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Home My WebLink About065-350-034f Ss 1 °-j — 065-350-034 PERMIT#97-0129 KIRKPATRICK, Joyce 14858 Glenwood Dr., Magalia / Repair Ele Ser/MHA � �0 065-350-034 05--3286 JESILOWSKI, EDD 14858 GLENWOOD, MAGALIA f� Cont: T.C.B. ':= NSF(GARJCOV P.) G 12.0 5 f J. / i — A A .-I C�7 r-. .' .�` 065-350-034 O�rtE JLSILOWSKI, EDD 1485.8 GLENWOOD, MACiALIA •.�' Cont: T.C.B.' NSF(GAR/COu P.) ---- - It-Eye:1-.0. tt-N C A L f:PJ�7— ✓� IT APN: Permit No. Owner. k § Site Address: } Contractor. 1r Type of Permit: ;tJ�f .' i� OFFICE COPY �` 1 Address FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS GAS VERIFY Meter By Date • � U �6 ELECTRIC Meter By W Date ENCROACHMENT PERMIT PIDT I&4Lm*- REINSPECTI6N FEE PAID ENV HLTH CLEARANCE,. -1-1'9 .ro?00(0 ��• R. i� w i CONDITIONS CHECKED BY SRA OFFICE COPY �` 1 Address FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS GAS VERIFY Meter By Date • � U �6 ELECTRIC Meter By W Date w i CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY r USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT PIDT I&4Lm*- REINSPECTI6N FEE PAID ENV HLTH CLEARANCE,. -1-1'9 .ro?00(0 ��• DATE JOB FINALED: Z" V SIGNATURE: h �_.. = OK 0 = Not OK I i RESIDENTIAL (Single & DLIDIexl I DAIt JU UArE RFLOOR DATE JPL MBING 1 Z ng -Setbacks -Easements -Flood -Slope ?_Wtr Ht,; Vent-Acc-Cmbstn Air Baffle ��.g�G�age; ; Soils-Elec Grnd Ftg Dpth 5�r Pipe; Test & Anchr-Nail Prtctn Soils-Steel-Elec Grnd Ftg Dpth. 5 DWV; Test Fittings & Anchr Nail Prtctn �.Ffg P es/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 ails Main; Steel-Blockouts -Wrapped 57 Te Tub & Shwr, 2nd flr - Tub.Acc t alts Garage; Steel -Blockouts-Wrapped . 590Gas Pipe; Sz & Anchrs Downs and Special Anchrs 59 Fj�Sprinkler, Test etee[ Wrapped -Ca Yard Gas Piping 8rplc FtgSteel all -Fitting -Test -2 -way CIO -Sewer Test 10 VF, Gas Pipe; Sz Anchrs-Sz Test Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE ---FM-.PC H A N [CAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61,X Ducts Insultn & Support 14 Girders Sills-Anchr BoltsJoists-Vnts-Cripples TZ Vent Fan, Exhaust abv Insultn 15 Acc & Vntitn 6,3fiondensate Drain & Ovrflw, Sz & Grade 16_ Insulation 64 F rnace-Vent Acc-Comb Air Rtrn/Vent 115 Outlet C�Attic Acc & Pltfrm if Furnace in attic i/`J` 0 0 DATE F MING jAfts Proper Materials & Anchrs DATE IF I N I "ails Studs -Nailing Spacing & Braces -Plates -Sound Olffxt Steps -Door & SideLt Prtctn-Landings 1Brearing Walls over Girders & fir Nailing moke Detector �raft Stop in Walls (rat proof) 6 urnace Vnts-Cirnc-Comb, Air-Cnnctr 2e Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 2Z :re & Beams-Sz & Bearing 09o'bedroom Exiting ngers-Post Caps-Anchrs-Cnnctns FI & Bath Fxtrs & Tub Acc-SpaCling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg rc Fault 73111c Ties or Type A Flue-Frplc Throat Clmc lec Trim & Subpnl, Breaker Sts & Labels 2BK ttic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 S , Guard/Handrails dpdWndws or Exiting Doors -Sill Ht & Dimensions rpic or Stove, Cirnc-Hearth a8 -Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs tchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 30Ext Doors -One X -Check Garage 3rd Story, 2 Exits • 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn rage Fire Door; Swing -Landing -Closure 32 Plywd Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Si g -Nailing Veneer 81]� Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir -34�ucco Lath -Weep creed-Fndtn Vnts-Undrflr Acc Mph Prtctn; LPG Appince Undr House 3" drain 35 lazing Are/ / Prtct — kyLts-Plastic BYPImb; Elec & Mech Eqp Listed for Loctn �12/f+4 3 Shear Wal a}img-Bo)ts 2 ec cptcls in Garage (GFI) Romex Prtctn 7-4 37 BraceJKJExjyWall pnls J sultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guar Rails & Deck Cnstrctn-Post Caps 39 Infiltration Walls Wndws do Vnts &Crawl Hole Door Drnge &Wood -Earth 86 Clrnc Drnge Planters 0 Yes ❑ No �G �c c o Brown -Finish o` m o'er d 8 C_Vnit Dscnnct, Elec-Plmb 9 is abv Roof, Plmb-Appinc-Frplc-CImc to Opngs DATE ELECTRICAL Wtr Well, Dscnnct, Elec, Plmb 40 xtr & Trnsfrmr Clrnc4ns Prtctn 1' Ext Elec Trim, GFI Rcptcl-Undrgrnd 4lec Rcptcls Spacing-Lts & Switches at Doors 2 Vntltn thru House 42 z Boxes & No Of Cndctrs Stapled 8a G� s Prtctn 43 mex Installed Close to Edge of Studs & CJ WC rections from previous Inspctns 44/Egp Grnd made up w/Mech Fstnrs s Test -Meters Tagged, Gas -Flet 4,hdng Electrode Bond Gas & Wtr a26�Ntr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 y7 Appinc Cires in Ktchn & Cndctr Sz GFI 97 riergy Cmpinc Cert -Mer Certs Subfeed Wire Sz ga ❑ CU or ❑AL dress Posted 4C Sz ya ❑ CU or DAL 99 Fire Sprinkler ange Circ CU or D AL/^ Oven Circ ga ❑ CU or ❑ AL i7�— {QV 199ulated Neutral E:) Yes ❑Noo 0•�' o'er o 4eService-Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 7othes Closet Lt-Shwr Lt -Spa Lt 5 Smoke Detector = OK = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S`C O V E R S'C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs -Cn nctrs -S hthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSpIice-Decal -En cis rs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide `c s� a` Pool Drawing ;COUNTY OF BUTTE:.... BUILDING DIVISION x.. DEPARTMENT OF DEVELOPMENT SERVICES U 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 5(Lbwle- l Os - 3Q8 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional " explanation, Oease contact the Building Inspector as indicated below. Z. Date / - d Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 h/�'/ .fit ,� PEcTi 1CJ r-lAJAL U (QE / NSU e -,9T/ o,i/ C 6 U r D (5 C -0r -t /t -E IN USE • E )eTEi2 /D/2 ' EC�P-T,4C e-6" Cov612 S l) PRO U I A E `� SmALL- -A PPLI AAlCC 18CUIT.S %2 !<I?CNFN CouAtTEIZ PROUtoe 917"61 -IEA/ ?ILIIA/SUC_!42 G. Rcn5p—IAC OE Y Z. Date / - d Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 �lF COUNTY OF BUTTE BUILDING DIVISION T DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE tJ OW ER PERMIT NO. f,- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call or re inspection when correction of work is completed. If you have any questions pertai ng to this matter, or need additional ` explanation, please contact the Building Inspector as dicated below. y. ri a �T �K. Date v ^0`0— 0,0 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 INSULATION CERTIFICATE Job Number: 7773 ED JESIOLOWSIU Contractor/Owner Name BUTTE Counh' DESCRIPTION OF INSTALLATION 1. ROOF Subdivision Name 1.4858 GLENWOOD DR., MAGALIA CA Job Address (street, city, state) Lot Number Material: Brand Name: `Thickness (inches): Thermal Resistance (R -Value): 2. CEILING Batt or Blanket Type: Fiberglass Brand Name: Knauf Thickness (inches): 10 Thermal Resistance (R -Value): 30 Loose Fill Type: Fiberglass Brand Name: Knauf Minimum Installed Weight/ft .431 lb Minimum Thickness: 10 1/4 inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): 30 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: Fiberglass Thickness (inches): 6 1/4 & 3 1/2 4. B. Exterior Foam Sheathing Material: Thickness (inches): RAISED FLOOR Material: Thickness (inches): S. SLAB FLOOR/PERIMETER Material: Thickness (inches): Perimeter Insulation Depth Inches: 6. FOUNDATION WALL Material: Thickness (inches): Brand Name: Knauf Thermal Resistance (R -Value): 10 & 13 Brand Name: Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. 2. & 31%� 3rd (. � � Chico .Insulation. Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Pate. Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address / Permit Number INSTALLER COMPLIANCE STAT NT FOR DUCT LEAKAGE INSTALLER COW 4ANCE STATEMENT The building was: ✓ Tested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. XInspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts. ✓ 13DUCT LEAKAGE REDUCTION Prnrodrnroe far hold voriAonfinn and dinornMin fo fino ni'nir A%friA"1;nn cnef�c — m ;Mhln in QAd-M Ann X- Af^A 2 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values i 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfin/ton x number of tons or as 21.7 cfin/(kBtu/hr) x Heating 1,377 Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in without air handle: G Pass ❑Fail 100 x ine # 1 / ine # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Change -Out. Enter Reduction in Leakage for Altered Duct System 6_(Line # 4 Minus Line # 5 —(Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% for Final. ❑ Pass ❑ Fail 8 100 x ine # 5 / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- ✓ Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [ 100 x [ (Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x f (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 601/10 [100 x L(Line # 6) / (Line # 4)]] 13 Pass ❑Fail I 1 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if•One of Lines # 9 throu h # 12 pass ❑ Pass ❑ Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed. in conformance with the requirements for compliance credit h the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms December 2005 T -4o76- m 45-5 JUrn"-� i'T✓r�/,!6ra10/ Coy L m 7— FROM.: AIR CARE SERVICE FAX NO. Sep. 13 2006 09:35AM P2 CaICLRTS - Certificate CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4R Project Address Budder Name 14858 Glenwood _ Magalia, CA 95954 - _ TCO Development Builder Contact Telephone Plan Number 37 14858 Glenwood HERS Rater Telephone Sample Group Number Lot 0 (if applicable) Tim McKeon 530-872-4040 40278 /001 Compliance Method Prescriptive) Climate Zone 11 Certifying Signature Date Certificate Number Firm: Air Street Address: 805 Elliott Rd. Suite "G" Copies to: BUILDER, HERS PROVIDER AND HERS RATER COMPLIANCE STATEMENT I1, 2006 CC3-1798380860 HERS Provider:CaICERTS City/State/Zip: Paradise / CA / 95969 The house was R Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostiC tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lleu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed. rubber adhesive duct tape to seal leaks at dud connections. ri/l- no nne-r r OAVACC oenvid- w MN rnu vt TANG[ GREnrT! Main SVSfprn NEW CONSTRUCTION Duct Pressurization Test Results (CFM ® 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 37 2 Fan Flow: Calculated (Nominal'._-' Cooling'.';': Heating) or :i Measured 1397 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 6% ( 100 z ( Line 1 / Line 2 )]: 2.65% Q Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre Test of Existing Duct System Prior to Duct 4 Sy stem Alteration and/or Equipment Change -Out. Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Duct System for Duct S IEnter System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System (Line 4 - line S) - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Dud System - Pass if Leakage Percentage < 6% 1 100 x ( Line S / Line 2 )1: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage c= 15% 1 100 x ( Line 5 / Line 2 )l: ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage : = 10% 1 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% ( 100 x ( Line 6 / Line 4 }] ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through 922 pass ❑ Pass ❑ Fail https://www.calcerts.t.;Ltltt/c1'4r print cc.rtiftcate.cfm?Iots=0,40278&UseCFIR=1&R.equest... 9/13/2006 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP053286 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/15/2006 APN: 065-350-034-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 14858 GLENWOOD DR MAG Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(1404)GAR(448)COV(27) 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: JESIOLOWSKI, F. EDWARD & PATRICIA 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 the Contractor's State License Law (Chapter 9 commencing with Section P.O. BOX 972 7000) of Division 3 of the Business and Professions Code) or that he or PARADISE CA 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 95967 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 872-2305 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: JESIOLOWSKI, F. EDWARD & PATRICIA 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 P.O. BOX 972 year of completion, the owner -builder will have the burden of /PPProving that he or she did not build or improve for the purpose of PARADISE CA ale.). 95967 1, as owner of the property, am exclusively contracting with (530) 872-2305 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The' Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with.a contractor(s�nsed pursuant to the Contractors' State Lice � w.). Contractor: TCB DEVELOPMENT ❑ I am Exe plunder Article 3 of lh iness and Pr f s Code PO BOX 972 t Date: owner: PARADISE, CA 95967 WORKERS' COMNS ION DECLARATION (530) 872-2305 LICENSE# 831438 I hereby affirm under penalty/of perj y one of the following declarations: ❑ 1 have and will maintain a ertificate of consent to self -insure for workers' compensati,on.A provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy M Total Square Ft: 1879 S.F. EII 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 Valuation: $102,444.00 become subject to the workers' compensation laws of California, Census Code: 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: RSC, 320 G WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor5- code, interest, and attorney's fees. pec # L1411 10 CONSTRUCTION LENDING AGENCY This. permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued (Sec 3097 Civ.)Date: Resolutions to do work indicated b for which fees have been paid. livI� -15 performance of work which permit BY 2 -OG Name: - 15- 07 PERMIT EXPIRES ON: Address: (Date) ❑ 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. ❑ Attached are copies of the required E.P.A. notification forms. I hereby that I have read this application, that the above information is correct, and that I am the owner or the dul ulhoriz d�gent of the owner. I agree o certify all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o cial for or document of Butte Coun h authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Dale: l ❑ Owner ❑ Contractor ❑ Agent for O ner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY > \111 O DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT -APPLICATION y. ° AND SUBMITTAL REQUIREMENTS ' -7636 • CHICO: (530) 891-2834 24 HOUR INSPECTION#: OROVILLE: (530) 538 -0 OFFICE #: (530) 535-7541 0 W A FEE WILL BE REQUIRED AT TIME OF APPLICATION ? *`PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER OWNER Last Name Address C-7:2 L. ® 411 L— irst�Na�me Stat � is Address Zj� Phone Book City E-mail State Z� Class ' Phone Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name Address C-7:2 L. ® 411 L— Address Stat City � is StateG� Zj� Phone Book Fax. E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name Address QO TK,=PX fr2 Address C-7:2 L. ® 411 L— City (+ den Stat Zip Phone Sj 4, Fax E-mail State License Number APPLICANT NAME Name Address QO TK,=PX fr2 City Stat . SRA Phone- „z Fax E-mail •u� For offs u only: Zoning( Property Address k-4 �.� euc Flood Zone Cross Street SRA es No Oc V. Type Const. Al Subdivision Name Map Book Page Lot # Planner Date Approved: r%%fMn CnD 421 IQRfi1=A1 RGf1111P1=M1=MTC PERMIT NO. BP BIW LOCATION AP# /(1 Property Address k-4 �.� euc City i� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: AJISP a-0 zew Sq. Footage ❑ Structure Built witho0t Penfits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. (v-r—w Received b " Amount: %_Bldg _ q e SRA Receipt #:Lj%, r �c�)� Sheriff C2/0v SMIP Other Date- SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation- Certificate, wet -stamped and.signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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-sifned. by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION RFI/F_i Fi-ia .! 7;1 '_ _r^'�v .�Y_ r v...r ., • •V.-�-)r -�';"7 '.`-•vi1.'Y ). V1.+..i'�v'l� . r. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C.._ ,� E(f V eS I `V� % �S ` 1 ASSESSOR PARCEL NUMBER iys-� �a-ice Proposed Building Use: Permit Technician: i - Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. / 3. Engineered plans, 3 or 4 sets, with wetet sig�natureoon plans AND 2 sets of stamped and signed calculations. a 7/d 4PW 4. Engineered truss details and layouts in duplicate. No faxesl // 19�- 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 AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including 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. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other ammg items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in1 is ❑ Or ville, as applicable 15. Fire Sprinklers............................................................................................ VDL3 ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by- -0 yOF U_❑ 17. Soils'Report and/or Engineered Foundation required ........................................... ❑ / 18. Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing pgmit........................................................................ ❑6 21. Site plan and business license approval from the Cit ryof Biggs......,. r h 22. California Department of Forestr� rplan approval11paid. Sent by ... L 23. Planning approval for (A) Use:!! (B) Parking: (C) Parcel eck: 2 C6 .� 24. Contact Land Development about _ Improvements, _ Drainage ........................ 9 25. Fire Marshall Review (commercial projects only). Sent by: ...................... .�7 26. NPDES Form............................................................................................. encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number ..............................""........ ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 3 . Letter of Signature authorization.................................................................... 32. ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone ( S/ %�.�nd hold for pickup. I have been informed of the above items and requiremen sfor obtaining a building permit. Applicant: l/ Date: 1. Index permit application for the abg a items numbered: I Plan Check Left4r 2. Additional items required' Contractor, designer,w wadadvised of the above data by phone, fi mail, ❑ counter, by Date: Contractor, designer, ne , was advised of the above data by ❑ phone, l�mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter bv Date: Plans reviewed by: 17 Date: __21ans approved by: Date:4/ 5 Structural reviewed b Date: Structural approved by: Date: Q6 Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 E.H..0 Plot Plan Attached Floor Plan Attached r Sent to BD/DS TO:. Building Division - Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance �%s L ®�s,�i &915 �c,e.� ®gyp .�v. �� Owner Location AP# Plan Approved for: Sewage Disposal: ✓ Water Supply: Public ✓ Private Well Clearance for ✓ dwelling. Other ��a-�-� ,Q u.,e-t-e-IA-J Q Hold final for: Final clearance O.K. for: Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner JESILOLWSKI, EDWARD APN No: 065-350-034 Application Date 12/16/2005 Permit No: BP 50-6349 DATE Tech/Asst 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,500.85 uRECEIPT 1500.51 1444 �� 2/ OCe DI K tlkttt! ' I Plan Check portion of Permit Fee $1,000.34 2 FEMA Yes Flood Elevation Review $109.98 Rx 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Areal Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $1,095.34 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,205.32 443206 12/16/05 Tammie � 4 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 0, kw iill 5 Additional Plan Check Fees (NON-REFUNDABLE) 6 Other*: 6a Other*: FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 7 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling MH Applications After 2114/05 ,c SFD MFD County 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.531 6757.081 �c R-1 8031.53 6850.08 X00 R-2 7541.531 6360.081 7633.49 7726.49 7236.49 R-3 6780.531 5599.081 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 WATER TENDER FEE )Not collected when impact Fees Applicable) Enter Bat.# $200.00 8 DRAINAGE FEES* 9 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 773 Big Chico Creek $6,596 RECEIPT DATE Tech/Asst 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works 9a Fee Determination Sheet Needed - Enter amount determined by PW 10 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling T $130 lAt time of building permit 10a $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 11 SCHOOL DISTRICT FEES* Paradise High 093 I {{�� YQ ' L/ S ogr4r; I Paradise 1W f 17 11a RECREATION DISTRICT FEES* Nd 2�5�d� At the time of permit application, 1 w t advi d the above fees are required -to a paid pr' (to issuance of the permit. These fees may be changed during the plan checking process. 1eoo le�5 Applicant: Date: Pursuant to Government • de S tion 66020, you are hereby notified those Items followed by an ""' may have been imposedAn your pr tect. You have 90 days from the date of appal of t porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Gover ent Coy! Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105 A. Assessor Inquiry - Mfg Homes Asmt: 910-025-645-000 Feeparcel: 065-350-034-000 Owner: JESIOLOWSKI EDWARD F PATRICIA C TRUST Asmt Feeparcel Xref Map Book 910025645000 065350034000 DecalNum ._ . _._ _.. _ _____ - Licence— _ :LAV5679__ . - _ Serial #s 1 2 3 RDCT62S4190 A47183 Make Model ROADCRAFT IMPERIAL YearBuilt Quality Class 111963 Sales Date Price Value • Is Different Characteristics Additives (Coach per sgft Bedrooms Baths Total Rooms Ammenities Perimeter Skirting Butte Coun DEC,Assessor E 6 2 005 Asmt Feeparcel 'Xref Map Book 910025645000 065350034000 DecalNum Licence :LAV5679 . . ..., __ ... ...i..... .. .. :... ........ ..... . Serial #s 1 2 3 RDCT62S4190 A47183 Make Model ;ROADCRAFT 11 1MPERIA L YearBuilt Quality Class fi1963 Sales Date Price Is Different Additives Coach per sgft Characteristics1 Bedrooms Baths Total Rooms Ammenities Measurements (Linear •• .•- D.A—fcr C4irfi— Garage Carporti0 0 i _...i....__ .._..__..... ....._ ..._..._ ,....... _._.. Porch Sheds 10 _ ._._ ... ....... _._..___._.. .i •0 LastTaxClearance Comments 10 X 60 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT - REGISTRATION CARD Manufactured Home Decal No: LAV5679 Manufacturer ID/Name Trade Name ROADCRAFT Model DOM 01/01/1963 DFS 1 01/01/1963 RY Exp. Date Serial Number Labellinsignia Number Weight Length Width SPC SCC Exempt Use Type S4190 A47183 60' 10' 04 SFD LPT issued Total Fees Paid Aug 02, 2004 $126.00 AddresseeovswG F EDWARD JESIOLOWSKI AND PATRICIA C JESIOLOWSKI 2003 TRUST .'� .I 10. PO BOX 972 3 ®� .Q ; n w PARADISE, CA 95967 04 ` !• DEV Registered Owner(s) F EDWARD JESIOLOWSKI AND PATRICIA C JESIOLOWSKI 2003 TRUST PO BOX 972 PARADISE, CA 95967 Situs Address 14858 GLENWOOD DR MAGALIA, CA 95954 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3544687 09022004- 462 N'IAI'E Vli, uALIIi'VKIVIA - LEYAKiivmiN i Vli t1VUJ11Vli AiiL uuiviL1VIUlrii Y LLQ VLi uuriv L' n 1 CERTIFICATE OF TITLE Manufactured Home Decal No: LAV5679 Manufacturer ID/Name Addressee F EDWARD JESIOLOWSKI AND PA' PO BOX 972 Trade Name ROADCRAFT Model DOM 01/01/1963 DFS 01/01/1963 RY Exp. Date Serial Number Label/insignia Number Weight Length Width SPC SCC Exempt Use Type S4190 A47183 60, 10' 04 SFD LPT Issued Total Fees Paid Aug 02, 2004 $126.00 Registered Ae F EDWAR A J - SIO JESIOL01�ld! KI 20f PO BOX9 PA IS : , CA 95 1 858" CA 95954 t.Offirm lvhkh'.� 1N4\ :r KI A. PATRICIA C IS A �IwfwYr P IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3544687 08022004- 463 [A-S01001h?Qv13-9.- Nfain Assessor Inqui Dec 16,2005 03:45pm Asmt # Fee #Z 065.350-034-000 Name 1JESIOLOWSKI F EDWARD & PATRICIA C TRI I Status JACTIVE Status Date Addrl IC/O JES19LOWSKI F EDWARD & PATRICIA C Tax [POO [NORMAL OWNERSHIP TRA V�?-01 4 Addr2 PO BOX 972, Situs 14858 GLENWOOD DR MAGALIA Addr3 1PARADISE CA 95967-0972 Base Otf6g)E—!2004 Addt4 Land 28,050 Timber Preserve Structure 0 AgPies Comments 16535003400 CONVERTED 0948/88 Etal Fixtures 0 — Growing 0 Creating Doc#11 980R256Ei060 Date . Current Doc#J2L00411)ljpg0q_- Date Bonds Total L&I 28,13 50 0. Multi Situs 7. _ _.. Fix. A Killing Doc# Date Flagl MH PP 0 Asmt DescffIERRA DEL ORO ✓ SupICnt[F.' ..r FIag2 PP, 0 ZoningFR—mH Dwell— Ir 910 MH Exempt 0 Acres/Sq Ft 10.23 N/cFo-65 r- Amt PP Pen Net 28,0 R/C#F— Tax PP Pen Appeal Pending TYR Dtl LC . RIC .Statr— PHY OWN --P— EXTAX -1 HON ATT — 1 -'--SIT APR, --'I-'--f!CL rd-: J- 0-- [!od Find 12005_I!T. 2005 1 PT52000, 0712 11 0:04:22 AM 0 paDe rt of Public Works... ..0 o u n t y o f B u t- t o ' UND DEVELOPMENT DIVISION J. Michael Crump, Director storm Water Mana�ementProcrzm / 7 C6uny Center Drive Oroville, CA 95965 (530) 538-7266 (FAA 538-7171 National Pollutant Discharge E trtination System (NPDES) Phase 11 Construction Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THA1`d ACRE Project Description: _ Project Location and/or Parcel Number v� By signing below, I, the project owner/owner's agent, certify that this project WILI NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Constru�tidOn Storm Wects hatr contain fron the State of California Regional Water Quality Control Board. Ph pro] multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will. require a Construction Storm Water Permit from the State of California Regional Water Quality Control Boaid- I am aware that submitting false and/or inaccurate information or failure to apply fora Construction ard for a project. Storm Water Permit from the State of California RegionaIWater Quality Contrvibe ettni or other that disturbs one acre or more of land may result in revocation of grading and/or p sanctions provided by law. Signed: Title: Date: Butte. CouiityDepartinei2tof-Developxnel2tscl-Aces o $UTrEoo 7 County Center Drive o Oroville, CA 95965 °O; -e. "a (530) 538-7601 Telephone COU - -1 (530) 538-7785 Facsimile N� BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for* disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: Building site address: Q—� VJ&� ' *rmit No.: DcS� I have read, understood and accept the terms and conditions as expressed herein as. indicated by my submission of e ove-referenced building permit application and my signature below: SIGNA,T OF APPLICANT DATE. 4Z GREGORY A. PEITZ ARCHITECT 383 RIO UNDO AVE. CHICO CA 95926 (530) 894-5719 PROJECT: J cam - I have reviewed the truss submittal for the above project and all loading design criteria have been met. Greg A. Peitz Architect School District A.P. Number w BUTTE COUNTY SCHOOLS IMPACTTEE CERTIFICATION FORM (One form per Building) pa rad 1Se Building Department No. Jurisdiction: City r lCounty 5at) 3 G Property Owner Tes l of owskl Property Location/Address Subdivision Lot No. .............. Residential Development Q Q Q Q € Sq. Footage 0 No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # •(No foundation inspection) : ............................... :,***,****..................**'*'*... ""'............ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) n Building Department Rep entative Date District Identification No. Chool District certifies that , (Applicant) (S reef t Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing School District square feet. Paid by Check # -� Remarks: (State) (Zip Code) by payment of $ JrB 2926 $ LL MITIGATION $ -1) 17 ko Date J Notice: You may protest the Imposition of the fees Identified above by submkdng a written protest to the DhMct, in compliance with Government Cods Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. lf, subsequent to the School Dlsblct Representative signing this Butte County Schools Impact Fee CertMcadon Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (3105)dinm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 AP 065-350-034 COPY of Document Recorded 15 -Feb -2006 2006-0008057 Has not been compared irith 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: Date 2-2-06 State of California County of BUTTE SEE ATTACHED LEGAL DESCRIPTION F. EDWARD JE SKI MARSHA VIERRA T 0Comm. #1530556 In 9.0,tr NOTARY PUBLIC CALIFORNIA 0 V BUTTE COUNTY -4 Commission Expires Nov 27, 2006 On 2-2-6 before me, MARSHA VIERRA, A NOTARY PUBLIC personally appeared F. EDWARD JESIOLOWSKI 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 seal. Signature Seal: r MARSHA VIERRA 0 �� oI Comm. #1530556 A.P. rrRR NOTARY PUBLIC CALIFORNIA 0 V i BUTTE COUNTY ''ommisson Expires Nov. 27, 2001 Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 75, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE; STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) 27,-28 AND 29, 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 SUCH 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 'M[NING COMPANY, A CORPORATION, TO E. D'. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. APN 065-350-034-000 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CWCO- AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) OLDS -'35() - Q ;?,� { Building Permit Number 0 rj 3 %6 Property s p rtY Owner () �S i Project Location /Address Subdivision Name G lenwo v Assessable Sq. Ftge Type f Residential Development (check one) New Development Single Family -Detached Single Family -Attached g Y Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: gev lv I11 n( c1 (ii0 bl l howls ( raoo "Fn,Q w iib s - 6ui R bonbel Building lbepartrnent Represe tive Date 0 FRRPD 0 CARD >ORPD ❑ DRPD certifies that: ��I' - Te. 5 Appli t Name P ne Nu ber iO Cox 9'-7-?, Ara7� c 9 � Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. &/M by Payment of: Remarks: Dwelling Units @ $ Square Feet @ $ _ No: Paid by Cash: and Park District per unit for a total of $ _ per sq foot for a total of $ Receipt No: ZZ Date OA, Department of Public Works o C o u n t y o f B u t t e O 7 County Center Drive J. Michael Crump, Director Oroville, CA 95965 (530) 538-7681 AX 538-7171 A��`w �y Shawn H. O'Brien, Assistant Director ) Assessors Parcel Number: 66 5 - S5,y- o 3 q Building permit #, Owners Name: �0 L () �,✓� Owners Mailing Address: f�0 Property Address: . j y �S j f,- C -p, leen w 6001 ZJj:� v ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: ❑ Not a County maintained road Existing driveway conforms to County S-31 standard ❑ Other Approved by Printed Name 610 orS5 Title Date 2— CONDITIONS CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. SITE PLAN REVIEW APPLICATION Date: Aryl 2Cl Z zn b AP# � �- � TrD - 0-3 _( Permit Number (if applicable) Bin Number A - 1 APPLICANT INFORMATION Parcel Size: Owners Name:�� Owners Address: Telephone No.: Site Address: Proposed Use: Zone: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ 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: Brief Explanation/Issue: GP: ❑ Commercial Remodel - ' ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approve ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By 4 Date, 6 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Williamson Act Minimum Acreage: ❑ Residence can be built per contract Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: X • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: eT-- 1 General Plan: Applicable Building Setbacks: r9 � ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 20' Side 5 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to:. ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Map:% , ExL� Map Date of Recording:Igo el 1 Lot:. Book: Page: - Z� WE. 9. AND a PARADISE, INC., 5. WD CL INVESTMENT COMP MmV, M&GALI& CORP., &RD FIR UAV EN DEVELOPMENT COMPANY, AS OWNERS OF TNS LAND INCLUDED WITUIN SIERRA DEL ORO ESTATES UNIT Na 2, AS SHOWN WITHIN TUE COLORED BORDEP UNE ON INE ANNEXED MAP; AND &R14UR E. UEWETT AND GERTRUDE GILLIL&RD, PACIFIC OQOWTU CORPORATION, ORIVIUE TITLE COMPANY AND TITLE INSURANCE AND TRUST COMPANY, &S TQLISTEES UNDER RECORD DEEDS OF TRUST, DO NEREBY CERTIFY TU&I WE ARE TUE ONLY PERSONS WUOSE CONSENT 15 NECESSARY TO PAYS CLEAR TITLE R SAID LAND AND WE CONSENT TO TUE PREPARNtION AND RECORDATION OF SAID MAO AS SuOWN WITUIN TME COLORED BORDER LINES. TIME PORTIONS a IMPERIAL WAY, Vg00 ORAE, GLENWOOD DRNE AND NOMEWOOD DRIVE, AND LOT '&- &S SUOWN WITHIN WE COLORED EORDEQ LINES ON SAIDMAP ARE UEQEBV OFFERED FOQ DEDICATION FOR PUBLIC USE FOR COUNTY ROAD PURPOSES. WE ALSO OFFER FOR DEDICATION, AND DO MEQEB`C SO DEDICATE FOR SPECIFIC PuR- POSES,TRE FOLLOWING: (AT RI.LIIS OF WAV AND EASEMENTS FOR W&MR,GAS. SEW ER, &uO ORMNABE AIDES, AND PRO OVEQMEJAD ANO UMIDERGROUND WIRES FOR ELECTRIC AND TELED40ME SERVICES, IWETMEQ WITH ANY AND ALL pOPURT _MANGES APPERTAINING TMERETD, ON, OVEQ, AND UNDER THOSE STRIPS OF LAND DES16- RATED 'PUBLIC UTILITY EASEMENT- CONTIGUOUS M TUE REAR AND/OR SIDELINES OF LOTS OND OF TUE WIOTITS SHOWN UEREON. (6) EASEMENTS FOR LIEUT. AND AIR ODER TUOSE STRIPS OF LAND LY146 BETWEEN TUE FRONT ,'AND%CIR SIDELINES OF LOTS &ND TUE LINES 5NDWM UERECM AND DESIGNATED ^SET BALI( LINE, SA1,D-.SYRIPS TO BE KEPT ODER AND FREE OF BUILDINGS. ' (C).. ;NIM, OF W&'( AND EASEMENTS FOR DRAINAGE PIPES TOGETHER WITU ANY AND ALL APPURTgM&LACES APPERTAINING THERETO, ON, OVER, AND UMDEQ TMIOSE STRIPS OF LAND DESIGNRTED-ORAWOGE EASEMENT" IN TIE LOCATIONS NJD OF TAE WIDTHS SHOWN UEREON. 5:, GLAD O PARADISE, INC., & UUPOpNIA CORPOQATI01 S. AND �R. INVESTMENT COMPANY, & CALIFORNIA COQ RA ON �•. •MAG&LIA CORP., & CALIFORNIA CORPORATION ' FIR'UAVEN DEVELOPMENT COMDAUY, & CALIPOQNI& COR{ ,U ST&TE OF O&GFORNIA',Z'4.5 COUNTY W. autTE . 55 ON TUTS Lj OA`C'-OF -SOT • , L%S, BEFORE ME 1x9G1: U R p NOTARY PUBLIC AMD FOQ TLE COUNTY OF BUTTE, PERSON&LLY &PPEARED Sam Foy` E N P ""M TO ME TO BETME 5nt- 'f-iAf PSJ C.¢r RESPECTIVELY, 0; 9. ANO O PAR&DISE, INC., & C&LJFORMIA CORPORATION, WNK:M EXECUTED TUE FOREI14RUG CERTIFICATE, &LLD KNOWN TO ME ro BE IME PEQSOU6 tVl10 E%EDITED TUE FDQEOOING L1:QTIFICpTE ON BEHALF OF TUE DO TTg&UOtl1UEREU4NAME0; AND ACKNOWLEDGED TO ME TUAT SLY Q CORPOR&TION EXECUTED TUE. S&4.((T'( CK E (ELLE �� Ikf f:0 IML55gN FRES S; zr GT STATE OF C&UF0241&2 COURT'( OF BUTTE S.S. ON TUISLEI�D&Y OFS,Et+_, L9G5,5FFCQE ME Sack C. S C\\=& NOT&RV PUBLIC IN &NO FOR TRE COUNTY OF BUTTE PERSONALLY &PPE&QED, A �O,n T�SVa KNOWN TO ME TO BE TuE - Sac.- - REACU r12✓ RESPECTIvEL`(, Oc S. WD O. TO COMPANY, & COLIFORM& CORDOD nON, WVK:u EXECUTED TUE FOREGOING CERTI FIC&TE, &NO KNOW- TD ME 10 MTUE PERSONS WFD EXECUI ED, TUE FORE- GOING CEQTFI COTE ON 5411 F OF TUE WR POQATIOM WERE W NAXIED, AND Y.KNOWLEOGED TOME TWT 9UCPUBLIC V COQDOR&TION TfTQf$�,, y T LLT �"r��^'r M(C AMISS ION dxpkizias _q/ r. •:s STATE 6 CAUPoRNI&.)S.S cpuuTv oc BUTTE S,,.L ON TIIISL_AY OF •+�C-.L_,19C5, BEFORE ME S-Ack,& .F�f7TAQY R1BLK IN AND FOR TUE COUNTY OF BUTTE, PERSONALLY &PDE&QR KNOWN TO ME ME-INE S'EC-�/lEHFuRf.� M'SPECTIVELY,Cf MACr&L1& CORP, A CILIGORNI& CORPORATION, WUK.0 EXECUTED TUE MQS- GOING CERTIFICATE, AND KNOWN TO ME TO EE TUE PERSONS WINO EXECUTED TUE FO2EGOING CE2TIFIC&TE ON BEM&LF OF TME CO2P02ATIOM-TUE2EIM NAMED, AND ACKNOWLEDGED 70 ME TWAT .Uw CO2POR&7nN ,Exsi:ii-TED TUE'S&N.E NOT{L12Y DUBLIC ad,&�F STATE OF CpLIFpRN1A1 COUNTY OF BUTTE ON TUIS iC'-U1Y OF D� 19GS, BEFORE ME ieA WTARY PUBLIC W WD FOR TUE COUMTY OF BUTTE, PEQ5Ou&LLY KNOWNTOMETOBE I—-.-�--�' RESPECTIVELY, FK FIR RAVEN DEVELOPMENT COMPANY, A CALIFORNIA CORPO26TIOM,WMICM EYECUTED TUE FOREGOING CERTIFICATE, AND NWWN RIME W BE TUE M25OMS VNO EXECUTED TUE FOREGOING CERIIFICATE ON EF1MLF OF TUE CORPORATION TIEREW NAMED, ALIO ACKNOWLEDGED W METWA'C SUCCI CDQPOR&lgN EXECUTEO T+E SAME. NOTARY PUBLIC MY COMMISSION E%D &RTUUR EE.UEWETT LRD G_ERTR'uDE OILLILAND I AS TRU(�,�TEE.�Sg. IC�A•QUA F. 7�4�ITA` GY70A/.[ ..O , y •Q��- B STATE OF CALIFORNIA) COUNTY OF BUTTE S5. ON Tuts/lS my OF _ ,%5. BEFORE ME ,A N31A2y PUBLIC IN AND FOQ TUE COUNTY OF BUTTE, PERSONALLY APPEaU ARTUUR E.4EINEIT &NO GEQTRUDE GILLILAND, KNO V N ID ME TO MTUE PERSOMS WHOSE NAMES ARE SUBSCRIBED TO THE FOREGOING CERTIFICATE WD ACKNOWLEDGED 10 ME TUAT TUEy EXECUTED TUE SAME. .,..5 NOTARY PU5uc ZZ--'-L-'�'"��- :_. ��i. ... __ �....�•%��... f MY COMM195gN E%PRFs 3 -f9 -GG PACIFIC GROWTH CO' RPORATION, ACALIFORMI& OORPO.RA'FION &S RUSTE S 51-;-1 ( F. R SEELY, JR., DODITOR OF ITE CDJ4TY OF BUTTE, STATE OF CALIFORNIA, DO 4EREW CERTIFY THAT TUERE ARE ND uENS AGAINST -SQQQA DEL OPD ESIAIES UNIT NO. I' AS PEREDu SET TORIH, OR UNPAID STATE, COJ91%, MUNICIPAL OR LOCAL TAXES OR SIFOAL AMT.WMEUTS COLLECTED &STAY ES, U(CEPT TAXES OR SPECIAL ASSES6MENTG 401 YET PAYABLE. TLYEG OR SPECIAL ASSESS MEATS WYKU ARE A UEM TNR IDT YET PIYLSLEE, I ESTI MATE TO BE IN NE &MOUNT OF S 40_ _7 L F.U. SEfe ,JR.,OKIE ITO- I,W,F.CUM, OWECTOQ OF DLANNIIIG OF TUE PL49WNS CONMIS510Y6TUE COINTV a<BU E,STLTEOFCAUtORNIN,DOUERE- BY CERTIFY IVAT 111E ANNEXED FINAL MAP Ot -SIERRA DEL ORD ESTATES UNIT IOL 2- CONFORMS SUBS TIALLY WITH TUE DESIGN SWXM ON TME UM141 E MAP V V ICH WLS APPROVED BY NIS COMMISSION 01 /. / Z. Rd w.c. cl N,&I Ecro a PUU D I, CLAY OSILEBERRV, ACTIN6 DIRECTOR Ot PUBLIC WOB(S OF TUE CIIUNW K BUTTE, STATE OF CALIFDQMIA, OO MEJIE- BV CERTIFY TU&T I "ME EXAMIMED NE FU1AL MAD OF-SIEQP& DELORO ESTATES UNIT MA 2 � 74&T O IS SUB- STANTIALLY TME GAME AS APPEARED ON TUE TENTATIVE MAP ON RLE AND WY APPROVED ALTERATIONS THEREOF, TUM ALL DROVISIOMS OF TUE SUBDIVISION MAD ACT IN TME STATE OF CAUFOR4IA AND LOCAL OQDINANCES APPLICABLE AT TUE TIME OF APPROVAL OF SAID TENT&SNE MAP MOVE BEEN COMPLIED WIIW ,AND i AM SATISFIED TUM SAID NAD IS TECUMC&LLV CORRECT. 'L" A LEBORVDU.EBL.m ACTIN. ECOF C COUNTY OF BUTTE I, JESSIE ROSETV(I^^ERIC,, O'F'111E--COUNTY R BI: a m a m "' i4 uaro4•o6•w GLENWOOD O a N A o� F I R NAV EN m p m `y i D; N 00'CN'OA' W 1646.24' 75.00' W $ 75.00' 7500' 7500' 15.m' 7500' ]503" 75.00' 75.00' 75.00' _ 150 0' 75.00' 7500' 75DO' _ 91.16' 15_00' 74.26' ' -pO PU15LIC W � UTILITY SET 70 �y BOCK UsEmw L5'PUBC' 0' 8 $ 8 pp++!!22 ECSEMENT 75.0'0_5_ 75_0 Y �WV a v _ D r D v x m 20_ 8 $ $ SEE SET 8H; y .�nb' J S DOCK 150_ 0 a 1500' UNE _15m' PUSLIC 150 0' g'�'.' 15.00' 75.00' 7500' 75.00' 7500' T5.00' 75.00' Gh47' 75.00' 75.00' 75.00' 75.00' 790P' 7500' 75 W' E N, O� i O 15 N00'04'067Wm 1808.06' i O i5 WOOD 7AB8.m' DRIVE tl '" r DRIVE 1100' 1500 7500' 1500' 15.00 1500 1500' 15.00 75.00 1500 7500' 1500' 75.00 15_00' 74.26' ' -pO ^-20 W � i0 SET 70 �y BOCK 700' L5'PUBC' 0' LINE UTILIY 7500' 15. ' pp++!!22 ECSEMENT 75.0'0_5_ 75_0 Y 7500 a v D r D v D D y .�nb' J S 9,15zo, 150_ 0 a 1500' lS.m_ _15m' PUSLIC 150 0' 1500' ISM, UTILITY 7500' 1500' T500 __ EASEMENT- 1500 .ti TS.m� 75.m' vs D5_6T m m m N PI O P' V' ` N bl $; m C N c q o, m n m 5. . I S 8 8 8 8 $ $ g 8 $ 8 8 8. $ g' f ^20' 3 SET 1500' 1!,.w BACK 75.00 LINE $ 1^P_o u Z �y� �1 C W 7500 15.x' 75.00 75.00 '15,00' 75.03' 1500' 7503' 7500 1500' 7500' 62.93 �� DRIVE 16 _2-09 5 5070 0' 600'04'06'E 75W_.00'y�t 700' SET IImN7,Cco5-'_0P 0' woO 15m-.0 0' 750' 75.0 0 $ 7v�5.CO'O pW 0 LINE 75_S_ u8� 7�u5.0 75�N.00 0g'' A85 � ' -pO BCK W$ W � i0 70 7 Op 700' L5'PUBC' 0' 0315 UTILIY 7500' 15. ' 5.0' ECSEMENT 75.0'0_5_ 75_0 Y 7500 a v a I 600'04'06'E _ I SA5' �- 1 I 0 I SIERRA d I DEL ° I s I ORO ESTA7'F.5 UNIT NO. I aI, z � a v D r D v D D 0 n T/V D y C: Z m m m N PI O Z� z m C N c q o, m n m z rn _�- WIN �a� yic QDZ0�r mo f 3 --i $ 1^P_o u Z �y� �1 C W z O o Iz I P -4 W O m M-5 ZZ r Zyn m m CA m i D A <-4 W 'rm D rn Sao Jai �= --I 31 ----I---- �I� -Zip v 8Z n Cn SEE 30 -- I NW-55•YYE 8755'51 195.00' h 13500' IGS �$ B 164 IW 59.00 4 $ 1n 43 a SWEET NO. 2 SB i N89"5'YfE 07 ' SG N 89' yyl 5't- E 125 57 R 135.00' � w 13500' r 3' �p 55 •a a g u1»•vsz- 135.00' � S W E45Eueurn " � SRP YSY52'W DSOO 199.00' I I 195.00' 0� g.z BB 81 1 99 w � �I 1 081 4 171 �I S - 195.00' I 8 Y 8i I 135.00' q O $ Bi i I 94 Ir N89'SS92'E1 135.00' I 8 90� I j 135.00' 93 8 N B9• °h{ 152- E N r 199.00'Ok"'; $ 91 ul 135.00' 92• rd1- r1 ' 155.00' 19s.00' 19; ORO ESTATES UNIT NO. I' SHOWN AS NW04'05'W ON TWE }' N09'5552 E 19500' III _ 0� '7?3 [s_srrnrN?2 Ji 112 = +. 13100W. I 081 4 171 �I S - 135,0)' I8a x g1 '3�H q O 8 135.00' -- Ir N89'SS92'E1 Ii4 W i uBY55S2'E I P 113 155.00' 1 8 $I p g 0 . 8 h. 129 � gTfueN1K[$I 0 }' 509'55.52'W 27000' 0� '7?3 [s_srrnrN?2 4B m,�l 167. g 135,0)' I8a x g1 '3�H l_OC 8 BOW PAGE -- Ir N89'SS92'E1 Ii4 W e S Pik FiAVEP: Q�a�, s� 135.00' 225 197 GRANT TO BUTTE p O iGI {�o L21' COUNTY OF (STRIP rd1- r1 IBP. MENT,eQOK Po6E n is 5 ; 4 g 0� 139.00'U oI = 189 4B m,�l 167. g 135,0)' I8a x g1 y 199.00• I a g 8 BOW PAGE -- Ir N89'SS92'E1 135.00' ISO 47 A Jr -I -- 01 g• 50Oi �� 135.00' O 135.0)•= 4G $1 p O iGI {�o L21' N rd1- r1 IBP. MENT,eQOK Po6E 9.00' 19; ORO ESTATES UNIT NO. I' SHOWN AS NW04'05'W ON TWE 13500' 1 136.00 I MAP FILED IN TWE OFFICE OF WE RECORDER OF BUTTE N 07'SCSYE $• 52 $I COUNTY IN MAP BOOK 30 AT PAGES 41,48, AND 49. -- LOT A SBT5452"W IG5.00' bOP 4 gl +T 47 --Z SIERRA, DEL ORO ESTATES UNIT N0. 2 A PORTION OF SECTION 13 T. 23 N. R. 3 E. M.D.M. BUTTE COUNTY, CALIFORNIA, OWNERS 8 SUBDIVIDERS S.8 0. PARADISE INC. S. 8 Q INVESTMENT CO. INC. MAGALIA CORPORATION • FIR HAVEN DEVELOPMENT CORP SCALE 1"-100' SEPTEMBER ,1965 MURRAY 9 McCORMICK, INC. CONSULTING CIVIL ENGINEERS 1912'F' ST, SACRAMENTO, CALIFORNIA SWEET J OF S SIEETS .. 120-0040 - JD-. I� 139.00'U oI = 189 4B m,�l 13500' 8 0l — — 41 sI �I V 135.00' ISO 01 g• 50Oi �� li P3-- GRANT TOBUTTE COUNTY pD 8 1350)' $ 8 NOTES: OF 30'ROADWAV FdSE- ; D8i ,^,' R SI h TWE BASK OF BEARINGS 15 TRE WEST LINE OF'SIERRA DEL 1"1 N MENT,eQOK Po6E I 19; ORO ESTATES UNIT NO. I' SHOWN AS NW04'05'W ON TWE 136.00 I MAP FILED IN TWE OFFICE OF WE RECORDER OF BUTTE $• 52 $I COUNTY IN MAP BOOK 30 AT PAGES 41,48, AND 49. WB9'SY S2'E'1 TOTAL ACREAGE ................. ._.... ......_........__...3804 ACRES 135.00 1 TOTAL. ACREAGE IN LOTS ._.-......_._.___.......... 3032 ACRES TOTAL ACREAGE IN STREETS _...... .................... 832 ACRES LBGIN D: 1 589'5S'92'W 13]00' ` PUBLIC UTILITY EASEMENT(PUE)._...._......_._..... 8 ---- — SET BACK LINE...__..._.._._..._.._._._......_.._..__.._._ SET CONCRETE MONUMENT WITW TAG MARNEO S 193 > SET 9/4• IMN PIPE WIT4 TAG MA4KEO Q.C.E. 9033. .............. . I � T P•.Rn _ ALLLOl COBWEBS NOT INDICATED BY ONE OF TWE ABOVE S8gg5'52W rraRD. .� SYMLWIS TO BESET WITW W IRON PIPE TOGBED R,CE.9033 — — 5000' �� '04'08 1 1OW —�_•—ROBEWOOD 589'SY 52'W ORIVE—.—g FOUND 'Ald' IRON PIPE• ' TAGGED L.S.2643 SIERRA, DEL ORO ESTATES UNIT N0. 2 A PORTION OF SECTION 13 T. 23 N. R. 3 E. M.D.M. BUTTE COUNTY, CALIFORNIA, OWNERS 8 SUBDIVIDERS S.8 0. PARADISE INC. S. 8 Q INVESTMENT CO. INC. MAGALIA CORPORATION • FIR HAVEN DEVELOPMENT CORP SCALE 1"-100' SEPTEMBER ,1965 MURRAY 9 McCORMICK, INC. CONSULTING CIVIL ENGINEERS 1912'F' ST, SACRAMENTO, CALIFORNIA SWEET J OF S SIEETS .. 120-0040 - JD-. 01 065-350-034-'4 PER14IT#97-0129 KIRKPATRICK, Joyce 14858 Glenwood Dr., Magalia Repair Ele Ser/MH c t i } a OFFICE COPY I Address - j GAS r+' Meter By `' Date EL'E0TRIC� l AMeter By s Date _ 6 l i �i 01 065-350-034-'4 PER14IT#97-0129 KIRKPATRICK, Joyce 14858 Glenwood Dr., Magalia Repair Ele Ser/MH c t i } a OFFICE COPY I Address - j GAS r+' Meter By `' Date EL'E0TRIC� l AMeter By s Date _ 6 l i COUNTY OF BUTTE- DEPARTMENT OF REVELOPMENTSERVICES -BUILDING DIV}SION 7 .County Center Drive - Oroville, Californih 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —3 ZONING BUIL PERMIT OWNER JOYCE KIRKPATRICK TELEAACNE 873-5215 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14858 GLENWOOD DR. MAGALIA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 14858 GLEMOM DR PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomek] Other I SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK n New ❑ Addition ❑ Remodel ❑ Utilities ID Installation ❑ Other ❑ Describe Work: EXISTING MO$ILE REPAIR ELEC SERVICE Mobile Home S I G W 1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( 200A ORLEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. License Class Lic. NO.0 100 Q.-f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason:Mobile 'L] I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADON ( a ) 3.5¢ FT. S LTI-ACCUTLEBUDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Occup. ( OUTLET OR FIXTURES ) B20 Q 1.00 Ex. Occup. ( OUFIXED TLETS(RESID.)OEA) 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and 'will maintain a}certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrierand policy number are: Carrier _ I` MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number )A � 11 (The above sections need -not be completed if the permit is for work of a valuation of one hundred dollars '($1 00) or less.) 0 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in 'any manner so as to become subject to workers' compensation laws of California; and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��_ — Date Cl '7 [ `a, L — ill�kAj� Signature f Applicant - _ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee ` I $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. O. FEES I IMP I FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. By %' 00 Date /�� - 9;L PERMITEXPIRESON �',�-_ - yN (Date) Receipt No. 2, nq h�^7 .3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR . PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIV ION 7 County Center Drive - Oroville,.'C& 1fOrRla 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT 7 7--0/a ASSESSOR PARCEL NUMBER 065-350-034 ZONING BUIL NG PERMIT OWNER JOYCE KIRKPATRICK TELEPHONE 873-5215 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14858 GLENWOOD DR MAGALIA CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDREss 1/,258 GIRN1400D DR PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeX3 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IN Installation ❑ Other ❑ Describe Work: EXISTING MOBILE REPAIR ELEC SERVICE Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service aOO ( 200AV OR LESS OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. N-.0 Loh e_F' OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWERS (a NGLE OUTLETT CI R. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 6AL 0 .s0 Ex. Occup. (oFIXEEDrs PLNS. ORR.a) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - p X _ Date L� /_ Signa&e f Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL PD HO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY �1��'{1 Date PERMIT EXPIRES ON7 (Date) Receipt No. Z (' q "/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- l ......;•....:::::...::.:... �::�y.,.v�..x<a:o::::.a�ma....:.+�a�r.+�....:...:..:.>:on..r.....,..,.y:;;::;.::.:a.;....;..:.: � .;•:::,•: ��.:..:::?Sn:..:.:a':....:�:;�.��:: • .�, ..�k.�`4 .,. 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 budding permit No building permit will be issued until this verification is received. 1. I personally plan to -provide the major labor and materials for construction of the Proposed property improvement: YES". NO[ ]. 7- 2. 1 HAVE" HAVE NOT[ ] signed an application for a budding permit for the .�:. ,_ proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: - , - NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER ut SOCIAL SECURUY NUMBER_ DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name Iisting yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourseii; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the* entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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 withholding, federal social security taxes, workers compensation inenrancz, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance, 0 For more specific information about your obligations under Federal Law, contract - the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we Can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sinc'erel , • .. Michail C. Viefth, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER