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I I ; - - .. - . .. .: ... ". - - o - ; -, L. . : - -, 1 j . . , : !,-;,'-"',,-.-."!.,?`,- , . . . : � . . - . . , I . : . % � '. . . . . . I . . . . . . . : . . : . . . , . .. � . � . . . . , -, - . . '. ;. !� ; ��; 1, � �.� ; . ! . . . . .'. I .2-,. � , ol .: �t�--. . . . . . . . . . . .. ; . - .� 1� . ". I � � ., i " . � : . I , - - - -- � I - - . . . ,.t� - - � ".,--;- ; � i t .11". i" . � - --,�: , ) i . . 1! , . . .. � . , .. . : . , j �� �".', I . ; , - -�� -,. ,!. , , � . . � .- . . . : . . � , � . .. -'-r::;. . . ... : : ; I L _-, . . . a NOTES RESIDENTIAL j PERMIT NO. _ �66>110-013 02-2289 W.EUREKADR.,MAGALIATT; LEE I 4 WN t� • � CONTR: O . ER t NSF, * r'.r;�`•;a FC,,, �� — -----� „i SPECIAL COWMONS S C ED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY 4r• h� Address k t SPECIAL COWMONS S C ED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date). Signature - OFFICE COPY 4r• Address k t GAS Meter By Date•�'��-� �. ELECTRIC, Meter By JOB FINALED (Date). Signature - Q J=OK ' 0 = Nat OK = Not Applicable . = NotAeady -MOBILE HOMES. ; :MISCELLANEOUS " , Date MOBILE HOME UTILITIES (Plans) OK except #'s 'Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s . 1. Zoning Requirements -Setback s -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3: 'Sewer; Location -Test -Fall -C/O Concrete3: Decks,"Girders and/or Joists Decking -Bracing Stairs Rails 4.. -Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams_Rftrs-Connectors. ` 5.. Electricity; Location=Clearances-Grnd-/ . , /Amp -Concrete Shthg-Frg-Bracing • . - 6. Gas; Location -Test -Wrap;-/ " 'P' L `ft: - . 5: Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures P Nat. or/ /° L "ft./- . /'-LPG :. _ 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8:: Utility Clearance - 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses = 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 1 T. Ext:; Steps -Doors -Landings _ Date Card B-1: Date Card B-1 12: Braced Wall Panels - Date . MOBILE HOME INSTALLATION (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements Date Card B-1:'-- Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 . -Date Card B-1 3. Gas; MH Test -Demand -Valve= Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -.Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction Structure Stability 6: Water; MH Test_Regulator-Connector 3. Pool Structure; Sfeel-Connections Thickness 7. Water and Sewer Connected -C/0 -to Grade -HD Approval Dead Men -Lining " ,,:8. Gas and.Electricity Tagged. 4. Elec.; Receptacles.and Lighting; Distance-GFI 9. Tie Downs -Type -Installation Cert. 5. - Elec.; Pool -Lighting', 15 Volts-GFI 10: Exits; Insp.-Sketch . 6.- Elec.; Enclosures; Conduit Entries -Terminals' -Listed 11. Cert. of Occupancy _ 7... Elec.; Bonding; Metal w/5' --Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main,Conduit Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test, Date PERMANENT END SYSTEM (ONLY)- 11. Light Niche 1. Zoning Requirements -Setbacks -Easements- 12. Enclosure; Fencing -Alarms .2: Footings; Size -Spacing -Marriage Line 3. Blocking - Date Card B-1 -Date -Card B-1 4. Gas; MH Test -Demand -Valve Date Card B-1Date .'Card B-1 5. Electricity; MH Test 6:• Water;'MH,Test 7. Waterand'Sewer Connected 8. 'Gas and Electricity Tagged _ :: . :. .. .. • - z 9. Exits 10. License Decals ,.. 11"'• Verify."#'swith Office Date Card B-1 Date . Card B-1 Date, Card B 1:..` ` Date' :,• .... Card B-1 - J=OK o = NotOK Ap RESIDENTIAL - =Not Applicable . = Not Ready Date UNDgfIPLOOR (Plans) OK except #'s /,, i Zonina-Setbacks- Easements- Flood -Slone i U ; Main; Soils-Elec. Gr& 7/ P' Ftg. Depth &1,-Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg.-Porches & Decks; Soils -Steel-/ P' Ftg. Depth terrwalls, Main; Steel-Blockouts-Wrapped &a!Hold-Bowns and Special Anchors 91O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 , Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 1 ater Pipe: Test-Anchors-Reaulator-Service Test (Single & Duplex) 4& -'Headers & Beams -Size & Bearing Date FRA G (Continued) . b Wngers-Post Caps -Anchors -Connectors C ing. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. 4 ' eplace Ties or Type A Flue -Fireplace Throat Clearance Attic -Access; Size & Romex Protection -Draft Stop -Ins. Baffles B rm. Windows or Exiting Doors -Sill Ht. & Dimensions Vage Fire Protection Framing -RC Channel �% erty Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6 I ood on Roof Overhang -Attic Vents -Rafter Outriggers g -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic Walls; Nailing -Bolts Interior/Exterior Wall Panels 9peo ifiRration-Walls-Windows Date/- . of / Card B- Date Card B-1 Card B'i./1S/ / Date Card B-1 Date FINAUPlansl OK.6xcept #'s 6je!j2 t. Steps -Door & Sidelight Protection -Landings 6VOSonoke Detector 66Vurnace Vents -clearance -Comb, Air-Connector- kGarage; Above Floor -Ducts -Meth. Protection I nums & Ducts; Clearance -Material -Support -Ins. jddroom Exiting )rders-Sills-Anchor Bolts-Joists-Vents-Crippies G.F.I. & Bath Fixtures & Tub Access -Spa Access & Ventilation 16. Insulation & Rails 7 Date Date Card B-jp Date Card B-1 Card BIT -,'Date Card B-1 Date PLU NG (Permit) OK except #'s ter Htr.; Vent -Access -Combustion Air Baffle Y Pipe; Test & Anchor -Nail Protection 7@' W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. T2Rtfub & Shower Second Floor -Tub Access Elec. & Mech. Equip. Listed for Location Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test -Foam -Looked in Attic . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection .��/7/U��dllowing �!3 Stucco B n -Finish Receptacles Spacing -Lights & Switches at Doors A.C. Unit Disconnect, Electrical -Plumbing Size Boxes & No. of Conductors Stapled Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ex Installed Close to Edge of Studs & C.J. 2 . E ip. Ground made up w/Mech Fasteners -Bond Gas & Water Exterior Elec. Trim, G.F.I. Receptacle -Underground 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 3 qqip. Clearances Panels-Motors-Mech. Equip. Water & Sewer Connected -C/0 to Grade -HD Approval othes Closet Light -Shower Light -Spa Light Compliance Certificate -Other Certificates moke Detector Address Posted 99,X Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Card B-1 Date Card B-1 ,,,Ducts Insulation & Support ent.Fan, Exhaust above insulation 3a -<o ' nclensate Drain & Overflow, Size & Grade 3 urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM!WPermit) OK except #'s Sill roper Materials & Anchors Studs -Nailing Spacing & Braces -Plates -Sound Bqar(ng Walls over Girders & Floor Nailing DLO�top in Walls (rat proof) mops, Furred Ceilings -Stairs -Chasers -Tubs 4& -'Headers & Beams -Size & Bearing Date FRA G (Continued) . b Wngers-Post Caps -Anchors -Connectors C ing. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. 4 ' eplace Ties or Type A Flue -Fireplace Throat Clearance Attic -Access; Size & Romex Protection -Draft Stop -Ins. Baffles B rm. Windows or Exiting Doors -Sill Ht. & Dimensions Vage Fire Protection Framing -RC Channel �% erty Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6 I ood on Roof Overhang -Attic Vents -Rafter Outriggers g -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic Walls; Nailing -Bolts Interior/Exterior Wall Panels 9peo ifiRration-Walls-Windows Date/- . of / Card B- Date Card B-1 Card B'i./1S/ / Date Card B-1 Date FINAUPlansl OK.6xcept #'s 6je!j2 t. Steps -Door & Sidelight Protection -Landings 6VOSonoke Detector 66Vurnace Vents -clearance -Comb, Air-Connector- kGarage; Above Floor -Ducts -Meth. Protection 6 . jddroom Exiting 6V G.F.I. & Bath Fixtures & Tub Access -Spa 6 Elec. Trim & Subpanel, Breaker Sizes & Labels -F6-Stairs & Rails 7 ,ireplace or Stove, Clearance -Hearth ,Elec. Outlets at Wood Panel, Int. & Ext. jfcit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Alec. Outlets & Receptacles at Kit. Counter 7@' Garage Fire Door; Swing -Landing -Closure 7":C. Duct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. 'h Garage; Above Floor-Mech. Protection 781,01b.; Elec. & Mech. Equip. Listed for Location 7 .,!�lec. Receptacles in Garage (F.F.I.)-Romex Protection 8 ..Insulation -Foam -Looked in Attic . uard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Instld.9(we O Yes O No/Walks U Yes D No/Planters D Yes O No .��/7/U��dllowing �!3 Stucco B n -Finish 85 A.C. Unit Disconnect, Electrical -Plumbing 6. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 8 ntilation Throughout House 9 lass Protection 9 .corrections from Previous Inspections was Test -Meters Tagged, Gas -Electric A Water & Sewer Connected -C/0 to Grade -HD Approval 94/Energy Compliance Certificate -Other Certificates 95. Address Posted 99,X Sprinkler Date , Zf ,03 Card B-1 (f.4- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California.,,95965 • Telephone (530) 538 -ID 7r -A P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT "L ASSESSOR PARCEL NUi BER - ZONING R1 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1-641 R 88 164.00 . OWNERS MAILING ADDRESS 320 Burden Terrace Paradise CA 95969 484 1J 8,712-00 CONTRACTOR'S NAME owner TELEPHONE 198 Coy.- CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 Permit Fee $ 635.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ - BUILDING ADDRESS 13757 Eureka Drive Magalia Energy Plan Checking Fee $46-00 $ PERMIT FEE $ 1113.75 LOT No. SUBDMSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: To Be Mastered #97-46 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t 133.00 ELECTRICAL PERMIT Fling Fee 20.00 ao*l OR 1131 Main Service 200AORLES3 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full force and effect. ,. License ClassLic. No. �� 7 %' OWNER -BUILDER DECLARATIONAPPLNIS I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 1000A 46.00 NEW CONST. OWEWNG Occup. SO wa . OR AUDNS. a ACC. BLD S. 3.50'7. 74.35 . NEW GUNST. MULTI -OUTLET NON-RESID. @7.50 POWER APPARATUS a SINGLE OUTLET CIF OUTLET OR FOTTURES Ex. Occup. BAL @ so Ex. Occup. OUUTTLEETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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'al compensation laws of California, and agree that if 1 should become subject to the w compensation provisions of section 3700 of the Labor Code, I shall C ly lt those provisio X Date Z' at App cant - ❑ Ow er actor ❑ Agent An permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in he'ght. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 20.00 Hood 6.50 FI_ 90 Ventilation gas f PERMIT FEt $ 'Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE T TAL FEE $ I IMP FLOOD CD D. E 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. Q/ /S D 21 By Date 6 (/ PERMIT EXPIRES ON fd3 to Receipt No. 7 Ir WHITE-D.D.S.-B. D. CANARY ASSESSOR PINK-INSPEtTDR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT QF FL'O`PMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 1'hone,(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 0 Proposed Building Use: ���(� S Counter Technician. Date: Items required in order to apply for a permit. All boxes MUST I checked OR marked NA in or er to a ply. 01",. Plot plans, 3 or 4 sets, signedty the preparer of the plans. Z^Jv�2- Complete plans, 3 or 4 sets, signed by the preparer of the plans. ; Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. .0.4. Engineered truss details and layouts in duplicate. No faxes! �K5. Energy compliance design -and supporting documentation in duplicate. _0-6- Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundationlans,all in duplicate. .Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. '�(D) Floor plans in triplicate. 'All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be./ indexed and returned to.the plan review line-up when required items are received. Date Received By ' El 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ..........................::h .... ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) LTJ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... .>\.�❑ Statement of Intent for Non -heated and A/C Buildings... -.:... ..................... �.....�... 166. Sanitation and plot plan approval from the Environmental Health Department in t ^ �-Z -OL 17. City of Chico Plumbing permit.......................................................................: 18. California Department of Forestry plan approval (aid. Sent. by: ............... 19. Planning approval for (A) Use: (>)L (B)Parking: (C) Parcel Check:0Q- 20El. Contact Land Development about Improvements, ❑ Drainage .............................. 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupanc}). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 026. Letter of Signature authorization.................................................................... . Recorded copy of Agricultural Acknowledgment Statement .................................... 7 ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, 11 Check to H.C.D. $ ❑ 31. Other: When„issued Telephone and hold for pickup. I have been inf a of the above items a requirements for obtaining a building permit. Applic Date: 1. Index ermit application for the above items numbered: / A/ o� 7 Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ ' phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ count e by Date: Plans reviewed by: Date: Plans approved by: S` Date: l Structural reviewe&C�­­Date::N-3- Date: Structural approved by: Date: Note transfer by: Yellow Ruildinn Divicion E.H. USE ONLY '. Plot Ran Attechad Floor Flan Attached Sent to B.D. TO: Building "Department FROM: Environmental; Health SUBJECT: Sanitation Clearance C± Euz,eK6 C) r, 0 1 Owner Location 4; AP# Plan Approved for: Sewage Disposal Wat Sup I ly: Public Private Well (� Clearance fo�dwel 'ng. Other C Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT!SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # (D6 —11 D --D,3 PROPOSED BUILDING USE�F DATE / RECEIPT # DATE. REC. Z _ 1. BUILDING PERMIT FEES /C Balance Due ....................... $ � � J Additional Fees Due ................. $ Additional Fees Due .............. $ Revised Plan Checking Fee........ $ 2. SCHOOL DISTRICT FEES _Z(paid at District Office) (Available after Plan Check)r o 3. SHERIFF FEES (paid at Building Division) -L Residential ....... ....... x $360.00 = $ • ]( Units Commercial (sq. ft. x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) t 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be chan/dunrinplan checking process. APPLICANT D 7/U Pursuant to Go ment Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have, 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest: The requirements fora protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy Applicant 3rd Copy - Owner (Rev. 6/00) AND WHEY RECORDED MAIL TO, BLiTTE CotfNTV BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE. CA 95965 CORY of Document Recorded 05 -Sep -2002 2002-0046233 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 succi inconvenience or. discomfort frorn'Pormal, necessary farm operations. All that'real property situate in the County of Butte, -State of California, described as follows: FPRM,.A: Lot 12, as slim rn that aeztam M3P aYtitil,ed,. 'T achse Pines axrttry Club Estates Unit 2" '; filed in the Office theCE tZtnty Baltic Qzs Ly, Catifcffi-1ia; cn Oct: 13; 1971, in Lbolc 38, aE Nli�s, at R 61, 62 and 63. EMIU:1� T4RTRM all mhiezals, oil, cps► as�ta tun and otber t with txunsim that any and all nur ng qDEXat rr>c SLI be cute h= crifice_s airside the surface area c-sf tfis l td clsibed 1Eeresn, and that nD amuge dBU be cxe to the axfage Cf d lard. MFM, A rrn- . eg lusive eaSMEInt cis ,'I� A, B, C and E (tile canT zt ate) C E lar-said Pines ��' Clt� 'It Unit 2, and tate lots designated fcr amTrcn and re=eataa'al meas as cbscr"ibed -n the DErl atz rs of Anneaetim fcr hits IV, Vi, VIII, X; XI, M, XIII, XIV, XV acrd Qty CLUb Estates [hits 1 -r d 2. Date PROPERTY Z PROPERTY OWNERS: CY�yl )�-rett State of California County of t, , l / On before me, personally ap'eared("'' Lf %"�c' �� r % f personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that bv his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed th inst rent. WITNESS my hand and offici I sea /_-: ` ✓� f ,'?� Seal: P.,. Signature ` "i` ; A. 1). 9 �, l [C -7c, 7c,t..D� 'l11Si 5 f' ',r. -.-:.,a ti1.'.•;.r-. 44 � XkAN".o�,y;�.^.iW�M• �-,n.`y,.^.a• - �••cles:n� .f"�r'bi+..- ..,,_: e-` Pin s,. ,�_ ... E BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District tB[�rlri'pertment No: A;P: Number (LQ �.�' .�' �uns ictlon city County t. l -} F Property Owner_D ' Property LOCatlon/AddreSS ( r 4( Subdivision 'Lot-No.�.. Residential Development _� _............. :., Sq. Footage .... ...... .:' ........ .. No of Living Mobile Home Addition/ 'Supplemental to (Group- R) Units 'Installation Conversion . Permit # '(No foundation ins pect.on)I r , Commercial/Industrial Sq Footage New , ; -Addy ion. ,, - 't iMt�- « fi r - (Including' E�de�ior; Roofed Areas) Building Department Repr tative to (Floor Plans reviewed by School District Personnel) Dist 1'dent"tion No 1 0District Sch of certfies that fir,1`��1 x 1 (Applicant) a 22 J�Y (Styes 2ldress) 4 t (Phone Number) (Cl 1 1 tate) (Zip Coder has complied with the requirements of Resolution No. by payment of $ representing �i'7 square feet.J[AB 2926 $ FULL MITIGATION $ –T,.. • 1,' r'- 04 t -- _i` - "Y .. ! , , _ �... � � { i � v :�` low .. : � w 4 a - r � -i'i �:'.. •..: �'^.� Scho District Representative Date I Paid by Check It Remarks: Notice: You may protest the imposition of the fees identified -above by, submitting a wntien protest to the District in compliance with Government Code Section 66020(a) within'90 days from the date fees are, paid Failure to submit a timely written protest will Prohibit i kj a, you from challenging_the `;mposition of. the fees' in any court + action r� If subsequent ta.the School District RepreserrtatiVe: tgning;this,Butte CouMy:Schods Impact„Fee Certification`Form the School:'Distnct'is notified;•by the applicable Local Planning Agency that this project, is'being'reviewed•urider the :Ceiifori ia`tnwronment'ai dualitytAct ICEGA)', ' this project may be subject to additional school fees•to'fully-mitigate its impact on_the.scho6Fdistrict'sschools. ? i' White (applicant); Yellow (building :department); Pink (school 'diSfnCt) 6 ' feeform, cis 11'0/981dmm T . LARRY-PANTER romc CHICO ENV. HEALTH FA APPROVED -� B -s-02 Permit #: EHS—fn AUG 5 2004 r ❑ CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Genera/Information Owners Name: Owners Address: Building Site Address: Date - AP #: ate -AP#: �llJ� //v Acreage: Proverty lnformadon Permit Type: ❑Agriculture Building❑ Commercal ❑ Industrial l(yy E] Mobile Home 'SFD E] Residential Accessory it ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Septic ❑ Well ❑ Other Zone District: Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement No ❑ Yes, check use_ Minimum Acreage: • Nitrate Action Pian ® No ❑ Yes Violation Area No ❑ Yes Spedfic Plan ® No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone _K No ❑ Yes, check use 14 No Y� 09 Floodplain 1 p ❑ Zone: 1 � Panel Number: - - Watershed Protection Zone tg No ❑ Yes Proposed Use Complies With: General Plan ® Zoning Proposed Use Reauires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Panting Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable • Zoninq Code Street & Highwaya Fire n A Subdivision Ma Front __SV ^ Side Side street Rear Height Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created bv: ❑ Deeds Date of Creation: Deed Reference: Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided Legal Access Required: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ATZA 1715 6 PI N C S r✓ _ C—_ SY 2 JS Map Date of Recording: 10-13— -7 Lot: Z Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ No ❑ Yes ❑ No ❑ Yes Q� LO' -5 Block: Book: J Page: ❑ Provide Creation Deed • ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). • ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/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 EHD requirements. ❑ Other General Comments: s N Q,,..> L&A-b = 2g'ZYD -V-0 2Z7en -P7 LOE MM YMULAT NIGVN VCS MWd77M rBMIC' TE _ 17 -• _ .. mSubdhdSM .. 1. ROOF 2- C°RM Neme era ��rm �R-��ns.•) 4J -- i�YiY�i(iMW�)11 3� EXTERIOR WALL aft HMO Mmft 4. RATS® FLOOR &.SLAB FLOOR / PEIRMETIER ! z, 18t�ld t T 7 Rhe (Ruej WOOL— & ROU ATM WALL Nie MateM ThkkmmO DECLARATM. LDEM BISULATM CO., INC. or 7 � _ s ------ --.. .. - —---�—�� ���---� — --- �.._ — ,�_ Deux A 40 6,Ln"N7 I S /k 177� Q 4 1 1% IS eb? oe N 8-6 (ID ?X I Ri tr 8c J A? --,/ 7 Y—) 7 A t 72� C, & Fts. ��I A 7A'L`�ri 2-b 5 I . �� i �r..� � `8 LO • Al 1A APPROVED Butte Countv Enw-ronmelital Health to AUG 2002 Chico,California F v e/4 'Z4:,j r --3 ol-9 0