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064-680-009
MEMORANDUM To: Butte County Building Inspectors From: Steve Fowler, Butte County Fire Date: January 3, 2006 pp�j Re: 14856 Masterson Way Fire Dept. U/G LPG Tank Inspection Approved to fill. Tank has been backfilled with sand. MEMORANDUM To: Butte County Building Inspectors From: Steve Fowler, Butte County Fire ZAS&../ Date: December 19, 2005 Re: 14856 Masterson Way7 3 Fire Dept. U/G LPG Tank Inspection t P D S- O 3 THE UNDERGROUND TANK SET AT THIS LOCATION IS NOT APPROVED FOR FH LING. THE' INFILL REQUIRED CLEAN SAND AND IT WAS NOT USED. IT ALSO REQUIRED A SECOND RE -INSPECTION FOR DAMAGE REPAIRS THAT HAD TO BE DONE BEFORE IT WAS BURIED. SUBURBAN PROPANE HAS ACKNOWLEDGED THESE PROBLEMS. THE CONTRACTOR IS GRAVETTE CONSTRUCTION. f. NOTES RESIDENTIAL r t PERMIT NO. -'064-680-009 05-037 ! RYDL'LL, AT_ P�MA�?" RtiG� ,v[ACAL[A , I Coni: JOHNN-,' GT:TVETTI ' z3/J NSF MSTR#37 ; l SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS' VERIFY !. USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i a OFFICE COPY Address GAS Date Meter By EBy 1 Date Metereter Byy� JOB FINALED (Date) -0&P Signature J=OK 0 = Not OK - = Not Applicable . = Not Ready Date Vo RESIDENTIAL (Single & Duplex) OK except #'s E Ftg., Main; Soils-Elec. Grnd.-//'l, /" Ftg. Del 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 4. _R0., Porches & Decks; Soils -Steel-/ /" Ft Stemwalls, Garage; Steel- Bloc kouts-Wra ed 14W. -Hold Downs and Special Anchors 7. Slab. Steel -Wrapped '9. ; Fall-Fitting►#st-2 Way C/0 -Sewer Test 1 UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Unont round 13. PlenuDp4 Ducts; Clearance- ateri Support 1 14. s -Sills -Anchor Bo ois s ents-Cri es 95,"Accesw& Ventilation Date YtV Card B-1 (rte Date Card B-1 Date Card B-1 Date Card B-1 Date PVSMBING (Permit) OK except #'s 7. Water Htr; Vent -Access -Combustion Air Baffle Water Pipe; Test & Anchor -Nail Protection 419. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access . Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 6^ Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 26j Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 9. 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 AI �isulated Neutral 0 Yes Q No Service -Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 34 ;1e Clothes Closet Light -Shower Light -Spa Light 34'. Smoke Detector 46. Headers & Beams -Size & Bearing Date FRAMNG (Continued) Hanoers-Post Caos-Anchors-Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance -Attic Access; Size & Romex Protection -Draft Stogy -Ins. Baffles T drm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channe 53. Property Line Firewall & Openings . Doors -One 3' -Check Garage 3rd Story, 2 Exits 5 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protectior 5 wood on Root Ove ttic Vents -Rafter Outriggers Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings _fi3. Infiltration -Walls ndows Date Card B-1 Date Card B-1 Date Card 8,1- Date Card B-1 Date FINAL (Plans) OK except #'s 64' Ext: %bps -Door & Sidelight Protection -Landings 65fSmoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- Ip_Gar g ; Above Floor-Ducts-Mech. Protection 67�Bedroom Exiting 68yG.F 4 Bath Fixtures & Tub Access -Spa W_Elec'Trim & Subpanel, Breaker Sizes & Labels 7,00 Stairs & Rails 71fFireplace or Stove, Clearance -Hearth Z�iElec. Outlets at Wood Panel, Int. & Ext. 73tKif. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74�'Elec. Outlets & Receptacles at Kit. Counter 75.-Garrage Fire Door; Swing -Landing -Closure 76_A -.0: -Duct in Garage -Damper 77,�Wfr: Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78!PIb.;:Elec. & Mech. Equip. Listed for Location 792ooElec. Receptacles in Garage (F.F.I.)-Romex Protection 8Q.�In"sulation-Foam-Looked in Attic U1-Gu5rd9Rails & Deck Construction -Post Caps 82'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Olea"rance Looked under Floor O Yes 83 Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes O No §4jStucco Brown -Finish 85,K_C. Unit Disconnect, Electrical -Plumbing §,.. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87.l,Water Well, Disconnect, Electrical, Plumbing 6,&.Exterior Elec. Trim, G.F.I. Receptacle -Underground 99_, -Ventilation Throughout House 90?166ass Protection 91,,,Correctigns from Previous Inspections 2. Ga est -Meters Tagged, Gas -Electric 9q.,,Water_&Sewer Connected -C/0 to Grade -HD Approval t9,V a gy Compliance Certificate -Other Certificates I -/ Date I -IS -1Y4 Card B-1 146 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t I im DateCard B-1 U„ Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 0. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s ills Proper Materials & Anchors 4/Walls Studs -Nailing Spacing & Braces -Plates -Sound 3. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMNG (Continued) Hanoers-Post Caos-Anchors-Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance -Attic Access; Size & Romex Protection -Draft Stogy -Ins. Baffles T drm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channe 53. Property Line Firewall & Openings . Doors -One 3' -Check Garage 3rd Story, 2 Exits 5 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protectior 5 wood on Root Ove ttic Vents -Rafter Outriggers Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings _fi3. Infiltration -Walls ndows Date Card B-1 Date Card B-1 Date Card 8,1- Date Card B-1 Date FINAL (Plans) OK except #'s 64' Ext: %bps -Door & Sidelight Protection -Landings 65fSmoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- Ip_Gar g ; Above Floor-Ducts-Mech. Protection 67�Bedroom Exiting 68yG.F 4 Bath Fixtures & Tub Access -Spa W_Elec'Trim & Subpanel, Breaker Sizes & Labels 7,00 Stairs & Rails 71fFireplace or Stove, Clearance -Hearth Z�iElec. Outlets at Wood Panel, Int. & Ext. 73tKif. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74�'Elec. Outlets & Receptacles at Kit. Counter 75.-Garrage Fire Door; Swing -Landing -Closure 76_A -.0: -Duct in Garage -Damper 77,�Wfr: Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78!PIb.;:Elec. & Mech. Equip. Listed for Location 792ooElec. Receptacles in Garage (F.F.I.)-Romex Protection 8Q.�In"sulation-Foam-Looked in Attic U1-Gu5rd9Rails & Deck Construction -Post Caps 82'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Olea"rance Looked under Floor O Yes 83 Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes O No §4jStucco Brown -Finish 85,K_C. Unit Disconnect, Electrical -Plumbing §,.. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87.l,Water Well, Disconnect, Electrical, Plumbing 6,&.Exterior Elec. Trim, G.F.I. Receptacle -Underground 99_, -Ventilation Throughout House 90?166ass Protection 91,,,Correctigns from Previous Inspections 2. Ga est -Meters Tagged, Gas -Electric 9q.,,Water_&Sewer Connected -C/0 to Grade -HD Approval t9,V a gy Compliance Certificate -Other Certificates I -/ Date I -IS -1Y4 Card B-1 146 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t I im J=OK 0 = Not OK s = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector MISCELLANEOUS Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. 5. Drain; MH Test -Fall -Flex Connector 2. 6. Water; MH Test -Regulator -Connector 3. 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. 8. Gas and Electricity Tagged 5. 9. Tie Downs -Type -Installation Cert. 6. 10. Exits; Insp.-Sketch 7. 11. Cert. of Occupancy 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Roof; Shthg-Roofing Card B-1 Date Card B-1 Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Blocking Date 4. Gas; MH Test -Demand -Valve 1. 5. Electricity; MH Test 2. 6. Water; MH Test 3. 7. Water and Sewer Connected 4. 8. Gas and Electricity Tagged 5. 9. Exits 6. 10. License Decals 7. 11. Verify #'s with Office 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Panel boards- Ins. to Main Conduit Date Health Department Approval Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 03/25/ 2004 ' 13:46 5303431124 WESTERNWOODS EWP2 (�� [�����AGE 01/01 • /°� EJFJM Certificate of .Conformance Certificate -Q 5 4 0 8 6 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured In accordance with the applicable standards and associated specifications indicated below:, ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber ' NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93'— Manufacturing — Standard Specifications For Structural Clued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to.regular audits In accordance with the Engineered Wood Systems (EWS) Quality Assurance urogram. 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. 3 �g x 13Y2 -K20 .•` F.'O W 0 04 �.• �� �p aaq erj!.� SEAL rn- b.y Thomas G. Williamson Executive Vice President %J ENGINEERED WOOD SYSTEMS;s a related corporation of ARA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Stroot • P.O. Box 11700 - Taooma. WA 98411-0700 Telephone; (283) 58&400 • Fax Numper: (253) 5857285 Jan -13. 2006 3:40PM MEEKS CHICO No•6678 P. 1 CertainTeedll tw , Builders Statement insulSafe 4 Fiber Glass Blowing Insulation Homeowner Name / Jobsite Name /yss6- Home ss --o i Installer/Contractor (sign) a Company Name Date Builder (sign Company Name. Date Inspected By [sign ff rogwred) Date CEILINGS R -VALUE THICKNESS AREA (SQ. F7) 1&0 INSULSAFE 4 (✓) _ BAGS U$EO 7— 37— 8ATTS/RGLIS (✓) WALLS WALLS FLOORS 19 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq, ft. of net area for each R -Value listed. ; • The maximum net coverage must not exceed that specified for'each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq, ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSEn 11RHT FIXTt1RFS—TMJ PREYEMT OVERT EAMN;a, PC NOT'-NS:J6.ME ON OP CR ml ITHIN 3" GF SUICH mEVI ES. DOES NOT AFFVr TO TYPE iC LiGiii FIXTURES UR TO FLUORESCENT FIXTURES WITH THE>r;=il AL' : PROTECTED SA%.i_AS S. i 30-24-233 Sunders statement A Saint-Gobain Company 02003 Certain7eea Corporation 10103 A CDF FIRE SAFE REQUIREMENTS AP# e!:� % PERMIT # 05- (/,373 NAME ��,0057&— C Under authority of Public Resources Code Sec. 4290, the following checked items are required T by the Butte County Fire Department and made a part of this permit. These requirements are 11 Jl minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. T Driveway Standards 1{-� Pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. pq Grade. Not to exceed 16 percent unless paved. r I Driveway Radius R Pq No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. Pq 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. Pq Turnouts. Shall be. a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. Pq Width. All driveways shall provide a minimum 10 -foot traffic lane and T T unobstructed vertical clearance of 15 feet along its entire length. U Pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in T length, shall provide a turnout near the midpoint of the driveway. Where a 1 driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. R Gates 1. Gate entrances shall be at least two feet wider than the roadway E. they serve. 2. The gates must be located at least 30 feet from the roadway and M shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road wiih a single traffic iane pfivides entrance, a 50 -foot turning radius shall be used. T T 0 Setback for Structure Defensible Space a [X) Maintenance of Defensible Space. To ensure continued maintenance of D 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 the same practical effect. See "Other Requirements below. T [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 1 fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road T x construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A or B roof R ✓ Enclosed eaves If Building Setback is Less Than 15 Feet — E ✓ 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 E3 Glass T T area not to exceed 10% of wall area toward property line with insufficient U setback ❑ Siding from the following list: T o Stucco — 3 coat 1 o Hardi-Board or Plank o Masonry o Masonry Veneer R o Metal o- Other Butte County Fire Department approved materials [l E), M. E N Date Signature T S CDF FIRE SAFE REQUIREMENTS �yPF� AP# o 4 D PERMIT # 05- 4137.3 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 D 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 Pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. Pq Grade. Not to exceed 16 percent unless paved. I Driveway Radius Pq No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. Pq 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 T feet radius. x Pq Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. Pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum (� 25 -foot taper on each end. J Pq Width. All driveways shall provide a minimum 10 -foot traffic lane and T unobstructed vertical clearance of 15 feet along its entire length. 'vu pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in T length, shall provide a turnout near the midpoint of the driveway. Where a 1 driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart.. Gates ` pq 1. 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. 3. Where a one-way road with a single traffic lane provides entrance,. a 50 -foot turning radius shall be used. T T S 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 r in these standards, annual maintenance must be provided for by the landowner. r [) 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See 'Other Requirements below. T [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or 1 removal to a landfill site approved by the local jurisdiction of flammable vegetation and T fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building x 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 — E ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: Q ❑ Metal or no doors on side toward property line with insufficient ept setback ❑ Interior automatic sprinkler system per NFPA 13D T, T ❑ Glass area not to exceed 1096 of wall area toward property line with insufficient U setback ❑ Siding from the following list: T o Stucco — 3 coat 1 o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal • o Other Butte County Fire Department approved materials -a 7_os— N Date Signature T 8 AND WHEN RECORDED MAIL TO: >i BUTTE COUNTYBUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2m05—X026238 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:35PM 09 -May -2005 REC FEE 10.00 CONFORM 1.00 Myles 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: ' /4'7'/qC N£9 ', < Date 5- / r0-5 PROPERTY OWNERS: A,4�ch1 1'&QCe_ State of California ) County of On ��(� q � UO -j before me, personally appeared 2�l0"-NL-1.1 (o,(JA yejTt arj0 )A&Ao0 i_yotGl.t, 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 sign ure(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acte execu the ' stru ent. WITNESS my h n and o fii e C. Costa Signature / Seal: Commission #1517479 n A.P. # ti6",_ . M--ObC Notary Public-Calitomla tin Butte;County My Comin. Exp. Oct. 30, 2WB8 E.H. USE 0XV? '3107 Plea Attached d/ Rear Ma Amchad seem to B.D. I TO: Building Departrne.nt FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposaly Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Enviro 8/96 cialist Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050373 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 penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/09/2005 APN: 064-680-009-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number. Site Address: 14856 MASTERSON WAY MAG Date: Contractor: Map Index: Description: NSF(1776)GAR(576)COV(254) MASTER 01 37 OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RYDELL AL ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a GRIVETTE, JOHNNY E. & IDA L. signed statement that he or she is licensed pursuant to the provisions of PO BOX 6833 the Contractor's State License Law (Chapter 9 commencing with Section CHICO CA 95927-6833 7000) of Division 3 of the -Business and Professions Code) or that he or , she is exempt therefrom and the basis for the alleged exemption. Any (530)518-5257 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): - I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the 'structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GRIVETTE, JOHNNY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P O BOX 6833 provided that such improvements are not intended or offered for CHICO, CA 95927 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 518-5257 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: GRIVETTE, JOHNNY not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 6833 ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927 (530) 518-5257 � } Date: Qw — License #: 834049 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 2606 S.F. Policy #: Valuation: $145,774.00 ertify that in the performance of the work for which this permit is Census Code: j iss ed, 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 I r forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compens • overage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit islherebVssue nder t applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to do ork i icale abo e r which f s have been paid. performance of the work for which this permit is issued (Sec 3097 Clv.) Name: By: Date: / PERMIT EXPIRES ON: Address: e ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials_ 0 1 Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl' Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or documen linty.. I hereby authorize representativesof Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 'V Signature: 5—q-65 Date: wner picontractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY fN RMIT DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTSr-- 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP 05_03 % OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name p . i\ irst Name ^ j Address 7675/` S'1IccYwy City j f Ards Q State a �1 Zip q� 4 Phone i , 5-20 Fax E-mail State License Number CONTRACTOR Name t�t my r ; 6,4--ri 'i' Address 76 -�SIGw4 \ City 4"'t �4I� State C4 Zip q5Y6 Phone 53U 319-525'7 Fax 7 . I/L3( E-mail Lic. 18)1DY 9 I Class APPLICANT SIGNATURE X Fo office use only: ARCHITECT/ENGINEER Name SIq V-1 -t s 1114rR��rn Address SRA rYes No City Type Const. State Zip Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE X Fo office use only: APPLICANT NAME Name SIq V-1 -t s 1114rR��rn Address SRA rYes No City Type Const. State Zip Phone Lot # Fax E-mail APPLICANT SIGNATURE X Fo office use only: Zoning T— Flood Zone X, I SRA rYes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION r AP# ©6H — 6 D —0� l Property Address I �5 �n � ► r(lsv�v w�4 City M� �.c; Cross Street �L e WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: eW 5FQ -i7 ��aCar� 5��� R.►� /vl q W f ft PLAiv :X37 C.BOCOWW Sq. Footage 17 76 r" ❑ Structure Built without Permits ❑ Proposed Change of Occupancy ' (Note previous use): Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. L[ / /v Received by: Amount: �7 `I (� Bldg �_� 20 C/ SRA Receipt M n� �%Sheriff SMIP Date: Other .-- Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (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. Filind,fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 o r5t-77'� 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: / � ��/L'�L, D is'Z I 14(-_rr7� ASSESSOR PARCEL NUMBER DO � G 80 - 061 Proposed Building Use: N 5 /- /41/r5 TC --%Z' o /- 37 Counter Technician: Date: 2 Items required in order to apply for a permit. All boxes MUST/be checked OR marked NA in order to apply. w 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. ❑r 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets'of stamped and signed calculations. Q 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. r^% 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 ❑ _ I 14. Hazardous Material Form Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. / N 16. OtherA- A > g n c_. i .._� A,A,,C Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ................................... ..""" ........ \ ❑ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit....................................................................... Falifornia Department of Forest ry plan approval JC3vaid. zr 4 Planning approval (A) Use: �(B)Parking: (C Parcel Check: 3 If MIS ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26 NPDES Form............................................................................................. KTT�J_ncroachment Z8 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) ..................... \ O 32. Letter -of Signature authorization......................................:............................. 3. ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ . Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... 37. A Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 64164,V y S;, and hold for pickup. I have been info^med of the above items and requirements for obtaining a building permit. Applicant: 2_-T-4 1. Index perm' pplica ori a above items n eX Plan Check Letter 2. Additions de ; ired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, wn r, was advised of the abov - data bv ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 6_57 Plans approved by: aq! _ Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division PO -5-7 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE 12 `fPt5LL / OWNER. A.P. It PROPOSED BUILDING USE DATE ` 577 26 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ vised Plan Checking Fee ......................... :....... $ 2. SCHOOL DISTRICT FEES k 15C JJAJ' h 01� at District Office) 3. SHERIFF FEES (paid at Building Division) Residential l u .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential .................. # Units al (Sq. ft.) . Sq. ft. .TION DISTRICT FEES r / x _$ Amt. Amt. )151 _ 6. THERMALITO DRAINAGE DISTRICT FEE \,,. :00 (paid at Building Division) k77.SRA FIRE INSPECTION AND PLAN CHECK �i8�.49-(�aith-at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 4> 9. CSA 87 TRAFFIC FEE 2 (paid at Building Division) M 0. OTHER 2 /o o-�__ V115 -Z$ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE ''z7 r 8� Pursuant to God'ernment Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Butte County Department of -Development Sel-vl'ces %T r� 7 County Center Drive o a Oroville, CA 95965 o �.:: o 0 ._� o (530) 538-7601 Telephone o "' o (530) 538-7785 Facsimile c0Utul BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans ekamination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby, acknowledge: le • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: �O�Vtrt V6;&-erq Building site address: 4PA%g' (64' 6& ^0D 1 APN: Mq-6, So ` 067 Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: — //Z//1_ J__ _� � � � - 2-- o_5 S ATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/B1dgPermitwithoutClearances 020705 \, Department of Public Works C o u n t y o f B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION O / Storm Water Management Program 7 County Center Drive Oroville CA 95965 AvQ�V40V,16`' (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement 11 ACRE OR MORE Project Description: tVe\," SED wl ATtkN ed 6A[LAd.- Project Location and/or Parcel Number: /V Y"g-56 h �0f� M_ C60 " oog By signing below, I, the project owner/owner's agent, certify that this project will disturb 1 acre or more of land and that I, therefore, need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board and obtain a Waste Discharge Identification Number (WDID#). 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 will provide the issue date and the Waste Discharge Identification Number (WDID#) that is provided by the California Regional Water Quality Control Board for a Construction Storm Water Permit on this project: ❑ Date issued ❑ WDID# 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: I Acre or more NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 10/13/04 tj: ,,.�.J..:i ~, ti'µ�G`. .ij„if _ c i%uG_, �It: k• 'i.l �t 4�'•r �R3IL,,DERI^I=0�TIO i?.+lwyWN a s .�.:.-���a.;.s• v�t..a�":�-x�:�oc:r.�.r.;��;�w ir... a rlr.e ..S.,.v::. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [A NO [ ). 2. I HAVE [ jJ HAVE NOT [� J signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: 5-1 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/412004 Butte County Department of Development Services ADMINISTRATION ° BUILDING ` GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the -verification is returned. xv__� C. Vieir4 C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District CJS V 6-1 A.P. Number V UWn Jurisdiction: = City Building Department No. County Property Owner Property Location/Address� Subdivision Lot No. ................. ............................................. :... .................................... Residential Development Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group F) Units Installation Conversion Permit # � (No foundation Inspection) i....... . ........................... ..................... _..... , Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition Sq. Footage (Including Exterior /Roofed Areas) Date Dist t Identification.No. ooh District certifies that (Applican -2--Z-S 3 (Street Address) �✓l (Phone Number) (City) (State) (Zip ode) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # Remarks: by payment of $ 2926 $ FULL MM GATION $ ` r Date Notla: You may protest the Imposition of the teas identified above by submitting a written protest to the District, in compliance with Govem wnt Code Section 66020(a), within t10 days from the date fees are paid. Failure to submit a Umaly wd ten protest will'prohibit you from challenging the Imposition of the tan In any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Foe Certification Form, the School District is sWIN led by the applicable Local Planning Agency that this project Is being rsrolswad undar t he C 11fomis Environmental Quality Act (CEQA), bits project may be subject to additional school fess to fully mitigate. Us Impact on the school dlatAd`a schools.` White (applicant), Yellow (building department), Pink (school district) feefomn.As (10/03dmm F -1 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 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 O 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 exce t signature must be typed or legibly rinted. 1. Applicant's Name: �r�l�e 1 a. Company Name: ,V�rie-k 51f rVc r ` ni 2. Address: 7675 ,51,167 r�� s G 5�6 9 3. Phone: 53(9-518 -Szs7 oR 376 - iso/ 4. Assessor's Parcel Number: 06q-6 o• -0o 5. Location of Work to be Done n' 6. Applicant's Signature 7. Date: D 5 CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 62-b5 Lu cC 7i tQ� AD. A rtr i ie- C- .S 6 10. Phone: �72- 2 �16 2Z8 0257 11. Fax: 12. Contractor's License Number: Q r 9368 6 13. Certificate of Insurance: C&I X11 Yes No: ❑ 14. Contrac Signature: / 14a. Date Signed: o 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: El Gutter: El Sidewalk: ❑ � 17. If Driveway List Type: C. 18. Other Work - Describe:19. G LLv-c C/?w /� / ZO Plans Attached: ❑ Yes No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ranted. 20. Conditions �7� u/cC , /Yo Cd ///GrG TES /J/� /z�/ s /) Xale'G✓w! - yule ® /��✓G�d rr�v dui dv�rr 7`.. /ATG i ol ✓ C �Gl� !/ o a,.e- Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 21. ,4All work shall conform to accompanying: Detail X Plans ❑ Special Conditions ❑ 22. Date Issued S _ O 23. Expiration Date: S w 24. Surety: 25. Date Paid: (A/ s/�J 26. Amount Paid:? -,9--0 27. Paid B28. Receipt No.: �/ q Mike Crump, Director of Public Works By: 6� �- For County 29. Final Inspection Date: 30. Inspected By: 4�zz ❑ Com eied K Comp e - of OK ❑ AddiY Comments Attached Use only:. 31. Comments: ote: tr permits are taxed ro any number besides (530) 538 4356, they can be delayed up to one week. Page l of 2 GENERAL CONDITIONS 1. It is,understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Peffnhee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for pubic agencies and franchise holders, this permit is revocable at any time. This peen» t is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain arty encroachment placed by the Permittee on any pad of the County Highway and to immedrately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the umstagation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. No material used for fill or badkfi0 in the construction of the encroachment shag be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shag be kept open for travel by the general public at all times. No public road under the jurisdic ion of the Board shag be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. T. The Permittee, by the acceptance of this perrnit, shag assume fug responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shag defend, indemnify, and hold them and each of them harmless for such claim, & All excavations shag be backfilled and compacted immediately after work therein has been completed. Trenches shag not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the near thereof, unless otherwise permitted by the Engineer. Unless otherwise pemiitted under the Special Conditions, baddig shag be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform ill the percentage of compaction as stated below. Permittee shag notify foreman 24 hours before backfilling and/or paving. a The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shag be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-C of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane free feet (5) below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shag bear all costs and responsibility for compaction tests. c The relative compadion from a plane five feet (5) below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shag bear all costs and responsibility for compaction tests. *Material for use as trench backfill in any existing or proposed roadway section shag be sand, shag be place in 8' lifts, and be compacted to a relative compaction of not less than 95%. Material for use as baddig in roadside gutter excavations shag be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shag be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shag be 30 inches, except drainage culverts. Ag hstallations, parallel with roadway, shag be placed as dose to the right -of --way One as possible. No portion of the baddill(s) shag be compacted by ponding or jetting-, All pavements, curbs, gutters. sidewalks, borrow ditches, pipes. headwags, road signs, trees, shrubbery, and/or other permanent road facrTifies impaired by at a result of construction operations at the construction sb(s), or at other ground(s) occupied by materials and/or equipment; shag be restored immediately upon baddifng or the excavation to the original grades and - - s sections, and to a condition as good as, or better than. existed prior to the corstrudion. Ag surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shag be replaced within ONE WEEK following the backfilling of excavation. weather perrnitfing, with compacted layers of surfacing materials at least as thick as the existing; and no less than two inches (2) of asphalt concrete over eight inches (87 of aggregate base, according to current California State Specifications, , Whenever `eeessary to secure permission from abutting property owners. such authority must be secured by the Pemmittee prior to starting work 10. The future safety and convenience of the traveling public shag be given every consideration in the location and type of construction. Permittee shag cause to be placed, erected, and maintained ail warring signals, Fights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the appOcard, applicant shag notify contractor as to the special conditions and requirements contained herein. Page 2 of 2- -s AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 09 -Kay -2005 2005-0026238 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: S C A714C kar% E/w ( ..r c I Date 5 - r - 0S State of California County of - IoIT -CZ-7 PROPERTY OWNERS: S��HY G-; 04-1ah% 2.YOEc. L On _ �.I -N q UC -j before me, 0-, WSJ n/—�c , NQr&iL personally appearedC-nOAy e—I'Tt A 0 tpk400 y Qt�7� — 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 sign ure(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acte execu the ' stru ent. WITNESS my h n and fi ' e Signaturef Seal: C. c to 'A Commission #151 479 A A.P.# IDLq—��0-000t a. Not# Pu"c-Catitorroa eutte;County My Coffin. Exp- txt. 30, 2008 , Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION.* BUILDING * GIS * PLANNING September 16, 2004 Johnny Grivette Construction 2337 Moyer Way Chico, CA 95973 RE: Masterson Septic Permit APN: 064-680-009 The Butte County Department of Development Services, Planningbepartment has reviewed your septic permit application on Masterson. Since Skyway is a federal aid road, the rear property line setback is 25'. The site plan shows this setback line as 20' and therefore the leach lines are encroaching 5' into this area. Please revise your plans to show this 25' setback on the property line adjacent to ,Skyway. The original plans have been returned to the Chico Environmental Health office if you need to reference them. ` Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7606. Sincerely, .6oseph W. Baker ' Planning Manager Cc: Chico Environmental Health TO RETURN TO CHICO EH SITE PLAN ANNkAPPLICATION Date: - a'O �( AP# p —0 0 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: / r U -e— Owners Address: � Telephone No.: (�{ - �`% Email: Situs.Address: 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 IMI-iSeptic ❑ Well Agricultural Exempt Building RAgricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Page 1 of 5 . ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: O Snow Load Area: • ;-00 03.-10 2,0. C ❑ 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) a Expansive Soils (Test for expansive soils and if verified proper foundation design required) m"O&UZA 60 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: (o ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Varfance ❑ Variance ---------------------------------=----- = —----- ----------------------- ❑ Detached B.uilding,Use -Vorm E F1 Encroachment Permit ❑ Agricultural WorkeF Affidavits ❑ Agricultural Acknowledgement Statement Zoning: — L-D(Z 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 Side r Side Street Rear 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 TO RETURN TO CHICO EHE f SITE PLAN RgLPPLICATION Date: q - a'0 �� AP# /'� C� �/- c (�0 -0 0 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners. Name: _7 n Lj 4__61L r (1 �— Owners Address: 771 9 S Telephone No.: Email Situs,Address:� Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling El Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel E C E � U SEP - 3 2004 BUTTE COUNTY PLANNING DIVISION ❑ Commercial Remodel ❑ Industrial Remodel Other Septic ❑ Well Agricultural Exempt Building RAgricultural Buffer FormA F-1 Other: ❑ Applicable able ❑ N/A Brief Explanation (if necessary): DO NOT WRITE'BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: i Snow Load Area: - Z00 611?)ZO. 0 �— ❑ 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) cliv d, SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See ached) • Flood Zone: • Flood Panel No.: e6.007G 0Y610C Index Date: (o ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance [3 Variance -------------------- ❑ Detached Building.Use-Vorm ❑ Agricultural Worker Affidavi ❑ Encroachment Permit ❑ Agricultural Acknowledgement Statement Zoning: k 71— 1 Q00-- G e Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Ream -- , Height t E Waterway N/A N/A - I N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 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) a Check with school district to verify actual fee if pre -application review. A final determination will be made at the time c 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 I' Subdivision Ma /Parcel MaC�'l Map Date of Recording:�76) Lot: r ❑ Use Permit/Minor Use Permit Permit Number: Book: J�� Page: 7, —7 / 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. Page 4 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑' School*. ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Amount Formula ----------------------------------------------------- ------------------------- --------------------------------=-------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Checkwith school district to verify actual fee if pre -application review. A final determination will be made at the time c the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: F] No ❑ Yes Comments: ' . ❑ Yes ❑ Yes ❑ 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 e� Subdivision Ma /Parcel Ma ;/' lf- q& Map Date of Recording: �676 Lot: / ❑ Use Permit/Minor Use Permit Permit Number: Book: J 5- Page: %1 `71 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. INK Page 4 of 5 u 0 I] Summary of Specific Requirements: This information provided in this summary is based on the application of review.. information and on the best available data at the time CALarryslBuilding Permit site Plan Reviewl,doe (2-20-o4) Page 5 of 5 Ll N Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:H-arrys\Building Permit Site Plan Reviewl.doc (2-20-04) Page 5 of 5 BUTTE 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: 401 H �/ l ?-rri UC �� � Phone: ��l �J � 5 Mailing Address: 7 3 3 E -Mail address Assessor's Parcel Number. 66 y - [- $ O _ OO C/ Reason you believe you qualify for the unusual circumstances exception: Ow r or AuthotOdAgentls signature Date UNUSUAL CIRCUMSTANCES DEFINITION: �� �,. An exceptional or extraordinary condition where the existing lot size or shape or an existing improve. rit`�•f (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. U) axy SITE PLAN REQUIREMENT: submit 4 copies with this form,� . Refer to the Site Plan Submittal handout for specific requirements 'l Internal Dept. Contact Info: r ❑ Env. Health ❑ Planning ❑ Building ❑ Other IV Contact Person: Phone: ......................................................................................................................................................................................... For Ag lcultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/1/03 LARWIN DEVELOPMENTS, INC. A CORPORATION AS OWNER OF THE LANDS INCLUDED WITHIN PARADISE PINES UNIT NO. 2' AS SHOWN WITHIN THE COLORED BORDER LINE ON THE ANNEXED MAP AND OROVILLE TITLE COMPANY, AND TITLE INSURANCE AND TRUST CO., AS 1RUSTEES UNDER RECORD DEEDS OF TRUST, DO HEREBY CERTIFY THAT WE ARE THE ONLY PER WHOSE CONSENT IS NECESSARY TO PASS CLEAR TITLE TO SAID LAND AND W'E CONSENT TO THE PREPARATION AND RECORDATION OF GA,P ueo n< SH 0'AN WITHIN THE COLORED BORDER LINES. THOSE PORTION5 OF THE SKYWAY FREMONT DRIVE, MAS T ERSON WAY, KLAMATH GOURT,DALTON WAY. BRIDGER COURT, FARGO COURT, COLTER WAY, CODY COURT, OOLTER COURT, AND HICKOK COURT. AS SHOWN WITHIN THE COLORED BORDER LINES ON SAID MAP ARE HEREBY OFFERED FOR DEDICATION FOR PUBLIC USE FOR COUNTY ROAD PURPOSES, WE ALSO OFFER FOR DEDICATION, AND DO HEREBY DEDICATE FOR SPECIFIC PURPOSES. THE FOLLOWING: (AI RIGHTS OF WAY AND EASEMENTS FOR WATER, GAS, SEWER, AND DRAINAGE PIPES, AND FOR OVERHEAD AND UNDERGROUND WIRES FOR ELECTRIC AND TELEPHONE SERVICES, TOGETHER WITH ANY AND ALL APPURTENANCES APPERTAINING THERETO. ON, OVER, AND UNDER THOSE STRIPS OF LAND DESIGN ATED'PUBLIC UTILITY EASEMENT'CONTIGU OUS TO THE REAR AND/OR SIDELINES OF LOTS AND CF THE WIDTH$ SHOWN HEREON. (B) EASEMENTS FOR LIGHT AND AIR OVER THOSE STRIPS OF LAND LYING BETWEEN THE FRONT AND/OR SIDELINES OF LOTS AND THE LINES SHOWN HEREON AND DESIG- NATED'SET BACK LINE. SA10 STRIPS TO BE KEPT OPEN AND FREE OF BUILDINGS. ICI RIGHTS OF WAY AND EASEMENTS FOR DRAINAGE PIPES TOGETHER WITH ANY AND ALL APPU RiEN AN ES APPERTAINING THERETO ON. OVER. AND UNDER THOSE STRIPS OF LAND DES I GNA7ED"DRAINAGE EASEMENT IN TME LOCATIONS AND OF THE WIDTHS SHOWN HEREON. (D) EASEMENTS FOR POLES AND OVERHEAD AND UNDERGROUND ANCHORS, GUYS, WIRES CONDUITS AND APPURTENANCES THERETO FOR ELECTRIC AND COMMUNICATION SERVICES INCLUDING THE RIGHT TO TRIM AND REMOVE. AS OFTEN AS NECESSARY TREES, LIMBS, AND BRUSH, IN THE LOCATIONS AND OF THE WIDTHS SHOWN HEREON. (E) RESERVATIONS PROHIBITING VEHICULAR INGRESS AND/OR EGRESS OVER ANO ACROSS THOSE STRIPS OF LAND ABUTTING THE SKYWAY AND DESIGNATED "NO VEHICULAR ACCESS STR IP. HEREON. (F) RIGHT OF WAY AND EASEMENTS FOR INGRESS AND EGRESS ON, OVER AND ACROSS THE SOUTHWESTERLY 140.00 FEET OF LOTS 19, 20, 23. 24, 31. 32,• 35. AND 36, THE SOUTHWESTERLY 136 FEET OF LOTS 27 AND 2B. THE SOUTHERLY 235 FEET OF LOT 164, THE SOUTHERLY 2S4 FEET OF LOT 165, THE NORTH- EASTERLY 20 FEET OF LOTS 2,3 AND 4, THE SOUTHEASTERLY CORNER OF LOT I BEARING NORTHWEST AND SOUTHEAST 40 FEET AND NORTHEAST AND SOUTHWEST 30 FEET, THE NORTHWEST PORTION OF LOTS IOOAND 101 THAT WILL VARY IN WIDTH AS SHOWN, AND ALL FOR COMMON DRIVEWAY PURPOSES. TIT E INSUR T COMPANY, A CALIF AT [_ a, AS TRUSTEES STATE Oi CA RNIA ) SS COUNTY OF •) ON THI eOF.SCL9L—. 1970 B E ME,JHE UNDERSIGNED. A NOTARY p L I UfVTY OF i j;--"`p1F AjIY AP PGARED - - KNOWtTtYO ME T� B'•iifEt ANOr'`' RESPECTIVELY. OF TITLE INSII•RANCE AN(1T'TRUST COM.PAN�";A EQ^i CORPORATION WHICH EXECUTED THE FORE GQ CERTIFICATE, D KN TO ME TO BE THE PERSON %710 EXECUTED THE G CERTIFI ON E LF OF THE CORPORATION THEREIN ED t{. ACKNOWLEDGED' AT SUCH CORPORATION EXECUTED TH AME, '• q .,j!' Ij3 Ax py�c L�. ,ytnE8j1:�Y!O tYH.MTY �°I✓�'ri1XLIC J, '•+ COMMISSION EXPI RES,. m..mnuum,u,uuwrNq,lwu.wa.s _ .. :mow. JI LARWIN DEVELOPMENTS, INC.. A CORPORATION, AS OWNER E CUTIVE E -PRE DENT ASSISTANT SECRETARY STATE OF CALIFORNIA ) SS COUNTY OF BUT TE ) ON THIS All DAY OF 1970. BEFORE ME. THE UNDERSIGNED. A NOTARY PUBLIC IN AND FOR THE OF BUTTE, PERSONALLY APPEARED IFRav RCRCFR AND GRANT CLINE KNOWN TO ME TO BE THE EXECUTIVE VICE PRESIDENT AND ASSISTANT SECRETARY. RESPECTIVELY OF LARWIN DEVELOPMENTS. INC. A CORPORATION, WHICH EXECUTED THE FOREGOING CERTIFICATE, AND KNOWN TO ME TO BE THE Pf.RSONS WHO E%E CU TED THE fOP EGGING CF.pTIFICATE ON BEHALF OF THE CORPORATION THEREIN NAMED. AND ACKNOWLEDGED TO ME THAT SUCH CORP- ORATION EXECUTED THE SAME. l � NOTARY PUBLIC MY COMMISSION E% IfRES OROVL TITLE COMPANY A CORPORATION. AS TRUSTEES �,'���—= STATE OF CALIFORNIA I SS COUNTY OF ♦B�UpTITE I ON THISA44LF AY OF 1970, BEFORE ME, THE UNDERSIGN A NOTARY PUB�LI J.j ND FOR THE C NT Z,F T g}+ ^pH.AL APEAR ED r - KNOWN YO ME TO BE THE C/.A AN J' RESPECTIVELY, OF OROVILLE TIT L A CALIFSkRI' CORPORATION, All I CH EXECUTED THE FOREGOING CERTIFICATE. AND KNOWN TO ME TO BE THE PERSONS WHO EXECUTED THE FOREGOING CERTIFICATE ON BEHALF OF THE COR- PORATION THEREIN NAfAEO. AND ACKNOWLEDGED TO ME THAT AT SUCH CORPORATION EXECUTED THE SAME. 1 ' VIN W.MILLCR - ' j NOTARY PUBLIC j � •1 MY COMMISSION XtT1�_llq_u nom—'_ IFS-a� 1, DONALD D. MCCORMICC-OO HEREBY CERTIFY THAT I AM A REGISTERED CIVIL ENGINEER OF THE STATE OF CALIFORNIA. THAT THE ANNEXED MAP OF (PARADISE PINES UNITNO.. - CORRECTLY REPRESENTS A SURVEY MADE UNDER MY DIRECjj:.Fk0jN:N0y EMBER 1969. THAT 1T 15 TRUE AND COMPLETE AS SHOYIN. THAT. E.Y Ot1��??1{EN'G$�A$HOWN THEREON ARE SET IN THEIR CORRECT POSITION AND AA�'SU ,):�I EtL; :TA.�'E NABLE THE S�U7RVEY TOI RETRACED. Y 3: (.' ;DONALD D. MCCORMICK, R.C.E. 9033 `I. F.N. SEELY, JR.. AUDITOR OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA DO HEREBY CERTIFY THAT THERE ARE NO LIENS AGAINST'PARADISEPINES UNIT NO2' AS HEREON SET FORTH. OR UNPAID STATE. COUNTY MUNICIPAL OR LOCAL TAXES OR SPECIAL ASSESSMENTS COLLECTED AS TAXES, EXCEPT TAXES OR SPECIAL ASSESSMENTS NOT YET PAYABLE, TAXES OR SPECIAL ASSESSMENTS WHjCH ARE A LIEN BUT NOT YET PAYABLE 1 ESTIMATE TO BE IN THE AMOUNT OF " id.WA F. SEEN, P., COUN A ITOR I, ALBERT J. WALSH. DIRECTOR OF PLANNING OF THE PLANNING COMMISSION OF THE COUNTY Of BUTTE. STATE OF CALIFORNIA DO MERE By CERTIFY THAT THE ANNEXED FINAL MAP OF 'PARADISE PINES UNIT N0. 2� CONFORMS SUBSTANTIALLY WITH THE OESI N S WN E TENTATIVE A1AP WHICH WAS APPROVED BY THIS COMMI� / ALBERT J -V WALSH, RECTOR OF PLANNING I, CLAY CASTLEBE RRY. DIRECTOR OF PUBLIC WORKS OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA DO HEREBY CERTIFY THAT -1 HAVE EXAMINED THE FINAL MAP OF PARADISE PINES UNIT NO. 2' THAT IT IS SUBSTANTIALLY THE SAME AS APPEARED ON TME TENTATIVE MAP ON FILE AND ANY APPROVED ALTERATIONS THEREOF, THAT ALL PP.OVISIONS OF THE SUB- DIVISION MAP ACT OF THE STATE OF CALIFORNIA AND LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF SAID TENTATIVE MAP HAVE BEEN COMPLIED WITH, AND 1 AM SATISFIED THAT SAID MAP IS TECHI CALLY CORRECT. V`LAY CASrILEBERRY. R.C.E. f4224 DIRECTOR OF PUBLIC WORKS, COUNTY OF BUTTE I, CLARK A. NELSON, COUNTY CLERK OF TH COUNT' OF 0 TTE. STATE OF CALI- FORNIA, DO HEREBY CERTIFY TN AT ON THE DAV OF Juwr� 1970. THE BUTTE COUNTY BOARD OF SUP ER VI SOR S _OFFICIALLY APPROVED THE SUBDIVISION MAP OF 'PARADISE PINES UNIT NO. 2 THE RECEIPT OF SATISFACTORY SECURITY IN THE AUDITORS ESTIMATED AMOUNT OF A Ri.oO TO INSURE PAYMENT OF TAXES WHICH ARE A LIEN BUT NOT YET PAYABLE WAS ACKNOWLEDGED. THOSE PORTIONS OF THE SKYWAY, FREMONT DRIVE. MASTERSON WAY. KLAVIATH COURT.DALTON WAY• BRIDGER COURT, FARGO COURT,COITER WAY, GO Dy COURT, COLTER COURT. AND HICKOK COURT, AS SHOWN WITHIN THE COLORED BORDER LINES ON SAID M P. .pAIDT Ff ERED FOR DEDICATION FOR PUBLIC USE WERE ACCEPTED ON BEH[1L.-OP; O RUBLIC FOR COUNTY ROAD PURPOSES. �-7 SIV ! CLARK A. NELSON, COUNTY C fRK 1 BY DEPUTY RECORDED IN THE OFFICE OF THE RECORDER OF BUTTE COUNTY, STATE OF CALI- FORNIA, AT -HE REOUEST OF OP.OVILLE TI E COMPANY AT�.O_MINUTES PAST O'CLOCK g M. ON TME 1� DAY OF 1970. IN BOOK 3- OF MAPS AT PAG ES T1, 92 Ta RECORDING NUMB R 9i.Z. .Z OUC 'ISE KIGEND E COUNTY RECORDER BY DEPU SUBDIVISION NO. 1-2 PARADISE PINES UNIT N0. 2 PTN. S:E. 1/4, SEC. 14 , T.23 N., R.3 E., M.D.M. BUTTE COUNTY , CALIFORNIA MAY, 1970 •MURRAY 9 McCORMICK INC. CIVIL ENGINEERS LAND SURVEYORS 1912 FST., SACRAMENTO , CALIFORNIA SHEET I OF 4 SHEETS CENTF� 9reyval .-FOUNT %I' /BON /r�.9TYMPFO /T/e /C /. S. lelY' s eGe / 909' 1/' OO'C U 90. GS' ..�< CENTF i SFCT/Oh' L/NC es.oa• ° ?,r\ -"4,97 ♦ i' \ To. ♦ do ' Z •tpR°', 1 :° N 9•tY,'OG'F Nef'Q r/O'F •�` 2 /t ..� u P A^ate r r f•`-f°+P'.f i °/r \ P „ / ` �'• _I /. iii; 9,. A�gD d o � 'W°G'g +' (r` \ � �,.1 I ti i h i /77r 1 0 � a ! 8/(�f1 �'ql. �R.i:A~ /0.9 � � 'o. A 'r,4 P' .(°.ka • . `� ° , o .Irr.P�._ Gre$ M 3 ;• A'f t 7S P[t /\ »e s•fr�i a' o � � � wi� � » NP �Gf 's /S 1,°;�•°I'P'tty -� 0. qc L: srsru' d E[ > ,lisd =i ti � /70 e+""•,'S\=; .-e°.` 61r,v� 41' « � �n . R+ c o ./°' � v e .a'f �+✓F�°,o�41 a\\ Y, eis�/i?° i t ilIbb�i; .` �*y a °nrmrr F °(t '.ti" /75 �` o i . '\ s"sy /7 'F `t ; x�1 .4 •3a�• . `t r,. (a' t,P,P .' � is zv✓�, ,,t^ n.� �. � ✓/iro's`,,`< d/�eD' \��� ""\" a ° � „�,"w Z �`� ' 3 e yi 4. / 7¢ �\'. Ta . e-F.g�jg; fn(. t•g.r>• .w_ 9 - 9° .'ia'`o M � 7 ±•ti 1 a '+, y a'�(�P dg.go °• 9s a fI' i `" " °j /G7 � '' fM° ie' ___ .Df ___ - o�'.. E5°,. t• rgs+ `+� z \yc5/1, �,. ♦"7 g ' g'gdF6/ ~ 'e •PL`\ s/ter/iir`N gig 1`I.Ot P° a� ; w ) G ./73 r mss'. , /' e � e•' !e: -9B\ yam' g YjS,/b.a°. F i k ^' -nm• t s Pt• % �4+ �c A'g.0 lot \.. .?4 f/D•nYr .�. 04°° +A L'� '` 9e2 �I '11 [a?)mL� a• • \'�? "g' /Bo 97 /59 >1 /I9.ef VI ♦ • 4 Na -e t4 r°♦�i .tea"a IL 1- & iiPri lar y - 9G \m y? �� /58 Q a /gi- l o• � x v /' 9" S.IigOf ~s, � e•rG'ro'L✓° ♦ P y it /B1 a ♦°. r v 95 4 f o. a —4 al /S6 .°' ° .�� ggt /BZ b° 3 0♦ e_/03 � V Pgr.La'Pe"E .. a I+G.,P(f fs . � `.al; 2 oy �� as ,/=L° LOT B I �r•ra- ^'sr�T� �. iz /c. ane Nc. ♦"i,r,._r .r �/,f� °S�v < +e ♦l �. A� WNTL.PIJL P26FJ 1 'i 9,9 /a \ 1 , y i IP°�/ •w '„'. ♦n l "` / i r �,ay.sc •ems �t♦ ♦°",� t,,t lu e%S ��^�"•t, n l `•� o i � ''• /G.o9�gi� ha i ryu ^>F•.>y_ '-r. � �•4 ti ` ebn.� � ""/oG F I I ' a g�? P': !. ✓i /S+ _ �1,97 • 1 4 1; i NPC•°`/+f(F� w ♦ o ii2 �� eo SEF s/ esT S \ I /NPFB/qL Wqr I zD za n SNfFT 9 it u i SNFET 1 N/G Pr gD e �' rc/P 9NEFT /NDEX NgGgt /q V/C/N/TY MNP TOTNL NC2ES 9G•O/9 a e°wwoN Be/rcwar LOTS G/./3J F 99 91 N;Lars .4,80a la.— C r 9G 9S � m � eq\\' LEGEND J'P/ze v[Nc [ar [grour � CALCULATED POINT ..........................................................................° c ♦ OVERHANG EASEMENT ........................................... .... L... `\ a\ SET BACK LINE .................................................. PUBLIC UTILITY EASEMENT (P.U.E.) ................. �-VAaF.l---- DRAINAGE EASEMENT.....gni2----- ....................... 1 •Og f `�B• \\ � PEDESTRIAN EASEMENT,IPED. ESMT.1 ................. R.A9'rg .4g \ 16, \ SET CENTERLINE MONUMENT ............................................... ........® SET 2 3 K IRON PIPE TAGGED R.C.E. 9033... \ P 1 _ . \ PRIVATE DRIVEWAY EABEMEN'f (p.D. E.) e'g0 f �e ; 11 ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS vo �P,/+; T,• ga 1 i TO BE MARKED BY 3/a' IRON PIN WITH TAG R.C.E. 9033 /p � ^ �w pro• u �Ib BASIS OF BEARING THE WEST LINE OF 'SIERRA DEL ORO ESTATES UNIT N0, 4' G> ` •YeP/ s• P/v Y, 1t p a i ` SHOWN AS N 00'48'12'E ON THE MAP FILED IN THE OFFICE !d :y: R�' tl v 1 Of THE RECORDER OF BUTTE COUNTY IN MAP BOOK 35 AT 'g jS i;� 1 111 PAGES 48. 49, AND 50. 9 fi'a♦ ; A 1 3w9 � \ 1 SUBDIVISION NO. /-Z PARADISE PINES UNIT N0. 2 � 5 .res o •-.v_ �, �1 \ "•O t >R /e °9�4°+0. `\ $ `\ PTN.-*S.0 1�4� SEC. 14 T.23 N., R.3 E., M.D.M. c _• i°ee=5µ %/gyp \ \ \ BUT TE COUNTY , CALIFORNIA &'�I♦a i7 u°%�` �e[i °9 wq"�\SCALE=I*= 100' MAY .1970 MURRAY 0 McCORMICK INC. CIVIL ENGINEERS LAND SURVEYORS 1912 FSACRAMENTO, CALIFORNIA P '15 \ P ir.• min \ SSTHEET 4 OF 4 SHEETS TO ' 17)0 6 05--0373 RETURN TO CHICO EH SITE PLAN PPLICATION Date: 2-0)_O�_f AP# n Gq- C, �'0—O04 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: r U Owners Address: S Telephone No.: (� s`7 Email: Situs.Address:�`t-��/ S Csj-1 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 Other Septic Agricultural Exempt Building ❑ Other: (if ❑ Single Family Remodel ❑ 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 Stamped Approved a1V / p3' Environmental Health BY Date SEP 17 2004 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ff Snow Load Area: - , zoo &-h) 2- ` . 0 .ice ❑ 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) y}'�,ai SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See t ched) • Flood Zone: • Flood Panel No.: 46,,0 % • 0 `f 6,0Index Date: (0 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------- ------ g -----�______—_—__---------------------- -- 3 ❑ D,etached Buildin .UmBorm Encroachment Permit { ❑ Agricultural Workelr Affidavits ❑ Agricultural Acknowledgement Statement Zoning: 71 — I 0 - 6 P LiQ. 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 Side o { 9 G tic ( Side Street Rear 20 T Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: 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 f] 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 n3). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements E V@Y®timental Health ------------------------------------------------------------------------- ^ 17, _N64 --------- ChocO, CA Page 3 of 5 O Subdivision Map/Parcel Map: A/Ikk.5 Map Date of Recording: Z/6 76 Lot: / ❑ Use Permit/Minor Use Permit Permit Number: Book:—"?5- ook:✓ j Page: 7) — 7 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. ❑- X Page 4 of 5 m x 0 WE Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at thr time of review. CALarryslBuilding Permit Site Plan Reviewl.doc (2-20-04) Page 5 of 5 Environmental lea€th. SEP 17`001t MCC), CA 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: �►���/ f��r; uC 6(_Phone: Mailing Address: 2 3 3 ( MD E -Mail address Assessor's Parcel Number. 66 -) 8 O _ go C/ Reason you belleve you qualify for the unusual circumstances exception: ^Z—,o, . Date UNUSUAL CIRCUMSTANCES DEFINITION: / ju' An exceptional or extraordinary condition where the existing lot size or shape or an existing improve) (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: ...........................................ioner...............ce us.......... ..only:............(to......................................... .be............................................................. For Agricultural Commissoffie completed after. submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations:._nvirnf16i9gfB#gf Health Agricultural Department Signature: Date: YMC 7/1/03 P $ 7 2004 0 z O - rn z p II 0 r O J �o � rn �D rn 70 0 n - co - II O J � O 0 LO N A'.bZ $3 �O„ZI Q - O � O N ONDZ 0�a ZAS 01 1 w � U - (n <9 U -i N 8'x 18' REDWOOD NQ Q) DECK 3. -'4IO" 9'-4' " O . _ 14-G2'a24 e0 •O A y A A A ��0Oo V �• 5 *40 CIPI H�®� HVAC A W A BEDROOM 2BEDROOM ! °' - LIVING 'T b ; Q C ROOM V Lo th co W Lo FAWLIGHT • ` I fav SWIM O 0 I,� V �' .�.r .Q.CLII V - Q 9'-22 WOOD/GAS -7 2•G• 2 •G G. s 2 6 STOVE 4� • 20'-74" 6 BYPASS t.q CJP 5HGP 4 r0l ' 2'-32 A 2,G• up ` �� z _ KANGE REFER lamwl 2x2' r C 0 MA5TER BED sKY in KITCHEN T-92" uGHT DINNING �� FAWLIGHT ` ,: ROOM O Z. 5' FIBERGLASS r C TUB/SHOWER 1' c x0 4* i (D N y_ LJ 4'-� O O cz " 0, .. �V _it • A HVAC Ora 4c LL CL GP" < « 4X 12 3 6! 4X12 l 42 M 30 GA. wee �51NK iC • A WH C c� .Gj q sy 5Y xo � A �\ C W -O" 2'-0' 6' 0" 2'47 '-G' T-32' 4'-1 I I " 4'-9' 7' -G' -- co ' -G. -Co ) MIN. I& HIGH Q < ; rIATFORM UNDCR W.H. LU A. 5TRAt' W.H. TO WALL 5TUD5 WITHIN C' OF M-� N TOF < BOTTOM OF TANKch 3 3 v�A� 0 A3 1 - - 3 W Otn b APPROVED N a Z B County A Envlm m n I Health W O 0 U Sign tune �-" U Z 5cale 1141, I '-0" �j A . 0 4' 8' `�, DATE: 80-04 18'7 O).H. DOOR JOB NO. as �o�iy� *Z .Z 0 d3S g P1 - 24'-O„ Y119QH lflUQWualnu3 I I - REVISIONS N, }'t NIN DIVISIOiV - BUiLDiNG PU APPROVAL �.`: - � � REVIEWED BY'. oS Use: Date Date: - - BUTTE C0: FIRE DEPT. _—. Lardsmpin9: CALIF. DEPT. of FORESTRY P3rwng off. ❑ approved as submitted (JKJ SIC 8pDi0Ved with C011ditlOrlc I .ii i I -v i _� i i r` i i i i i I I N i Iii i I i CD Za0M 0 V 9 Z a: ccn co a W...1 t-ao� C/) LU f— a� I I I . I I P% - I I I I I I I NOTE: DEL ORO WATER, � z NO WELL W w H 175'-72" v z Scale l " 10'_0" H U 0 0' 5' 101 20' 100a Z o d3s 's ` DATE: 8-30-04 JOB NO. lu}uautuoalnu3 � p rpM� P1 N o 4-1 Lo Cl) Lo 183'-O" V Lo . N p -� M e NOTE: DEL ORO WATER, � z NO WELL W w H 175'-72" v z Scale l " 10'_0" H U 0 0' 5' 101 20' 100a Z o d3s 's ` DATE: 8-30-04 JOB NO. lu}uautuoalnu3 � p rpM� P1 N