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(C NOTES m 3 4 RESIDENTIAL R a. -0-13 Harold s+%%nson �tc� `Tr© LOA New w tiara e SPECIAL CONDITIONS CHECKED _zSRA / BY RA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J�,Q OFFICE COPY Address GAS ` Meter By Dat 1" ELECTRIC Meter By Date ELECTRI V 16 Meter By Dai I�3 �J JOB FINALED (Date) Signature — 6� ✓ = OK 0 = Not OK = Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s / P Nat. or/ /"L"ft./ PLPG 1. 7. Well Clearance & Disconnect 2. 8. Utility Clearance, 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg. -Frg-Bracing Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date Carports; Windows -Doors 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 4. Elec.; Receptacles and Lighting, Distance-GFI Date 5. Card B-1 Date Card B-1 Date 6. 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.-Con nectors 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK = Not Applicable = Not Ready Date RESIDENTIAL (Single & Duplex) nderfloor (Plans) OK except #'s ing-Setbacks-Easements-Flood-Slop ol Main, Soils-Elec. Grnd.-/� y Ftg. Garage; Soils-Steel-Elec. Grnd.-/ Porches & Decks; Soils -Steel -/1% nwalls, Main; Steel-Blockouts-Wrapp / 66. Hold Downs and Special Anchors \ _ 8. hfrs-Fireplace Ftg.-Steel 1.9 Test -2 Wav C/O -Sewer Test Gas Pipe; Size Anchors - Yard Ga3Tiping; Size Test Water Pipe, Test -Anchors -Regulator -Service Test ric Underaround Date FRAMING (Permit) OK except #'s 0 S ns Proper Materials & Anchors 4 . alls Studs -Nailing Spacing & Braces -Plates -Sound 4 . aring Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 44 Fre Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 -4 -,"Headers & Beams -Size & Bearing Date FRAMING (Continued) lenums & Ducts; Clearance -Material -Support -Ins. 6,p` Girqws-Sills-Anchor Bolts-Joists-Vents-Crippies 48` Fireplace Ties or type A Flue -Fireplace Throat Clearance ` ccess & Ventilation Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 16. Insulation Garage Fire Protection Framing Date X. Card B-YZ jj Date Card B-1 Date Card B-1 Date Card B-1 Date Siding -Nailing Veneer PLUMBING (Permit) OK except #'s 5 4/Water Htr.; Vent -Access -Combustion Air Baffle Shear Walls; Nailing -Bolts ace Interior/Exterior Wall Panels 1 ter Pipe; Test & Anchor -Nail Protection 62. 1 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date �� w Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24.A1ec. Receptacles Spacing -Lights & Switches at Doors 2 Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. V. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28(12 Appliance Circuits in Kitchen & Conductor Size GFI 29 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 3 . Range Circle / a / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral @ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light (,34. Smoke Detector A Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date ' Card B-1 Date Card B-1 Date k Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 0 S ns Proper Materials & Anchors 4 . alls Studs -Nailing Spacing & Braces -Plates -Sound 4 . aring Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 44 Fre Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 -4 -,"Headers & Beams -Size & Bearing Date FRAMING (Continued) q H gers-Post Caps -Anchors -Connectors ling. Joist-Rftr. Ties-Pitrlin-Roff Beac.-Tru ss- Shting. -Ring. 48` Fireplace Ties or type A Flue -Fireplace Throat Clearance ` 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits fa-&ratrs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers L�. Siding -Nailing Veneer _ZZ -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 G ng Area -Glass Protection -Skylights -Plastic Q 60. ' Shear Walls; Nailing -Bolts ace Interior/Exterior Wall Panels 6 Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date a Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 6 Ext. Steps -Door & Sidelight Protection -Landings 6/ Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 6r 2.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels K. -Stairs & Rails 7,KFireplace or Stove, Clearance -Hearth 7V Elec. Outlets at Wood Panel, Int. & Ext. 72, Kit. Fixt. &Appliance; Ground -Air Gap -Cooking Clearance 7,r3!Elec. Outlets & Receptacles at Kit. Counter 74,<arage Fire Door; Swing -Landing -Closure 75-r'A.C. Duct in Garage -Damper 7e Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Garage; Above Floor-Mech. Protection 7/ Ib., Elec. & Mech. Equip. Listed for Location &2C C, 78/flec. Receptacles in Garage (F.F.I.)-Romex Protection -7,v"Insulation- Foam- Looked in Attic ,ep-Cauard Rails & Deck Construction -Post Caps 81.,A-'dn. VBents & Crawl Hole Door Drainage & Wood -Earth C 'arance Looked under Floor ❑ Ye 82 ollowing Insild./Drive Yes J No/Walks Yes J No/Planters J Yes - o 0 8t1-$tucco Brown -Finish 8 A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings -ST7V7 ter Well, Disconnect, Electrical, Plumbing aXlExterior Elec. Trim, G.F.I. Receptacle -Underground 88 ntilation Throughout House Glass Protection 9g,,Corrections from Previous Inspections �`as Test -Meters Tagged, Gas -Electric 92. ter & Sewer Connected -C/O to Grade -HD Approval 3 Energy Compliance Certificate -Other Certificates Address Posted Date Card B-1 .1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CertainTeed M' ,ns ISafe 4 .� 0 Builders Statement Fiber Glass Blowing Insulation 70a _C 0 1 CA C) -4 30"1-I Homeowner Name / Jobsite Name Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a. Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: abs.) Should not be less than: (n.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 1 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 43/4 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: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH'DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS 1 t t I L4 WALLS �9 1 I� ✓ FLOORS 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: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH'DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02002 CertainTeed Corporation 11/02 M Manufacturer Insulation Fact Sheet This 'is CertainTeed Corporation I nsu Sae 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 CertainTeed Col THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG. MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 161/4 38 22.8 44 0.615 141/4 30 18.0 56 0.485 12 26 15.5 65 0.418 102 22 13.1 76 0.353 9 19 11.1 90 0.301 71/4 13 7.7 129 0.209 51/2 - 11 6.6 151 0.179 41/4 R -values are determined in accordance with ASTM'C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than:,(sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 5'/2 16 19.8 51 0.533 4 15 17.9 56 0.484 31/8 14 17.3 58 10.467 131/2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. i To get the marked R -Value, it is essential that this insulation be installed properly. • • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - 1 1 fiv t v Ir -1 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is comp I d If you have any questions pertaining to this matter, or need additional explanation, pleasontact this office immediately. 7 ON/AWAS --MA "- -e".'aT1..+tfa.v. r-..�..'t.' 'rr+y^zr+s '" —1s' -.t.' -- w COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 03 - 1521 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ,,4,4 4//- r it / / /.,, e -A r l 0-d O Date '40 Inspector REV 10/92 is COUNTY OF BUTTE ` . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet • Chico, CA • (530) 891-2751 . 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE . O NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected.. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleaEe contact -this office immediately. ...-.y�,r."."+^.=�-sttft�+:,'L•�S"R7/��"-�'�5++`.: .�ws.,Fy,...y..,,: `.--•--�...w,�+-,.0+�..�.A.-w" ..._ ....�,-�..,,.�,�-r�wy� yrti r . - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f Date REV 10/92 Foe 4- r L �2 5) r L h rs io I -0Z V16 - v� Inspector k ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754y� P T O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING Co - 7 - 3 'OWNER BUILDING PERMIT TELEPHONE LSzzM EQFOCC. BUILDING VALUATION OWNERS LING ADj1RESS Z44&9(D L r 19,480-00 484 11 612 QQ CONTRACTOR'S NAME ^ / (U/91 LEPH E 6 CONTRACTORS MAILING ADORES CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 117 360.00 ARCHITECT CR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 702.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 456.60 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 1 202,10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)r Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 9 7-0063.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 •0 Each as water heater or vent 15.00 ,15.00 TYPE OF WORK New 7 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NW SE W/ATTACHED GARAGE Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 143.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo p OR DESS 1 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. & ACO. BLDS. SO- 3.50T $5.55 NO"ON.palpT MULTI -OUTLET H CIRCUITS �G 7,50 SINGLE OUTLET POWER AFFARATUCIR.S Ex, Occup. OUTLET OR FD(TURES 20 @'•0° BAL @ .so Ex. Occup. OuTIEtT°sA PPMR, A 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 12$.55 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers'HAZ, 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 fo with comply with those provisions. X oC .rs�rr.a,. Date �,�a� Z7 CD3 ignature of Applicant ;A Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 1 20.00 Heating 1 15.00 15.00 Cooling Hood 6.50 Ventilation GAS FO CE 1 15.00 5.00 PERMIT FEE $ 71,50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 CONST.TVPE TOTALFEE$ 1 590.65not i D. FEES IMP D CDF PARCEL FD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Da `l PERMIT EXPIRES ON 2 Moe Dale Lffl Receipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE I C ev.12196j APPLICATION AND PERMIT ' �I� ASSESSORPARCEL NUYBEi�/1 - U ZOH1 _ BUILDING PERMIT OWNER la rcid OWNERS MAW AD RE56 "E �` " SQ. FT. OCC. BUILDING VALUATION 60 • GpNTMCTORYiTELEPHONE G 6 G d CONTRACTORS MMUND ADDRSS CONSTRUCTTONTENDER Fireplace LENDER'S MQUNG ADDRESS Total Valuation S G ARCHITECT OR ENMNM UCENSE NO. Fifina Fee S 2D.00 Permit Fee S ARCMrECT AOR ENDPIEERS MAIUND ADDRESS Pian Checkin Fee $ W-qU 'TGADDRS a � all Energy Plan Checking Fee S a S PERMIT FEE S , l IDT NO.SUBDN6IONS .._ __._...-.._.__.. .._.._ .Dfvr NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap - --- 7:00 - USEOFSTRUCTURE SF ❑ Duplex ❑ Miobllehome ❑' Other °P£CFY Solar or heat pump water heater 23.00 Water piping 15.00 s Each gas water heater or vent 15.00 f s TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: ew Other ❑ caaelPERMIT Gas piping system'- 1 - 5 outlets 15.00 j Building sewer 15.00 IS Mobile Home S G W @20.00 FEE _ -8. G ELECTRICAL PERMIT jFifingFee 20.00 Man Service ow OR, LIEss 23.00 G ` A 11 l e/� �t I TOO j V � /� Yy�,, � j,� C� `� / 1 nctI-' /U•V , i+i:4; *WrPERMIT O 44-te.;r AwwwA A� a �— � loc? �+ ��� W�V• Main Serviee zooA to +oTwA 46.00. NEA COl6t: DWEillxl OCWP. J ` DR :Ace. eTDs. MONS rttw Ns . MULrwunEt @7.5x0 NON•RESML @%.50 POWDT APPARATIS i SDIOI.E OUTLET CIR a Occup. oun.0 OR FTKTURES 2. laY +.50 BAL ® .SO . Ex. Occup. vnETs ro� 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Mlsc. Wiring 23.00 FEE S / MECHANICAL PERMIT Feng Fee 20.00 Heating c CoolingS a Hood I I 6.5 0 I _ O Ventilation s 6v PERMIT FEE= S i•s� Mobile Home Installation Fee $ G Energy Inspection Fee S oEc cost• TYPE TOTAL FEES HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD i -JE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON • (Dery RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow Nc 304839 -WC Title Order No. 00304839 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Harold A. Stimson 14341 Troy Way Magalia, CA 95954 iz003-00i2647z Recorded Official Records County Of E CANDACE JGRUBBS Recorder ROSEMARY DICKSON Assistant 09a00AM 28 -Apr -2003 REC FEE 10.00 TAX 44.00 Andrew Rage 1 of 2 ANN. U64-/80-033 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) �. Documen'.ary transfer tax is $44.00 ( X J computed on full value of property conveyed, or ( J computed on full value less value of liens or encumbrances remaining at time of sale, ( � Unincorporated Area City of Unincorporated FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Stephen Polley and Candace M. Polley, husband and wife hereby GRANT(S) to Harold A. Stimson and Linda C. Stimson, husband and wife as Joint Tenants the follovAng described real property in the City of Unincorporated County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: April 11, 2003 STATE OF CALIFORNIA COUNTY OF Butte .ON aril 15, 2003 before me, A. Burcham,notary personally appeared Stephen Polley and Candace M. Polley personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) isaare subscribed to the within instrument and acknowledged to me that he/shefthey executed the same in his/het/their authorized capacity(ies), and that by his/hel/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and o fici seal. Signature /�JC 9 nrr�CA. BU cHAM 0 ;, *' Comm. #1281413 17 V ¢ NOTARY PUBLIC ('AI_(FORNIA BUTTE COL/NT`V d int¢ E.fy C9trdsll ipn (xA 22,204 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED EXHIBIT "ONE" ,Parcel I: Lot 30, as shown on that certain Map entitled, "Tray Estates Unit No. 2", filed in the Office of the County Recorder of Butte County, California, on November 7, 1991, in Book 122, of Maps, at Page(s) 80, 81 and 82. Parcel II: Flowage Rights for drainage of storm water across Lot 20, from flowage rights line to Middle Butte Creek, as shown on that certain Map entitled, "Troy Estates Unit No. 2", filed in the Office of the County Recorder of Butte County, California, on November 7, 1991, in Book 122, of Maps, at Page(s) 80, 81 and 82. Parcel III: An Easement for Creek between the highwater lines,, Lot 20, as shown on that certain Map entitled, "Troy Estates Unit No. 2", filed in the Office of the County Recorder of Butte County, California, on November 7, 1991, in Book 122, of Maps, at Page(s) 80, 81. and 82. Assessor's Parcel No: 064-780-033 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /P v (Rev.12/96) , APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER 064-780-033 ZONING P-1 BUILDING PERMIT OWNER TELEP NE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE S U -'�8712.00 CONTRACTOR'S NAME NST_. T tEPHONE 872-1208 216 C 2808.00 CONTRACTORS MAILING ADDR SS CONSTRUCTION N ER LENDER'S MAILING ADDRESS Fireplace Total v to $ 117 360.00 ARCHITECT OR ENGINEER UCE E N Filin e $ 20.00 P It $ 702.50 ARCHITECT OR ENGINEERS MAILING ADDRESS I heck) Fee $ BUILDING ADDRESS TROY WAY MAG rgy hacking Fee $ 23.00 $ PERMIT FEE $ 1202,10 LOT NO. SUBDIVISIONS NAME PARCELMAP PLUMBING PERMIT Fling Fee 20.00 USTR E 4 SF Duplex ❑ Mobilehome ❑ the rxN CIAEach Each Trap g 7-0063.00 Solar or heat pump water heater 23.00 Water piping 15.00 as water heater or vent 15.001 TY OF WORK New �I Addition ❑ Remodel ❑ Utilities ❑ Installs' ❑ Other ❑ Describe Work:.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.0019 Mobile Home S G W @20.00 PERMIT FEE $ 143. 00 ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 200A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, d my license is in PA force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lata for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION Ireby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with those provisions. © to � ��' � Signature of Applicant - ❑ Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and de olition or construction of structures over 3 stories in height. Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BUDS. 3.50FT. 85.55 NO"�.pESIp ' MULTI.OUTLET @7.50 WELL APPARATUS 8 SINGLE 0 Jr, CIR. OUTLET OR FIXTURES 20 Q 1'00 Ex. Occu BAL. o .50 Ex. Occup. o xut>Etrs RES,p.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 128,55 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation gas firelplace 15.00 PERMIT FEE $ 71.50 Mobile Home Installation Fee $ Energy Inspection Fee $46.00 0 CONST. TYPE R3/ VN TOTAL F E $ 1590.65 HAZ. I D. FEESI �ed PARCELPDUcompensation This permit is hereby issunder the Butte County Code and/or indicated above for which fees have in By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 3609A1 $71 ,no nn, WHITE-D.D.S.-B.D. CANARY -A SESSOR INK -INSPECTOR GOLDENROD -APPLICANT 1 -i. 'y. - i•;- '.J-'ri . .:. a.. C_ •.. .. - ' + -, f. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION /) '�• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /P1' (Rev.12/9t�i APPLICATION AND PERMIT -0. ASSESAORP4RCELNUM�ER _, r�+e =o"I"G BUILDING PERMIT OWNER POLTTELEP • .i7 !DRE NE SO. FT. OCC. BUILDING VALUATION ] OWNERS MAILING DRE S -" 484 U 8712.W CONTRACTOR'S NAME TELEPHONE 216 C 2808.00 - CONTRACTORS MAILING ORS A� V t. CONSTR TO N ER MAGi +, i '* Fireplace LENDER'S MAIUNG ADDRESS Total Vilifflia. $ 117.-W.00 ARCHITECT OR ENG;NEER LICE EN Flin ee $ 20.00 P it Fe $ ARCHITECT OR ENGNEERS MAIUNG ADDRESS \ (jla k heck) Fee $ 456.60 A LD NG ADDRESS .��TROY. WAY M rgy Plan. -Checking Fee $ 23.00 PERMIT FEE $ 1202.10 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 . US O TR TUIkE `� SF q Duplex ❑ Mobilehome ❑ ther \, -PECI Each Trap q 7-00163.00 Solar or heat pump water heater 23.00 Water piping 15.00 15-00 Each gas water heater or vent 15.00 TYP OF WORK New §.1 Add.lion ❑ Remodel ❑ Utilities ❑ Installa' ❑ .Other ❑ Describe Work: NEW SINCTE FAMITY 124GARRAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G IW @20.00 PERMIT FEE $ 143.00 -ELECTRICAL PERMIT Filing Fee 20.00 000OvORR LE:: Service 23.00 23.00 LICENSED CONTRACTOR'S DECLARATIONMain ;ti(; I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, jpAd my license is in i force and effect.+ License Class °' Lic. No. �",�"� j -- "" OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LaW for the following reason: - 000 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. _ O I am exempt under Sec. Business and Professions Code for this reason f WORKERS', COMPENSATION DECLARATION Ireby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.), Kocc ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 forjhwilh comply with those provisions. © Signa ure of Applicant - ❑ Owner ❑'Contracto�� Agent An OSHA permit is required for excavations over 60" deep and de olition or construction of structures over 3 stories in height. Service 200A TO 1000A 46.00 NEW CONST. DWELLINGUDS.NG OCCUR SO OR ADONS. a ACC. Ds. 3.5QPT' 85.55 NEW NST. MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1:00 SAL @ .50 Ex. Occup. OUTLE�DSRaoOE.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 128.55 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation as fire laCQ 15.00 PERMIT FEE S 71.N0 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 R3� CONST. TYPE VN TOTAL FEE $ 1590.65 HAZ. D. FEES I P COP PARCEL pD ND ISSUE This permit is hereby issued u der of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 3609411 (1(� WHITE-D.D.S.-B.D. CANARY• ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • •�''. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 l�PER11 (Rev. 1219 � ;� APPLICATION AND PERMIT i lU AS SES40RPARCEL NUMBERyam' .. J r j' '� ZONIN° BUILDING PERMIT OWNER TELEP ONE SO. FT. OCC. BUILDING VALUATION 1W R 05 G OWNERS MA14tM ADDR S 484 U 87012.00 CONTRACTOR'S NAME T AT TELEPHONE V O 21D ` /� 2808.00 CONTRACTORS MAILING ADDRESS - ( '-� h V to T Af[AC . GALIA CONSTRITC 0_ NDER w ♦ r 9 o Fireplace IV LENDER'S MAILNG ADDRESS i t * 11-% Total Valua to $ 117.AD.00 ARCHITECT OR ENGINEER ] \ UCENSE NO. Filin Fee $ 20.00 Pe(n1)it Fee $ • 50 ARCHITECT OR ENGINEERS MAILING ADDRESS `�.�, f " PIan Checkin Fee $ 4 BUILDING ADDRESS ' -TROY WAY A 14AGI n rgy Plan.Checking Fee $ 23.00 $ PERMIT FEE $ 1202.10 LOT NO.' SUBDNIS IONS NAME { PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 US .O1 S'J TUR�E SF N Duplex ❑ Mobilehome ❑ ther / \ Ir SN SPECIFY, Each Trap g 7.00 63.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.0015.00 TYOE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installat0n,,9 Other ❑ i \ Describe Work: NEW SINGLE DMIX g LJ GARAGE Gas piping system 1 - 5 outlets 15.00 15-00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 143,00 ' ELECTRICAL PERMIT I Filing Feel 20.00 600VOR LESS Main Service 20.A OR LESS 23.00 2:3.00 LICENSED CONTRACTOR'S DECLARATION', - „j1,�- I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, d my license is in faforce.and effect. �' "---i -- ir• License ClassLic. No.Jtt : , O RENW BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property; or my, employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S° OR ADDNS. a ACC. S. 3.50FT. 85.55 NON -RES. MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. ourLEr oR FaruREs 20 @ 1'00 Ex. Occu BAL @ .s0 FIXI Ex. Occup. OUTLETS A� D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i 128.55 WORKERS' COMPENSATION DECLARATION I reby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. gyp' I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. i My workers' compensation insurance carrier and policy number are. Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling15.00 Hood 6.50 6.50 Ventilation gas fireplace 15 00 PERMIT FEE S 1• Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 fhwith comply with those provisions. _„s, .,, , _ to 4. ; �� QSig*naure of Applicant - ❑ Owner ❑' Con tractors+' Agent An OSHA permit is required for excavations over 5'0" deep and de olition or construction of structures over 3 stories in height. I Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ i� /) CONST. PE jj� TOTAL FEE $ 1590.65 HA2. I D. FEES I P FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dale ReceiptNo. 360941 t7l t fl(1// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI K -INSPECTOR GOLDENROD•APPLICANT �.� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERTIT (Rev.12/96+ APPLICATION AND PERMIT .if ,fitT N + : 0 ir' SEVOR P4RCEL NUMBER r w ZONING BUILDING PERMIT OWNER PQLt.FV, rANDICE Ar STEVE TELEPHONE SO, FT, OCC. BUILDING VALUATION 1960 R 105 4A0.00 OWNER'S MAILING ADDREtS ^" 484 0 * 8712.00 CONTRACTOR'S NAME TELEPHONE L 4 1V 2 G (� 2808.00 CONTRACTOR'S MAILING ADDRESS TROY CONSTRUCTION (ENDER ` ^` Fireplace LENDER'S MAILING ADDRESS Total Valuatlo Is 12 .00 ARCHITECT OR ENGINEER L1 '� LICENSE NO. Filing Fee`1 $ 20.00 Permit Fee $ • ARCHITECT OR ENGINEERS MAILING ADDRESS •�.,� I • Plan'Checking Fee $ BUILDING ADDRESS t • 'TROY WAY AiAGALIA • � . 'Ene'rgy Plan Checking Fee ' $ 23.00 $ _ - PERMIT FEE $ 1202.(0 LOT NO. SUBONSIONS NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 r y USEOFSTRUCTURE SF fQ Duplex ❑ Mobilehome ❑ t 'Other 1 1 F :� SPECIFY '� '' Each Trap 7.00 63.00 Solar or heat pump water heater 23.00 Water piping 15.00 5,00 Each gas water heater or vent 15.00 TYPE OF WORK 'i New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑I Describe Work: NIN SINGLE FAMILY W/GARAGIF Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.0015. Q0 Mobile Home ISI GI W @20.00 PERMIT FEE $ 143.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDoq OR LESS 23.00 • 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, gin d my license is in fu I force and effect. ,�.r� License Class Lic. NO.` �'�► OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f-: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 reby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .CJ, 1 have and will maintain workers' compensation insurance, as required by Section X 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall for$hwith comply with those provisions. X Dg a d! �/i ignature of Applicant - ❑ Owner ❑ Contractof-❑ Agent / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLINGOCCUP. SO OR ADDNS. a ACC. OOS. 3.5¢FT. NOµgESID. MULTI -OUTLET 97.50 POWER APPARATUS d SINGLE OUTLET CIR. .00 Ex. Occup. OUTLET OR FIXTURES SAL 20 @ +. 0 FIXED Ex. Occup. p� TS DE RM.l 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating • Cooling• Hood 6.50 6.50 Ventilation g" 'rte PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ • 00 D3/ oDNSTVi TOTAL FEE $ X590.65 HAZ. D. FEES IMP FLOOD COF PARCEL pD HD ISSUE This permit is hereby issued Under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON if the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 36 941 $711.0n/1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION , 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538.7541 (REw.t2/96) APPLICATION AND PERMIT _._DZ_71P,J ASI SI(SISOA PAPCEL NUMW 7 U 3 77k- BUILDING PERMIT OrSNE ! /^ T(LPFgN( J SQ. FT. OCC. BUILDING VALUATION owNas wAiuFq AD t G COM 0 `:� T(IDMONC 7 ............. ; ooMRAc off. ►aMooREss CONSTRUCTION 1ENOER fz NLENDERS MNLNG AOOMSS Fireplace ARCNRIA:ENSE NO ECT OR Total Valuetlon S Filin Fee E 20 c ARCMECT OW ENOPrFFAS MAUNo A001lES9 Permit Fee E D . euaDwcAcocEs Plan Checkin Fee fi 3`� Energy Plan Checking Fee 779 LOT f SMAW 1, PMCEL MAP PERMIT FEE t a, PLUMBING PERMIT Filing Fee 20.c USEOFSTRUCTURE 13^, A Each Trap 7.00 Solar or heat pum 3 water heater 23.00 SF Duplex ❑ Mobilehome ❑ Other Water i in BPECNY t 5.00 1508 TYPE OF WORK * Each gas water heater or vent 15.00 .D 0 New�ddition ❑ Remodel ❑ Utilities 13 Installation ❑ Other ❑ Gas fin stem 1 - 5 outlets 15.00 1I Building sewer 15.00 Describe Work: Mobile Home S G W @20.00 PERMIT FEE ! / 3 •O _ ELECTRICAL PERMIT Filin Fee 20.0 ��� (2� Mein Service p°DOYo„ r, mss 23.00 .0� LD-� Cr^✓ V[J TO / L.� ��� *Main;Service IOM TO IOOOA 46 00 �"L �r7 : X 0 y � � ' NEW CONS VWULLM 3.5cNEW CONS s' NON.RESiO. YULTF trRET I cQ7.50 POV"A APPARATUS i SINGLE OUTLET G0. EX. Occup. r OUTLET OR FDRURE6 6w 0 I.x I - Ex. OCCU .FIXED APPL-6. OR ovTLETs ES 10. EA 5.00 Temporary Service 23.00 Mobile Home Facilities Y0.00 Misc. Wiring23.00 0 SRAPERMIT FEE = a r, s to �i MECHANICAL PERMIT Fling Fee 20.0f Heating OCooling Hood I I 6.50 I ro•J-v Ventilation PERMIT FEIE t Moble Home Installation Fee i �� _ Energy Inspection FeeNo t a4 00 T. TO L FEE e V9z -OU NAZ. This permit is here Issued under the applicable provision' NYY1 10C.L+ ;y Q of the Butte County Code and/or Resolutions to do wori Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON - 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"1 ASSESSOR PARCEL NUMBER 7 ^ 7 t?- - 33 Proposed Building Use: `) CVLa 6300 Counter Technician: S Date: Items required in order to apply for a per it. All boxes MUST be checked OR marked NA in order to apply. Ir 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. .P*2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 1"4. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. s Items required for initial plan review. Af checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1113 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 0 15. Statement of Intent for Non -heated and A/C Buildings ........ : ...: ..............................^ ` 16. Sanitation and plot plan approval from the Environmental Health Departrqent in 17. City of Chico Plumbing permit ....... I...................................C.�. 1 ............... . 18. California Department of Forestry plan approval paid. Sent. by: ° I �� .' S -GZ 19. Planning approval for (A) Use: 01< (B)Parking: _ (C) Parcel Check: l- 1 jy-- pn_ ❑ 20. Contact Land Development abouG0 Improvements, ❑ Drainage ............................... CA21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... /027. Recorded copy of Agricultural Acknowledgment Statement.. �..................... fe- 0 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been infor ed of the above items and requirements for obtaining a building permit. Olicant: /� crate.f.3 4 Z-.../ ..d,,,,,,,_, 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date:. . Contractor, designer, owner, was advised of the above data by Vphone, ❑ mail, ❑ counter, by -Date: Plans reviewed by: - Date: Plans approved by:. OW -1 Date: p Structural reviewed b Date: Structural approvedby Date: Note transfer by: " Date: /) 02 - Yellow: Building Division i 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.M. USE GAILY Plot Plan Atlachod -Roar Plan Atuchod Sant to B.D '�6j L'S. Gil) JCU, PO If -04 W V\ - Owner 1,_1ocatiQj AP# Plan Approved for:, Sewage Disposal Water Supply: Public Private Well Clearan-ce,for`Z= 'welling. Other irJ 9-��n C� c � G� lo ceij f Hold final for: Fina! clearance O.K. for: NOTE:, 8/96 mental Health Specialist COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE U ►/� r J. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ A.P.# T ^? t'33 DATE ewe— ol RECEIPT # DATE REC. i --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES aRAQ (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. _ 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. _ 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10.OTHER 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. AP LICANT (ATF ursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 ove 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) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES I e BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the Job site. --o A.P. No. _-064-780-033..:... __027198 Owner I POLLEY, CANDICE & STEVE TROY WAY,, MAGALIAJ- Contractor� ONT:-STIMSON CONST. Permit No. -NEW, SINGLE FAMILY3W/GARAGE PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION Footinas riers -6 Underground Conduit I ` ' Pre-Gunite . I II % Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framin Slab Rough Electrical Rough Mechanical Framinga . Shower Pan . Sewer Service ` Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses :...... _. Informatrow...: 24 Hr Insp ; Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2.751 891-2834 Revised 7/94,. 7 i I „ 1 t 6 ' w ii r h 011-350-025 02-0661 CENTERVILLE RECREATION 5241 HARVEY JOHNSON, CHICO FOUNDATION REPA°TR", 064-780-033—� POLLEY, CANDICE &z STEVE98 TROY WAY, MAGALIA CONT: STIMSON CONST. NEW SINGLE FAMILY W/GARAGE 061-�1n_nni n� X412 RODERICK, ROBERT 212 LR., BERRY CREEK CONT: - & A C NEW MH PERM FND NEW SITE 064-780-033., 02-2198 1 POL•LEY, CANDICE &z STEVE TROY WAY, MAGALIA CONT: STIMSON CONST. NEW SINGLE FAMILY W/GARAGE 0 NOTES RESIDENTIAL 064-780-033 02-2198 PERMIT N0. ,-POLLEY, CANDICE &r STEVE,....._ TROY WAY, MAGALIA CONT: STIMSON CONST. NEW SINGLE FAMILY W/GARAGE SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY r� ,I • x .r r r f RESIDENTIAL 064-780-033 02-2198 PERMIT N0. ,-POLLEY, CANDICE &r STEVE,....._ TROY WAY, MAGALIA CONT: STIMSON CONST. NEW SINGLE FAMILY W/GARAGE SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not - =Not AAppplicable . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation (Single & Duplex) Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground-Air=Gap-Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V." in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic A 81. Guard Rails & Deck Construction -Post Caos f 82. Fdn. VBents & Crawl Hole Door Drainage & Wood Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive 0 Yes Cl No/Walks O Yes O No/Planters Cl Yes CVNo 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing �--- 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing f 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections i 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK - = Not Applicable . = Not Ready, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat, or/ /" L "ft./ P LPG 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-Con nectors 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 7. Well Clearance& Disconnect 2. 8. Utility Clearance Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15-Volts-GFI 6. Date 7. 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector - 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to -Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8: Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office ate Card B-1 Date Card B-1 Da4e 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-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15-Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Illi III III I ILII I IIII II 11 II II I IIIII Recorded l REC FEE 10.00 Official .Records I Ci]PIES 2.50 County Cif I 81H G_ I CANI►y t;F J. SKIMS I Recorder I ROSEKARY DICKSUN I Assistant I Karen 02.18PM 26 -Jun -2003 1 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: S22F Date State of California ) County of On (p "Z -ti' before me, personally appeared i known to me (or proved to me to the within instrument and capacity(ies), and that by his/h the person(s) acted, executed WITNESS my hand a>opfficji Signature, TY OWNERS: on the basis of satisfactory evidence) to be the p re son(s) whose name(s) is/are subscribed acknowle ged a that he/she/they executed the same in his/her/their authorized er/their s' n re(s) op the instrument, the person(s) or the entity upon behalf of which thennst ` nt. A.P. # 064- 7 O - D 3 Ep,°`'" WENDY CSAR . PSS '�:.,.; •., P, Seal: O w Comm. #1306527 NOTARY PUBLIC O.�.LIPCRNiA Q �•'``��� � BUTT[ COUNTY -a r ,u Ary Commissi?r. E:;p res Jun. 2T, 2005 CLTA Standard Policy - 1990 Form EXHIBIT "ONE" Parcel I: Order No. 304839 Policy No. 27-01-90. 773235 Lot 30, as shown on that certain Map entitled, "Troy Estates Unit No. 2", filed in the Office of the County Recorder of Butte County, California, on November 7, 1991, in Book 122, of Maps, at Page(s) 80, 81 and 82. Parcel 11: Flowage Rights for drainage of storm water across Lot 20, from flowage rights line to Middle Butte Creek, as shown on that certain Map entitled, "Troy Estates Unit No. 2",'filed in the Office of the County Recorder of Butte County, California, on November 7, 1991, in Book 122, of Maps, at Page(s) 80, 81 and 82. Parcel 1(I: An Easement for Creek between the highwater lines, Lot 20, as shown on that certain Map entitled, "Troy Estates Unit No. 2", filed in the Office of the County Recorder of Butte County, California, on November 7, 1991, in Book 122, of Maps, at Page(s) 80, 81 and 82. Assessor's Parcel No: 064-780-033 2 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �Y i.t f %� / �c S (� �� r ( /� h 4. (� I `f l i0/ t ��` i I I(t Y - 0 , "Building Department No. p A.P. Number !J(���• 7�4-,�, Jurisdiction: City ©County Property Owner Property Location/Address Subdivision Lot No. Residential Development © Sq. Footage 1 lQ No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # 's '(No foundation inspection): .................................................................................................................. Commercial/Industrial New, Addition Department moor rians rewewea oy bcnooi uistnct rersonnei District Identification No. Sool District certifies that 137� Address) 0 (City) (J , has complied with the requirements of Resolution No. i representing �(p D square feet. r\I J IV ---ry School District Representative Paid by Check # Remarks: Sq. Footage (Including Exterior Roofed Areas) G r )/ / f Date ` (Applicant) (Phone Number) (State) (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date U Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm SITE PLAN REVIEW APPLICATION Date: -13- O2 AP# O (0 `1- 7 8 6- d 3 ?j Permit Number (if aaDlicable) 0 2-T- 1 C) & APPLICANT INFORMATION Owners Name: ?� i Owners Address: Parcel Size: 3-7 A C_ Telephone No.: 57-1 r^S011 C a.N '�i', t� 7 3 Situs Address: —l) 2Ay 1-i fa Proposed Use: Residential ® New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporaty 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: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) N ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Q'� Date�L-- Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY `'• Parcel Is In: 9 Snow Load Area: .?-<trt%O Te 25cr'C>-CT - ❑ 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) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0 y m C, Index Date: 6 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit E]Minor Use Permit ❑ Administrative Permit F-1Minor VarVnce ❑ Variance ----------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 7j a 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 2of5 4s .j Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance. ❑ Obtain -a -Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet'Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 J1 Subdivision Map/Parcel Map: _Tr;?� F_s-r' `Z Map Date of Recording: )1-7 9 1 Lot: Book: I Z2. Page: ❑ Use PermitMinor Use Permit Permit Number: Date of Approval: U Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. 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. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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' . ality 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. Page 4 of 5 ,1 C1�a.1j6Gy TO PUQU L WW-e4- SyePLV ❑ I Summary of Specific Requirements: 0 8 This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy tbcuments\Building Permit Site Plan Reviewl.doc Page 5 of 5 06' -:78Q - 33 AI- 07_ T�l�4A1 zo =OD 0 L,tlL�LL� 7�0 � z � 0 c o n N n y gra nwMa Ya 03vowlqqA :3jAM�G T 6A�• Dom. ° •� ENVIRONMENTAL HEATH 00 I 113aMUN DNIWMO �.,,...,.....�....,,.,.-'--•�,.T..-. ...... ,. ° AUG 2 2 2002 - s �f lr�f•Aftr iN ., t