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065-00-013 I3P040674 t n q
l5 t / MOE, MICHAEL
t1; ° '?y`6 HOLLYWOOD RD., MAGALIA
CONT: LEGACY CONSTRUCTION
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LARRY PAINTER RETURN TO CHICO EH
SITE PLAN REVIEW APPLICATIO
Date:— //— D AP#
• Permit Number (if applicable) Q 069 � Bin Number ^,
APPLICANT INFORMATION Parcel Size:
Owners Name: ,Q
Owners Address: u !
Telephone No.: 77:Z Q r9
Situs Address: /�'/v i� r� ate•
•jk
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
Septic
Agricultural Exempt Building
❑ Other:
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
i/s�i�7li��-- � �•.�.—rim i�oi� -- _�����`olrsr�i�I
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
❑ Approved a Conditionally Approved ❑ Resolve Problems Prior to Approval
1M Site Plan Stamped Approved
By _4 -D
Date
Pagel of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area: 0-0`5y `r�G 295t�,-�
❑ 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: x
• Flood Panel No.: O 4 Olt> CIndex Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
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: 'PT— 1— A
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
-'!S0
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
r1
LJ
•
Applicable Development Fees:
t
Standard Fees
Fire
School*
Parks/Recreation
Roads
Sheriff
Drainage
NCSP/CSA 87
Chico Urban Area — Road
Thermalito Drainage Area
Thermalito Urban Area
Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Amount 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: _ — Legal Access Provided: ❑ No IM Yes
Deed of Reference: ?l> 22 - f 1 0 Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No M Yes, Road Name: H & ULY VJUma J�iL
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments: . C 0 C -
Parcel Deemed to be legal
is
❑ 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: Book: Page: •
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
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 Plo
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
U
Page 4 of 5
•
•
■❑
ILE
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:\Larrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
azo r
NOTES
r
t RESIDENTIAL �f
! I 065-190-013 BP040674
I PERMIT NO._!....-IvjQEI_MICHAEL
7)/_� 1p "'A 4�
(�pL�I�'(yW HOLLYWOOD RD., MAGALIA
CONT: LEGACY CONSTRUCTION
+ NEW SINGLE FAMILY
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SPECIAL CONDITIONS
CHECKED
BY
—SRA - -'
_ FLOOD CERTIFICATE REQ.
_ FIRE SPRINKLERS REQ.
—SPECIAL INSPECTION ITEMS
VERIFY
_ USE PERMIT CONDITIONS"
— SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address 6Y& , ffolg�4 w W":
GAS
Meter By Date
ELECTRIC
Meter By Date
JOB FINALED (Dat
t
Signature
J=OK
0 = Ngl QK
. = Not Readyable•
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -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
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card 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
J=OK
0 = Not OK
- = Not Applicable
s = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except.#'s
R./Ftg., Main; Soils-El6c`. Grr(d.-/ VW Ftq. Depth
12 tg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
tg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
terpwalls, Main; Steel -Blockouts-Wrapped
6-`S14mwalls, Garage; Steel -Blockouts-Wra ed
6a old Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ft .-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
1 J.,Alater Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
ums & Ducts; Clearance -Material -Support -Ins.
14 'rders-Sills-Anchor Bolts-Joists-Vents-Crippies
17. ccess & Ventilation
1 V Insulation
Date ft l- Card B-1 Date Card B-1
Date r JV1_9ard B-1 Date Card B-1
Date ' PLUMBING (Permit) OK except #'s
1V Water Htr.; Vent -Access -Combustion Air Baffle
Date FRAMING (Continued)
47f Hangers -Post Caps -Anchors -Connectors
4 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
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
2: Garage Fire Protection Framing -RC Channel
53,,,Property Line Firewall & Openings
5 . Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55--Sta1Fs; Width -Headroom -Rise -Run -Landing -Fire Protection
5.WPlywood on Roof Overhang -Attic Vents -Rafter Outriggers
5,7lSiding-Nailing Veneer
-58. Stucco Mesh -Drib Screed -Fd. Vents-Underflr. Access
r✓ �f) 62. ns s
63. Infiltration -W -Wi ows
Date zj oy Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINALP ans) OK except #'s
xtf5teos-Door & Sideliaht Protection- Land inos
6,0/Furn ce Vents -clearance -Comb, Air -Connector -
I ar ge; Above Floor-Ducts-Mech. Protection
la/Voter Pipe; Test & Anchor -Nail Protection
OL
1
.
21.
.W.V.; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
c. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
ec Outlets at Wood Panel, Int. & Ext.
73',K11.
Fixt. ppliance; Ground -Air -Gap -Cooking Clearance
Date
Ele utlets & Receptacles at Kit. Counter
Card B-1 Date Card B-1
Date
ITif C. Duct in Garage -Damper
Card B-1 Date Card B-1
Date
ELE RICAL ermit) OK except #'s
lec. & Mech. Equip. Listed for Location
$,-Elec._Receptacles
lure & Transformer Clearance -Ins. Protection
ulation-Foam-Looked in Attic
Ejpc. Receptacles Spacing -Lights & Switches at Doors
and Rails & Deck Construction -Post Caps
.
S.. a Boxes & No. of Conductors Stapled
2!:2
ex Installed Close to Edge of Studs & C.J.
Instld./Drive 0 Yes 0 No/Walks O Yes O No/Planters O Yes O No
2
E . Ground made qp w/Modh Fasteners -Bond as & Water
8
2
A pliance Circ4it6n Kitchen & Conductor Size GFI
Plbg-Appliance-Fireplace-Clearance to Openings
-30'-SLbfeed Wire Size/ /g Cu or AI-A.C. Wire Size/ /ga Cu or Al
Wa ell, Disconnect, Electrical, Plumbing
31.
Range Circle/ j /gak96 or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral Cees 0 No
32,/Service-Riser
Conductors & Ground Main Disconnect
ass Protection
33.
ui . Clearances Panels-Motors-Mech. Equip.
eiOV &.7
30.
Clothes Closet Light -Shower Light -Spa Light
9
Date
Date
Date
Comment at Final.
3,'�Smoke
Detector
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
3e
A.C. Ducts Insulation & Support
3 .
ent Fa haust above insulation
ndensate D ' & Overflow, Size & Grade
39.
Furnace ent Access -Comb. Ait-Return Air Vent 115 Outlet
Date
Date
40.
Attic Access & Platform if Furnace in Attic
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FRA ING (Permit) OK except #'s
4y'
5ills Proper Materials & Anchors
42,./'Walls
Studs -Nailing Spacing & Braces -Plates -Sound
43.
/Bearing Walls over Girders & Floor Nailing
44
�Braft Stop in Walls (rat proof)
454.'
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46/
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47f Hangers -Post Caps -Anchors -Connectors
4 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
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
2: Garage Fire Protection Framing -RC Channel
53,,,Property Line Firewall & Openings
5 . Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55--Sta1Fs; Width -Headroom -Rise -Run -Landing -Fire Protection
5.WPlywood on Roof Overhang -Attic Vents -Rafter Outriggers
5,7lSiding-Nailing Veneer
-58. Stucco Mesh -Drib Screed -Fd. Vents-Underflr. Access
r✓ �f) 62. ns s
63. Infiltration -W -Wi ows
Date zj oy Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINALP ans) OK except #'s
xtf5teos-Door & Sideliaht Protection- Land inos
6,0/Furn ce Vents -clearance -Comb, Air -Connector -
I ar ge; Above Floor-Ducts-Mech. Protection
B roo Exiting
6 .
G .. & Bath Fixtures & Tub Access -Spa
c. Trim & Subpanel, Breaker Sizes & Labels
7V,StaiC
& Rails
F' lace or Stove, Clearance -Hearth
7
ec Outlets at Wood Panel, Int. & Ext.
73',K11.
Fixt. ppliance; Ground -Air -Gap -Cooking Clearance
74"
Ele utlets & Receptacles at Kit. Counter
7
arage Fire Door; Swing -Landing -Closure
ITif C. Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in G age; Above Floor-Mech. Protection
lec. & Mech. Equip. Listed for Location
$,-Elec._Receptacles
in Garage (F.F.I.)-Romex Protection
ulation-Foam-Looked in Attic
and Rails & Deck Construction -Post Caps
8
. Bents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
P33.Felt�ing
Instld./Drive 0 Yes 0 No/Walks O Yes O No/Planters O Yes O No
co Brown -Finish
8
. nit Disconnect, Electrical -Plumbing
89"Vptl"AboveRoof,
Plbg-Appliance-Fireplace-Clearance to Openings
.
Wa ell, Disconnect, Electrical, Plumbing
8
x or Elec. Trim, G.F.I. Receptacle -Underground
enti tion Throughout House
ass Protection
91.
recti s from Previous Inspections
eiOV &.7
Gas est -Meters Tagged, Gas-Electri
ater & Sewer Connected -C/O to Grade -HD Approval
2_4,,E'nergy Compliance Certificate -Other Certificates
9
Date
Date
Date
Comment at Final.
ress Posted
F' a Sprinkler
rd B-1 Date Card B-1
rd B-1 Date Card B-1
and B-1 Date Card B-1
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 yhve any questions pertaining to this matter, or need additional explanation,
please con�-h-i-
e immediately.
D ) -� �� Ccs/
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W�b+bv-
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vv J I 1l f r- ' LA' co
ntv MUZ
IAF `
LOERKE INSULATION CO., INC. INSULATION CERTIFICATE
::�ii7���.iCiii •?ii
I. ROOF
Materfal Brand Name
Tis () Thermal ReaiaLarace (R-Vahra)
2. CEIUNQ
Batt or Akar Type Brand Nemo Johns Mama
Thldmew {indws) i3 Tlesnrnat R (R»Vahre) —ill—de
Lohse Fill Type Fiber Brand Name Johan Manville
C0ntrsGW9 min. Installed wo%M oq. b. Minhnum Mddutus inches.
Manu»ur+eft hi teWwelpld per stone tootlb addeve ThwMd Reaistenae (R Value)
& EXTERIOR WALL
mderm
T1rk�Cness (htt�tesl 3 •�
Material ple e
Th dmn (indrea).__.___„ 6 • S
S. SLAB FLOOR / PERIMETER
. Meat
Thk*rk s
Perirn+ater IMMon Depth
& FOUNDATION WALL
materm
Thifte" (inches)
DECLARATION
Brand Name Jame MWmma
Thermal Rice (R-VA*L r -i? l3
Brand Nam __ Jdmo mamdoe
Therrnal Redolence (R.V") 2� q
Brand Name
ThWMI Rhe (R -Value)
Brand Name
The Trdd Resistance (R -Value)
X6
BUTTE COUNTY
a ' DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP040674
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 05/27/2004 APN: 065-190-013-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: clIq
Date: 3-/D-D'� Contractor: c s
Map Index: %7���'��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: NSF(1647) GAR(484)COV PORCH(340)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MOE, MICHAEL
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
500 SUNSET DRIVE
the Contractor's State License Law (Chapter 9 commencing with Section
PARADISE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95969
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: MOE, MICHAEL
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
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
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
. Labor Code, for the performance of the work for which this permit
Architect:
issued.
b I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier._ xrJ'U'o
Total Square Ft: 2471 S. F.
Policy #: ! — a 0 0 3
Valuation: $124,111.00
❑ I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: la C> -/
Applicant: � k
WARNING: Failure
to secure workers' compensation coverage is
unlawful, and shall subject aemployer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
(
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
(County
CONSTRUCTION LENDING AGENCY
This permit its hereby issued under the applicable provisions of the Butte Code apdd/or
I hereby affirm that there is a construction lending agency for the
Resoiutiors to du wor' ' iui a fer-whicn fees have been paid.-"
performance of the work for which this permit is issued (Sec 3097 Civ.)
�-"
L` 2 7v,/
Name:
BY Dat LL /
PERMIT EXPIRES ON: a Q
Date
Address:
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.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
El Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
�6G9C� ��pN,ST/�JGrZUn/
Print Name: Signature:
Date: '2�
❑ Owner k -Contractor 0 Agent for Owner ❑ Agent for Contractor
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
013
OWNER: 1 ' ` l �'� (G` 1- ASSESSOR PARCEL NUMBER V 0�
( '
12�Proposed Building Use: Counter Technici Date: / - L)
I `required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
-t5- 4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other_
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers ...............
...........................:................................................
.
A* 18—AgriculturalBuffer clr and site plan apr from the Ag Commissioner Sent by .
❑ 1yJSo`s' eport and/or Engineered Foundation required ........................................... ........
20. Ero§trr Control Plan Required........................................................................ S- - .......
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit ............................... ... ............................ .
23. California Department of Fore tr Ian approval tO'paid. Sent by: .�l<....
24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
0 25. Contact Land Development about _ Improvements, _ Drainage .........................
t/ 26. NPDES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
29. Contractor's license information. (Number, Name Style, Classification) ...................
t!aVP/� 3V Worker's Compensation Carrier and Policy Number .......................................:..
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ / 32. Letter of Signature authorization....................................................................
33. Recorded copy of Agricultural Acknowledgment Statement .................................
0 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
E11,4N 36. Deed Restriction.........................................................................................
37. ❑ Grant eed, ❑ H. Ti e/State ent of Facts, ❑ Letter from Legal Owner, ❑ Check H.C. . $
38. Other: C /�
❑ 39. Other:0Z f I_
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: 17Clw / � I P t '
1. Index per it applica ion for the above items numbere : Ian Check etter
2. Additional items required I of
�ractor,
designer, owner, was advised of the above dat by phone, ❑mail, counter, by Date: Q -d
designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date : v
Structural reviewed by: Date j.. Structural approved by: Date:
Note transfer by: - Date:
Yellow: Building Division
v r.
E.H. USE ONLY
�> Plot Olay Attached
Floor 91an Anachad
Sett to B.D.
k M U M 3
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
NI)
Owner Location AP#
Plan Approved f Sewage Disposal Wa a Sup ly:jublicx Private Well
Clearance for elligg. OtherAC
Hold final for:
Final clearance O.K. for:
NOTE:
8196
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
IA SCHEDULE OF RECEIPT OF FEES
OWNER /!�'OC �/G �l//CL. A.P. #
PRROSE BUILDING USE /
N.J JDATE 57' 7-6Y
RECEIPT r / DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $ �J
--- Additional Fees Due........... $
\5--- R ised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES ?AgA b a
(paid at School District Office) (form available after Plan Check)
SHERIFF FEES (paid at Building Division)
VV Residential............ �_ X $360.00 =$ Gel
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. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
q$51.00 (paid at Building Division)
A FIRE INSPECTION AND PLAN CHECK FEE00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Fig. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
,National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI
Project Title: S — / 90 — O /_3
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provided by law.
Signed: 42
Title:
Date: 3 -IC) - o y
NPDES & SWPPP Non -Compliance Certification
Butte County Storm Water Management Program
Revised 7/02/03
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No.
A.P. Number Jurisdiction: city County
Property Owner
Property Location/Address
Subdivision Lot No.
..........................
Residential Development=Sq. Footage
E
No o7fiving Mobile Home Addition/ *Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation Inspection)
....................................................................................................
Commercial/Industrial
Now
Addition
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(including Exterior.
Roofed Areas)
Date . I
DisMct Identification No. to
A,_Qchool District certifies that
(Applicant)
" )v v .�1.��lLi � �"'"y" lI ', h{ � _ i _ .. _ - ..�77 C/ LTJ '7 _ J
Address)
(City)
has complied with the requirements of Resolution No.
representing square feet.
(State)
(Phone Number)
(Zip Code) \'
by payment of $ . Z1757, Z_Z,
U.. 2926 $
FULL MMGATION. $
Date
Paid by Check # Remarks:
No You may protest the Imposition of the fees klenlifled above by submitting a written protest to the District. In compliance with
Goventonent Code Section 66020(a), within 90 days from the date fees are OM. Failure to submit a timely written protest wII1'prohtblt
you from challenging the Imposition of the fees In any court action.
N. subsequent to the School District Representative signing this Butte County Schools Impact Fee C*rtlficstlon Form, the School District In
rhotfNd by the applicable Local Planning Agency that this project c Is being reviewed under the Caftimis Environmental! Quality Act (CEQA)
this pr -1 A may be subject to additional school fan to fully niftigate.fts Impact on the school districre schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmrn
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.htmi
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Phone (530) 538-7157 Ext. 2016
Permit Number
1 40 V U 72 S E
District
APPLICATION
/ WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted.
Applicant's Name: /+
t% E.G� CT/rI � �/�/
la. Company Name:
Gc G/,!G GO' /✓ST/LtJC i'70�/
:. Address:
7,410 o�c Ems �i1�vc=a r�r
Phone:
e70—Gyac9/
4. Assessor's Parcel Number.
Location of Work to be Done
a,
i. Applicant's Signature
7. Date:
CONTRACTOR'S INFORMATION
3. Contractor's Name
OS.
�. Address P.O. BOX 491
10. Pho c: CONTRALTO O. 309110
11. Fax:
12. Contractor's License Number:
13. Certificate of Insurance: Yes NO: ❑
14. ntractor's Signa
14a. Date Signed:
15. Au on gent:
TYPE OF WORK TO BE DONE
16. Please Check:
Curb: El Gutter: ❑ Sidewalk: ❑
17. If Driveway List T .
yp
,.G 0 0� �--
18. Other Work - Describe:
19. Plans Attached:
❑ Yes ❑ No
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below,
permission is hereby granted.
20. Conditions
Underground Service Alert(U.S.A.) must be notified two working days prior to any excavation. 800-227-2600
21. 0 All work shall conform to accompanying: Detail 9 Plans ❑ Special Conditions ❑
22. Date Issued S f G
(
23. Expiration Date: s/2 U /G'J
24. Surety:
25. Date Paid:
s� /
`
26. Amount Paid: 6 d2�Paid
By: .S-'�Z� 3
hcc%
28. Receipt No.:
091
Mike Crump, Director of Public Works
By:
For County
29. Final Inspection Date:
30; Inspected By:
❑ Completed - OK Completed — Not OK
❑ Additional Comments Attached
t)""Ir
31. Comments:
Note: it permits are taxed to any number besides (530) 5384356, they can be delayed up to one week.
Page I of 2
F
NG,`REQUESTED BY:
ational Title Company of
305708 -WC
No. 00305708
..iivi, nocorded Mail Document
and Tax Statement To:
Mr. Michael Moe
500 Sunset Drive
Paradise, CA 95969
2004-000!+1689
Recorded
Official Records
Count yy Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSE -MARY DICKSON
Assistant
09:00AM 28 -Jan -2004
I REC FEE 13.00
1 TAX 37.40
1
I
I
I
1 Mark
I Page 1 of 3
,Arlo: ono- I yv-v I S GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE
The undersigned grantor(s) declare(s)
Documentary transfer tax is $37.40 !vr z-
( X l computed on full value of property conveyed, or
[ l computed on full value less value of liens or encumbrances remaining at time of sale,
[ l Unincorporated Area City of Unincorporated
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Paul A. De Lucchi, A Single Man
and Mark A. De Lucchi and Susan Tomaro, husband and wife, who acquired title as Mark A. De Lucchi, a married
man as his separate property
hereby GRANT(S) to Michael Moe, A Married Man as his Sole and Separate Property
the following described real property in the City of Unincorporated
County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
.;5; c�ri.c c/ i � Co un fGr,o.aT f
DATED: January 20, 2004
STATE OF CALIFf?RNIA /
COUNTY OF A/16c J
ON ;z"o 'z. o _ before me, Paul A. De Lucchi
ZAciAAa T_ vc-c- s nally appeared
Paul A. De Lucchi
Mark A. De Lucchi
(or proved to me on the basis
of satisfactory evidence) to be the person whose
namev is/aXsubscribed to the within instrument and Susan Tomaro
acknowledged to me that he/ /t, ej executed the
same in his�r/tpceir authorized capacity); and that
by hislXr/tWr signatureW on the instrument the
•` `" �•
personjs>, or the entity upon behalf of which the ZACHARY T. GRAVES
���4
COMM ... 1304764 n
person(�acted, executed the instrument. U • NOTARY PUBLIC -CALIFORNIA -�
m -'°';,, ORANGE COUNTY GJ
Witness my hand and official seal. d My Term Exp. May 17, 2005 I
Signature
FD -213 (Rev 7/96)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
GRANT DEED
i�
c Order No. 305708
EXHIBIT "ONE"
The North Half of Lot 465, as shown on that certain map entitled, FIR HAVEN
SUBDIVISION", which map was recorded in the Office of the Recorder of the County of
Butte, State of. California, May 19, 1955 in Book 21 of Maps at pages 31, 32, 33, 34,
and 35.
EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said
lands, with the right to mine and extract said minerals, it being agreed and understood
that in all mining operations the surface of said lands will be protected against damage
and that all mining shall be carried on from tunnels, shafts or drifts having their orifices
outside of the surface area of the above described realty, all as excepted and reserved
in the deed from Magalia Mining company, a corporation, to E. D. Storts, et ux,
recorded September 4, 1947 in Book 423 of Butte County Official Records, at page
385.
Assessor's Parcel No: 065-190-013
Water closet clearances Nniform Plumbing Code 408.5).
Shower compartment minimum l 024 sq. in. 8 30" circle (Uniform Plumbing Code 412.7).
i Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support
RU loads (Uniform Building Code section 1806.3).
STRUCTURAL DETAILS:
el. Bmmd wall panels shall star at not more than 8 feu from each end of a braced wall line. Braced wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not
exceed 34 feet on anter in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall
liaes must be continuous throughout the structure.
A California licensed architect of registered engineer must prepare a lateral analysis for the area of the building
that do not comph with the Uniform Building Code. This must include the designer's "wet" stamp, signa=e,
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets
of calculations.
Clerestory requiring balloon framing and/or engineering.
If Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C�.
.3: Floor construction details complete enough to construct building.
Elevations and Wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
FuVlace construction details and calculations if necessary.
Garage door header size(s).
Porch header size(s).
Typical header size(s).
. Stud heights.
. High expansive soil — special foundation design required.
R;mining walls requiring design.
sum wallboard nailing inspection required.
the area below the lowest floor.is fully enclosed than a minimum of two openings are acquired with a total
net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no
more than one foot above grade. Alternatively. certification may be provided by a registered professional
engineer or architect that the design Will allow equalization of hydrostatic flood forces on exterior walls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction
i design requirements must be shown on the building plans.
dcarie, heating, ventilation, plumbing and air conditioning equipment and other scr% ice facilities shall be
esigned and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
MISCELLANEOUS ITEMS:
Stairway details — landings, rise and run. head clearance, handrails (Uniform Building Code section 1003).
Guardrails (Uniform Building Code section 509).
Bride or stone veneer (Uniform Building Code section 1403).
— , Ei.terior plaster— weep screeds (Uniform Building Code section 2506.5). -
Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-13-1 & 2).
Foam insulation — protection.
36" halls and stairways (Uniform Building Code section 100.4.3.3.2).
Twro exits on three — story dwellings (Uniform Building Code section 1004.2.3.2).
Underfloor access and ventilation (Uniform Building Code section 2306.3 8 2306.7).
Attic access and ventilation (Uniform Building Code section 1505).
Sound requirements.
erg- design compliance and supporting documentation.
. CDF responsible area requirements.
BUILDING PERMIT REQUIREMENTS:
1. ❑ SRA.
2. ❑ Flood elevation certificate.
3. ❑ Fire Sprinklers required.
4. ❑ Special Inspection requirements.
5. ❑ Use Permit conditions.
6. ❑ Sub -Standard Housing lever.
Pzee -- )f
�T
:: "1
:
a .,"'.
°
RESIDENTIAL PLAN
o
`
:
REVIEW GUIDE
o ~�, .• i,,.:." c
SINGLE FAMILY, DUPLEXAND
^N- - Ki
MISCELL NEOUS ONLY
Owner. Building Permit Number:
Plans Examiner: i-;/?c/cA 90n)pon A. P..Number:
GE`ER.-kL:
zoning requirements - (number of permitted living units).
Plans signed by the designer.
Proper description of work on the application.
Existing -violations on the property.
Recorded notice of violation.
Building permit valuation.
PLOT PLA:
Complete parcel size and dimensions.
Setbacks. side yard, easements, etc.
3 Other buildings or structures.
Grading, fills and/or drainage.
6 Flood hazard.
Special conditions on Parcel Map:
Noise Cj SR_ -k ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑
Federal aid Route and/or Federal Aid Secondary Route setback requirement
Building or utilities across lot lines (Lot merger approval by Butte County Land Development)
FLOOR PLAN:
Plans and speci:tcations drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). '
10% of natural light and 5% of ventilation (Uniform Building Code section 1203).
Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The minimum net
clear openable height dimension shall be 24". The minimum net clear operable width dimension shall bti 20'.
When %indo%%s are provided as a means of escape or rescue, they shall have a finished sill height not more than
44" above the flcor (Uniform Building Code section 310.4).
Skylights (Uniform Building Code section 2409 & 2603.7).
Glazing in Hazardous locations (Uniform Building Code section 2406).
Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted in this
section. Kitchens, halls, bathrooms and toilet compartments may have a ailing height of not less than 7 feet
measured to the lowestyroiection from the ceiling (Uniform Building Code section 310.6.1
All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in
any dimension (Uniform Building Code section 310.6.2 & 310.6.3).
GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210).
Water heaters which depend on the combustion of fuel shall not be installed in a room cued or desiped to be
used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening bw a bath
or bedroom (t;niform Plumbing Code section 509,0).
I() Fuel burning m. equipment shall not be installed in a closet, bathroom ora room readily usable as abedm oris
a room compartment or alcove opening directly into any of these (Uniform Mechanical Code section 30.5)
arage firewall separation - required on garage side including supporting walls and posts (UnitbMAU""B
Code section 302.4 exception #3).
L rider no circumstances shall a private garage have any opening into a room used for sleeping purposes
(Uniform Building Code section 312.4).
Wood stove locztion - Alcove - Ub1C section 205 confined space & 223 unconfined space dl 304.2).
Smok.- detectors (Uniform Building Code section 310.9.1).
Pagel of 2
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
12 -May -2004 2004-0028091
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
i
Date —
State of California
County of
PROPERTY nWNFRQ-
On Apol 1, Z0-10' l before me,
personally appe'affd 41 j r%u2_1 j1 ,4 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 hand and official sea :
KRISTEN MAGG1171� i
Signature ti� Seal: r_
Q'� � y Comm. #1472553
NOTARY PUBLIC CALIFORNIA Q
V f BUTTE COUNTY 1
°�e My Comrnissier. Expires Feb. 24, 2008
A. P. 4 dla5�/9v -1)0 - � ��- -; 7- ,�'
Order No. 305708
EXHIBIT "ONE"
The North Half of Lot 465, as shown on that certain map entitled, FIR HAVEN
SUBDIVISION", which map was recorded in the Office of the Recorder of the County of
Butte, State of California, May 19, 1955 in Book 21 of Maps at pages 31, 32, 33, 34,
and 35.
EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said
lands, with the right to mine and extract said minerals, it being agreed and understood
that in all mining operations the surface of said lands will be protected against damage
and that all mining shall be carried on from tunnels, shafts or drifts having their orifices
outside of the surface area of the above described realty, all as excepted and reserved
in the deed from Magalia Mining company, a corporation, to E. D. Storts, et ux,
recorded September 4, 1947 in Book 423 of Butte County Official Records, at page
385.
Assessor's Parcel No: 065-190-013 r -
w
:il
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
204—X028091
Recorded
Official
yyRecords
County
I
I
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
11:42AM 12 -May -2004
I Kathy
I Page 1 of 2
kEC FEE
CONFORM
10.00
1.00
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:
--�.. SEE �jC /V i cS / 7' O../
FG -
Date `—
State of California
County of Su rr�
PRnPPRTV ()UUATFRQ+
On 7/ 7, ZOa before me,
personally appeii d M%ClIall A44L - 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 hanc and official sea ,
SEp•OF lh KRISTEN MAGGITTI
Signatur Seal: C;= o Comm. #1472558 _�
NOTARY PUBLIC CALIFORNIA �
V BUTTE COUNTY
`« Foax`p My Commission Expires Feb. 24, 2008
A.P. # djpS-/9v v/3
Order No. 305708
EXHIBIT "ONE"
The North Half of Lot 465, as shown on that certain map entitled, FIR HAVEN
SUBDIVISION", which map was recorded in the Office of the Recorder of the County of
Butte, State of California, May 19, 1955 in Book 21 of Maps at pages 31, 32, 33, 34,
and 35.
EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said
lands, with the right to mine and extract said minerals, it being agreed and understood
that in all mining operations the surface of said lands will be protected against damage
and that all mining shall be carried on from tunnels, shafts or drifts having their orifices
outside of the surface area of the above described realty, all as excepted and reserved
in the deed from Magalia Mining company, a corporation, to E. D. Storts, et ux,
recorded September 4, 1947 in Book 423 of Butte County Official Records, at page
385.
• Assessor's Parcel No: 065-190-013 y
36 41)' 3e,"
C eply lAlybI/Y
C/ r
I `
O
6 X 12 DF- -0 1
58
3Y'
II'5''
COVERED PA710
CONC P -ET E)
(o X (o POSTS
Y PLh cES u/
51MPSON W w
SIMPSON 12' 2T 50T4
SIDES posr To BEAM
GENERAL STRUCTURAL NOTES
1. THE CONTRACTOR SHALL REVIEW ALL SHEETS OF PLANS AND VERIFY ALL DIMENSIONS
AND CONDITIONS AT THE JOB SITE PRIOR TO STARTING OF CONSTRUCTION ( ANY
EXCAVATION FOR FOUNDATIONS) AND THE DESIGN ENGINEER SHALL BE NOTIFIED OF ANY
DISCREPANCIES WITH ANY WORK SO INVOLVEID.
2. ALL PHASES OF WORK SHALL CONFORM TO THE MINIMUM STANDARDS OF THE LATEST
APPLICABLE EDITION OF THE UNIFORM BUILDENG CODE, AS REQUIRED FOR CONVENTIONAL
LIGHT -FRAME CONSTRUCTION, EXCEPT WHERE, MORE STRINGENT REQUIREMENTS ARE
SPECIFICALLY NOTED ON PLANS.
04- POSE 3. DETAILS OF CONSTRUCTION NOT FULLY SHOWN ON PLANS SHALL BE OF THE SAME NATURE
4x12 Not �V yfxlZ NDP- yx►Z No,Z yk/t NOEL 4. THE CONTRACT
S IS TR SIMILAR CONDITIONS.
ORS RESPONSIBILITY TO COMPLY WITH THE PERTINENT SECTIONS OF
5 ° 3 w�'I O .�• I rj°3 ° w� 1'' O S° 3 (. W/ 14 �. ro° 3° w/ j ABOVE - I T THE "CONSTRUCTION SAFETY ORDERS" ISSUED BY THE STATE OF CALIFORNIA AND ALL OSHA
0REQUIREMENTS, AS THEY APPLY TO THIS PROJECT. THE DESIGN ENGINEER AND THE OWNER
�6ov E I I E t i PS E A EovE E L I PS E ABOVE E L I P S E a 71 DO NOT ACCEPT ANY RESPONSIBILITY FOR THE CONTRACTOR'S FAILURE TO
COMPLY WITH
r I ` THESE REQUIREMENTS.
a 3 W I 1 I 5. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ADEQUATE DESIGN AND CONSTRUCTION OF
0 2 M ALL FORMS BRACINGS AND SHORING RE R CONSTRUCTION.
�, p I A m MnSrEQ B�TuI �,' REQUIRED FOQ
_ - 6. THESE PLANS ARE NOT COMPLETE WITHOUT THE STAMP AND WET SIGNATURE OF THE DESIGN
ENGINEER, VERIFYING ENGINEERED PORTIONS
_ _ OF :TINE STAM- TTH
URE, AND WIOUT'REVIEw AND
„y LU ,h\�. AN APPROVAL OF THE LOCAL BUILDING OFFICIAL»
J LIVING ROOM ovE
H a W fn w 6r/ uZi 1
7. FOUNDATION DESIGN IS BASED ON ALLOWABLE SOIL BEARING PRESSURE OF 1500 PSF
J } - (CARPET) TD o" ? l, (NO SOILS REPORT).
I I W -� I - ` 1} !. ALL FOUNDATIONS SHALL BEAR ON LEVEL GRADE AND CHANGES M ELEVATION SHALL BE
r MADE BY STEPS OF l f" MAX. HEIGHT AND 36" MIN. WIDTH. CONTINUITY OF FOOTING
1 REINFORCING SHALL BE MAINTAINED.
m � I _ MAStER BEDROOM
DINING i I qy(, POST (Em'" END \lee - 9. ALL SAWN STRUCTURAL MEMBERS AND THEIR FASTENING SHALL CONFORM TO UBC AND
( �AQPEfi)
�/ I H uG 41+ ; „ N 1- Ftp SHALL BE OF MINIMUM GRADES AS FOLLOWS, UNLESS NOTED OTHERWISE (U.N.O.):
3IZ x 137, LVL(AbwE PLATE I ' (ox I y Dr it 1 _ - _ _ I 2x A 4x MEMBERS
2� N NON BEARING 2x STUDS & PLATES - D. F. NO. 2 EXCEPT
_ — — — — — — , 2x BLOCKINGS
F. STUD GRADE
GS -DF
6x MEMBERS D. F. NO. 1
J2 I ` = LINEN y 1!/2 hkp10T
S + P 10. ALL GLULAMS SHALL CONFORM TO STANDARD SPECIFICATIONS FOR STRUCTURAL GLUED
SOFFIT GAS FU(zNPCE nCCOROING t1f a ` - - - -- -- -
i 50 b t BP I LAMINATED TIMBER AITC 117-93 AND SHALL BE OF COMBINATION SYMBOL 24F -V4. BEAMS
ro 6 iTo MANuFNCTVRE� S SpFc S SHALL HAVE A STANDARD CAMBER OF 2000' RADIUS, U.N.O. ON PLANS. -
I KIT G H E N I i AC«SS 4 11. LAMINATED VENEER LUMBER (LVL) SHALL OF GRADE 2.OE STRUCLAM (SL) AS MANUFACTURED
k 3 h p BY WILLAMETTE INDUSTRIES, INC. (ICBO REPORT NO. NER-472) OR 2.0E PARALLAM (PSL) AS �
Uj I I 'y= J MANUFACTURED BY TRUS JOIST MxMILLAN (ICBO ;REPORT NO. NER-119) OR APPROVED EQUAL
_ _ o C4 //Xy osr yx Q DF IL T S ; w GAS U12NAcE Art't c ,, Q s � M 12. ALL WOOD IN DIRECT CONTACT WITH EARTH OR IIN CONTACT WITH CONCRETE SHALL E
BATN V �' PRESSURE TREATED HEM FIR OR FOUNDATIONGRADE ( CLOSE GRAIN) REDWOOD.
�osT yX ,o�sT IIx 12 DF 'i'x S! /dsT 13. PLYWOOD SHEATHING SHALL CONFORM TO APA U..S. PRODUCT STANDARD PS 1-95 AND OSB
UT I �ITy I y ELtPsE ENTRY - - -" "- `- SHEATHING TO APA U.S. PRODUCT STANDARD PS 2•-92. SHEATHING SHALL BE PLACED WITH
Jho �� z • '?,_ S { 17 FACE GRAM PERPENDICULAR TO SUPPORTS' (IN COWLIANCE WITH TABLE 23•II-H OF UBC -
--_-,-
i-� = --- � � DIAGRAM CASE 1), U.N.O.
' 50 (o t 13P N 1 5 0 61 Pap N 14. WOOD NAILING SHALL BE PROVIDE WITH COMMOM WIRE NAILS OF SIZES AND NUMBERS
PER TABLE NO. 23-11-3-1 OF UBC EXCEPT WHERE MORE SPECIFIC NAILING IS NOTED ON
TOF ET N `�N 13 N� N PLANS. EQUIVALENT CAPACITY FASTENERS APPROVED BY ICBO MAY BE USED.
I IM L1- w 15. METAL CONNECTORS NOTED ON PLANS ARE AS MANUFACTURED BY SIMPSON STRONG -TIE
I a - • t- I COMPANY. EQUIVALENT CONNECTORS APPROVED BY ICBO MAY BE USED.
tV Z a I d1 O 16. ALL ANCHOR, LAG AND MACHINE BOLTS SHALL CONFORM TO ASTM A307 REQUIREMENTS
FOR UNFINISHED BOLTS.
10 0 i
PANTRY • T6 P 17. THE ULTIMATE COMPRESSIVE STRENGTH OF CONC.:SHALL BE 2000 PSI MIN. IN 2S DAYS.
"l� I I I y t
4` I S. REINFORCING STEEL SHALL CONFORM TO REQUIREMENTS OF ASTM A615, GRADE 40.
19. SPLICES IN CONTINUOUS REINFORCEMENT SHALL BE 30.BAR. DIAMETERS OR 24" MIN.
�,° 03 2 sE�sMlc X10 0 BEDROOM BEDROOM r I� ti
STP_Aps Z 3 • .. 20. REINFORCING, DOWELS, ANCHOR BOLTS, ANCHORS, :ETC. TO BE EMBEDDED INTO CONCRETE
FI�1>rfL -2'�y (CARPET) (Ct►RPES) l�' SHALL BE SECURELY POSITIONED BEFORE PLACING OF CONCRETE.
MIN �tf 18AMVE COVERED z a, - __ - --- - —__ _.-
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9'7� �� y 2 (o yl r IxS DF Q �txy Post Z
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y- „-`i-2� (D��-}—r-.� ,
32'
ENVIRONMENTAL HEALTH
FEB 10 2004
7 COUNTY CENTER DRIVE
a
FLOOP. PLNN, 1/4 = �
0
GARNGE (CONCRETE) SQ. FT. HOOSE
► —
.----_ -
--- - "1161 SQ. FT. G��AGE ..,, nmen tHeatth
IlJ J l l �PPROVED F� E B A 1 ZOOM
U16 ° $ ° 0 H D DOOR Butt County Chico, CA
Enm n 1 H alth
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ON Z.- Zx EDGE STUDS W/ SS'1"B /6 H BOLfiS To FdVNj)ATIoN, t41N.
2'9" PA NEL WIDTH
0 52P(CED WALL- PANEL - 3/g PLYWOOD 6 pY OZ OEO w
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Ally, Pum w1oTH - yr ae -- 3 CoAt Srv(ro Ox -
Q /2 GAP CSO. wl5d COOLERS- d" 7 0. C_ MIN PANEL
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ONE SIDE OF WALL, OF V4 EWES` OF kVP L L
N4rE 332." TNFRMO PL IVAILEf) 2"
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REVISIONS I BY
Dat. 7/2-1/03
sc.i. /A/ "=1
Drawn Kevin C4lyen
Job
Shoot
�(J
Of shoots