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064-410-034
6 t,i,-J ► 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) FOR ADMIN. USE ONLY Ex. # Date of Receipt Date Accepted VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY Date Expires OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF 1 The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: Name Gene Jefferry Rolls Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 SIGNATUR Date TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116). Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web Page on the Internet at http://ivww.boe.ca.gov. A. Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log):Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood _%; Ponderosa pine/Sugar_ %; Douglas -fir %; Fir %; Port -Orford Cedar—%; Cedar (IC, WRC)_ %; Other, conifer_ %; Other, hardwood %. 2. TIMBERLAND OWNER(S) OF RECORD: Name Lee & Cheryl Bennet Address 320 Burden Terrace City PARADISE State CA Zip 95969 Phone (530) 877-1779 1 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 I have mailed a letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent landowners within 300 feet of the boundaries of the exemption. SIGNATURE Date 3. LICENSED TIMBER OPERATOR(S): Name Gene 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 23 23N 3E MDB&M BUTTE .24ac 064-410-034 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. 5. I, LANA- A'DIrC' declare as the authorized designee of Butte County that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county has authorized a desnee this item MUST be completed. If it has not, see item 7.) SIGNATUREDate 3I(�/�� 7. Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884 Address 1600 Feather River Blvd Suite B City Oroyille State CA Zip 95965 Phone _ (530)534-5229 I certify that 1, 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 county and the oti a is in conform with county regulations. v SIGNATURE of RPF Date p o 8. NOTICE SUBMITTER(S): Name Gene JefferrY s Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE Date FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, 135 Ridgway Avenue San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, => 6105 Airport Road Yuba, Sierra, Nevada, and Placer Counties. => Redding, CA 96002 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710 Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street t Imperial Counties. => Riverside, CA 92501 WINTER OPERATIONS Bennet 064-410-034Amherst Way 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. i 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 i 895.1. Emergency road maintenance conducted to alleviate erosion problems sloes 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. x=__'�-,�.. s �: �a. „' •- 3 �q�pp j4.� , ORI, WE I �� 5� i�lti� F `1J1 4 � .✓ f,+ lu� y� r, � -' 4 r, � tl ,iso r 'nfw t.% 4 i �w w�rea a.. {�vm ,{. 9 M • Sers. �x t• a F ,C ��/• [/ yy f • / r r r EaY .. .h'�:` .3, 4'' _ - ty' t it' ` Of �° � � s'r��'t tl y. � � _ �4 ' 5• 'r_. •- �+� m.� "�.s•.e�.� .P �t�I S �,n, Sa'��� - � r 4�•' ? �, Ml -1 ... Y' t� bl a � � iw ��. � : _� i .�;,� 76 7, Er�;,,"^at� ; } .'i'�,rT; -w,,,. g7 d t 1_••j��' �,V.�f��''5° �l l _. 'k,.,.:,r, i-_ t r...a=� ^=i+ .r. Y" ,_ el 0. Pf f �h j n.,t. 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'''si - Grp t , { 4 :• � _ r s: � '� t_� �, '. �' d�•'i i •�! t t 717 � ��i .4 � • "Y 44i - z,rY, ,r 5�4.: yam"a� b •�h 249'• {l r py t N Via:" ZI Name: PARADISE EAST Location: 10 0619696 E 4409961 N Date: 3/17/2005 Caption: Bennet Amherst Conversion Scale: 1 inch equals 1000 feet sec 23,T23N,R3E MDBM C L 4 R101V Ch Wycliff Way Yard D (� S Landing 3 , Q Yard Bennet Amherst Way Conversion Plat Map N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BPO50139 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/10/2005 APN: 064-410-034-000 the Business and Professions Code, and my license is in full force and effect. R License Class: % License Number: o? Site Address: 6302 AMHERST WAY MAG Date: 340 'Ob Contractor: ��� f i��1�7� Map Index: Description: NSF MASTER01-46 (1641) GAR (484) COV OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the (128) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: BENNETT FAMILY TRUST signed statement that he or she is licensed pursuant to the provisions of C/O LEE R AND CHERYL BENNETT 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 320 BURDEN TERRACE she is exempt therefrom and the basis for the alleged exemption. Any PARADISE, CA 95969 violation of Section 7031.5 by any applicant for a permit subjects the 530-877-1737 530-577-5133 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BENNETT LEE R. pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 320 BURDEN TERRACE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PARADISE, CA 95969 proving that he or she did not build or improve for the purpose -of 530-877-1737 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: BENNETT, LEE R. pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 320 BURDEN TERRACE PARADISE, CA 95969 Date: Owner: 530-877-1737 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 425571 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: 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: "5& le_ rotal Square Ft: 2253 S.F. Valuation: $120,329.00 Policy#: / 3 —1 L1 O 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those/provisions. Date: Applican WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 1111 //// ^1 m 1 � 11 � Ch �Id - c�C \ CONSTRUCTION LENDING AGENCY This (ermit's here issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097.Civ.) Resol'b 'ons ldo work indicated above4or.which fees have been paid. C� BY Date: Name: PERMIT EXPIt=S Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives ofButte Countyto enter upon the above mentioned property for inspection pur Print Name:%�`G// / / JL�I�.f%s0 Signatur -2-) Date: wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION Y)TlZk AND SUBMITTAL REQUIREMENTS 24 OUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 ar- OFFICE #: (530) 538-7541 <it���-E WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" V \1 . -fi'r ARCHITECT/ENGINEER Name Address City0-034 064-4j Zi? ]3L,�,8 �. Phone AA/TNERS'r IRR R(is, U✓�+) "A1; E-mail Cont. LE `'SF MASTEp A'NE r CoN.e r„ \ PERMIT NO. LOCATION OWNER Last Name � � first Na Address City Ciq. l� State 0',0 Zip Phone Fax Faxg_77_$13 C., lI i sd- E-mail yC �tD ARCHITECT/ENGINEER Name Address City0-034 064-4j Zi? ]3L,�,8 �. Phone AA/TNERS'r IRR R(is, U✓�+) "A1; E-mail Cont. LE `'SF MASTEp A'NE r CoN.e r„ \ PERMIT NO. LOCATION CONTRACTOR Name City �! Address Sa \I City E-mail State Zip Phone Carrier Fax E-mail LENDING AGENCY Lic. # Class ARCHITECT/ENGINEER Name Address City0-034 064-4j Zi? ]3L,�,8 �. Phone AA/TNERS'r IRR R(is, U✓�+) "A1; E-mail Cont. LE `'SF MASTEp A'NE r CoN.e r„ \ PERMIT NO. LOCATION AP# q roperty Add re s i'1Pir6-f- w City �! Cross Street Gly Fax E-mail WORKER'S COMPENSATION Policy Number Gfyj 1 I•o Map Book Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. Planner LENDING AGENCY Name Address Description or Scope of Work: . . - Sq. Footage `�❑ Structure uilt without Perm`s OS -0 ]39-� Proposed Change of Occupancy (Note previous use): APPLIGiii.. _ Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE uFARrdi7eo�� i%% For dtfi6e use only: Zoning Flood Zone SRA es No Occ.- - - - - - - -Type onst_ - - - Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc t ) ' c nv KPIRATION OF APPLICATION .pplications for which a permit has not been issued will expire one fear after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. 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 2 Rece' y: Receipt #: jj l _H�` I Date: "-'6 OC2�' Amount: 7 69 CO Bldg �U- SRA Sheriff SMIP Other Total REV 7-27-04 f 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 faxesl ❑ 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 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. 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 cosfs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:IFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 -.._ .-... ,-....-.r..�.--- -' �`1-...��---_'"a..✓•..x+�-:�-ti�i.:.�.--. .--..:-..c.�.-'i-----' `-�.�-✓^r-.....-:r�r-r..r.l,, �. rN,.-�. -.awn.. -. , � •, _ - 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: ASSESSOR PARCEL NUMBER Q_o1 (J, - 24 -bo, 65 r Proposed Building Use: ���� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! _ ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed; in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form � 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 ees as shown on the attached Schedule of Fees Due Sheet ......................... . C 2 City of Chico Plumbing permit........................................................................ ZValifornia Department of Forestry plan approval ❑ paid. Sent by: 4. Planning approval (A) Use: (B)Parking: (C) Parcel Check: 0j_ Z l - 2tr _S/L ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... W26 .NPDES Form............................................................................................. 7. ncroachment Permit for driveway from the Public Works Dept.-#. ❑ Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... t32, Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. . Manufactured home utility clearance............................................................... 13 � 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 Telephones2 !o��'1'� �and hold for pickup. I have been informed of the above items and requirements fk;.Waining a building permit. Applicant•/ %' " /// � . � ' ate: /-a.2.0 ' �' 1. 10.dex erfiit application for t ove items number&: ' Y,5-), Plan Check Letter 2. Additional'te�ms-requir Contractor, designe , owner, as advised of the above data by iarphone -, , mail, ❑ counter, Date: Contractor, designer, ner, was advised of the above data by ❑ phone, ❑ mail, ❑c int , by Date, reviewed by: Date: Plans approved by: Date': Structural reviewed by:- Date: _ Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.M. USE ONLY Piot Plan Attachod Floor Plan Attachad LI -I sent to G.D. / j --7 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �A.),-JE Ti- �o T /� / c,e•�� �i o - 63 Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private We 11 Clearance for �dwellin Other f�� 0 I� Hold final for: Final clearance O.K. for: NOTE: n 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 S HEDULE OF RECEIPT OF FEES OWNER A.P. # U� PROPROSED BUILDING USE 9— �J W ` l ' Tw DATE RECENT # DATE REC. BUILDING PERMIT FEES Ilei f6 --_f -- Balance Due ..................... $ --- Additional Fees Due.......... --- Revised Plan Checking Fee.... $ 2. CHOOL DISTRICT FEESG��� aid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Bui�ding Division) Residential............ X $360.00 =$— Units $—Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X (paid at Building Division) Sq. Ftg. t. RECREATION DISTRICT FEES aid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHE FEE —$oBtP(paid at Building Division) 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. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER f Q 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 durigg the�plan checking process. APPLICANT DATED 6' Pursuant to Govemme de 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 ate 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) o� Department ®f Public Works o C o u ri t y o f B u t t e =o 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION 0 Storm Water Management Program 7 County Center Drive Oroville, CA 95965 AC�Cl 45 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm dater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement FLR§S THAN 9 ACRQ Project Description: A1,21_42~ l e9Y';i-e- Project Location and/or Parcel Number: D( q - 4,/ /)-- 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. Signed: Title: Date: r • - Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 24 -Aug -2004 2004-0051526 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: Parcel A: Lot 121, 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. Excepting Therefrom all minerals, oil, gas, as- phaltum, and other hydrocarbon substances with provision that any and all mining oper- ations shall be done from orifices outside the surface area of the land herein des - scribed and that no damages shall be done to the surface area of said land. Parcel B: A non-exclusive easement over Lots A, B, C and D (the common area) of said Paradise Pines Unit 5 for ingress, egress and the uses and purposes set forth in the Declara- tion of Covenants, Conditions and Restrictions. Date 9Z/ & y PRO 'TY OWNERS: li 1 Bennett State of California ) County of Butte �' On !, ' - U before me, ��l/�l!�(�r./ l'. 0 j- lvaAr "L J / personally appeared ChP>~vl Pgennett 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 er/the' sipi ature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, execute the ' strument. WITNESS my hand rd o Icial eal. iNENDY CSER Signature Seal: r•L.?Z:F: n O : _ ;.� _ Comm. #±1306527 IS I !dC Afti f",;3Lh� CAL'F::f?NIP. Q BW T, E COUNTY My Commission Expires Jun. 2005 b A.P. � 064-410-034 .,�.,.�.� ,,.�' 'BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) $ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) Q Project Location /Address Subdivision Name Building Permit Number 0. 5, d l ssable Sq. F ge I �p I / 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: N Q)V( -�) �a� - C� yy-� Building 1222 eQ:PC I - -)b - Date ❑ FRRPD 0 CARD PRPD ❑ DRPD certifies that: C le -r 11 L ylq- (�37 Applicant amehone Number 'IGS , 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 @ $ eLl per sq foot for a total of $ Remarks: Paid y eekC c: Paid by Cash: Receipt No: and Papk District Re6resentative K:\FORMSWILDING FORMS\park-rec standard form rev Ldoc Date w. r �, � A.. ��.. .� ... r ..—• �• «... .r y .... y -.i a .. -r.. f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �. U1�`� (Onetfonn per Building) School District ?Gr GcL� Building Department No. d ); A.P. Number b ki Jr. V� Jurisdiction: ,max ` �� City ,County Property Owner Property Location/Address Subdivision Residential Development Commercial/Industrial Lot No. 0 0 New . Addition Building Department Representative Sq. Footage `r'► l' I (Group' R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date Dis rict Identification No. Y,&,_�,SchoolDis'trict certifies that d� G (Applicant) 7 J (Street Address) „� �,'„ (Phone Number) (City);: has complied with the requirem�enntss of Resolution No. representing 7 J square feet. School District Representative Paid by Check # / Remarks: WM (Zip Code) by payment of $ �/ �••y 2926 $ FULL MRIGATION $ Date Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), whin 20 days from the date fees aro paid. Failure to submit a timely written protest will'prohibit you from cha0eeging Bre Imposition of the fess In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cartlflutlon Form, the School District Is rrwill s 'by the appikable Local Planning Agency that this profect Is being revlswad under the California Environmentsi tauslity Act (CEOA� this t>*t may be subled to additional school fees to fully rmltigate.ks Impact on the school distrid'a schools. White (applicant), Yellow (building department), Pink (school district) feeform.xts (10/03)dmm TO _. SITE PLAN REVIEW APPLICATION Date: AP# Permit Number (if applicable) ,` �� Bin Number APPLICANT INFORMATION Parcel Size: . 6t -.y Owners Name: %'% Owners Address: Telephone No.: Situs Address: Proposed Use: ��o Lam:✓ � Ems-' / �. ?'71-/ 73 Email: Z_fr /-'-/ Gz% <<�� Residential old 1414 ply New Single Family Residential .l ❑ Single Family Addition ❑ Single ❑ 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 A Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): RE CE "� N, OV 1 8 2004 Famil Re odel Buyrj: couiNIY rl:� F:i.C)t' Irti. ii `ice ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable. ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stanwed Approved' " 2, By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: .2660 ` — -2 SDD ' 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) 10 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: x; • Flood Panel No.: 49 y00 t Index Date: (, ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance El Administrative Permit ❑ Variance --------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 1 J Z I Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. 11 CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2 F- a Side 5 1 Side Street Rear (� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. 11 CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 I. f 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 , ❑ 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/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 Page 3 of 5 Subdivision Map/Parcel Map: a,, <14 /� Map Date of Recording: 2 0 76 Lot: /21 Book: 36- Page: 6 8 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ 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. FE] Page 4 of 5 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. CALarrys\Building Permit Site Plan Reviewl.doc (2-20-04) C Page 5 of 5 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST 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 Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: Cheryl Bennett Phone: s -In R77_17-17 Mailing Address: 320 Burden Terrace, Paradise, CA 95969 E -Mail address LRBandcrew@aol.com Assessor's Parcel Number. Reason you believe you qualify for the unusual circumstances exception:, Lot would not be buildable.. Ag Da e 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 of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form, Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING For Agricultural Commissioner office use only: (to be completed after submittal ) r DISCRETIONARY PERMITS (Plannina) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the 2 c o Exception NOT Recommended following conditions: ❑ -2- U Reason/Conditions/Specific setbacks from adjacent agricultural operations: O O U _... LU Agricultural Department Signature: Date: 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 November 29, 2004 Lee Bennett 320 Burden Ter. Paradise, CA 95969 Subject: Environmental Health Application — 064-410-034; Septic System Dear Mr. Bennett, 1 . The Butte County Department of Development Services, Planning Division, has reviewed the submitted application. The enclosed sheet of paper indicates building setbacks or easements that exist on your property. Please note that septic lines cannot be built in an easement. All applicable building setbacks for the "Residential - 1" Zone are also noted on the page. Please adjust your site plan to indicate the correct setback, and Resubmit to the Butte County Development Services, Planning Division. Should you have any questions please feel. free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. S rely, Stephen Streeter / Planning Manager Enc. 1 • The following minimum requirements shall be observed, except where specifically modified for conditional uses. The, minimum requirements shall be those for the zone as designated on the zoning map: Zones— — ....... I.__...-_.-._..._-_____' _-F R-1 R-2 FR -3 1 R-4 (1) Height (feet) Comment: conform to the I Principal provisions of Butte County iAccessory building code section 26- ------- 3.5 (2) --- Parcel size (square feet) 6500* 6500* 6500* - 6500* Corner lot 7000* 7000* 7000* 7000* Split single-family on zero N/A 4000 4000 4000 lot line (halfplex N/A 5000 5000 5000 1 Corner lot (3) Building site area per unit (square feet) 6500 3250 3250 2150 (including two (2) off- street parking spaces) (4) Parcel width (feet) at — setback line: 65 50 50 50 Interior 70 65 55 55 Corner lot (5) Public street frontage (feet) 40 40 40 40 Curve or cul-de-sac (6) Front yard setback (feet) From edge of ultimate 20 20 20 20 right-of-way 10 10 10 10 Side street property line �(7)Side yard setback (feet) 1 5 F 5 F 5 5 (8) Rear yard setback (feet) 1 15 10 F 5 ! 5 (9) Distance between —10 10 —10 —10 buildings on the same parcel (feet) //9 ,4. ;=`�.� .�)r-T;t�,1�t y C� ("�• Q2H ^Cv��� (1��C1 'G j/1, � l'�,� c� \A //9 ,4. ;=`�.� .�)r-T;t�,1�t y C� ("�• Q2H ^Cv��� (1��C1 'G j/1, � l'�,� c� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004-0051 526 Recorded Official Records CoBUT Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AM 24 -Aug -2004 REC FEE 7.00 CONFORM 1.00 Lisa Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel A: Lot 121, 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. Excepting Therefrom all minerals, oil, gas, as- phaltum, and other hydrocarbon substances with provision that any and all mining oper- ations shall be done from orifices outside the surface area of the land herein des - scribed and that no damages shall be done to the surface area of said land. Parcel B: A non-exclusive easement over Lots A, B, C and D (the common area) of said Paradise Pines Unit 5 for ingress, egress and the uses and purposes set forth in the Declara- tion of Covenants, Conditions and Restrictions. Date 9 © PROR�-T1' OWNERS: Qg�wl Bennett State of California ) County of Butte' / ) ,' I A / On -� `1 before me, 1N4,/ C/ 4 jam/ /�/ � personally appeared C h r'yl Bennett 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 er/the' sig ature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, execute the ' strum nt. WITNESS my hand add o ficial eal. Signature SPL OF Seal: ,.<'...,,•'"P+ WENDY CSER Comm. #1306527 NO' ARY PUBLIC CALIFORNIA O BUTTE COUNTY 1 My Commission Expires Jun. 27, 2005 NOTES RESIDENTIAL PERMIT NO.' 0(14-410-��'4 OS -0139 I BEI,TNETT F�\.ki LY TRUST, �307LAMHERST WAY, MAGALIA Cont: GREENS ROOFING M G G NSF MASTEROI-46 t i r i i L r ti SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER F C114T,- 25 C -s OFFICE COPY Address GAS Meter By a�✓t� Date I ELECTRI iMeter By Date JOB FINALED (Date) 2- .2. o 6 Signature J=OK 0 = Not OK Not . = Not Readyable 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/0 -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 B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card 6-1 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/0 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 6-1 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 UN RFLOOR (Plans) OK except #'s Date Zoning -Setbacks- Easements- Flood -Slope .4tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ( (1` . Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 11C,V Stemwalls, Main; Steel- Bloc kouts-Wrapped K. Stemwalls, Garage; Steel- Blockouts-Wra ed 20. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pers -Fireplace Ftg.-Steel . D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. P enums & Ducts; Clearance -Material -Support -Ins. fixture & Transformer Clearance -Ins. Protection rs-Sills-Anchor Bolts-Joists-Vents-Crippies 1 Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date 5 Card B-1 Date Card B-1 Date PL BING (Permit) OK except #'s 7. Pater Htr.; Vent -Access -Combustion Air Baffle 11C,V ater Pipe; Test & Anchor -Nail Protection K. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21st Tub & Shower, Second Floor -Tub Access 3 Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test F nace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELES>TRICAL (Permit) OK except #'s Date fixture & Transformer Clearance -Ins. Protection Card B-1 Date Card B-1 Receptacles Spacing -Lights & Switches at Doors 2 . e Boxes & No. of Conductors Stapled 2 . Comex Installed Close to Edge of Studs & C.J. ,%ills Proper Materials & Anchors 5gbip. Ground made up w/Mech Fasteners -Bond Gas & Water 297 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al >sulated Neutral ❑ Yes ❑ No 4 Service -Riser Conductors & Ground Main Disconnect 3 . E ui . Clearances Panels-Motors-Mech. Equip. Stops, Furred Ceilings -Stairs -Chasers -Tubs lothes Closet Light -Shower Light -Spa Light 3K Smoke Detector Date FRAMING (Continued) Elec. & Mech. Equip. Listed for Location Date 72(/Elec. Card B-1 Date Card B-1 Date emplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s �Rdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3 . Ducts Insulation & Support 53. 3 Vent Fan, Exhaust above insulation Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 3 . C ndensate Drain & Overflow, Size & Grade 5 .Plywood on Roof Overhang -Attic Vents -Rafter Outriggers F nace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Siding -Nailing Veneer 4d- Attic Access & P tform if Furnace in Attic Date 1'T Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date FR,# ING (Permit) OK except #'s 1. ,%ills Proper Materials & Anchors 4r,Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 4 . Draft Stop in Walls (rat proof) 4 ow./ire Stops, Furred Ceilings -Stairs -Chasers -Tubs dff Headers & Beams -Size & Bearing Date FRAMING (Continued) Elec. & Mech. Equip. Listed for Location Hangers -Post Caps -Anchors -Connectors 72(/Elec. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 emplace Ties or Type A Flue -Fireplace Throat Clearance 5Y.ittic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 . �Rdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 53. Zperty Line Firewall & Openings 5 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. g46irs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 .Plywood on Roof Overhang -Attic Vents -Rafter Outriggers OAS; K. Siding -Nailing Veneer 5 .,Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. I nsulation-Walls-Cei I i nas Infiltration -Walls -Windows Date Card B-1 62C Date Card B-1 Date Card B-1 Date Card B-1 Date FINj�C (Plans) OK except #'s 6 .zExt. Steps -Door & Sidelight Protection -Landings 66. Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - ,In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 6 A.F.l. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels —767 Stairs & Rails .#fireplace or Stove, Clearance -Hearth 7 lec. Outlets at Wood Panel, Int. & Ext. 7 . it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 c. Outlets & Receptacles at Kit. Counter 7 garage Fire Door; Swing -Landing -Closure . Duct in Garage -Damper 7 . Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor-Mech. Protection Comments at Final: 78.,Kib.; Elec. & Mech. Equip. Listed for Location 72(/Elec. Receptacles in Garage (F.F.I.)-Romex Protection 8 .,trtsulation-Foam-Looked in Attic 8 Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth earance Looked un er Floor ❑ es _ j5ellowing Instld./Drive es O No/Walks Yes ❑ No/Planters O Yes C591 Kt- -o$' OAS; K. Stucco Brown -Finish 8 A.C. Unit Disconnect, Electrical -Plumbing 8 ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ,a;—Water Well, Disconnect, Electrical, Plumbing 88.,E<terior Elec. Trim, G.F.I. Receptacle -Underground 8 .,,Wntilation Throughout House 96. fatgis Protection C ections from Previous Inspe ions 9 . 2s Test -Meters Tag Gas- lectric 9 Vp4er & Sewer Connected -C/O to Grade -HD Approval 9 . kergy Compliance Certificate -Other Certificates 9 Address Posted Me Sprinkler Date OECard B-1 C/,}ll/t/ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . a ja.n-20-00 07:23A t+vbdc 9166B52B31 P.02 APAA WW %"V 8 Certificate of Co4or- a -:n----- c e--- Certificate 052736 THIS IS TO CERTIFY that the glued laminated timber pr6ducts identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordant --e with"the"applicable-standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products - Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species ITIS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in .a manufacturing facility subject to regular audits in accordance -with- the- Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. All (9I4 (ame, s& l t -ed 4 �e� 2< v! et� PP • 814 .�'��.� w ° �o �'•• ca S �. �' by - A � CO2 Thomas G. Williamson Executive Vice President MIN ENGINEERED vtvpD SYSTEMS is a reistep corporation of AAA — rHE ENGINEERED w00D ASSOCAPON 7011South 191h Street - P.O. Box.1 1700 • Tacoma. WA 28411-0700 Tntephone: (253) 565-e600 • Fax Number: (253) S63-7285 �J J• MEEKS THE BUILDER'S CHOICE 1100 E. 2& Chico, CA 95928 (530)342-6335 (530) 343-1158 Fax Toe /< n Project /Jn1 kr 2 en 0�S Address City Phone Fax Mobile EKS will supply all labor material and equipment to: Insulate floor area with R -)l unfaced batt insulation. Insulate exterior walls.with R- /✓!� faced insulation. ul . ® Insulate vaulted and coffered ceiling areas with R.,Z) n faced batts. Insulate all flat ceilings over living area with R,38 blown in fiber glass. Seal penetrations in air infiltration system with poly cel foam. Alternate #1 add. to base bid Alternate #2 add to base bid Alternate #3 add to base bid ' . Alternate #4 add to base bid Base Bid $ price will be held for ten days. . Bya �CkYNAe-\ Dafe6—)c3—Or CA lic# 717557 ACCEPTED BY Date Please examine this estimate carefully as we agree to famish only the items, Quantities and prices named and described hereon, Subject to correction. This estimate must be accepted by both parties on or before ten days. Prices listed are subject to change on any material not delivered by All agreements contingent upon strikes, Accidents or other causes beyond our control. WE DO NOT GUARANTEE THESE ITEMS OR QUANTITES WILL COMPLETE THE JOB OR PROJECT FOR WHICH THIS ESTIMATE WAS INTENDED. RN r'/7 L 7 2-9 co,4R 1;0 k-3 -20 C-1 P - Y3 41 io 0 L A41 CDF FIRE SAFE REQUIREMENTS PERMIT # 05- NAME Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards Surface. All driveway surfaces and structures (bridges, culverts and other Pq appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional tional drive vehicles, including sedans and fire apparatus weighing up s. Pl Grade. Not to exceed 16 percent unless paved. Driveway Radius Iq roadway shall urface width of 4linside feet shall be less be added to curves and 50-100 feet and addition radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. Pq Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. pl Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provie a along entire lengthtraffic lane and unobstructed vertical clearance of 15 IXl Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in lengint of the driveway. Where a driveway all provide a turnout near the exceeds 800 feet, turnouts shall beoprovid d no more than 400 feet driveway apart. Gates 21, Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. le 3. entrance, a 50 -foot turning raldius shallth a be traffic lane provides be used. Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. T� 2. For parcels less than 1 acre, local jurisdiction shall provide for j . the same practical effect. See other requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A or B roof ✓ Enclosed eaves ] If Building Setback is Less Than 15 Feet — -/ Class A or B roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials //172T D� ate 2 nature (rj rA IZZ 17 cj -79 -0 vv 11 A