 = _ Units Commercial (sq. ftg.)..... X $0.03 = $_ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) I1•l l �03 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE t (!Niaid at Building Division) 9 �a �� ' 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. k Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time ofpermit a lication, I was advised the above fees re required to be paid prior to issuance of the permit. These fees maybe change d 1g the plan checkin cess. APPLICANT DATE 0 0--'J r Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Mme. —AND WHEN RECORDED MAIL TO: , BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA, 95965 �� IIII III III I IIII LIl ill III III II I IIII 2m�3—�t086256� Recorded Official Records CountyBUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:44PM 11 -Dec -2003 REC FEE 10.01a CONFORM 1.00 mark Page 1 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: Date % �� 0 P PERTY OWN S: Sean Michaels State of California ) County of Butte ) On December 10, 2003 before me, A. Burcham,notary personally appeared bean Michaels personally known to me (or proved to me on the basis of satisfactory, evidence) to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hao and offici-I seal. �,�,�_�,41 Signature Seal•.. r• Q A. BURCHAM w, p 0- �, Comm. #1281413 !� %R NOTARY PUBLIC CALIFORNIA 0 V BUTTE COUNTY 1 My Commission Expires Oct. 22, 2004 A.P. # 064-410-024 l D rk EXHIBIT. "ONE" PARCEL I: Lot 132, as shown on that certain Map entitled, "Paradise Pines Unit No. 5", filed in the Office of the County Recorder of Butte County, California, on August 20, 1970, in Book 35, of Maps, at Page(s) 88, 89, 90 and 91. Certificate of Correction was Recorded December 2, 1970, in Book 1648, Page 2, Official Records of Butte County. 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 II: A non-exclusive easement over Lots A, B, C and D (the common areas) of said Paradise Pines Unit No. 5 for ingress, egress and the uses and purposes set forth in the Declaration of Covenants, Conditions and Restrictions. Assessor's Parcel No: 064-410-024 .I 4'-0" 7'-8" 14'-4" 1 I 4" A 4" � 3 I I I o I 5040 5L.'F 0 MASTER – \�' 5050 SL. SL. _ – – – – 4040 SL. — 26bb – – – – I— -� IOB , ep I +20" TILE DECK DECK I F.G. OVAL TUB BEDROOM VAULT �- Dw 51rvK = I j CARPET q' CLC. WOOD KITG VINYL L. I o lO7 ; MSTR Ia' GLG. LINE g BATH 4 I DINING ROOM � � VINYL dal 5060 5L. Y� G 10 pZF v I I 6'-10" 31-0" 4'-b" I' +12" TILE BALLOON FRAME � HOOVERINSULATE WALL HEARTH WALL FROM FLOOR G – – – – – –1 TOILET 24bb6AS FIREPLACE 70 TOP OF TRUSSES VINYL INSTALL PER– – – – – – – – – PH 2466 MFRR'5 5PEG5 Y ------------------------------- - -------------------- v 410PANTR 50 GAL. GAS WATER HEATER, i � I � - � VINYL +ib" RAISED PLATFORM VENT _ --- RIDGE ----- -�5H t P p7z -------------- – q'CIL G. SINK FLUE 7HRU ROOF, PROVIDE PT GLST a I I °- BA �- q PLATE TO BOT. OF 2Sbb VALVE AND DISCHARGE TO 0.5., CARPET "' PROVIDE SEISMIC STRAPS TOP Q d I q' GLG.ii VINYL '� �L SCISSOR TRUSSES 1 ANDS BOTTOM m w I GLST n q GLG. vi CARPET CARPET I q' GL6. D I oioe I q' GLG. i I q - 1 — — -- — + �'-Io" 3'-s" I Q GREAT ROOM sy �+ 5H P m I ENTRY CARPET LNORY I 'N' X06 VAULT TILE V VINYL I 2666 d VAUL xI 5 -2 5H t iP I = lam GARAc� LIN.B;Z q' GLG. O CARPET 5060 5L: 5060 SL 30 5H a' GLG. I N&I TYP "X" GYP. BD. AT ALL IOdJ +1'-b" +7'-6" +7'-b I WAILLS, 5/6" TYPE "X" GYP. BD. " I I OVER RESILIENT CHANNELS AT VAUI J I I 4 POLZGH 3'-4" I Ib" O.G. AT CEILING GONG. I CARPET I a' GLG. 5050 5L. I ,y+ I ` - +7'-61 QY bad I Q 5050 SL. . sk L=4 -a" �O�a�� 5gs0'�, PPROVED \� Envi en Health 11-211 2'_b" Q e 24'-0" 'IRGNMIENTA.L HEA! TH FLOOR PLAN 2 SEP 10 2003 SCALE: 1/4" = 1'-0" RESIDENCE: 1710 S.F. GARAGE: 573 SF. COV. PORCH. 2b5 S.F. 13'-0" 4 0 Ai I -W-0" IQ Revisions: z r uj � z Z! M m b cn Z < A — —' < U � v Lu 0 0 cn U m �-- ENERGY < R-iq FLOOR R-Iq WALLS Z R-38 ATTIC Lu R-4.2 DUCTS AFUE .b2 SEER 12.0 GLASS: VINYL DUAL GLAZED W.H EF. 60 Revisions: z r uj � z Z! M m b cn Z < < U � v Lu 0 0 cn U m �-- d < 0 U Z Lu (Date: 6-3-03 (Drawn: BH Job no.: 03-018 Sheet: oh . o� Lu � Z! ol cn Z < < < � v Lu m �-- d < 0 (Date: 6-3-03 (Drawn: BH Job no.: 03-018 Sheet: oh . •''-F�RIVE ENVIRONMENTAL NEAI TN SEP 10 2003 CHICO, CALIFORNIA 51 TE PLAN 50. 1" = 20'-0" Revisions: 8C4 N cn O U 0 Z � om 88 V RM u Ju v � � � o LU kn LUO OtL < —1 O <` N+� < L :z --D Dote 6-20-03 Drawn: BH Job no.: 05-016 Shot: il Of. . R,.210.00► A/yyF 7ft ENVIRONWENTAL HEAT TH SEP 10 2033 CHICO, CALIFORNIA 51 TE PLAN 0. V = 20► -0" 0 S b I! x 1s 'Jo DB to Date: 6-20-05 Drawn: BH Job no.: 03-01b shoot: ill of: . O LL - I I LU V !.I { Ok 0 lu < U� pig >tL 0 � , Lu--- < t<t� V L Date: 6-20-05 Drawn: BH Job no.: 03-01b shoot: ill of: .