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065-172-019
NOTES Y .3 RESIDENTIAL ' S PERMIT NO. 065-172-019 04_2850A _ MARTIN. JOHN �tsi I ..34, .ELMWUOD DR, iMAGALIA �1c� Cont: OWNER NSF/GARAGE i ly , �r .f. a (08 C) — Co `I Z3 SPECIAL CONDITIONS CHECKED ` BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. } r Address OFFICE COPY GAS- Meter By LA Date l0 rho ELECTRIC S `� Meter By Date` ,JOB FINALED (Date) _ V Signature l SPECIAL INSPECTION ITEMS VERIFY r k y USE PERMIT CONDITIONS �1 SUB -STANDARD HOUSING LETTER 5 � t4 } r Address OFFICE COPY GAS- Meter By LA Date l0 rho ELECTRIC S `� Meter By Date` ,JOB FINALED (Date) _ V Signature l J=OK , ' 0 = Not OK : - NotReadyatle ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test-Wrap; -/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card 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 6-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s n ing-Setbacks- Easements- Flood -Slope F g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth aeO'Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth S emwalls, Main; Steel-Blockouts-Wrapped $temwalls, Garage; Steel-Blockouts-Wrapped 6a:'�Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall- Fittinq -Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anc s -Yard Gas Piping; Size Test p ater Pipe; Te -An ori eyalator-Service Test 12. Electric Underorou Vents-Crippies Date ELECTRICAL -M. Insulation �ixture & Transformer Clearance -Ins. Protection _ 25jElec. Receptacles Spacing -Lights & Switches at Doors Datef j Card B-1 _ Date it � Card B-1 1 C Date(p- 4-057 Card B-1 , Date 7 Card B-1 Date PLIJMBING (Permit) OK except #'s Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. dater Htr.; Vent -Access -Combustion Air Baffle Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection f. ater Pipe; Test & Anchor -Nail Protection equip. Clearances Panels-Motors-Mech. Equip. 1T D.W.V.; Test Fittings & Anchor -Nail Protection Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 20. Shower Pan; Test, First Floor -Tub Access 60. 21. Test Tub & Shower, Second Floor -Tub Access Date Card B-1 Date Card B-1 Gas Pipe; Sixe & Anchors 36. 23. Fire Sprinkler; Test Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade DateI Z Card B-1 Date Card B-1 Date Date jt- ,t (Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s -Post Caps -Anchors -Connectors �ixture & Transformer Clearance -Ins. Protection _ 25jElec. Receptacles Spacing -Lights & Switches at Doors 6 ze Boxes & No. of Conductors Stapled �7,Rbmex Installed Close to Edge of Studs & C.J. 8. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 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 0 Yes O No Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Service -Riser Conductors & Ground Main Disconnect Plywood on Roof Overhang -Attic Vents -Rafter Outriggers equip. Clearances Panels-Motors-Mech. Equip. Siding -Nailing Veneer lothes Closet Light -Shower Light -Spa Light Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Smoke Detector Glazing Area -Glass Protection -Skylights -Plastic 60. Date5ft,GtT— Card B-1 kd Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Comments at Final: 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 jt- ,t (Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s . Sills Proper Materials & Anchors 4 . ails Studs -Nailing Spacing & Braces -Plates -Sound 4 Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 5. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) 4 .}Hangers -Post Caps -Anchors -Connectors 4T Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance A.C. J iYQisconnect, Electrical -Plumbing Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ent ove Roof, Plbg-Appliance-Fireplace-Clearance to Openings Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions ..Garage Fire Protection Framing -RC Channel 56. Property Line Firewall & Openings 5< 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 We"Address Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 3. Infiltration -W indows Date Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date FIN I s) OK except #'s K. t. Steps -Door & Sidelight Protection -Landings oke Detector Furnace Vents -clearance -Comb, Air -Connector - I rage; Above Floor-Ducts-Mech. Protection ,Peiroom Exiting & Bath Fixtures & Tub Access -Spa rim & Subpanel, Breaker Sizes & Labels St Rails lace or Stove, Clearance -Hearth ;20-_Ejoe Outlets at Wood Panel, Int. & Ext. 7 . KjyFiact. & Appliance; Ground -Air -Gap -Cooking Clearance 7lrIEjP,c. Outlets & Receptacles at Kit. Counter G e Fire Door; Swing -Landing -Closure A . uct in Garage -Damper 7>tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Garage; Above Floor-Mech. Protection 7,9' pec. & Mech. Equip. Listed for Location El Receptacles in Garage (F.F.I.)-Romex Protection tion -Foam -Looked in Attic Gu ai s & Deck Construction -Post Caps dn. VBests & Crawl Hole Door Drainaqe & Wood -Earth Cance Looked under Floor 0 Yes _ a300FoIIo.v4KInstld./Drive O Yes 0 No/Walks O Yes O No/Planters O Yes 0 No 8 Brown -Finish A.C. J iYQisconnect, Electrical -Plumbing 8 ent ove Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 ater Well, Disconnect, Electrical, Plumbing 0oorx-teri=94ec. Trim, G.F.I. Receptacle -Underground W.'realAation Throughout House las ection 9 rrections rom Previous Inspections 1$ f7 . Gas Test eters Ta d, Gas -Electric 96�-aater & Sewer Connected -C/O to Grade -HD Approval UiE - Compliance Certificate -Other Certificates We"Address Posted 9 kler Date Mj v6 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: Mar 31 06 09:12a P.1 . aum Ott[ fPF[Ori OF NASTALlATM 1. R0OF Ustmw Bmf Name T ice) Ttterma� Reaos (Rr1Ta�j 3 EXTERIOR WALL Bells Thwumsoxi -- - & SLAB FU= ! PEx2iME7ER :TMckftm nDept, 6 FocnMATM WALL , DECLARATM ��%1MVWo eso lmmff— • nmna Rsd9Wm (WVaw Q • l'\ R BmadNwm ThwnW PAdsftm (P.-V46dU8j BAmdNam Thm nd PAsbtszm (R»Yakm) �t-=_�. :1=i� .+,27f: r.•; rl•J�c :Jtt •J' •�i'rY.-1 RA WE:STERNWOODS E -WP PAGE 01/01 APAz;vw%v Certificate of Conformance Certificate 054086 T HIS IS TO CERTIFY that the glued laminated tirriber products identified with .a collective mark of Engineered Wood Systems (EWS) were manufactired In accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber 1 NER-486 Glued. Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing � Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IS HEREBY CERTIFIED that the APA EWS tradiamarked structural glued laminated timber members mere produced in a manufacturing facility subject to regular audits In accordance with the Engineered Vraod Systems (EWS) Quality Assurance. Program. Routine audits include inspection of the Tlanufacturing process and evaluation of the in -punt QA program with adequate sampling to verify »nformance to industry standards for lumber grads, end glueline bond quality. 3 /g11 xl3 1,2, x byIw- Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS Is a related corporation c f ARA — THE ENGINEERED WOOD ASSOCL47701V 7011 SOUM 19th Strout • P.O. Sox 11 -YOU • Taoomp, WA 98411-0700 Telephone, (259) St3&MOO • I%r Numper (259) tiW7285 s` AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0031226 Recorded I REC FEE 10.00 Official Records 1 County of I COPIES 2.50 Butte I MWEE J. GROBBS I County Clerk-Recorderl 1 I CP 012:11PN 01 -Jun -M I Page 1 of 2 (III"II�"I'I�IIII"�'lII'I' II"I 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: Dates `7 State of California County of *13kk*�-2— All J u/Vtt l I Z V V ' before me, 2� cya (ade personally appeared ,J6VLY1 :1 . IOW4 V1 Ind . niaAJ a. (� 11 personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my lyanj agd offs eal. Signature_/ �`� Seal: VICKIGROSSE A.P.#CRIBS- I-72 -0 1 t Commission # 1327111 §Omy Notary Public - CaliforniaButte County Comm. Expires Oct 27, 2005 THE SOUTH HALF OF LOT 368; AS SHOWN ON THAT. CERTAIN MAP ENTITLED, "FIR HAVEN SUBDMSION",. WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY MAPS OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1955, IN BOOK 21 OF , AT PAGES) 31, 32, 33, :34 AND 35. EXCEPTING THEREFROM ALL THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID LAND, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL,MINING OPERATIONS THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE, AND THAT ALL -SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA 00 -THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM , CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK THE MAGALIA WINING COMPANYA OFFICIAL RECORDS. 423, PAGE 385, 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. BP042850 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 a I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/01/2005 APN: 065-172-019-000 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. Site Address: 6515 ELMWOOD MAG License Class : License Number. _ Map Index: Date: Contractor: Description: NSF (1781) GAR (480) COV (44) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty 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: MARTIN, JOHN permit to construct• alter, improve, demolish, or repair any structure, prior 1610 YOUNG AVENUE to its issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95969 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 530-872-0930 530-872-1390 violation of Section 7031.5 by any applicant for a permit subjects the johntmartin25 aChotmail.com applicant to a civil penally of not more than five hundred dollars ($500).): j ❑ 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: MARTIN, JOHN Code: The Contractors' State License Law does not apply to an 1610 YOUNG AVENUE owner of property who builds or improves thereon, and who does PARADISE, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95969 sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of 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: 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.). C3I am Exempt under Article 3f' h B sin Professions ode Dater Owner: License #: WORKERS' PENSATION DECLARATION I hereby affirm under p7h3lty of perjury one of the following declarations: ❑ 1 have and will 06intain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I 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: 2305 S.F. Policy #: Valuation: $127,989.00 Census Code: 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 I become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: i G: Failure to secure workers' compensation coverage Is I ful, and shall subject an employer to criminal penalties and one P ed thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code• interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here sue nder the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions t work ind ated above to which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMI XPIRES ON: (Date) O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O', Notification in accordance with Section 18827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner th duly aul ' geot of the owner. I agree to comply with laws I it is to the yo document ulte County. I hereby ,all county and slate relating to building construction. acknowledge unlawful alter substanc of a a authorize representatives of Butte County to enter es. the above mentioned property for Inspection pur s 2up%on �� Q.�/ AJ PrintNaame�Signature, Date: l 99 I Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor �1Ll tt9BUTTE COUNTY " v PERMIT DEPARTMENT OF DEVELOPMENT SERVICES ;�� BUILDING PERMIT APPLICATIONNO AND 6 AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION /043 6' - "PLEASE PRINT CLEARLY" 75CI-619 OWNER Last Nae ; Aj Name first Ng.Jme Q 14 V1 Add"/wo v CJ J i Stat City 0.Q J 15 � StateC 0. Zip Phone$ Z- O Fax '�8- %Z E-mail O Lt sem-► a /' i,v Z S leo moi/ c I✓ ARCHITECT/ENGINEER CONTRACTOR Name ` —7 Address Stat City Phone—O O State Zip Phone Name Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name ,C�d eo_00 a /7 ot-1 tf Address PC —(�' ` —7 /O City O20cJl ��� Stat Phone �, 7 -09 3 b Phone—O O Fax Is - E -mail E-mail State License Number ;,A.,k APPLICANT NAME Name O 2 �7 Address / JD PO L)Ajg 4 e City Stag Zip9S !�s Phone �, 7 -09 3 b Fax 9 7 Z- ! Z90 E-mail b L,, I -A.- -�'N 2 5_00,//0 or office use o Zoning lood Zone SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION AP# r -7z-0/9 Pr a Addr ,l�w Cit Cross Street 1N DO d 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 qLL c'o `� r 6a► OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 ' DescrItion orlpe o Work: W Ccs ,S f e VC47'b Sq. Footage S r ❑Structure Built without Permits ❑ Proposed Channe of 0 (Note p, vi 40 AA I TIO C TION pp a or which a permit has not been issued will expire one N ear after the date of applicatio r to renew action on an application after expiratio w application, plans and fee will be required. REQUEST FORREF S Refunds can only , rrtten 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. Received by Re ipt #: a ul Date: 1) 0-7. Amount: �•61 Bldg - SRA —' Sheriff SMIP REI/ Total 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 Q.- V 1.��` ite,plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl Z* Comp)ete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR 0 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 AIC 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 en iq neer. ❑ 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). PP�7 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 Commissioners 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. Contractors license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (iftrequirred). ❑ 10. Recorded co�.py of Agricultural AcknoWetlgmtnt Statement. ❑ 11. ❑ Grant Deed, ❑ &. TitlelStatemennt of Facts, q Lettpr from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 C) LO 00 N O utte County Department of Development Services ANNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538-7601 Telephone 30) 538-7785 Facsimile TO: FROM: SUBJECT 1 QDATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford(7i buttecountv.net Plans Transmittal For Review Per Contract 11/8/2004 Applicant: IMartin, John Permit 04-2850 Project Type: NSF/Cov/Gar APN: 065-172-019 100% 70% Plan Check Fees $ 1,085.26 $ 759.68 $ 1,085.26 $ 759.68 WILLDAN Fee $ 759.68 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET /U OWNER: S\ �"'\� 1'� ` ASSESSOR PARCEL NUMBERh Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orl to p)Y. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 124j, s. TAnti /ec la o 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. �7 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form M 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. Cl 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... 0 20. Erosion Control Plan Required........................................................................ t1 KX 21 ees as shown on the attached Schedule of Fees Due Sheet .............................. Cr" 22. City of Chico Plumbing permit .............................................. c�1.... 23. California Department of Forestry plan approval aid. Sent by:... GN`� 24. Planning approval (A) Use:(B)Parking: (C) Parcel C e t' 16q ❑ 25. Contact Land Development about _ Improvements, _ Drainage .................•........ 26. NPDES Form............................................................................................. PS(-(- 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. 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) ..................... oO 32. Letter of Signature authorization......................................:............................. 33 ecorded copy of Agricultural Acknowledgment Statement ................................. 1334. Manufactured home utility clearance ........................................... ""...""......... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36.De d Restriction......................................................................................... 37.7Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: Q Ci 1`" 1 i When issued Telepho a to 6 -anb hold for pickup. I have been informed�of the abe���rt s°.aad.r�quirements for obtaining a building permit. Applicant:�1z - Date: 9 - 2 Dc-/ 1. Index perini application for the above items n6mbe ed: Plan Check Letter 2. Addipe at items re uir Contractor, design o as advised of the above data by p one, mail, ❑ counter, y Date: Contractor, designer, �as advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed b : Date: - Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. UFLE 004. Y Plot Plan Anschod Floor Plan Anschod Sant to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance aals— d-bs- oElm 8z tr) 0 Owner ;, Location AP# Plan Approve foQ:Sewage Disposal Water Supply: Public Private Well Clearance for welling. Other 6 12 Hold final for: Final clearance O.K. for: NOTE: n _ n l Envirbnrherftal Health Specialist 8/96 L Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER i A.P. # PROPROSED BUILDING USE DATE d RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ -'- Additional Fees Due........... $ --- Revised Plan Checking Fee.... —1 - ' 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available aft P) b 1 �v 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION ANP PLAN CHECK FEE *89" (paid at Building Division 9 ,)4. 8. WATER TENDER FEES BATTALION # 1 $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time oX ion, I was ised the above fees are required to be paid prior to issuance of the permit. These fees may be ch'pl c 'ng process. c? APPLICADATE _ Pursuant toection 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) O.B.- I OWNER -BUILDER VERIFICA'TION 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. QI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 0 . I HAVER—HAVE NOT 0 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: J ADDRESS: Com: PHONE: CONTRACTOR'S LICENSE NO. �. I plan to provide Portions of this work, but I have hued the following person to coordinate, supervise, and provide the major work NAAM ADDRESS:'CITY: PHONE: CONTRACTOR'S LICENSE NO. 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 I4IGNED: PROPERTYO Q DATE: Y 77'-Ov 1 NOTE. This Owner -Builder Yerfficatian is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permi4 OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improveMents specified. For your prof wdon, yon should be aware that as "owner builder" YOU are the responsible party of record on such a permit Building pesniits are not required to lie signed by property owners unless they are personally pm*ming their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if tial 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 California 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any Persons other than your. immediate family, and the work (including materials and other costs) is'S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax witfiholding, federal social security taxes, workers compensation insurance, disabilky insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these rids are especially serious With respect to worker's compensation insurance. ♦ For more specific in€omration about your obligations under Federal Law, contract the Internal Revemne Sarvice (and, ifyou wish, the U.S. Small Business Adminishation). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of indu strict 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. Infozmabon about licensed confractors may be obtained by maitracting the Contractors State License Board in your cor mr nity or at 1020 N Strom, Sacramento, CA, 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm ilial you are aware of these matters. The building permit will not be issued until the verification is returned J C. Vi iia, C B.O. Burilding Inspection NOTE: Tiuc Owner-BuilderWormadon is required by Section 19830 of &e California Health and Safety Codes OVER Department r n ii n t ' J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Watertion Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Project Description: %J Project Location and/or Parcel Number: O Ce `} By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. 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 laws Signed: Title: Date: fDw,-.i 'eq -e - Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program School District A.P. Number Property Owner Property Location/A BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No.. V `� (/�/� /��- V/�6 Jurisdiction: City JCounty Subdivision Lot No.. ..............................................................:...................................... Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) n1L Units Installation Conversion Permit # New Building *(No foundatbn inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) /'_0 Date Djstrict Identification No. 4-5 � /(/ 9125tte�- -School District certifies that lloI4`�-- (Applicant) (Street Address) (Phone Number) Z.::i (City)(State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing SqUare feet. 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: - - Notice: You may protest the imposition of the fess Identified above by submitting a written protest to the District, In compliance with Govemmsnt Code Section 66020(a), within 90 days from the date fess are paid. Failure to submit a limey written protest wlll'prohibit you from challenging the Imposition of the fees in any court adbn. U, subsequent to the School District Representative slgning this Bnlfe County Schools Impact Fee CertlNeallon Form, the School District Is nofined by the applicable Local Planning Agency that this project Is bring reviewed under the California Envinminsntal Quality Act (CEQAh this project may be subJeet to additional school fees to full mhigab.Its Impact on the school districrs schools. White (applicant), Yellow (building department), Pink (school district). feeform.xls (10/03)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-003.1'226 Recorded I REC FEE 1G. G0 Official Records I County of I COPIES 2.50 Butte i CANDACE J. GRUBBS I County Clerk-Recorderl 1 I CP 012:11PN 01 -Jun -n@5 1 Page 1 of 2 IIII ili III I INI I II I IIIA 111 II I ILII 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: Datel V `� State of California County of -tom �,t,Z01VS 11 �Xh t�(f All before me, ,4,-" N l 400 G 2�. 4.4'1 C?adadcJ personally appeared-,J6kVX 'T . Y1f11<l.VJ. tj CAV/ d 4iLAfl4*kILA) i`_ �(f�(,('� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my an a d offs ' seal. Signature Seal: VICKIGROSSE A.P. # O�S a- [ I -Z - 0 1 W Commission#1327111 Notary Public - California Butte County My Comm. Expires Oct 27, 2005 EXHIBIT A THE SOUTHHALF OF LOT 368; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SUBDMSION",. WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1955, IN BOOK 21 OF :34 AND 35. MAPS, AT PAGE(S) 31, 32, 33, EXCEPTING THEREFROM ALL THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID LAND, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL,MINING OPERATIONS THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE, AND THAT ALLSUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA 00 -THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM THE MAGALIA MINING COMPANY,,A' CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. Serving WI LLDA�N Public January 8, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Phone: (530) 538-7169 FAX: (530) 538-2140 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1224 Jurisdiction Job No: 04-2850 Assessor's Parcel No: 065-172-019 Description: Martin New Single Family Dwelling Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The revisions were in response to a previous plan review and comments listed in our letter dated December 3, 2004. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies revised sheets cover and 1 through 6 -dated 09-08-04, by ML CZ. 2. Energy Calculations: Two (2) copies dated 09-18-04, by Barry Rubanoff. 3. Truss Calculations: Two (2) copies dated 09-23-04, by MiTek-Robert Anderson P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. WILLDAN Serving Public Agencies APPLICABLE CODES 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Type of Type of 1" Floor 2nd Floor Occupancy Constructio Sprinklers Stories Sq Ft Sq Ft Total Sq Ft n R-3 V -N No 1 1781 N/a 1781 U-1 V -N No 1 480 N/a 480 Covered Porch(s) V -N No 1 44 N/a 44 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and notes as red -lined on the plans. Sincerely, Rick Essenwanger Gordon Wright, P.E. Plans Examiner H Plan Check Engineer CC: Alice Mefford, amefford(iDbuttecounty.net John Martin, 1610 Young Ave, Paradise, CA 95969; Email: johntmartin25@hotmail.com Endeavor Homes, P.O. Box 1947, Oroville, CA 95965; FAX (530) 534-5269 Page.2 of.2 Wi.11dan143534/224TC21.F' County of Butte 04-2850 SITE PLAN REVIEW APPLICATION Date: 11/sl�� AP# Permit Number (if applicable) 0 -.2 FS -O APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: F7�--930 Residential ME New Single Family Residential Parcel Size: S aC A - ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Muni -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 10 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site Plan Stamped Approved' By Date / 6 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area:.0257%('% Yo .50 -00 f 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) Vk) Od. .SRA - (CDF to determine specific requirements) ❑ 100 -Year -Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 04,607 CNOOC Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be bbtairied from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: T— GtiP 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 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 V Applicable Development Fees: Standard Fees . Amount Formula ❑ 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) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Crea ' n:❑ No ElComm/�ents: 6.e. G./�`�.2 -//0 y'/7— 77 / / O k -2 — U /�7/O ® 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 Subdivision Map/Parcel Map: Map Date of Recording: Lot: I/'4 �3 6 K- ❑ Use Permit/Minor Use Permit Permit Number: Book: —27 Date of Approval: Page: 0 /() Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control 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 roa ❑0 Page 4 of 5' 0 IN] 0 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:1Larrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 /04 TS a 1. A'. 66 N M 4 Fr. - _74 �3. I Al I A.0110. "3 ?48 is 1.4, IA 54. ORIA .oaQ., 4- 4. c 1!D tw o 'A, jr— owh vid Ar Al. Ac Al. O oN 0 t43 '0 10 zj I.AC "Al. 6 4 -NA4.5d, 994k A, 21 lip, I ii A. 1A A. Al .GO. 2o" /va. R 4f : t— I AC f A V!P- OYA, /rLBL Hell I./3, & " lo 294 Q 1 z3o. AC Al w .4 I Al. 77f I.I Ise 13S' IN I Al [ac c ISOlot Z74 Is? K. Lug 1t we I IV$go A. 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